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Home My WebLink About708 Caroline St - Building RECEI �o�apgr t,titi C1,ry OF PoR*r ANGELES P1 WIT A11,PLICATION SEP 9 ?0 3 Building Divistan/Electrical InsPections 331 Enst Fifth Street a-p.0.Boat 1.X501 Port Angeles Washington,98362 1NtiS ��tl �' Ph: (360) 417-10735 Iaa<: (360) 417-4711 OPTS c� Date; __ 1 &2 Single Family Dwelling 'Plan Review May Be Required,Please Complete Electrical Plan Review Iniormatlan Sheet Job Address; Building Square Footage: 06cripilon of above Ownerinfn Contrac rinfoTmatio Name; Noma; Mailing A s: Melling Ad S� Clly; `6719; Zip: State; Ip:, phone: Fax; Phone Sx; License 4 I Exp, An License#1 Exp. nl Char a �y Total(R y Ml Unit Cha e e $12th 4'� 00� ServicelFel 200 Amp. $—-- 5erviceMeeder 201,400 Amp, $126.00$145.00 «w...w- S - ServicelFooder 401.600 Amp $192 00 $--�_- — SorvicelFell 601.1000 Amp, $373100 $--- Service/Feed or over 1000 Amp, $ 5 00 $ --- / ,®t Branch Circuit wl Service Feeder $ 63.00 0 $ � Forh r Circuit l W10 Br Service Feeder $ 5.00 $--- Each Additional Wrench Circuit 1.4 $ 75,04 \444�y"„''7 g ••-- Branch Ctrculls $ 03.00 $ Temp.Service/Feeder 200 Amp. $110.00 $ Temp,Samicarxeeder 201.400 Amp. Temp.gervice/Feedor 401-600 Amp. $168.00 Tomp•Service/Feeder 601-1000 Amp. $ 96,00 $� Portal to Portal Hourly $^_ Signal CircW Limited Energy-1&2 Family Dwelling $ 64,00 Manufactured dome Connection $120.00 Renewable Ell Energy-5KVA SyGlam or Less $102,00 $---� ~— Thermostat $ $6.00 -._•------ �^--._.�.."'_ Note.$5.00 for each additional TSlat LE CON TRU TION=- $110.20 First 1300 Square Fl. 20.00 Each Additional 500 Scu4ra FL or Portion of $ 44,00 $� Each 00bullding or Detached Garage 00$110, S Each Swimming Pool or Hat Tub � $�otal i. ... r; owner as defined by RCW,19.26,261 t(1)Owner 411 occupy the structure for two years afler this eiectrloat porMit Is finalized (2)Owner is required to hire an electrical contractor If abo ve said property is for sale,rent or lease.Permit expires after six months of last inspection. After reading the above statement,I hereby plia c that I am the owner of the NA-C,,RCW.Ch pier 19 or a 28,lIWAC. electrical contractor. of Port the electrical Installation or alleratlon In compliance with tl�e electrical laws, Angeles Munlcipal Cade,and Utllity Specltications and PAMC 14.06,050 regarding Electrical PermltApplicatlans, signature of owner,electrical contractor or electrical adminiatrator, [1 c�4n d tnaak g�r )crodh Card 0 T/T 'd TTZbZTt7:01 Zt766ZSt7092 DIai=3 5808:WOdd 01:7:8T 2TOZ-8T-d3S- ELECTRICAL PERMIT CITY OF PORT ANGELES _ 360-417-4735 Application Number . . . . , 13-00001077 Date 9/19/13 Application pin number . , . 637589 Property Address , , , . , , 708 CAROLINE SJ ASSESSOR PARCEL NUMSVR: 06-30-00-5--1-3635-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form SropertyiUo Name ; ; ; . ; . to the Clty of Port Angeles .Property Use Property Zon1 Ag . . : , . , , RS7 RZSDNT14 SINGLE FAMILY (Location Code 0502) Application valuation , . , , 0 Application desc 6 circuits cutlete and heat Owner Contractor DAVID A ERB AND LAURA. V 7ENNTN 30BIS ELECTRIC INC 12115 PIPING ROCK OR 2293 DEER PARK RD. HOUSTON TX 77077 PORT ANGELES WA 98362 (360) 457-6887' -------------------------------- _-_--__-_-___-_--_-------------------------- {� Permit . , , . , ELECTRICAL ALTER RESIDENTIAL V Additional desc . Permit Fee 88.00 Plan Check Fee .00 issue Date 9/19/13 Valuation , . . . 0 Expiration Date 3/18/14 Qty Unit Charge Per Extension 5.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 25,00 WO/ FEED 63,00 ----------------------- -- --- 1,00 63,0000 ECH EL-R- BR Fee summary Charged Paid Credited Due ----------------- ---------- ----- --- ---------- ----------- Permit Fee 'Dotal 88,00 88.00 .00 .00 Plan Check Total .00 ,00 .00 .00 Grand Total 88.00 88.00 .00 ,00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL E)TIRE SIX(6)MONTHS FROM FAST INSPECTION Signature of owner or Electrical Contractor X Date: C:IEXCHANGRBUILDING Building Permit 708 Caroline St 13 -202 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 13- 00000202 Application pin number 796914 Property Address 708 CAROLINE ST ASSESSOR PARCEL NUMBER: 06-30-00-5-1- 3635 -0000- Application type description RE -ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 9430 Application desc TEAR OFF /INSTALL COMP Owner VAN WALD E H 708 CAROLINE ST PORT ANGELES Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF /INSTALL COMP Permit Fee 207.75 Plan Check Fee Issue Date 2/27/13 Valuation Expiration Date 8/26/13. Qty Unit Charge Per 8.00 14.0000 THOU Other Fees Fee summary Charged Permit Fee Total Plan Check Total Other Fee Total Grand Total T:Forms /Building Division /Building Permit WA 983623502 207.75 .00 4.50 212.25 Contractor EMERALD ROOFING INC P. 0. BOX 879 PORT ANGELES (360) 452 -4681 BASE FEE BL- 2001 -25K (14 PER K) STATE SURCHARGE Paid Credited 207.75 .00 .00 .00 4.50 .00 212.25 .00 Date 2/27/13 WA 98362 .00 9430 Extension 95.75 112.00 4.50 Due .00 .00 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. 2. -27 -r3 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Comments FOUNDATION: Electrical Footings Stemwall PW Engineering 417 -4831 Foundation Drainage Downspouts Fire Piers 417 -4653 Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING: Building Accepted by Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Accepted by Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking Lighting Landscaping BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections_ 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. T:Forms /Building Division /Building Permit Project Address: '7 0 S e$T 04.12 01, k fu E Primary Contact: C �k0 c Y S Phone 95 1 7 69 s E -Mail. Property Owner Name Phone Mailing Address Email City State Zip Contractor Information Name tP ire-0 Aer t /Lc— Phone Q^ U 1 7 License Email Expiration Date. Legal Description: Zoning: Tax Parcel Project Value: (materials and labor) Permit Classification (check appropriate) Residential ti Commercial Industrial Public Demolition Fire Repair 0. Reroof (tear off /lay over) For the following, fill out both pages of permit application: New Construction Exterior Remodel Addition Tenant Improvement Mechanical Plumbing Other Existing Fire Sprinkler System? Yes No Maximum height of structure Proposed Bedrooms Proposed Bathrooms Project Description dPr IL-05 X Y0� Ca r Is project in a Flood Zone: Yes No Flood Zone Type: 4 1 1 oa If in a Flood Zone, what is the value of the structure before proposed improvement? .3 I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to work. I understand that plan review fees are not refundable after review has occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is issued. I understand that if the permit is not picked up /issued within 18o days of submittal, the application will be considered abandoned i will be forfeited. le.a PORTANGELES W A S H I N G T O N U.S. 321 E. First Street Port Angeles, WA 98362 P: (360) 417 -4817 F: (360) 417 -4711 E -mail: permits @cityofpa.us Building Permit Application Form For City Use Permit# 13- ZO 2— Date Received: -71 1 3 Date Approved Residential Structures Area Description (SQ FT) Existing Proposed value For Office Use Basement Appliance Vent Heater.(Suspended, Floor, Recessed wall) First Floor Size: Heating /Cooling appliance repair /alteration Second Floor Pellet Stove /Wood- burning /Gas Fireplace /Gas Stove /Gas Cook Stove /Misc. Fuel Gas Piping Covered Deck /Porch /Entry Ventilation Fan, single duct Furnace /Heat Pump/ Forced Air Unit Size: Deck (over 30" or 2 floor) Ventilation System Garage Carport Other (describe) Area Totals Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: Haz /Non -Haz Piping of Outlets: Appliance Vent Heater.(Suspended, Floor, Recessed wall) Boiler /Compressor Size: Heating /Cooling appliance repair /alteration Evaporative Cooler (attached, not portable) Pellet Stove /Wood- burning /Gas Fireplace /Gas Stove /Gas Cook Stove /Misc. Fuel Gas Piping of Outlets: Ventilation Fan, single duct Furnace /Heat Pump/ Forced Air Unit Size: Ventilation System Commercial Structures Area Descriptions (SQ FT) Existing Proposed Value For Office Use Existing Structure (s) Medical gas piping Sewer Line Industrial waste pretreatment interceptor Vent piping# Proposed Addition Other Tenant Improvement? Other work (describe) Site Area Totals Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated. Plumbing Trap Fuel gas piping #of Outlets# Water Heater Water Line Medical gas piping Sewer Line Industrial waste pretreatment interceptor Vent piping# Other Lot /Site Coverage Calculations Lot Size %Lot Coverage (Sq Ft of all Structures): %Site Coverage (Sq Ft of all impervious surfaces including structures) T: \BUILDING \APPLICATION FORMS \BUILDING PERMIT 081212.DOCX Emerald Roojat9, Alec, Post Office Box 879 Port Angeles, WA 98362 PH: 360 452 -4681 FX: 360 452 -4429 www.emeraldroofmg.20m.com TO MAYS, CARROL Description REROOF HOUSE TEAR OFF EXISTING ROOFING TO SHEETING (2 LAYERS OF WOOD SHAKES) PREP DECKING FOR RESHEET (POUND ALL EXISTING FASTENERS FLUSH) INSTALL 7/16" OSB SHEETING TO ROOF AREA INSTALL 501 MINERIAL SURFACED BASE SHEET TO FLAT ROOF AREA ON EAST SIDE OF HOUSE INSTALL 10" STRIPS OF TORCH DOWN TO GABLE EDGES OF FLAT ROOF INSTALL METAL TO PERIMETER OF SAME SECTION OVER STRIPS OF TORCHDOWN (SO MET AL IS SANDWITCHED) INSTALL GRANULATED TORCHDOWN ROOFING TO FLAT ROOF AREAAND TIE INTO UPPER ROOF SECTION INSTALL #30 ROOFERS FELT TO ROOF AREA (ALL THE REST OF ROOF) INSTALL NEW METAL DRIP EDGE FLASHING TO ALL GABLE EDGES INSTALL COMPOSITION AS PER SPECS 30YR PABCO PREMIER WITH ALGEA BLOCK STEP FLASH ALL WALLS WITH METAL FLASHINGS AS NEEDED CUT RIDGE OPEN A MINIMUM OF 1.5" AT PEAK FOR RIDGE VENT REFLASH 1 CHIMNEY WITH NEW METAL FLASHINGS (NOTE NOT COUNTER FLASHING IN MORTOR) INSTALL RIDGE VENT SYSTEM TO ALL MAIN RIDGES INSTALL RIDGE CAP COMPOSITION TO ALL HIPS AND RIDGES CLEAN ALL GUTTERS FREE FROM DEBRIS CLEAN UP AND REMOVE ALL ROOFING DEBRIS FROM JOBSITE THIS J013 WILL CARRY A 10 YEAR GUARANTEE ON WORKMANSHIP $9430 00 TAX 792.12 $10,222.12 BID INCLUDES ALL DUMP FEES BUT NOT PERMIT WITCH WILL RUN APX $200.00 STAX LOC 0502 ALL COMPOSITION TO BE WIND NAILED (6 NAILS PER FULL SHINGLE AND 4 NAILS PER RIDGE PIECE) ALL WORK NOT ABOVE TO BE A CHANGE ORDER (TIME AND MATERIAL) MANUFACTURERS WARRANTY ON MATERIAL, 5YR LABOR WARRANTY WE PROPOSE hereby to furnish material and labor complete in accordance with the above specifications. Please choose an item where required, sign return to the above address. Payment is due upon completion unless other arrangements have been made. All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written or verbal orders, and will become an extra charge over and above the estimate. All agreements Contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado, and other necessary insurance. Our workers are fully covered by Worker's Compensation insurance. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Estimate Date 2/13/13 Estimate 1814 Job Name/Location ?Og X157 e� f ,l� E 5r- 6l&3 lA44 cmco 2_ JOB PHONE 951- 769 -9584 Authorized Signature Note: This proposal may be withdrawn by us if not accepted within 60 days. Signature Signature PREPARED 4/01/13, 114300 PROGRAM BP521L CITY OF PORT ANGELES APPLICATION PROPERTY ADDRESS STRUCTR PERMIT INSPECTION HISTORY REPORT 0/00/00 THRU 0/00/00 ASSESSOR PARCEL NUMBER ALTERNATE ID INSPECTION 13 00000202 708 CAROLINE ST 06-30 00 5 1 3635-0000- 063000513635 000 000 BNOP 00 BUILDING PERMIT NO PR FEE BL99 0001 BLDG FINAL 2/28/13 APPROVED REQ COMM: February 28, 2013 91225 AM pbarthol. REQ COMM: TRAVIS 452-4681 RES COMM: February 28, 2013 41326 PM jlierly PAGE 1 RESULT DATE/STATUS INSPECTOR JLL ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Appli.cation Number 15- 00000661 Date 6/10/15 Application pin number 057530 Property Address 708 CAROLINE ST ASSESSOR PARCEL NUMBER: 06-30--00-5-1- 3635 - 0000 -- Application type description ELECTRICAL ONLY Subdivision Name , . , , , Property Use Property Zoning . . . . . , , RS7 RESDNTL SINGLE FAMILY Application valuation . , , . 0 ---------------------------------------------------------------------------- Application desc Kitchen remodel Owner Contractor RESULTS: DAVID A ER8 AND LAURA V JENNIN BOB'S EI,RCTRIC INC 12115 PIPING ROCK DR 2293 DEER PARK RD, HOUSTON TX 77077 PORT ANGELES WA 9$362 (360) 4.57 -6887 Permit . , , , , . ELECTRICAL ALTER RESTDENTIAI, Additional deoc 1 -4 CIRCUITS Permit Fes 75,00 Plan Check Fee ,00 Issue Date . .. . , 6/10/15 Valuation 0 Expiration Date . , 12/07/15 Qty Unit Charge Per Extension ' BASF FEE 75.00 Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 ..0o 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 -INN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGi I3f)ILDIING :T,;. JUN -9 -2015 07:13 FROM:BOBS ELECTRIC 3504529943 CITY OF ,PORT ANGELES PERMIT APPLICATION TO:3604174711 JUN I o 2015 Bi lding Division /ElectricaI Inspections 321 East Firth Street — P.O. Rote 1.150 / Port Angelos Washington, 9836 L CTR�� ICA L iSPECTIONS Pb: (360) 4.17,4735 Fox. (360) 417 -4711 Date: 1 & 2 $Ingle Family Dwelling ' Plan Review M y Be Required, Please Com loto Electrical Plan Review Information Sheet Job Address: Building Square F00690; Description of above Owner Information Mailing e-.'SC: Name: Clty: State; p; Mailing Adtl�ss:. -7 City: State: —Zip. ' Phone COty Multioll1d. by Unit gbXC ®1 Llcens v.—.. . _... ,,, . Item Unit Charge ServicelFeeder 200 Amp. $120,00 5ervlcelPeeder 201.400 Amp, $146.00 Servlce/FeWer 401.600 Amp $ 205.00 ServlcelFeodor 801 -1000 Amp, $ 292.00 Servire/Feeder over 1000 Amp. $ 373.00 Branch Circuit W1 Service Feeder $ 5,00 Brunch Circuit W/O Service Felder $ 83.00 Each Additlonai Branch Cimult $ 5,00 branch Circuits 14 $ 75.00 Temp. Service) FcWer 200 Amp, $ 93.00 Temp. Servt0eeder 201 -400 Amp. $11 0,00 Temp. ServicWreodw 40100 Amp, $149.00 Temp. Service / Peeder 601.1000 Amp . $169.00 Portal to Ponal Hourly $ 96.04 SignM Circuit! Limited Energy -1 & 2 Family Dwelling $ 64,00 Manufactured Home Connection $120,00 Renewable Electn'cal Energy • 5KVA System or Less $102,00 Thermostat $ 55.00 Note: $5,00 for each additional T-Stat S dotal N_FM CONSIBYCTION Y: First 1300 Square Ft. $120.00 Each Additional 500 Square Ft. or Portion of $ 40,00 Each 04ullding or Detached Garage $ 74.00 Eact+ Swimming Pool or Hot Tub $110,00 P.1 /1 Con tar Infarrno on Mailing e-.'SC: Clty: State; p; Phv -- . Fax; LioQnso d ! Hxp. ' Total COty Multioll1d. by Unit gbXC ®1 $ $ S dotal Owner as defined by RCW.19,28,261, (1) Owner v ill occupy ft structure for two years after this electrical permit is finalized, (2) Owner is required to hire an electrical contractor if above sold property is for sale, rent or lease. Permit expires after six months of last inspection, After reading the above statement, f hereby certify that I am tho owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alterallon in compliance with the electrical laws, N,E.C,, RCK Chapter 1$.28, WAC. Chapter 296.46B, The City of port Angeles Municlpol Code, and Utility Specifications and RAMC 14.05.050 regarding Electrical Permit Applications, Signature of owner, electrical contractor or electrical administrator; El case, 0 check Cradlt Card N 4 otreinatz C� 1 1 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 16-00000219 Date 2/17/16 Application pin number . . 279146 Property Address . . . . . . 708 CAROLINE ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -3635 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ------ ----------- ---- ----- ------ - ------------------------ ------- Application desc Ductless heat pump ------------------ ---------------------------------------- ----- ---- ----- Owner Contractor ------------------------ ------------------ ---- JESSE W AND ANASTASIYA GMAZEL CASCADE ELECTRIC & VAC MC 708 CAROLINE ST PO BOX 369 PORT ANGELES WA 98362 PORT HADLOCK WA 98339 (360) 379-5347 ------------- ----------- I ---- ----------- I ----------------------- ---- ----- Permit . . I . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date . . . . 2/17/16 valuation 0 Expiration Date . . 8/15/16 Qty Unit Charge Per Extension *BASE FEE 75.00 ------------------ - ---------------------------------------------------------- Fee summary Charged Paid Credited D-ae ----------------- ---------- ---------- ---------- — -------- Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total "75.00 75.00 .00 00 INSPECTION TYPE I DATE: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X GAEXCHANGEWILDING RESULTS: 0 REPORT SALES TAX on your excise fax form to the City of Port Angeles (Location Code 0502) INSPECTOR, Date: Application Number . . . . . 23-00001154 Date 10/26/23 Application pin number . . . 202358 Property Address . . . . . . 708 CAROLINE ST ASSESSOR PARCEL NUMBER: 06-30-00-5-1-3635-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Circuits ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JESSE W AND ANASTASIYA GMAZEL BLACK DIAMOND ELECTRICAL CONTR 708 CAROLINE ST 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 68.00 Plan Check Fee . . .00 Issue Date . . . . 10/26/23 Valuation . . . . 0 Expiration Date . . 4/23/24 Qty Unit Charge Per Extension 1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 68.00 68.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 68.00 68.00 .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