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Home My WebLink About1415 W 6th St - Building W~" () -~~ r'IIii "-~ ~ ~!C~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32 I EAST 5TH STREET, PORT ANGELES, W A 98362 ~ --..j Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000320 Date 120960 1415 W 6TH ST 06-30-00-0-1-2165-0000- GAYLEE DILLINGHAM RES REMODEL 4/03/07 ~ ~ RS7 RESDNTL SINGLE FAMILY 100 Owner Contractor DILLINGHAM ANTHONY WAYNE 1415 W 6TH ST PORT ANGELES WA 98363 OWNER Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT MOVE BATHROOM FAN 98277 57.25 Plan Check Fee 4/03/07 Valuation 9/30/07 .00 o Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT MOVE BATHROOM SINK 98269 57.00 Plan Check Fee 4/03/07 Valuation 9/30/07 .00 o -It ~ z. ~ 5 -t: - 0 VI 11 ---- ~ 0 ~ --- 0 f <s--- ~ \f) -:r Qty Unit Charge Per 1. 00 BASE FEE 7.2500 ECH ME-VENT FAN Extension 50.00 7.25 Qty Unit Charge Per 1. 00 7.0000 ECH BASE FEE PL- EA. FIXTURE ON ONE TRAP Extension 50.00 7.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 114.25 114.25 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 118.75 118.75 .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 orwork is suspended or abandoned for a period of 180 days after the work as 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. Signature of Contractor or Authorized Agent Date ~t:~ Sign re of Owner (If 0 er IS bUilder) f/07 Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] , BUILDING J>ERMIT INSPECTION RECORD CALL 4] 7-4815 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTJONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJ/ER, INSULATE OR CONCEAL AN1' WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TJON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSI'ECTlON TYPE IJATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDA TION DRAfNAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN sl 'hlD1 ;;u- .- , WATER LINE (METER TO BLDG) t-/oq/Of DATE 7L-L GAS LINE FINAL ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS I GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR I CEILING MECHANICAL ROUGH-IN HEATPU~/FURNACE/DUCTS GAS LINE FINAL 5/1" 107 DATE :S-LL ACCEPTED BY: WOOD STOVE / PELLET I CHlMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCYJNG & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 4 I 7-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION RW./ PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-48]5 BUILDING T:\I'o1icies\1 ]02 15 building permit inspection record05.wpd []/4/2005I r-- co.... o '- '" o '- .... r<lr<l ClE-< 00;00; o.Cl :>< ...:I <>: r<l H ...:I E-< r<lUl O<:r<l ~:ii E-<':l z .. 0<>: HO E-<E-< UU r<lr<l 0.0. enUl ZZ H H lO <l' co o '" en r<l ....:1 ....r<l oCl 'C;~ o '-E-< ....<>: o 0. 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"\1 ~.m "-. n_\~_ , -.......' , ~. :h-....- ..-. \eo... $..c' ~ -~.~ ~~~ "'",. .. ',- ~'" .~ 1 ~ ~ -~ -'~ t .~ ~ ~ .. ::no ~~. ~.~ "< ~~~ t ~ ~ ~ ..~ ~i:: ~ ,,~ ._l~ ~.~ . .~ , \U ~ ~.~ -~\( .....~. , \ nu_ flAil ,1: LL ..... ;i:iii. _.__'.___n___ li \ -- , . . - - ,- . '. I . i i ! i I-- I 'I-." ,~: \\:)' ,~ .'~- ~ ,\I)" . '~ '..-.... ___ __ _n _._ i . :~' \~._. \~ . ~ ~'-"''''---- --. ~ . ~. ~ .~ \~ ._~- --. ~ '--- ~--- ~- n_ ./lA//,I ~S~ . I b~.~~.~~J .fJ~~' l~._ ~_,'f". ~- . ~ BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BFlI.. COMPLETE to be accepted for review. If you have any questions, caU7f9 PERMITS (360) 417-4815 FAX(360)417-4711 App!;canlor Agent r-: cvy/.ee: !2t~~..J h~ /r1 Phone (t;-2;1f~ ~'l Owner Ct'- '1' L. ~ ~ D ~ /NY 1; ~ I-Y\ _ Phone: ~ 1 s-;z - 45'b'1 Address: / -f / S- kJ (p - c;;r- City: ,iP~1 A~~/ e') Zip: 41';/ 3h 3 Architect/Engineer: Contractor Phone: State License #: Exp: Phone: Address: Ci!:y: Zip: !t(). t~ 50 Ji;~T MJe/e.5 ZONING: Subdivision: PROJECT ADDRESS: /1/5 LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: TYPE OF WORK: SIZEN ALUATION: )( Residential D New Coustr. D Re-roof D Stove SF. @$ /SF. = $ D Multi-family D Addition D MoveD Garage SF. @ $ /SF. = $ D Commercial ~Remodel D Demolition D Deck SF. @ $ /SF. = $ D Repair D Sign D Other TOTAL VALUATION $ 1m ,tJO BRIEF DESCRIPTION OF THE PROJECT: RJ!!:'~d~ ~ /';:;t--r&-- J?yVe-S M/-' 6~ r/l-f .~>NA::::. I / / IZ~/ t?~~t!!:-- e,>th. ILL" ~ r "eLL h COMMERCIAL/RESIDENTlAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. T otallot coverage % Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. APPROVALS: PLAN: BLDG: DPWU: FillE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): DYes DNo SEPAChecklistrequired? DYes D No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same 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 ,not the City's, and that I must obtain such permits prior to work. ' ~jd# qg~/ ' ~ T:\FORMS\BldgPermitform.wpd Applicant: ~-~-- Date: ~3/p{?//L77 a- VORT ~ l~ rGiii ~ ---- ~lC~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property zoning . . . Application valuation 04-00001035 Date .302550 1415 W 6TH ST 06-30-00-0-1-2165-0000- SIDING 11/0S/04 RS7 RESDNTL SINGLE FAMILY 14693 Owner Contractor DILLINGHAM ANTHONY WAYNE 1415 W 6TH ST PORT ANGELES WA 9S363 K DESIGNERS PO BOX 276977 SACRAMENTO (961) 631-9300 CA 95S160762 ---------------------------------------------------------------------------- Permit BUILDING PERMIT - NO PR FEE Additional desc VINYL SIDING Permit Fee 274.75 Plan Check Fee .00 Issue Date 11/0S/04 Valuation 14693 Expiration Date 5/0S/05 Qty Unit Charge Per Extension BASE FEE 92.75 13.00 14.0000 THOU BL-2001-25K (14 PER K) lS2.00 -. Other Fees STATE SURCHARGE 4.50 -:L: G( Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 274.75 274.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 279.25 279.25 .00 .00 E 6' "\ :> QP. '-:i- I ~ ~-'t iC.l:St7 /W/OG" 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 orwork is suspended or abandoned for a period of 180 days after the work as 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. ?\;W ~~_. //-:? .-() Lj Signature of ntractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WI'TER LINE (METER TO BLDG) dr\s LINE BACK FLOW 1 WATER AIRlsEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERJvI1T #'s SEPA: P ARKING/LIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\l 102.15 [11/14/2003] tp >-3 'd ::;~~8E1 n'O t< ><: ~ H:d '" 'U 'O:dZZtJ >-3 OJ '" '- t"i()tJ:j~::O ><:'0 Ul H Z~::o~~ "" 0 0 >-l O:d .... !ji nUl .,.,OJ . >-3 tJ ~ tp 0 '0 OJ. :d. 0.... n:dO :d :d.... OOJ'd >-3'- 3:0 .... ;'l[iig oot:l~t-' ~~ """'H ",. -,\ OJUl , It"it:lt-' G)o >-3>-3txl Qwt"itI:lLn "'",. OJOJC:: OOH{J) t<- tJtJH 0' ZH::;; OJ f , e; ooG10 Ul.... , t-'o::I:Zm IV ~ H ~~~~~ w :d ZI OJHG) Ul' Ul IV , t< UlZ (J)~~ Ul 1-- e::Ul'O >-3 Ul ~~I HIV>-3 w , tJ....;r: H"'O , H ZUlZ , >-l G)'><: C , 0 , Ultp :dtJl 0::;; , He:: OJ OJ 0,," tJH UlUlZl 0><: Ht< e::no 'Z --- , ZtJ t<:d OJ , G)H >-3H'O '< Z Ul'O:d n G) '->-3 0 nH'd H 3: .,., OOOJ HZ 3: H 3:ZOJ ZUl OJ Z 3: Ul'O Z "" OJ '0 OJ >-3 t< Z OJn ,\0 Ul >-3 n>-3 Ul >-3H ~ 00 :dZ tJ '-<>-3 Z ~~ 0 'O'UUl >-3 55~ OJ~ ~ OJ UlOJ Ul ZZtJ >-3 OJOJH t< <: ~ t< H 8 OJ '" :d '" t< .... ><: - '" w .... (J\ , '" w 0 0 (j) tJ'O """" >-3G) OJ OJ - ., C .... .... ~ '- .... 0 '- 0 ",.'" , '^ .' ~ { ~ ;r-- CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 17879 3-1 7,~ Port Angeles, Wash1ngtonmnm___mnm______mmmm_m_'___"'____'__h_m, 19m__..? 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 electrical/work as listed below. /. -- / Address nm::___!/_?__'_m_..t,!::C..!?.m::?!.nmnn.__hm....h.hh....n OccupanCYhh_",::;_.,,7-_..n.._______.__.h.hh.mn ~:~:~~.~ri~;:~~~.::::::~:;.t&~~:~;~::::::Gp~~~~~;::::::::::::::-.:-:::::::::::::=::::::::::::::::::::::::::::::::::::::: 07 Light outlet..........--.--.--.r.-..-.... Receptacle Outlets__m__..m................... Dryer, KW __.nn_.........__.__n_____n_____n____ / ,/ // },",," Service, volts ....nm__m~.:.!..__......m._..... ?/ No. wires .....______...._______._....._..n..___ ~ Size wires...__..............._...._...__...._.. COr! Main fuse .__..__._.............................. Range, KW __nhmmmmmm____. Water Heater: Enclosure ._..m_mmnmm_..__m___ KW_...__................__.......... Heat' KW........f.......4.t.1.............. Type of wiring: Entrance Cable ......._._.._.._......... Motors: size, volts and phase: Rigid Conduit m.__mn.__....... Metallic Tubing .mmm'..on Current transformers: No. & Size_............m...m.____... Ser. No..__.......................................... Ser. No. __.__.____.._____._......___00._.._. Ser. No.....__......_....................._..__.....__ Type of Wiring: Armored Cable ..m_n_.mm___........... Non-Metallic ........__00____..........._..... Knob & Tuben________........................ Rigid Conduit .__..........................__ Metallic Tubing .............m_m_m... Raceway .........._......._........._....._...._ Circuits, Light.............._..._.......__......_.... Utility ....................._........______________. Heat __..__._._..__...__............................ Range .__.___.._......................_.__...__.___ Water Heater ....._......__00__............. Motor ...................._...___.___....___......_ Dryer._._____...______.__.____.____.__._._..._......._ F urnace ________..__..............~___._____.____.._.. Total Load......n.......__............ Ser. NO.______....h..._._____.n..___n____........ Total __._____________________............... 6" ~ .&, - ~ Remarks: ---..c.~:"0;:~..:..lc:&!?~'"...nnm---;/.'''.-:!c.~.---{~.L--.a.Yd.".!:::::----:;;:~.~.___.___~__m____.. -....---......--__.__.__.__...___....____.__________n____.__...______._..._...______._......._____..___................___n..._...____._______n_u___n_n.._..._....____._n Treas. Receipt _.nnn..u___.......Ohn_.U.__Uhn.__U___.nn_____._n__n_______.__u.n_._n_.._n_____n_.nn.nnn.nuuounwun_n..wn_nn____nn_n'''_'.nn__........... Permit Fee "-"' /cJ3 - $._________________________000________. NO.______________m_._________ By .fz~_'~-..!-~___".___m__m_ , '--- 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. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N~ 1 7 8 7 9 Address...._______............................................................................................................_.._.__...__.....Date..._...________.____...._.___._._...._......____...... Owner.........._...._..__............_.........._......_......_.._.........____._..__.___....._____.__.__._____.______.___._.Tenant.....__._._________..______....._...................._____________._ Wiring Contractor._..._._.._...._.._......___.__....................._......_...._..._.._..__._...__...___.............._.........._______ By _____._......_..._................................_____.._.___ NOTICFr-Current must nol., be turned on until Cert1flcate of Inspection has been issued. If work fs to be con- cealed due notice must be giv~Ii\Ule Inspector so that work may be inspected before concealment. \ Olympic Printers, Inc. \ '-., " 1M .r-~ ... Application Number . . . . . 22-00001589 Date 1/04/23 Application pin number . . . 092891 Property Address . . . . . . 1415 W 6TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-2165-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Service / Remodel ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DILLINGHAM ANTHONY WAYNE BLACK DIAMOND ELECTRICAL CONTR 1415 W 6TH ST 502 BLACK DIAMOND RD PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 160.00 Plan Check Fee . . .00 Issue Date . . . . 1/04/23 Valuation . . . . 0 Expiration Date . . 7/03/23 Qty Unit Charge Per Extension 8.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 40.00 1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 160.00 160.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 160.00 160.00 .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 12/29/22, 8:38:51 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001589 1415 W 6TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 160.00 TOTAL DUE 160.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Partial rough for bathroom / laundry NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 1/4/2023 22-1589 TAP OWNER CONTRACTOR Black Diamond Electric PROJECT ADDRESS 1415 W 6th St 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 5/19/2023 22-1589 TAP OWNER CONTRACTOR Black Diamond Electric PROJECT ADDRESS 1415 W 6th St