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Home My WebLink About1026 E 6th St - Buildingv oRT 44 'RKS ELECTRICAL INSPECTION WIRING REPORT 417 -4735 DATE PERMIT it 1 11 1 It 1b- z OWNER/CONTRACTOR INSPECT! DO NOT REMOVE ADDRESS J/3'g 4_ /g- 1. 1 APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: 6 FCt 1'Q -K )94. C Z' _J� L K MS0 0Tr.-- -I- C. Fcl NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type, description Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 1 circuit SFR? Owner BRIAN INESE MENKAL 1026 E 6TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Fee Total Plan Check Total Grand Total WA 98362 Qty Unit Charge Per 1 00 73 5000 ECH ELECTRICAL ALTER RESIDENTIAL 168641 73 50 7/01/10 12/28/10 Fee summary Charged 73 50 00 73 50 10 00000685 359160 1026 E 6TH ST 06 30 00 0 2 0910 0000 ELECTRICAL ONLY Paid Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Contractor ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452 6424 73 50 00 73 50 Plan Check Fee Valuation EL BRANCH CIRCUIT WO /FEEDER INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Credited v 00 00 00 Date 7/01/10 RESULTS 7-7 inn -7/zl )t WA 98362 00 0 Extension 73 50 Due 00 00 00 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date AUG -19 -2006 06 54A FROM ELECTRIC SERVICE X 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: (e 7, 0 1 2 Single Family Dwelling Multi Family or Commercial` Commercial Addition Alteration I Remodel I Repair' Plan Review May Be Required, Please Complete Electrical Plan Job Address: D'--Lp Building Square Square Footage. I Zo 0 s Description of above Owner information Name: Ln c 1 N1 e,h.l Mailing ddr ss: t (7` f l0 4 City' V- State: t r a Zip: 9 3bx_ Phone: Fax: License Exp. Unit Charee 93.75 $113.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 $131.25 75.00 69.00 75.00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 ay C 4526424 c Review Inform 1 Sheet I FP-- Y( )1 7 1 Total (Div Multiplied by Un arge) Service /Fee Service /Fee Service /Fee Service /FPeP; Service/Fee Signature of oyvner, eicclrica rector or electrical administrator 1 r t. C Ca; u wwwE2 1 2009 ELECTRICAL NSPECTIONS TO 4174711 0 Amp. 1-400 Amp, )1 600 Amp. )1 -1000 Amp ter 1000 Amp. Branch Circi g V Service Feeder 5 Branch Circi O Service Feeder Each Addric E ranch Circuit Temp. Servi r Seder 200 Amp. Temp. Servi tteder 201 -400 Amp, Temp. Servi 'seder 401-600 Amp. Temp. Servi Ceder 601-1000 Amp. Portal td Poi.. r )lily Sign /Outline It ing Signal Circu i i: riled Energy Commercial Signal Circu .iir riled Energy 1 2 Family Dwelling Signal Circu ,i rued Energy Multi Family Dwelling Manufacture' It' me Connection Renewable f ical Energy 5KVA System or Less First 1300 S ir Ft. Each Additic 00 Square Ft. or Portion of Each Outbuii: I 'or Detached Garage Each S t 'ool or Ho! Tub rmostat Total P 1 I. II I III Contrc II Information Name: tarA --r Mailinc i lre t VJ,. V 4 City' StateL) Zip: 7'3`6a Phone `'r zY Fax: g� Licens Exp. t� 73 Owner es defined by RC 19.28.261: (1) Owner will occupy the structure for two years all t is ntectrical permit is finalized. (2) Owner is requited to hire an electrical contractor if above said property Is for sale, rent or lease After reading the above statement, I hereby certify that I am the owner of the above name iperty 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. AC. Chapter 296.46B, The City of Port Angeles Municipal Code, and Utility Specifications. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Security system Owner BRIAN INESE MENKAL 1026 E 6TH ST PORT ANGELES Permit ELECTRICAL Additional desc Permit pin number 161224 Permit Fee 63 90 Issue Date 2/22/10 Expiration Date 8/22/10 Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98362 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00000173 857187 1026 E 6TH ST 06 30 00 0 2 0910 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor ADT SECURITY SERVICES INC 11824 NORTH CREEK PKWY BOTHELL WA 98011 (425) 489 3668 ALTER RESIDENTIAL 63 90 63 90 00 00 00 00 63 90 63 90 00 DATE. Plan Check Fee Valuation Qty Unit Charge Per 1 00 63 9000 ECH EL SINGLE CIR LIMITED RES Charged Paid Credited Date 3/01/10 Due RESULTS 0 0 0 Extension 63 90 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. CITY OF PORT Al' 'GELES PERMIT APPLICATION ELECTRICAL Building Division/Electrical Inspections INSPECTIONS 321 East Fifth Street P.O Box 1150 Port Angeles Washington, 98362 Ph. (360) 417 -4735 Fa x. (360) 417 -4711 Date: 21 1 /l 1 2 Single Family Dwelling Multi Family or Commercial' Commercial Addition Alteration Remodel Repair" Plan Review May Be Required, Please Complete'Electrical Plan Review Information Sheet Job Address: t 021. c; c, 4 S47. Building Square Footage: _W. KSri .C4 Description of above, fir A-e.1 v.. v..1 e� S,0 lr r`S-V n \oars �'��✓Y* 1 1 c Owner Information Name: tbd;ara. M. nte 0J. Mailing Address: t 1 Ic City er. t r\r u.te_' Stab! J tip:. 1it3 Phone: Fax: License 41 Exp, Item Service/Feeder 200 Amp. Service /Feeder 201400 Amp. Service /Feeder 401 -600 Amp Service/Feeder 601.1000 Amp, ServicelFeeder over 1000 Amp. Branch Circuit WI Service Feet or Branch Circuit W/O Service Feoder Each Additional Branch Circuit Temp, Service/ Feeder 200 Arr p. Temp. Service/Feeder 20140C Amp, Temp. Service/Feeder 401.80C Amp. Temp. Service/Feeder 601 -1OCO Amp Portal to Portal Hourly Sign/Outline Lighting Signal Circuit/ Limited Energy First 1500 sf Commercial Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi-Family Dwelling Manufactured Home Connecticri Renewable Electrical Energy SKVA System or Less Thermostat NEW CONSTRUCTION ONLY: First 1300 Square Ft. Each Additional 500 Square Ft or Portion of Each Outbuilding or Detached ,:iarage Each Swimming Pool or Hot Ti b Signature of owner, electrical contractor or electrical administrator 7 7 /1‘ 1 I11, TOO (RI Unit Charge 119.90 $145,50 $204,60 372.50 2,60 73.50 2,60 92.70 110.30 $148.70 167.90 95.90 88,20 S. 95.90 63.90 63.90 $119.90 102.30 56.00 $110.30 35.20 73.50 $110.30 Dated: 3SHM QOOM3xV'I ZQV FEB RECEJVED 2 2009 Contractor Information Name: /451 Ser rot-.r Mailing Address: t sit L4 Ka City: t State: vJ Zip; 4 ltci1 Phone' Fax: License #1 Exp.,_., f a1r S Gamma? la S. .'t a Total zs /rt f�ty Total fit r Multiplied bW Unit Chargel $b3.ct Owner as defined by RCW:'I 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 properly 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. Q Caeh Check Credit Card it C 2_5 L 2 D 5 9 1 0 w 5 066S0Z9CSZ XV3 CO OT 0T0Z /6T /Z0 Q L~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll.DING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00001127 Date 10/12/06 328293 1026 E 6TH ST 06-30-00-0-2-0910-0000- MENKAL RES. MECHANICAL APPL. PERMIT RS7 RESDNTL SINGLE FAMILY 2800 Owner Contractor . LESKINOVITCH INESE M 1026 E 6TH ST PORT ANGELES WA 98362 EVERWARM 257151 HWY101 PORT ANGELES (360) 452-3366 WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 88930 50.00 Plan Check Fee 10/12/06 Valuation 4/10/07 .00 o Qty Unit Charge Per 1.00 50.0000 ECH ME-WOOD BURNING APPL. Extension 50.00 Fee summary Charged Paid Credited Due ----------------- ---------- .---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 \0 + ~.~ Oy /~ '/: ~ /Q ~ ....r.,. 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 as commenced, or if required inspections have not been requested within 180 days from the last "Inspection. Ihereby.certifythat~ 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 pennit 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. C/J ", ~",/ '7--:7 de:;.. Sigflatu e of Contractor or Authori d Agent / () ~/2 V~? Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES 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 YES NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH.IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING I FRAMING JOISTS I GIRDERS SHEAR W ALLlHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL I FLOOR I CEILING I I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKlNG/LlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W.I 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 . . ~ ~ \ - - ~ ~ .,,--. ~~ ~~ \j fj'1 ~~ \.\, "1 ~ T:IPoliciesIII02_15 bUlldmg penml mspectlon record05.wpd [1/412005] ~ I ;36041.74711 .. , / " BUILDING PERMIT. APPLICATION Applicant or Ag';"t:LY~ LV .4e~ . ()..Qner~ .1 CtA.-.p -=r ~ ~ aJ( Address: /02.. b' JC L:. cf--t- City: p~ Phone: If 52 . 3.3 ~(~ Phone: ,.1-./ S d ~ 9'.s-.L.).. L./ Zip:'" 9cP3~~ Architect/Engineer: ....- .Phone: -z::- .t v' tJew / Contractor ^-- /E/eCAJa~ State License #:;KOKS(AlL Expff ~/7-07 Phone: ~S2 35b Address: -<0'7/57 #-uy f 0 / City: f> C1-.. Zip: 'l J' c3 tLJ PROJEcr ADDRESS: /0..;:1. 6~. ~ ~ ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAMCOUNTYPARCELNUMBER:"' '_O~"O 00 0 Z ()q/O 00 . . Credit Card Holder Name: BilJjnl Address: CrecUt CardType VISA MC # TYPE OF WORK: SIZEN ALUATION: o Rclidentia1 0 New Constr. [J Rc-roo( 0 Stove SF. @ $ .'''/SF.... $ o Multi-family 0 Addition [J Move .0 Oarage SF. @ S /SF. ... $ o Cormnercial '[J Remodel [J Demolition 0 Deck SF. @ $ /SF.... $ o Repair [J Sign ~ Other . TOT At V ALUA nON $ '2! ~" BRIEF DESCRIl'TION OF TIlE PROJECT: rv- -e..,e.. s + ~ ..., c:h '~ W o(?) d 5 'f-rrv....I c" "7 d 0'/7 ;' ~ --'- I) 7 ? a c...-J(" ca ~' CO~RCIAlJRESIDENTlAL: Occupancy Group: Occupant Load: No. ofStori~: ~ Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. ExistiDg lot coverage ~ % & Proposed lot coverage _% .. Total lot coverage " City: Exp. Dat~: COIl3lruction Type: ESAlWet1a.nd(s): 0 Yea 0 No SEPA Checklist required? 0 Yes 0 No Other: APPRQV ALS:.. PLAN: BLDG: DPWU: FIRE: . OTHER:_ PLANNING USE ONLY: BUILDING PERMIT APPUCAll0N SUBMlTI'AL: The Building Division can provide you with information on the application and plAn submittal req~ta it you have questions. . VALUATION OF CONSTRUcnON: In aU CaleB, a valuation amount must be entered by the applicant. This figure will be reviewed' and may be icvued by the Building Division to comply with current fee schedules. Contact the Pemiit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a pl~ check fee is due it must be submitted at the time the building permit application and construction plans au submitted. AU other permit feca ate due at the time of pemii~ i1suance.' " ..,' EXPIRATION OF p~ REVIEW: If no pcnnit is issued within 180 days of the date of application, .the application will. expi reo The . all it rljng..Dfficia1.can.~ the..t:ime.fo:uctio.n.hy..the.applicant up. to 180-da-y.-upen-writteluequestby' the-applicant (see Secti on '1 07".4 0 f the UnifOIIIl Building Code) current edition). No application can b,e extended more than once. .. I hereby certify that I have read and,~xamlned this application and know the same to be true and comet. I am authorize.d to apply for this pennit aM understand that lis my responsibilIty to determIne what permIts are required ,not the Cl{(s, Wld that I must obtain such permffs prior to work. T"PORMSlAPPS1Bu;ldlni!><nn;t..,d APPlica~ ~ Date: I d / /~ ()c. eft pORT ~ ~.~' "-~ ~ ~"'~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 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 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 goveming 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. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000332 Date 177124 1026 E 6TH ST 06-30-00-0-2-0910-0000- INESE LESKINOVITCH RES ADDITION RS7 RESDNTL SINGLE FAMILY 38400 Owner Contractor LESKINOVITCH INESE M 1026 E 6TH ST PORT ANGELES WA 98362 Other struct info . MC COP PEN CONSTRUCTION 34 OLD STATE RD PORT ANGELES (360) 452-8728 TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Permit . . . . . A~ditional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 75408 559.15 Plan Check Fee Valuation 11/06/06 Qty Unit Charge Per BASE FEE .00 10.1000 THOU BL-25,OOl-50K (10.10 PER K) Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 75416 57.25 Plan Check Fee Valuation 11/06/06 Qty Unit Charge Per 1. 00 BASE FEE ME-VENT FAN 7.2500 ECH Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 75424 71.00 Plan Check Fee Valuation 11/06/06 Qty Unit Charge Per 3.00 BASE FEE PL- EA. FIXTURE ON ONE TRAP 7.0000 ECH Special Notes and Comments The Fire Department has reviewed the project application and ~::/;6 6( Date T:\Policies\1102_15 building permit inspection record05.wpd "[114/2005] 5/10/06 pA/~ Iq~/~ \j ~ ~ ~ ~ WA 98363 14.00 1. 00 881.00 14000.00 517.00 1398.00 1. 00 .00 38400 Extension 559.15 .00 .00 o Extension 50.00 7.25 ~ ~~ ~~ '\\ ~ ~ .00 o Extension 50.00 21.00 Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 YES NO .... ".", ' . , FOUNDATION: \ . " FOOTINGS . . SHEAR WALLS 1 WALLS - . '. . FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB " ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE " ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUNWI FURNACE 1 DUCTS GAS LINE , WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: . C6MMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES " c1 I;POTING 1 SLAB , ~LOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I 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:\Policies\I 102_15 building pennit inspection record05.wpd [1/4/2005] l, / . l .,' , ". , "; , $ ,ORT ~ l~~ ,. "-~ ~ '\ti~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 06-00000332 Application pin number 177124 Page 2 Date 5/10/06 Special Notes and Comments has no comments 04/18/2006 04:55 PM SROBERDS -- A zoning Lot Covenant needs to be filed to join the lots into one building site. No land use issues are evident in the proposed remodel. Electrical load calculations and elctrical permits are required. Public Works Utility Engineering has no requirements for this plan review. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 687.49 687.40 .00 .00 Plan Check .~tal .00 . .00 .00 .00 Other Fee Total '. 4,SO' 4.50 .00 .00 . Grand Total 691. 90 691.90 .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 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 o~ Owner (if owner is builder) 'k Date Signature of Contractor or Authorized Agent Date T:\Policies\l 102_15 building pennit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. J 7ff" /Orp \JW INSPECTION TYPE DATE FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLOG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALUHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEATPUNW/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING ~/1 (~ 7 /Iq/~ rn'/" ~~ ACCEPTED YES I NO COMMENTS ~ , ~ \),1 ~ . p~ '(It( (6' J C- .:!(-' JJ.J... FINAL It? IzS~TE Ul- I / ACCEPTED BY: , J _ 1E?/~1t9~1 \1VU I ' Cool IA .1 _ , <';1 irI.D I ()h (] jn , 1;./_ r , li/7fV0 PLANNING DEPT. SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING J~ 1...1 j.l. ~~ ~k) .~ \~ ~ ~ \)~ ~l~ t~ I J1.t--- I ANAL I fA!' ~^" ~:CCEPTEDBY: SEPA: ESA: SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE ELECTRICAL - LIGHT DEPT. 417-4735 CONSTRUCTION R. 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E~~ ~~ ~i~ 8m~~~ d ~ ~~g~ Q 8 ~, w 3 ~ I -l ~ @J ill :q tn, ~ w It ~lL \D@~ @~~~~-o ~ rlL ~3~L ~o I9~Ocij;l-' ~~(() ~ 8f . ~~-l:) ill~ ~~8~~~m:~E ~9~~ ~ ~~~~ ~.<n~B I~o~ o~ ill~~t ~ Z~~~ ~~~~~~;~~8~~~9~Z~E ~~~~~~ illmNill~~~~II~~n~~~ ~ ~31ID& ~~~8~~ID~~~~<n~~~~~~ ~~3 ~! 9m-~~8~O~~8~~~ ~~~ ~~O~~W~' 5~~~w ~IJOD~~~~&m~~m~~;gQ~ ~LR tOz Z&O~ m~~ ill~ ~O~OQ @8a~~;~~B~~~rl~~@~~~~~m~~~~ LL(f)~~8D~a~ wo@ @JOC~tO~~& ~~z ~~~l~~~~~~I~~~~g~~~~~~~~~~ ~N ~~m ~ ~ ~ ~ Q ~ d BUILDING PERMIT - APPLICATION 4 Fill out COMPLETELY and in INK. Your application and site plan MUST r... Date Approved. COMPLETE to be accepted for review. lfyou have any questions, call! 8 PERMITS (360) 417-4815 FAX(360)417-4711 i Date lssued: " Owner: /rJ(S'i:.... /oJ...(;, "f.S;_lnjO 1/I'fc.H Phone: Phone: fJoR:r Ij Ait- CU-..s '1tl-7?f'j '1[,)..- ?r'lV Zip: f~3t2 'Is/) - 02.07 Applicant or Agent: 13 K. u<' ~ rvl Ceo I' ~"i.--/ L.11:5'1 6 m .sr. I Architect/Engineer: D o,J S t! Hu(J A Contractor pJc'Colf":..J eoI115'T. Address:' City: Phone: Address: '3 I 7 zA6';- f nl 57" State License #: IYJc e c:J pc. (.) 11 L c.. Exp: 7- 0, - 07 Phone: 'I t I - "7/1 V City: PolZ'III"j6-e4-~ Zip: Y $1' Z t. 771 :>r: /o/Cr A-dc..uu ZONING: Block: ~ (!) 1 Subdivision: O~-30-0C>O!J...o710 PROJECT ADDRESS: 10;2" zl1:5r LEGAL DESCRIPTION: Lot: ]. t/.l.( CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: SIZE!V ALUATION: Iil"'Residential. 0 New Constr. 0 Re-roof D Stove fi J... SF. @$ 7 J /SF. = $ 3 ~ yoo D Multi-family IB"'Addition D MoveD Garage SF. @ $ /SF. = $ D Commercial D Remodel D Demolition D Deck SF. @ $ /SF. = $ D Repair D Sign D Other , I TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: It ,.\'.3;l. A oOJ'nc.W,0 t.)fs., .5,1>( ",;.- ekI51/~C- /-Ie m ~ . /n/~ I- VOES f11Mr~ :BCOl&oM, t!.i-rocr, I!>+rN W/5''''/'l-t1!-.5 bOw,.] ,0 IZt/ti!.. .00':>/( . COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: 1 Lot Size: 1'1000 Existing Sq. Ft. Total lot coverage Iii % Occupant Load: Construction Type: &-78 I & Proposed Sq. Ft. S 11 = TOTAL Sq, Ft. 13 <;8 - ... (. . I, '~.;:;:.;<t1- -- PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ .;>.>"/, ESA/Wetland(s): DYes D No SEPA Checklist required? 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: Ifno 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 Rl05.3.2 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 permfts prior to wof?' -___ _ L I / nFORMSJ3ldgP",",,~_"'" Applicant 11 )':'--<--:~ Date, 0 Y U 3o!.!= C ~ ~ CITY OF PORT ANGELES PUBLIC WORKS . ELECTRICAL DIVISION .~21 EAST 5TH STREET. PORT ANGELES. WA 98]62 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000086 Date .511070 1026 E 6TH ST 06-30-00-0-2-0910-0000- ELECTRICAL ONLY 2/08/05 RS7 RESDNTL SINGLE FAMILY o Owner Contractor LESKINOVITCH INESE M 1026 E 6TH ST PORT ANGELES WA 98362 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL PANEL CHANGE/ELECT. SERVICE ELECTRIC SERVICE 66.90 Plan Check Fee 2/08/05 Valuation 8/07/05 .00 o Qty Unit Charge Per 1.00 66.9000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 66.90 ~ -......J ~ ~ Fee summary Charged Paid Credited Due ----------------- ---------- -~-------- ---------- ---------- Permit Fee Total 66.90 66.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 66.90 66.90 .00 .00 ~ ~ \1 l1 ~\ COMMENTS! ACTION NEEDED "'~ ELECTRICAL PERMIT INSPECf.lON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTltD COMMENTS YES NO llTI 'H POT Tnl-l.IN ! CoVER ~bK v IcE J .. I V'z.7J"sl ~~/I / / GENERAL COMMENTS: PW-II02.1~ 14196) '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION m EAST 5TH STREET. PORT ANGELES. WA 983()2 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr, name Applicatlon type description Subdivision Name Property Use Property Zonlng Application valuation 06-00000332 Date 177124 1026 E 6TH ST 06-30-00-0-2-0910-0000- INESE LESKINOVITCH RES ADDITION 8/24/06 RS7 RESDNTL SINGLE FAMILY 38400 Owner Contractor LESKINOVITCH INESE M 1026 E 6TH ST PORT ANGELES MC COPPEN CONSTRUCTION 34 OLD STATE RD WA 98362 PORT ANGELES WA 98363 (360) 452-8728 TOTAL % LOT COVERAGE 14 00 NUMBER OF STORIES 1 00 EXISTING LOT COVERAGE 881.00 LOT SIZE 14000.00 PROPOSED LOT COVERAGE 517.00 TOTAL LOT COVERAGE 1398 00 NUMBER OF UNITS 1 00 ~ ~ Other struct info Permit Additional desc Permit pln number Sub Contractor Permlt Fee Issue Date Explration Date ELECTRICAL NEW RESIDENTIAL EL. SVC./ ADDITION 85308 ELECTRIC SERVICE 73 00 8/24/06 2/20/07 Plan Check Fee Valuation .00 o \" Qty 1 00 Unit Charge Per 73 0000 ECH EL-R-SQFT FIRST 1300 Extension 73.00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 04/18/2006 04:55 PM SROBERDS -- A Zoning Lot Covenant needs to be filed to join the lots into one building site. No land use issues are evident in the proposed remodel. Electrlcal load calculations and elctrical permits are required. Public Works Utility Engineering has no requirements for this plan review. ~ \.k ~ ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permlt Fee Total 73.00 73 00 00 .00 plan Check Total .00 .00 00 .00 Other Fee Total 4.50 4 50 .00 .00 Grand Total 77.50 77 50 00 .00 COMMENTS/ ACTION NEEDED ~~ ..-;~~- ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEC110N TYPE DATE ACCEPTED COMMENTS I YES NO II "(.H RflIICiH_IN I COVER 8';)'1-Db _.b L ) S....K V I( ~F I /f)'j.t/,~ ~,} I GENERAL COMMENTS: PW-IJ02.1S 141961 CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 14994 3-.J~ .)v Port Angeles, Washlngton__mm.mh_________h_h.___h______mmm__mmm.., 19__moo_ 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. Ic,?& 6'{,(( _'f"',-,,- ~::::s_.:::;:~:::z::::::l~:~:A;;::ii::::~:~~:z::::::::.---;::~:~:::_oo~~~~:~_~:~:::::::::::::::::::::::::::::::::::::::::::::::: () y-., (1J ~ c jI Wiring Contractor __h._h'____.'__m_moo_oooo_oo_____oo_hmm___.oo_.oom___ Bymmm.___oo__._mm__._._m_.____._mh___mm_____h______. (/ Light Outlets....................nnn...._____..... Receptacle Outlets.m_m..._...____..._.mm_ Dryer, K\V] n_nn__u_n_n_un__________nn_ Range, KW unm..___________ Water Heater: KW.oooon nn____.____ n. Hea" ItW.n.2r.2..S...Bll............ Motors: size, volts and phase: Service. volts h__!..;m.:_:~/m:___::__:_...... --) , No. wires .........::...__.h._m___mm__m_ Size wires_.__...(:_m~..c..__n_mm______. Main fuse .__~~.~:_~..?.___t.m.m____m_ ,.- Enclosure .._...??.......h..m_...m__mm_ Type of wiring: Entrance Cable __.mhn....h__m__m___ Rigid Conduit ___..n.............m_..m_. Metallic Tubing ____mm______m_..._._. Current transformers: No. & Size.__..__nn___nn_____n______._____._ Ser. NO..._h_____..__.............___..__....h____. Ser. No....____.._.._...__________.___.______________. Ser. No.,__________________....________......._....._. Type of Wiring: Armored Cable ._.........__m.mm__m_ Non.MetalUc ........m.___m________mnh Knob & Tubem__...mm_.h_..._...._..__. Rigid Conduit ......__....n................. Metallic Tubing m_____.m.___mmm__ Raceway _____..____._____________n__.._......._ Circuits, LighL..___...._.m__m_mmm__n_.n Utility.___nn____.n.n__..........._..__._.______ Heat Range ._...____.__...._____________________________ Water Heater .mm.m.................... Motor ._......_____..________.________________n.._ Dryer..___________.n_.__...___.._..................._ Furnace ______......________..__.'_....__m...... Total Load_____n___________________.. Ser. NO...n___nn______n___________________..___... Total ......;..__......h_....____._._.n____ . Iv "C 1:/ sf Remarks : .._.n.___..:._L.t:.!._:___:=-:.~1=-=~~______=__________:!'_!~:.::;("_~.~......._.__-:'f:_€::'k_.L.____.!2..~:~~...:~~_:f..__~__~__.fI:.______~______.._ Permit Fee Treas. Receipt }/( / 7/. '. / $_m___...._.___.....___.m_______... NO._____._____.m.___......... By __/.L._rJ::.7'.'.L,.:_..J__h~:'___-'_______'-______.___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 Inapector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION , .-, ~;/ )Ic/-S /4:.r eB ~ ,) 0-0 /f- ELECTRICAL PERMIT N~ 14994 ::::t;~~:Y==-:::':=--=:=:===:==: ,.. J ~__ Inspection completed......._.__:l..___..._..__........................................- ._.._........._ ______._ _. ._...........____.____.................___.__.._................._......_._.....__._ 1M 3-72 Olympic Printers, Inc. Total Load .h......_..______________..____.__________._._.h__._______ DOwner ELtOCrR'CAL WORK PERMlTAPPLlCATl~ , Installation description Q Commercial ~esideDtial Job wired by }!CAlteredl Addition o New V\~ if Qd,l d-ic () c \ iff NA- , "' . iles LQ, City Phone number S h~VI:,inspeCtion: Owner as defined by RCW 19.28.261:(1) a>>ner will occupy the structure for twO years after this electrical permit is finalized. (2) eM'ner is required to hire an electrical contractor if above said property is for sale. rent or lease. 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 instal- lation or alteration in compliance with the c1ectricallaws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administra or o Cash o Check # o Credit Card ViY::t rastercard Discover Card# _t)1L\-::f~----------- x Expiration Date of card $nsP7~ f:O-O Service Information Voltage ,--\.') O/'>"tD Phase~1 Q 3 Service Size: ~A- Feeder Size: 'j j" Electrical Load Additions and or subtract. ns ci NO LOAD CHANGES a Baseboard KW Q Furnace KW o Heat Pump _ Ton _ LAR ~ Fan-Wall l,{-- KW SAME DAY INSPECTION CALL BEFORE 7'00 AM 360-417-4735 XJ Overhead Service \Q Temp Service o Underground Service , I '\ / SERVICE "- I ROUGH-IN THERMOSTAT ~ -Itf) "- Date Approved By / Approved By " Date Approved By 1/;O/'L,,!:tAL ~ 1 I FEEDER ......., DITCH --, Date/' ~ Approved By-..J Datc ApprovcdBy-"/ " Date Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector ,-- . ~ TPJJ - fjj ::2i/vC: " --,-. '" --, ,--- --- " O;E/?LJ I ~~Ac~O: ~L ADDRESS I tJ 2.. t.- ~ ELECTRICAL INSPECTION WIRING REPORT 417-4735 PER # /l.&T t:..L:..?>.:s I ... c" Jvc.. € ~ ~ ..5r- APP VED NOT APPROVED o .. 0,;. ''';' f) i H (,. . . . . . DITCH. . . . . . . . . . . . . . . . . . . . 0 j( . . r~. . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 ECTIONSNEEDED: 0 ~.At::. r'O.:s.5/~L(: , ~~JC' -r- ~/ ~~/N ti'~"-"7>"''L ~J~,"') /-)&rl:>""- ore... L>~~..s. c7'~_t:. pV r_~ .f!)F ~.fi.. . '. NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 . (;~ ELECTRICAL WORK PERMIT APPLICATION o Request Inspection i .~ Electrical Contractor o Annual Permit 0 Alarm 0 Carnival 0 Commercial Residential 0 Residential Maiot. 0 Signs 0 Thermostat 0 Telecom. Job wired by )tElcctrical Contractor 0 Owner Installation description 2-00 "'-':"'f ,SL r- I.n ~ Ct / f-e r~ Electrical contractor name License number .E.\Q~d(":c... \Dr-via -'[he. 8 E.C-TSr t:3U1M Puechaser's mailing addeess ) \f R.PI R2 ()n~v- (}~~~ ~~.u State ZIP nr 11\&'1..'1' lAr4 '1.Q-.3e.2. Telephone number - FAX number L..[ 5 - Premises owner's name " '+ 1 h ese.- J_e ~K I i'lo \/1 r ~ Address of inspection ' \ O"J-{", ~ (p i-h t"t- C Y\-('-t k') f C{ rd -=--- o t~ Y'rtd--e-r h~~ ,SkIS- City x o Cash 0 Check # ~a~::dit Card Visa' Ma{Jc.'id D~scover --U1ft--'+t-W----- Expiration Date of card ~. ~ i IJ '-\ I hereby certify thaI I am the owner of the above named property or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. Signature of owner, electrical contractor or electrical administrator --- J.c V' "- ~ /' WALLS Insulation Only Dale Approved By Cover Date Approved By '- /' CEILING Insulation Only Dale Approved By Cover Dale Approved By '- TIlERMOSTAT Dale Approved By DITCH '\ Date Approved By ./ /' SERVICE 1?h-zts- Au2 ,-' Dal.;' Approved By /' FEEDER "- Date Approved By ~ It, ~ Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan-Wall KW ..1" 'V-if'; /. Service Information o Overhead Service o Temp Service o Underground Service Voltage PhaseD 1 03 Service Size: Feeder Size: Inspection Area, Building or Equipment Inspected Action Taken Electrical pat') Inspector 1/ fjlb? Z)l~ -' ~A- ..f..ee. ~.. /../or 4;.,{.. .~{j) , . " , / /-1/.-// "2/7 /,~ .... ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number 15- 00000544 Date 5/18/15 Application pin number 508448 Property Address , . , . . . 1026 E 6TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 0910 -0000- Application type description ELECTRICAL ONLY Subdivision Name , . . , . . Property Use . , , , , . , . Property zoning , , . , , . . RS7 RE$DNTL SINGLE FAMILY Application valuation , , , , 0 Application desc Security system Owner Contractor BRIAN / INESE MENKAL ADT LLC 1026 E 6TH ST 11624 N CREEK PARKWAY, N PORT ANGELES WA 98362 STE 105 HOTHELL WA 98011 (206) 719 -0347 Permit . . , . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Pee 64.00 Plan Check Fee .00 Issue Date 5/1$/15 Valuation . , , , 0 Expiration Date 11/19/15 Qty Unit Charge: Per 1.00 64,0000 ECH E Fee sammary Charged Permit Yee Total 64.00 Plan Check Total 00 Grand Total, 64,00 Extension f,- SINGLE CTR LIMITED RES 64.00 Paid credited Due 64,00 ,00 .00 0o ,00 ao 64.00 .00 .40 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 FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPEC'T'ION Signature of owner or Electrical Contractor X Date: G:T- XCffANGEISUILAING 2015-05-15 20:11:23 (GMT) CITY OF PORT ANGELES PLRAiD'APPLICATION Building Divisbon/E)wotrico]@mopectkonm 321 0omt Fifth Street -P^O. Box 1158/ Port Angeles Washington, 98362 Ph: (360)4l7-4735 Fax: (36A)4U7-47l1 u0,v12«s 18e84000383 Frorm Deborah Shields * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Building Square P « om,cripuonm above "~""==^~~~~`^' Owner information Contractor Information wama Nama mr«LC License #/Exp. __- ........................ _ Uwme#/sxv.��uicOLEK��!�___.__'__'__' Item Unit Charg -0-ti Total (Oty Multiplied by Unit Charge) Service/Feeder 20NAmp. *132.00 _------ �_---_--_' 8om|oefFeder 201-400 Amp. $18080 Sumice/Fnedw4O1'8OOAmp $235.00 __---_ �__-_---- Sanioe/Foodor6@11OVOAmp. $288D0 Service/Feeder over 100OAmp, $410.00 Branch Circuit. W0 Service Feeder $ 5.00 ------_ �----____ Branch Circuit W/O Service Feeder S 74.00 __----- �-----___ Each Additional 8/anohCircu|i $ 5.00 Branch Circuits 1'4 $ 86D0 Temp, Service/ Feeder 200Amp. *10200 ______ %--____-_ Temp. Service/Feeder %O14UUAri $121M -_--__ $----_-__ Temp. 8om|co/Foed*r4O1'00OAnp. $164,00 -----__ %_-_------ Temp. Service/Feeder fN1'1000Amp $185O0 Portal toPoda|Hnudy $ 9000 ---_--' 8iqn/DuU|n*Lighhng $ 88.80 �- Signal CimWVLimited Energy -Mu|U'FamUy $ 0480 Signal Circuit/ Limited Energy / First 1500af-Cunomumio| & 98,00 Now $D,00 for each additional 15005f Renewable Electrical Energy 'OKVA8yslnmurLexo $11300 Thonnvm(m $ 5600 ------_- Note, *§.00(nr each additional T'Gkm 70 Tota| Owner as defined by HW1&282O1 (1) Owner will oocupy the structure for two years after th is electrical is fina!lizmd. (2) Owner isequired to hire an electrical contractor if above said property is for sale, rent or lease. Permit expkes after six months of last inspection, After reading the above statement, | hereby certify that \am the owner uf the above named property ora|�cenmd electrical contractor, |ammaking the electrical installation n/ alteration in compliance with the electrical laws, N.E.C.,RCN/. Chapter 1Q.28.VVAC. Chapter 1013-4813. The City ofPort Angeles Municipal Code, and Utiiity Spec.ifications and PAW 14,05,050 regarding Electrical Permit Applications, Signature nY owner, electrical contractor or electrical administrator; O omx O m,cx . " � Jennifer Covell 05/15/2015 -___-_-_��_-___-___ 0110112012