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Home My WebLink About1241 E Lauridsen Blvd - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner KOOISTRA PHILIP /HEIDI 114 WHIDBY PORT ANGELES (360) 452 4077 Other struct info Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Other Fees WA 98362 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 05 00000284 263356 1241 E LAURIDSEN BLVD 06 30 11 5 5 9030 0000 RES NEW SFR RS7 RESDNTL SINGLE FAMILY 123395 Contractor ANDERSON HOMES LLC 618 SOUTH PEABODY PORT ANGELES (360) 452 4641 TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL .JOT COVERAGE NUMBER OF UNITS ELECTRICAL TEMPORARY SERVICE SHAMP/ TEMP SVC 50286 SHAMP ELECTRICAL CONTRACTING 42 20 Plan Check Fee 6/02/05 Valuation 11/29/05 Qty Unit Charge Per 1 00 42 2000 ECH EL TEMP SRV 0 60 SRV FDR Special Notes and Comments Building address sign shall not be less than 6 not more than 12 in height Numbers colors must contrast with wall color they are mounted on (Ord 14 36 050 E) When roof gutters are installed drains will located in dry wells or piped to approved storm drain locations 05/12/2005 04 20 PM SROBERDS Project is new s f res w /attached garage in the RS 7 for total lot coverage of 11% No land use issues noted $713 Connect Fee Applies Electrical permits are required 04/28/2005 09 37 AM JHEBNER MAINTAIN CLEARANCES FROM WIRE (House MUST MOVE north to back lot set back) Must Contact Mike Hill (360) 565 3286 Clallam Co PUD for their Approval Meter Location is to be on garage wall closest to pedestal 04/28/2005 09 38 AM JHEBNER Any modifications to the electrical facilities will be at the customer s expense 04/28/2005 09 45 AM JHEBNER Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch Construct driveway to City Standards No concrete with exposed aggregate allowed in the City road right of way Date 6/02/05 WA 98362 11 00 2 00 12454 00 1370 00 1 00 00 0 Extension 42 20 SEWER SYSTEM DELV CHARGE 745 00 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH ROUGH -IN COVER SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW -I 102.15 I4P96) Application Number Application pin number Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000284 263356 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1025 00 Charged Paid Credited Due Page 2 Date 6/02/05 42 20 42 20 00 00 00 00 00 00 1774 50 1774 50 00 00 1816 70 1816 70 00 00 CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH M N ROUGH IN COVER M N SERVICE I 4 FINAL M W/0--0" I h.. es',/ GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO PW -I 102.13 (4961 '~ "I<ii....iI" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 "':AST 5TH STREET. PORT ANGELES. WA 9R~62 Appllcatlon Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05 00000284 Date 263356 1241 E LAURIDSEN BLVD 06-30-11-5-5-9030-0000- RES NEW SFR 7/22/05 RS7 RESDNTL SINGLE FAMILY 123395 Owner Contractor KOOISTRA, PHILIP/HEIDI 114 WHIDBY PORT ANGELES WA 98362 (360) 452-4077 Other struct info ANDERSON HOMES LLC .. 618 SOUTH PEABODY PORT ANGELES (360) 452-4641 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL_LOT COVERAGE NUMBER OF UNITS WA 98362 11.00 2.00 12454.00 1370.00 1. 00 ""-... N " ........... ---------------------------------------------------------------------------- permi t . . . . . Additional desc . Permit pin number .permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL SHAMP ELEC. / 2000 ' NEW RES. 55269 119.80 7/22/05 1/18/06 Plan Check Fee Valuation .00 o Qty 1. 00 2.00 Unit Charge Per 73.0000 ECH 23.4000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 73.00 46.80 ~ ---------------------------------------------------------------------------- Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. lOrd. 14.36.050-EI When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. 05/12/2005 04:20 PM SROBERDS -__________________________ Project is new s.f. res w/attached garage in the RS-7 for total lot coverage of 11%. No land use issues noted. $713 Connect Fee Applies. Electrical permits are required. 04/28/2005 09:37 AM JHEBNER -___________________________ MAINTAIN CLEARANCES FROM WIRE (House MUST MOVE north to back lot set-back) Must Contact Mike Hill (360) 565-3286 Clallam Co PUD for their Approval. Meter Location is to be on garage wall closest to pedestal. 04/28/2005 09:38 AM JHEBNER ____________________________ Any modifications to the electrical facilities will be at the customer's expense. 04/28/2005 09:45 AM JHEBNER -___________________________ Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway to City Standards. No concrete witn exposed aggregate allowed in the City road right of way. ~ ~ .... \) ~ <: ~ f' ~ ---------------------------------------------------------------------------- Other Fees SEWER SYSTEM DELV CHARGE 745.00 COMMENTS! ACT10N NEEDED ELECTRICAL PERMIT INSPEglON RECORD CALL 4 J 7-4735 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 COMMENTS NO GENERAL COMMENTS: PW-II02.IS [41'96) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCJ;;:L NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation Owp~r 05-00000284 Date 263356 1241 E LAURIDSEN BLVD 06-30-11-5-5-9030-0000- RES NEW SFR RS7 RESDNTL SINGLE FAMILY 123395 Contractor KOOISTRA, PHI]~IP/HEIDI 114 WHIDBY PORT ANGELES WA 98362 1360} 452-4077 Other struct info Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Dat:e ANDERSON HOMES LLC 618 SOUTH PEABODY PORT ANGELES (360) 452-4641 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT -RESIDENTIAL 1609SF SFR W/ATT 484SF BARAGE 48314 1151.65 Plan Check Fee 5/20/05 Valuation 11/16/05 Qty Unil: Charge Per BASE FEE 5.6000 THOU BL-100,001-500K (5.60 PER K) 24.00 permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 48330 97.95 Plan Check Fee 5/20/05 Valuation 11/16/05 Qty uni 1: Charge Per 1. 00 5.00 BASE FEE 14.7000 ECH ME- INSTALL 100- FAU 7.2500 ECH ME-VENT FAN Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Dat:e PLUMBING PERMIT 48322 146.00 5/20/05 11/16/05 Plan Check Fee Valuation Qty Unit: Charge Per BASE FEE 10.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1. 00 15.0000 ECH PL- EA. BLDG SEWER 1. 00 7.0000 ECH PL- EA.WATER HEATER 5/20/05 WA 98362 11.00 2.00 12454.00 1370.00 1. 00 460.66 123395 Extension 1017.25 134.40 4\) \: ~ \) IT) -- .z ~ r- r- 0 c ) Q.. VI <\ -r " W "'-- c IZ-.. 'P ..:r.. .00 o Extension 47.00 14.70 36.25 .00 o Extension 47.00 70.00 7.00 15.00 7.00 Special Notes and Comments Separate Permits are rE!qUlredlo? erec1ncar~or ~S jft, 3fell~e,%~~~ uryfnfi~s, 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 governin is type of work will be complied with whether specified herein or not. The granting of a permit does not presu~ give author't t vio ate or cancel the provisions of any state or local law regulating construction or the performance of con~ut~n. Sig C --JQ_.^~ ,.:.-::. I' <.J ~ Date T:\Policies\1 lO2_15 building permit inspection record05.\vpd [1/4/2005] 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 I YES I NO FOUNDATION: FOOTINGS '?, & let; J~t WALLS FOUNDA TION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING LINDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEA T PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEP ARA TE PERMIT #' s SEPA: PARKING/LIGHTING 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. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. . PLANNING DEPT. 417-4750 PLANJ\:ING DEPT BUILDING 417-4815 BUILDING T:IPoliciesll 10215 buIldmg penn!! mspectlOn record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000284 Application pin number 263356 Page Date 2 5/20/05 Special Notes and Corrunents than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. 05/12/2005 04: 20 PM SROBERDS -- - u u u - u - __ __ -- -- - u - u project is new s.t. res w/attached garage in the RS-7 for total lot coverage of 11%. No land use issues noted. $713 Connect Fee Applies. Electrical permits are required. 04/28/2005 09:37 AM JHEBNER ---------------------------- MAINTAIN CLElffiANCES FROM WIRE (House MUST MOVE north to back lot set-back) Must Contact Mike Hill (360) 565-3286 Clallam Co PUD for their Approval. Meter Location is to be on garage wall closest to pedestal. 04/28/2005 09:38 AM JHEBNER ____________uu__u________ Any modificat:ions to the electrical facilities will be at the customer's expense. 04/28/2005 09: 45 AM JHEBNER -- - u - _uuu u - u - -- --- ---- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway to City Standards. No concrete .lith exposed aggregate allowed in the City road right 01: way. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee surrunary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1395.60 1395.60 .00 .00 Plan Check Total 460.66 460.66 .00 .00 Other Fee Tot:al 1774.50 1774.50 .00 .00 Grand Total 3630.76 3630.76 .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 . type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give autho( 0 101 te or cancel the provisions of any state or local law regulating construction or the performance of co~on. L ,,~ /9-.0--5, Date Signature of Owner (if owner is builder) Date T:\Policies\1 102_15 building permit inspection record05.wpd [1/4/20051 BUILDING PERMIT INSPECTION RECORD 0..,5 - 28'1 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 WOH.K BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. . "'"". INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO ""'~"'-l.~.~._, FOUNDATION: FOOTINGS WALLS &/e: Joc; .jl-v FOUNDATION DRAINAGE / DOWN SPOUTS I _...."'.~,....H.,,'" PIERS POST HOLES (POLE BLDGS.) l"'f.......on..(~.....oI PLUMBING FI ""H~ , c> -;;l (;.05 I+<' ~ J-J- UNDER FLOOR / SLAB ROUGH-IN 7'~o) ...J LL. WATER LINE (METER TO BLDG) 1 ~. c<;' <r L-L.. GAS LINE BACK FLOW / WATER ~:... .v"~,.",.~..,,<.,,.. AIR SEAL WALLS 'l'D8- oS 5"y-- CEILING ,........ ".~"ao FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING g/~/~') -SvL- DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR ;U'=A.'711",... INSULATION SLAB WALL / FLOOR / CEILING ~/e,lo\ s~ ~ MECHANICAL I F oJ f.} l- IO-:l'-os A-P ~ J.J.. HEAT PUMP / FUR,'\IACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY COMMERCIAL HOOD / DUCTS - MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEP ARA TE PERMIT #' s SEPA: PARKING/LIGHTING 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./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 10-;> &._rl 'i T;: PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT 417-4750 PLANNING DEPT. BUILDING 417-4815 'I(]_?Z-~ ~ ~\ Ll. 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Z c..,>-3 ~:=; t'l?: U'JOJå>-3 t' t' H t'l :u t' >< '1:l'1:lU'J 66~ zzo t'lt'lH <: ww "'''' 00 """" ,"VI "'''' , , """" 0'" -.J"" -.J>-' 0'1:l )>)> >-3Gl OJt'l >-' o -..... '" "" -..... o VlW BUILOrNG DIVISION CITY OF PORT ANGELES * * Correction Notice " Job Located at ) 2 c/ ( G: C xl ~ J/ i , v ) ( /C ,( ( Inspection of your work revealed that the fOllowing ;s not in accordance with the codes governing the work in this jurisdiction: * ~/// II :r-:/:::). 1 . --., /.:::::c fj,), -J..,~" I~p @ L/^-IC tl~~/ '/--./0 ~ -K -TI >'V1 (/ ;L +-=- n\. ( -r~A\..... [0 t1DI e- h()<.J~r-:: ~ J-.l D 0S,f-. S+~ - -1:. IL{_~' :ti _ C:JI 01)/ c( S I [)~ +t4cr = These corrections must be made and are no~ to be covered until reinspection is made. When corrections have been made, please call VI 7 - (/ J;/ c:;- for inspection. Date /0/;;'1 jGC I ~_._._---._. . ../ L Inspector for Building Division DO NOT REMOVE THIS TAG '0 , >-3 'tl ol ol >-3 'tl tD tD tD tD tD tD tD >-3 'tl ::;~~8Ei o '0' le' , >< ~ le' le' >< ; le' le' le' le' ~ H le' >< ~ H", N , '0 111 H '0 '" H W W N H '0 'O",ZZtI >-3Ol , '- '- '" "' '- le'O ol >-3", ><'0 , (J) H (J) H (J) H Ol",",ol :>> 0 , 0 >-l 0 0 0 >-l 0 0 0 0 0 0 0 0 >-l Zle' :>>(J) 0"' H , H H H H N H H H H ~. O(J) "1Ol , >-3 tI , 'tl tD tD 0 '0 le' :>< 'tl ol. ",. OH , 0"' :>< 0"'; H O"'~ "' ",0 --.J--.J , Ool :><--.J --.J--.J Ool 0 0000 0000 --.J--.J --.J--.J "'''' "'''' Ool >-3'- '-'- , 3:0 :><'- '-'- 3:0 '- '-'- '-'- '-'- '-'- '-'- '- '- 3:0 N NN , 'OCo :><N NN , 'OCO N 00 00 NN NN 00 00 'OCO ~g8~~ ~~ NN , le'olO :><'" "'''' , le'Ol.... 0 WW WW 0000 0000 0000 --.J'" le'Olo '-'- , Ol(J} :><'- '-'- , Ol(J} '- '- '- '-'- '-'- '-'- '-'- '-'- Ol(J} , , Otl... 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"' , H wtI le'",CIl Z '- H >-3HH G) NZ (J)'Ot;l 0 OG) '->-3~ 0 '" 0 OH H H 3: Wl11'" 00 ZZ 3: :>>'" 0 3:ZH (J}(J) ol ~~I--'~ 3: ~ '0'0 Z ol Olol >-3 WHtJ Z ()O (J) ... .. :>> >-3 >-3>-3 '"dOl--'1-j (J) OH ~ "', "'H "'0 Oll11 0 -- Z tI , W Z 25~~~ c..,>-3 Z ~~ 0 !ii 0 'O'O(J) >-3 0 ssfiJ "'~ ol tI>-3 (J)Ol (J) ><H ZZtI >-3 :>>Z OlOlH le' (J}G) <: ~ le' H C ol "' W W "' "'''' le' 00 >< ...... 111111 N N , , ...... 0'" --.J'" --.JH tI'O :>>:>> >-3G) Olol '" '- 0 '" '- OH l11CD CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation Owner 5/20/05 05-00000284 Date 263356 1241 E LAURIDSEN BLVD 06-30-11-5-5-9030-0000- RES NEW SFR RS7 RESDNTL SINGLE FAMILY 123395 Contractor ANDERSON HOMES LLC 618 SOUTH PEABODY PORT ANGELES (360) 452-4641 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS KOOISTRA, PHILIP/HEIDI 114 WHIDBY PORT ANGELES WA 98362 (360) 452-4077 Other struct info Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date WA 98362 11.00 2.00 12454.00 1370.00 1. 00 DRIVEWAY INSTALLATION 48363 170_00 5/20/05 11/16/05 Plan Check Fee Valuation .00 o Qty Unit Charge Per BASE FEE Extension 170.00 permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV DROP IN WATER METER 48355 150.00 Plan Check Fee 5/20/05 Valuation 11/16/05 .00 123395 Qty Unit Charge Per BASE FEE Extension 150.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 48371 110.00 5/20/05 11/16/05 Plan Check Fee Valuation .00 123395 Qty 1. 00 Unit Charge Per 110.0000 EA SAN SEWER HOOKUP Extension 110.00 Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. 05/12/2005 04:20 PM SROBERDS --------------------------- 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 governin this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give auth 'ty v late or cancel the provisions of any state or local law regulating construction or the performance of constr on. '/CL T:\Policies\1102.15R [1/05] D"C . -) r or Authorized Agent Date Signature of Owner (if owner is builder) Date PERMIT INSPECTION RECORD ~. CALL 417-4807 FOR UTILITY INSPECTIONS. 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 I NO PW UTILITIES (Engineering Division) WATERLINE/ METER SEWER CONNECTION SANIT AR Y STORM SITE DRAINAGE SITE EROSION CONTROL PARKJNG SIDEW ALK CURB & GUTTER DRlVEW A Y APPROACH BACK-FLOW DEVICE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERlNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1/05J CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000284 Application pin number 263356 Page Date 2 5/20/05 ---------------------------------------------------------------------------- Special Notes and Comments project is new s.f. res w/attached garage in the RS-7 for total lot coverage of 11%. No land use issues noted. $713 Connect Fee Applies. Electrical permits are required. 04/28/2005 09:37 AM JHEBNER ---------------------------- MAINTAIN CLEARANCES FROM WIRE (House MUST MOVE north to back lot set-back) Must Contact Mike Hill (360) 565-3286 Clallam Co PUD for their Approval. Meter Location is to be on garage wall closest to pedestal. 04/28/2005 09:38 AM JHEBNER ---------------------------- Any modifications to the electrical facilities will be at the customer's expense. 04/28/2005 09:45 AM JHEBNER ---------------------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. ---------------------------------------------------------------------------- Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 430.00 430.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2204.50 2204.50 .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. Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\Policieslll02.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. 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 PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION ?-~5-oS R..Y SANIT AR Y STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEW ALK CURB & GUTTER DRlVEW A Y APPROACH BACK-FLOW DEVICE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION RW.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:IPolicieslll02.15R [1/05J BUILDING PERMIT - APPLICATION Date Approved. Date Issued: Fill out COMPLETELY and in INK. Your application and site plan MUt' Ri.. COMPLETE to be accepted for review. If you have any questions, c ll~.' PERMITS (360) 417-4815 FAX(360)417-4711 . . I e) R l E-:1\J -+ H-EI[)I Address: ' [Lf LU[+( D B"( Architect/Engineer:_ESFI en'! ~~E7) (~I-+ Contractor A-N () E-'f?-SE?Lj fIz:t-uz-s State License #: Exp: ()18 s. FE-;A-[JC Dr" City: rOF) A-VC?[Ecf:~ /2':1 I. .~ /-al.l.v,'ds€vt Blvd. , A\ Applicant or Agent: Owner:J) VI \ I \C~ E-=n (s r+ ~(; DIe; Tf2-A City: pc f?-T '+S~2 -ft7?f / -ts2 - 4-D 77 Zip::? t3 .362 Phone: 40;2 - "'-r~Ll- ( Phone: /ft;z 74{;41 c/.;,;? -?/------:J Zip: L//k.-;>/- ZONING: p~.JrOCt:) Subdivision: e k:E..S T 114\JE AI ~G 3D ;IS<..~1{J3V C)~0 Phone: Phone: A(IJ(,'7 e-1..~E/:~ Address: PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: ~Residential J4"New Constr. 0 Re-roof D Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: City: o Stove o Garage o Deck o Other \.lcLou Exp. Date: SIZEN ALUATION: .,.J::I I rv~"L7 SF. @ $7D, 26 ISF. = $ 11'50LfB ~, (,A(Jfttl1'64 SF. @ $ Z/, 5'8 /SF. = $ t 054 7; ~?. SF. @ $ /SF. = $ TOTAL VALUATION $ r2.'.Ss.9~t9-'ZL Ce~C;Tl4(cTlc(>.; i C;;(N(:""7CF fMUi/[ RF,<;(nF^~(.c/ COMMERCIALIRESIDENTIAL: Occupancy Group: f2- - 3 No. of Stories: 2 Lot Size: !Z/tc.A- Existing Sq. Ft. Total lot coverage I ~, 0 c % Occupant Load: Construction Type: V -g . & Proposed Sq. Ft. 1 37 (! = TOTAL Sq. Ft. i --:; 7 (> APPRO V ALS: PLAN: BLDG; DPWU: FIRE: OTHER:__ PLANNING USE ONLY: ESNWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: V ALUA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed end 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 chl:ck fee is due it must be submitted at lhe time tlle 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 Rl 05.3.2 of the International BuildinglResidential 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 undarstand 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. T:\RV\~SS\8LDG-forms-brochures\2004-Buildingpermitwpd Applicant: ~-:-:i--> c.() Date: C'1- I (1- ~s 120S Prescriptive Approach - Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 Site Information Building Department Use Only Lot: Ate f-D;T {fA{ IFftV Permit #: Address: Notes: fUfl-T State: l;...}A-- Contact: f<.{G(t- A-ru1Jf312--SC'A.,.1 Phone: 1-0 2-- ~b1-( NJ~S Zip: 1~362- City: Phone 2: Fax: n mute azmg Ion ny Glazing Glazing U-Factor Door9 Wall Wall Wall Slab4 Option ArealO U- Ceiling2 Vaulted Above Int4 EA14 Floors On % of Floor Vertical Overheadll factor Ceiling3 Grade Below Below Grade Grade Grade III Unlimited Group R-3 0.40 0.58 0.20 R-38 R-30 R-21 R-21 R-lO R-30 R-I0 Occupancy Only Table 6-1 PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Ur' dOl' Of 01) See the code text for footnote references This project complies with the following: ./' The project is a single family residence or duplex. ./' The project is wood frame OR all of the insulation is interior or exterior of the framing. ./' All building components meet the requirements listed in Table 6-1, Option III. ./' The project will meet all other provisions of the WSEC and VIAQ. The project will take advantage of the following exceptions to the prescriptive option: o 602.6 Exception 1. One door, that is 24 ft.2 or less, that does not meet the standards is allowed. Location of the door taking this exception o 602.6 Exception 2. Doors with a U-factor of 0.40 allowed without calculations, Option III only. Location of the door(s) taking this exception -Ef6VT lk'l.trfL I BOfJt,(<; pM. Copyright 2002, WSUCEEP02-056 Copied by permission from the Washington State University Extension Energy Program Prescriptive - Simple Form - Climate Zone 1 7/26/2004 ,f)/v n1 tl; FZ!J- - ,., I rofs / JJI1)H1 - 10 ()J I~ I ~e-\.v~ v.... - ( ~ ~d- .-/ ( 4?;;z7; vi <2 i'll-S - S- .-'" I---v r nl - I IHP . 06/01/2005 13:04 FAX . PA Permit 141001/001 ~ --- . &(,V ~1 efEJectrical Contractor l:I Owner '\~...-..~:;<..* ELECTRICAL WORKPERMlT APPLICATI()N o Request Inspection CI Aooual P_rml! 0 Alarm Q Carolval 0 Commercial e(ll.esidential 0 Resldenllal Maiot. CI SigD' 0 Thermo.tat 0 Telecom. Job ",ired by ~ Electrical Contractor CI Owner (nstallafion d~scription License number 1PEC ~ Pre7'j~s o~ner's name K~~'IZA- Address of In.spection 1;;1.41 r.. /71uy'''dr~Y1 Blvd. Cltv . "t5P. T /11.1 &e...e-' fA) A . rC 1- State ZIP WYj. c)f3~"l. FAX numher ., 7ftiJI f IDIAI-ev I hereby certify that I am the OWn~r of the above nam~d property (It a licensed electrical l;ontractOT (or the finn's authori:!ed agent) and am making tht c1een-ica! installation or alteration in compliance: with the elecrricallaw, Chapter 19.2lS RCW. 1:1 Cash CI Check # ~ Credit Card Visa r. Mastercard CardH --.cn'.:hlfl .____0____ Discover Expiration Date of card Inspection fee $ l.i-o 'tf ~ \ .~ WALLS Insulation Only '\ r CElUNG Insulation Only \ THERMOSTAT \ '- DGt; ^ppr~v;<.l By DITCH ] DAlc Ar"rov~d By SERVICE " Ollie A"llrc'O'ellB,,/ FEEDER D:l.le APFrcve4Dy./ O&le ADD'''Y~ ~.v Due ADllfO"~<l 5r COVer Cover Oa.le Approved Iiy / DGle ^PPll;Iv.lI Sl' ./ u/~ ServICe Inform'IIQn \ Electrical LDad AdditiDns and Or subtractions IJ NO LOAO CHANGES CJ Baseboard ~ KW o F::urnaee _ KW o Hes.t Pump _ TOr] ~ LAR o Fan~Wa.rl _ KW (J Overhead Service o Temp Service o Underground Service Voltage Ph.._ 0 1 IJ 3 Service Size: _ Feeder SIze; Inspe'ctiol1 DOl Area, Building or Equipment Inspetred ~ l. O~ ~ Ac~jOD Taken Blecmcal JnSpectot l.. hN,.:rG. AF 4-L[) &0 tl/os 07/21/2005 09:55 FAX ~ ~ 0~ - - - . Ooo\y .for Tves .~I S ELECTRICAL tORKPERMJ T APPLICATION 7/d-1o~5 ~ ~ _..i!'" Installation deSCriJ'licmJrJ Job wired by o Electrical Contractor DOwner o Commercial Residential Electrical contractor name License number Date Expircs o New d Altered/Addition ,<:;.'^...." 1=1....l- \ _.1 .l., I Purchas~T's hlailing address -J PO- P-.,,\< &-x.", City State ZIP U. .,_ ,Pm"-\- ~...:l,p\"", \Nfl> 'li!.'J, I.~ .:trJo() c' .4 :.1-. Telephone n cr ' FAX nUlnbt't 0 (ilii) 4t:;~-1 L:'ilq (:2.1.1'\') L.l-t:;.J. -1109'1 Ptemis~S OkS nam€: _~Ic.. Add..-cu Df Inspeetion 1:1.1..\ I 1;. UII-..\"\<O.,<",o\ R1vJ. , , I Cit ; ~ ~-3'~h W~ 9i:n,;l PhoDe numbEr' schedll{e iD~pect(oD: OW1JU as deJi'leti by RCW.}9.~8.26J:{l) Owner- wilt occupy the structure for Iwo Yf.:urs after eMs elevrril'al permir is ,f1noJi;t'd. (2) Owner i.r ,.eqlJi"cd ICl hire an electrical crmr""C'Or if above .faid property is for sale, n.nt 0' It,tru. o Cash O~~ After reAding lh= abovc stak':menl. I nereby ccni fy that I urn tne owner of me above named propeny Or !l Iicl:mea elcctrical contractor. I arn making lhe electrical instal. o Credit Card Vi Mastercard Discover lation or alteration in compliance with tht el~clrical [aw~. N.E.C.. RCW. Chapter 19.28, WA.C, Chapter 296-46B. The City of Port Angeles Municipal Code, and Card # _ _ Ulility Specifications. Expiration Date- - r - - - -- ------ ;gna;e,y ow~e":;;:,ei;mlor or el~'~~;: a~m;;:r/: ~ tion fec (InSPC ~fcard $ II q~() ./ Electrical Load Addlllona and or subtractions . O/~ Information o NO LOAD CHANGES o Baseboard KW Voltage o Furnace .!-KW D Overhead Service Phase D 1 t 3 (;I Heat F'ump - Ton - "AA l:I Temp Service Service Size :~ D Fan.Wall _KW o Underground Service Feeder Si.te; . SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-4.17-4735 - /' . ROUG~ THERMOSTAT I SERVICE I 1jX ' , -'ZS ......... Ollie ApprClve<i Hy l]nl~ ^PJlrov~d 5y ./ LJ~te ^lIpro v d fly ./ /' ~ /' FINAL DITCH FEEDER DIII~ /-Uros D:h; ,I "- ^ppl1lvelll:4y O~l; APPI'C"'c:d By AflProv By../ Inspection Area, Rtlilding or EqwpmCT]~ ...A~~en Electrical , I D.t~ Inspec.tor , 7/2,1/0"5"" rJb- ( f*1 0 --Mfj)- <: TN S./ I ( <l~) I I ---- ~ . I - ~001/002_ \J cJ1 I '9- 0( -C. 1;:: DATE /0-.2.:> -~ OWNER/CONTRACTOR .f~. ADDRESS /,y'/I ~ ELECTRICAL INSPECTION WIRING REPORT 417-4735 PERMIT # INSPECTOR /!CO 0"5 - :Z8 &?~HG- L~'~I'"aS~..~J' r <. '(""'-.0 ! APPROVED NOT APPROVED ,'~ '. o .... . . . . . . . . . . . . . . . . DITCH. . . . . . . . . . . . . . . . . . . . 0 o. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 o. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 pc. . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 ''7J 90RREqIO~SNEEDEV C/-f,t..C-,K ,.t:.~..ff'5 //'/ t. / / a,..,/f-/& ~"",2 L!fJ~T (d) ,4/h/Ff.- @ C,ovQ ~ CO/,),.<./E~D '<J ~ 7E-57/dG ? /2ij"?.eAt: ij /-/oT' ,:> r- .k ,I n:.H <'!.,IV ...5/.-<.//c::.. -' .5erlI':'.D.u~ ~S/ DL Oot0r\/ ~p~ ~MNE7 cA rr=~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS. INC. (360) 452.1381 ---- lElfECTIRl~CAl ~ Ii\'lS~1EC1U))1i\'l W~IRl~Ii\'lG IRlIE~OIRlT 417-4735 DATE PERMIT' IN~ -' ADD .€. LA-'-" 1.c2:i:~ APPROVED NOT APPROVED o ................... DITCH ................... 0 o .............. ROUGH IN ICOVER .............. 0 o .................. SERVICE .................. 0 CORR:T:~~~' ~~~~~@i3~;;~' ~. .. .~;v~~.. . .~ Be- ~j::..-U:> -...;; ,;7/10 /77#$;-' /3~ 41-<tut-1) @ /?7~~, A:A'7/5rA<-- (!;L /AJ5.C/,f-- 77'~ ? - 4<!"'f,~ //.t' 5:7/?1'/ J..// (}2 & P41vb:- . Y-L-h'.L:JKU!!:. ,,,,,P</1;:,# _ On/A~\/ , Ot:7/./M6C?7v/1/ /::-F~ ~ /',"*,0 ? Crft.J_ ~/) - f7Y5" k NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (380) 452.1381 Application Number . . . . . 23-00001147 Date 10/25/23 Application pin number . . . 861046 Property Address . . . . . . 1241 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06-30-11-5-5-9030-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc DHP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ERIC M / SARAH A SCHAEFERMEYER BLACK DIAMOND ELECTRICAL CONTR 1241 E LAURIDSEN BLVD 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 477-0500 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 10/25/23 Valuation . . . . 0 Expiration Date . . 4/22/24 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