HomeMy WebLinkAbout207 S Jones St - Building10110/2014 08:21 13604525177 ALL WEATHER HEATING
CITY OF PORT ANGELES PIEMM, IT APPLICATION RECEIVEV
13ail4ing, Division /Electrical Inspections m
321 Fast Fifth Street' W- P.O. Box 1150 / Port Ahgeles Wasl>ljOgt0 n, 933d 0 2014
Ph: (360) 41.7 -4735 Fix: (360) 417- 471.1.
Date: 10/10/14
U:LECTRICAL
a
` 1 & 2 Single Family Dwell i srnnon
Plan Review Ma Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: -7 n
Building Square Footage: _
Description of above
Owner Information
Name: A111- i7o i r j t °. 5 rl K 1%Ca<
Mailing Address:
city, ,,,-- late. zap,
Phane:_'��_.?��b ZZ Fax:
License fk / Exp._— _. -. .
Item
Service /Feeder 200 Amp,
ServicelFeeder 201.400 Amp,
ServiceTeeder 401.600 Amp
Service /Feeder 601 -1000 Amp.
Service /Feeder over 1000 Amp,
Branch Circuit WI Service Feeder
Branch Circuit W10 Service Focder
Each Additional Branch Circuit
Branch Circuits 1 -4
Temp, Service/ Feeder 200 Amp.
Temp, Service /Feeder 201 -400 Amp,
Temp, ServicelFeeder 401.600 Amp.
Temp. ServicelFeeder 601.1000 Amp .
Donal to Portal dourly
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling
Manufactured Name Connection
Renewable Electrical Energy - 51NA System or toss
Thermostat
Nate: $5.00 for each additional T-Stat
NEW CONSTRUCTION 0 Y:
First 1300 Squore Ft.
Each Additional 500 Square Ft, or Portion of
Each outbuilding or Detached Garage
Each Swimming Pool or plot Tub
Contractor Information
Name; 1111 Wca(hcr Hcatrng & Coalin
PAGE 03/03
Mailing Address: 302 Kci ;n Street _
City: Fort Angeles S1ate,WA Zia: 983622
Phone : 452 -9813 Fax: 452 -5177
License # / Exp. ALT WPJC t 50KU 9/13
Unit Charge
Qt Total- t -VI ltipiied_by Unit Charge
$120A0
$
$ 446,00
$
$ ?,05.00
$
$ 262.00
$
$ 373,00
$
$ 5.00
$ ......
$ 63,00
$
$ 5.00
$
$ 75,00
1 $ 75.00
$ 93.00
$
$110,00
$
$ 149,00
$
$166,00
$
$ 96,00
$
$ 64,00
$
$120,00
$
$102,00
$
$ 56.00
$
$120.00
$.
$ 40,00
-- $
$ 74,00
$
$110.00
$
$--Z5 - 00 Total
Owner as defined by RCW,19,28,261: (1) Owner will occupy the structure fortwo 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. Permlt 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 gcensed electrical contractor, I am making
the electrical Installation or alteration in compliance with the electrical laws, N.E.C,, RCK Chapter 19.28, WAC. Chapter 296.4613, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: Gl Cash ❑ Chock
j ❑credit Card ft
X 000: 10/10/14
OV61012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735 .
Application Number . . . . .
14- 00001237
Date 10/10/14
Application pin number . , .
557288
DITCH
Property Address
207 S JONES ST
ASSESSOR PARCEL NUMBER:
06- 30-00 -7-9- 0125 -0000-
Applicat.ion type description
ELECTRICAL ONLY
Subdivision Name . . , . .
f .y
Property Use
FINAL
Property Zoning , . , . . . .
RS7 RESONTL SINGLE FAMILY
Application valuation , . . .
0-
COMMENTS:
----- --- -- ----- -- - - -- -- ------------------------------------------
Application desc
-
Ductless heat pump.
----------------------------------------------------------------------------
Owner
Contractor
DORIS 0 SNYDAL HOUSE' TRUST
ALL WEATHER HTG &
COOLING INC
207 S JONES ST
302 KEMP ST
PORT ANGELES WA 983624419
PORT ANGELES
WA 98362
{360} 452 -9813
---------------------------------------------
Permit , . , . . , ELECTRICAL
----------------------
ALTER RESIDENTIAL
- - - --- -.
Additional desc 1 -4 ClaCUZTS
Permit Fee 75.00
Plan Check Fee
00
Issue Date . . . 10/10/14
valuation . .
. . 0
Expiration Date 4/08f15
Qty lnit Charge Per
Extension
SASE
FEE
75.00
Fee summary Charged
Paid ,Credited
Due
----------- - - - - -- ---- - - - - --
Permit Fee Total 75.00
--- - - -- - -- ---- - - - - --
75.00 OD
--- - - - - - --
.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
f .y
FINAL
f
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEISUILDiNG
N
360-417-4735
Application Number . , , . , 14-00001483 Date 12/09/14
Application pin number . . 633850
Property Address . . . . . . 207 S JONES ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -7 -9 -0125 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . I . .
Property Use . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Application desc
200 amp service and ductless HP
-------------------
Owner
Contractor
RESULTS:
DORIS 0 SNYDAL HOUSE
TRUST
BLACK DIAMOND ELECTRICAL CONTR
207 S JONES ST
502 BLACK DIAMOND
R9
PORT ANGELES
WA 983624419
PORT ANGELES
WA 98363
ROUGH -IN
(360) 565-1035
Permit
ELECTRICAL ALTER
RESIDENTIAL
Additional desc . .
V
Permit Fee . . . n
130,00
Plan Check Fee
00
Issue Date . . I .
12/09/14
Valuation
0
Expiration Date . .
6/07/15
Qty Unit Charge
Per
Extension
2.00 5.0000
ECH EL -BRANCH
CIRCUIT W/FSEDER
10.00
1.00 120.0000
ECH EL -0-200
SRV FEEDER
120.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total
130.00
130.00 .00
�00
Plan Check Total
.00
.00 .00
00
Grand Total
130.00
130.00 .00
.00
9
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
f
......... ... .....
4V
ROUGH -IN
FINAL
COMMENTS:
V
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X_ . ... . . . . . . . ...... Date:
G:\EXCHANGE\BUILDTNG
Gr rF �i rr � ISI} y�r lf/ lur r
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street— P.O. Bos 1150 / Port Angeles Washington, 98362 DEC' �} �(11�i�
Ph: (360) 417-4735 Fax: (360) 417-4711 l,-r,(Jhltl°P:i_
Date: A2' 14,1 & 2 Single Family Dwelling
Plan Review May Be Required, Please Complete electrical Plan Review Information Sheet
Job Address: Z "7
Building Square Footage:
Description of above
Owner Information
Name: 66LIJP uta
Mailing Address: +^++10 1'
City: State: Zip:
Phone: %EI—J X Fax,
License # / Exo.
Item
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 WI 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 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 Information
Name: = E -
Mailing Address:
City:
State: Zip:
Phone.
Fax:
License # / iExp.
Q
'Total f%y Multiplied by nitCChargee
$
$
2.
$
$Ak=$
$
$
$
$
$
$
$ 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, pnd Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature o� 1 I tricat contractor or electrical administrator: ❑ Cash §� Check
❑ Credit Card k
Dated, .....� ..._. �d_....-----_----------- 0110112012
M)
S
css
\jl
ELELIWAL PFRmrr
MY OFPORT ANGELES
366417-4735 LQ
Application Number . . . . . 17-00001327 Date 9/25/17
Application pin number - - . ' 5846S9
Property Address . . . . . . 207 S JONES ST
ASSESSOR PARCEL NUMBER; 06-30-00-7-9-QI25-0000-, REPORT STATE SALES TAX-
Application type description ELECTRICAL ONLY, on your excise tax forM
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . .. . . . . .
Property Zoning . . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 0
----------- --------- - - - -
Application desc
Expired permit and remove Knob & Tube
----------------------------------------------------------------------------
Owner Contractor
------------------------ --------------- --------
STEPHEN PIERZCHALA AND SAMANTH JONRA ELECTRIC
207 S JONES ST 922 AjLENBROOK CIR
PORT ANGELES WA 983624419 PORT ANGELES WA 98362
------------------------------- --------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
'Permit Fee . . . . 108.00 Plan Check Fee .00
Issue Date . . . . 9/25/17 Valuation . . . . 0
Expiration Date 3/24/18
oty Unit Charge Per Extension
9.00 5.0000 BCH EL-ECH ADDNT BRANCH CIRCUIT. 45.00
1.00 63.0000 BCH EL-R- BRANCH CIR WO/ SER FRED 63.00
------------------------ -------------------w-------------------------------
Fee summary Charged Paid Credited Due
---------------- ---------- ---------- ---------- ----------
Permit Fee Total 108-00 108.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 108.00 108.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR.
DITCH
ROUGH-IN
FINAL
CON04ENTS:
PERmrr wiLL E)wmE iiw)M014THS FROM LAST wspwrm
IL
sipature of oWn Contmoor X Date:
ELECTRICAL INSPECTION
WIRING REPORT
4ti;—.s 417-4735
DATE: PERMIT# INSPECTOR
/b 1-7 '-7
OWNEFF
CONTRACTOR
ADDRESS
zol
APPROVED NOT APPROVED
13 . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . 0
ROUGH IWCOVER . . . . . . . . . . . . . . . E3
13. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . 0
0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . 0
CORREC11ONS NEEDED:
lz -f;—L—cp2!=:Z
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— 00 NOT REMOVE—
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
DATE: PERMIT INSPECTOR
lt5l -7 J-7-11Z
OWNER
CONTRACTOR
ADDRESS
2.b--7- J 7
APPROVED NOT APPROVED
. . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . 0
S��Jb-Z-- - ROUGH IN/COVER . . . . . . . . . . . . . . . 13
E3. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . 0
0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . E3
C ORRECTIONS NEEDED: a-JE'
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE—
?OR F
CITY OF PORT ANGELES PERINIIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street— Port Angeles Washington,98362 X
Ph: (360)417-4735 Fax: (360)417-4711
Date: �4102'01-7 —)(I &2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: t> 7 o i-L lEe=2
Building Square Footage:
Description of above
Owner Information 54 Contractor InfoyInation
Name: j5 lAlItl C7 Name: 409.0 -1,W41411
Mailing Ap�dre Mailin �Z 2- i2leif;rink C711-efe-
mr g Addresj: / Zip. qg�6�7-
City: L,4/.,4 Zip: q 0 �z city: PW7- k3' State:,w
Phone:360-7q 7-4 9'6 Fax: Phone: 1XI— Fax:
License#/Exp. License# Exp. 4 F I K*341kT
Item Unit Charcie Qty Total(Qtv 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 Feed $ 5.00 $
Branch Circuit W/O Service Feeder $ 63.00 $ S3
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 Only $ 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-I&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
$ 109 Total
Owner as defined by RCW.1 9.28.261:(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 alterabon 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.
Signature of ow,n-[A''electrical contractor or electrical administrator: El Cash El Check
N5,4,redit Card#
-20
x Dated: _7 0210612012
Address:
� 207 S Jones Street
PREPARED 11/25/14, 9:22:29 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 11/2S/14
------------------------------------------------------------------------------------------------
ADDRESS . : 207 S JONES ST SUBDIV:
CONTRACTOR ALL WEATHER HTG & COOLING INC PHONE (360) 452-9813
OWNER DORIS 0 SNYDAL HOUSE TRUST PHONE
PARCEL 06-30-00-7-9-0125-0000-
APPL NUMBER: 14-00001238 RES MECHANICAL PERMIT
----------------------------------------------------------------------------------------- ------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME99 01 11/25/14 1 MECHANICAL FINAL
Novelhl;o3kF 25, 2014 9:25:07 AM jlierly.
trent I
--------------------- ------)COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT-BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 14-00001238 Date 10/10/14
Application pin number . . . 197768
Property Address . . . . . . 207 S JONES ST
ASSESSOR PARCEL NUMBER: 06-30-00-7-9-012S-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . I . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 6157 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
DUCTLESS HEAT PUMP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
DORIS 0 SNYDAL HOUSE TRUST ALL WEATHER HTG & COOLING INC
207 S JONES ST 302 KEMP ST
PORT ANGELES WA 983624419 PORT ANGELES WA 98362
(360) 452-9813
------ - - - - - - ---------- ------
-----Permit MECHANICAL-PERMIT---------------------------------
Additional desc DUCTLESS HEAT PUMP
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 10/10/14 Valuation . . . . 0
Expiration Date . . 4/08/15
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
----------------------------------------------------------------------------
Special Notes and Comments
Per Washington State Code 51-51-315,
installation of Carbon Monoxide
detector(s) is required if you are
installing or replacing a fuel burning
appliance (wood, pellet, gas)and must be
in place prior to the final inspection
of this permit. They are required to be
place directly outside of each sleeping
area and at least one on each floor of
the house.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .00 .00
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.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
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 Backfiow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Sternwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-in
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted by
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:
Heat Pump/Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing/Slab
.Blocking&Hold Downs
Skirting
nPLANNING DEPT. Separate Permit#s SEPA:
t
Parkin /Li hhfing ESA:
LandscapinEg I I ISHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction-R.W. PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
10/10/2014 08:21 13604525177 A LL WE ATHER HEATING PAGE 01/03
THE us
For City Use
CITY OF
Permit#/ / 3
Date Received:
321 East 5", Street
Port Angeles, WA 98362 Date Approved:
P: 360-417-4817 F: 360-417-4711
hcatuzo@cityofpa.us
Building Permit Application
Project Address: 207 South aones Street
Main Contact: All Weather Henting&Cooling Phone # 452-9913
Property Name Dorine 0 Snydal House Trust Phone 360-457-3482
Owner MaiiingAddress Email
110 Coppertop Trail
City Port Angel.ea State WA zip -98�62
Contractor Name All Weather Hcating&Cooling Phone 452-9813
Milling Address Email
302 Kemp Street uwlic@oly
pcn.corn
city Port Angeles State WA �9362
Contractor License# Expiration:
ALLWTHC150KU 9/14
Project Value.- Zoning: Tax Parcel # Lot#
$ 6157.12
Type of Residential 13 Commercial Industrial 13 Public
Permit Demolition 0 Fire 0 Repair 11 Reroof(tear off/lay over) 13
For the following, fill out both pages of permit application:
New Construction 0 Remodel 11 Addition Tenant Improvement 13
Mechanical El Plumbing 13 Other 13
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes 13 No 13 1 1 1
Project Tnstall. ductless heat pump System
Description
_J
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 working on projects.I understand the plan review fee is not refundable after review has
occurred.I understand that I will forfeit 20%of the review fee if I cancel or withdraw the application before
plan review has occurred.I understand that if the permit is not issued within 180 days of receipt,the
application will be considered abandoned,and the fees forfeit.
Date
10/10/14 McKeown
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
Item Unit Charge Quantity Total (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 Circuit/Limited Energy - 1&2 DU.$64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional)$56.00 $
First 1300 Square 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-
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)Permit #: New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
PREPARED 7/15/22,13:57:25 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00000890 207 S JONES ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 56.00
TOTAL DUE 56.00
Please present reciept to the cashier with full payment
Application Number . . . . . 22-00000890 Date 7/18/22
Application pin number . . . 506000
Property Address . . . . . . 207 S JONES ST
ASSESSOR PARCEL NUMBER: 06-30-00-7-9-0125-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
HEAT PUMP SYSTEM
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
STEPHEN PIERZCHALA /SAMANTHA E ALL WEATHER HTG & COOLING INC
207 S JONES ST 302 KEMP ST
PORT ANGELES WA 983624419 PORT ANGELES WA 98362
(360) 797-1686 (360) 452-9813
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 56.00 Plan Check Fee . . .00
Issue Date . . . . 7/18/22 Valuation . . . . 0
Expiration Date . . 1/14/23
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 56.00 56.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 56.00 56.00 .00 .00
Application Number . . . . . 22-00001139 Date 10/07/22
Application pin number . . . 724473
Property Address . . . . . . 207 S JONES ST
ASSESSOR PARCEL NUMBER: 06-30-00-7-9-0125-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
STEPHEN PIERZCHALA /SAMANTHA E BLACK DIAMOND ELECTRICAL CONTR
207 S JONES ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983624419 PORT ANGELES WA 98363
(360) 797-1686 (360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 10/07/22 Valuation . . . . 0
Expiration Date . . 4/05/23
Qty Unit 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 .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
PREPARED 9/12/22, 7:43:07 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001139 207 S JONES ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 63.00
TOTAL DUE 63.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
11/7/2023 22-1139
TAP
OWNER
CONTRACTOR
Black Diamond Electric
PROJECT ADDRESS
207 S Jones St