HomeMy WebLinkAbout2902 Regent St - BuildingApplication Number 09 00000774
Application pin number 365122
Property Address 2902 REGENT ST
ASSESSOR PARCEL NUMBER 06 30 15 5 6 0800 0000
Application type description PUBLIC WORKS UTILITES
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Connect down spouts curtain drain to storm
Owner
JOHN HUGHES /JANET KAILIN JT
2902 S REGENT ST
PORT ANGELES WA 983626948
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
PUBLIC WORKS STORMWATER
151092
180 00
8/05/09
2/01/10
Qty Unit Charge Per Extension
1 00 180 0000 EA SAN SEWER STORM MAIN TAP 180 00
Fee summary Charged Paid Credited Due
Permit Fee Total 180 00 180 00 00 00
Plan Check Total 00 00 00 00
Grand Total 180 00 180 00 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
g rure of Contractor or Authorized Agent
T \Policies \I 102 15 [10/08]
Contractor
R J SERVICES INC
514 IRVING JACOBS RD
PORT ANGELES WA
PORT ANGELES
(360) 457 1420
Date 8/05/09
WA 98362
Plan Check Fee 00
Valuation
0
Date Signature of Owner (if owner is builder)
Date
3=2
3
DRIVEWAY APPROACH
I BACK -FLOW DEVICE
CALL 417-4831 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
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
CONSTRUCTION R.W PW/
ENGINEERING 417 -4831
FIRE 417 -4653
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
T \Policies \1 102 I [10 /08)
RESIDENTIAL
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
PERMIT INSPECTION RECORD
YES 1 NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
PREPARED 9/23/05 13 41 06 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/23/05
ADDRESS 2902 REGENT ST SUBDIV
CONTRACTOR EVERWARM PHONE (360) 452 3366
OWNER JOHN HUGHES /JANET KAILIN JT PHONE
PARCEL 06 30 15 5 6 0800 0000
APPL NUMBER 05 00000534 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME4 01 3/05 LL
qLk I
1
MECHANICAL WOOD STOVE /PELLET
09/22/2005 01 36 PM PBARTHOL
JANET 565 3004
CALL 1ST TO ARRANGE MEET
COMMENTS AND NOTES
iA a1 q- 2.3 -a,• I.LL-
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
JOHN HUGHES /JANET KAILIN JT
2902 S REGENT ST
PORT ANGELES
Permit
Additional desc
Permit pin number 53504
Permit Fee 50 00
Issue Date 6/29/05
Expiration Date 12/26/05
Fee summary
Qty Unit Charge Per
1 00 50 0000 ECH
Charged
Permit Fee Total 50 00
Plan Check Total 00
Grand Total 50 00
T \Policies \1 102_15 building permit inspection record05 wpd 1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983626948
MECHANICAL PERMIT
05 00000534
536134
2902 REGENT ST
06 30 15 5 6 0800 0000
MECHANICAL APPL .PERMIT
RS7 RESDNTL SINGLE FAMILY
3000
Contractor
EVERWARM
257151 HWY101
PORT ANGELES
(360) 452 3366
50 00
00
50 00
Plan Check Fee
Valuation
ME WOOD BURNING APPL
Paid Credited
00
00
00
Date
WA 98362
Due
6/29/05
Extension
50 00
00
00
00
00
0
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
o�.. �c� 62 /o5
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
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
FOUNDATION•
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR /SLAB
ROUGH -1N
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
BUILDING PERMIT INSPECTION RECORD
YES 1 NO
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
I PLANNING DEPT 417 -4750 I
I BUILDING 417 -4815 I �3 I �J tAl—
T' \Policies \l 102_15 building permit inspection record05 wpd [1/4/20051
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
1 BUILDING
PREPARED 9/21/04 12 10 23 INSPECTION TICKET PAGE 11
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/21/04
ADDRESS 2902 REGENT ST SUBDIV
CONTRACTOR HUTCHINSON CONSTRUCTION PHONE (360) 460 2151
OWNER JOHN HUGHES /JANET KAILIN JT PHONE
PARCEL 06 30 15 5 6 0800 0000
APPL NUMBER 04 00000729 RES FOUNDATION REPAIR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 21 4 JLL n JAIETING FINAL
JANET 452 4693
COMMENTS AND NOTES
st
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
Applicant or Agent: --1A N ET KA I L I tJ
Owner SAN T ILtnl A JoFHN t-cn GI-EE S
Address. 29oZ KEGENT ST
Architect /Engineer GENE UI N G c l2
Contractor] '&c-&- w (°nus'hxud e)u State License
Address
PROJECT ADDRESS VI 02
LEGAL DESCRIPTION Lot:
CLALLAM COUNTY PARCEL NUMBER.
Credit Card Holder Name:
Billing Address:
Credit CardType VISA
TYPE OF WORK.
Residential New Constr
Multi family Addition
Commercial Remodel
+2 epair
BRIEF DESCRIPTION OF THE
MC
4C X Z4 access �veMt 1.a
COMMERCIAL/RESIDENTIAL. Occupancy Group
No of Stories: Lot Size:
PLANNING USE ONLY
City PoR-r AFiG
City
REGEtir Sri' Poe" ANGELES
Block:
City
SIZE/VALUATION
Re roof Stove SF /SF
Move Garage SF /SF
Demolition Deck SF /SF
Sign Ca' Other V4taws d al,or, TOTAL VALUATION O 7s
PROJECT C c,.* six C a, t,e.,t b,o le Qv, A evta
,v, "tLllay,�u CT hnt„S�.
Existing Sq. Ft.
Total lot coverage
ESA/Wetland(s) Yes No SEPA Checkhst required? Yes No Other
Phone
Phone
Exp
wA 93E+2
Subdivision.
Proposed Sq Ft.
Phone
FOR OFFICIAL USE ONLY
Date Rec. 7 J 4-04,_
Permit #E 7 "7
Date Approved:
Date Issued
w rk j6S— _?coy
34,0 -y S -y 693
Zip 9 3 ,2
Phone
Zip
ZONING
Exp. Date.
4c \e s Ar“s. s wo k\ d In 2
Occupant Load. Construction Type.
TOTAL Sq Ft.
APPROVALS
PLAN
BLDG
DPWU
FIRE.
OTHER.
BUILDING PERMIT APPLICATION SUBMITTAL The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
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 Buildmg 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 perrrut 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 107 4 of
the Uniform Building Code, current edition) No application can be extended more than once.
1 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.
T •\FORMS\APPS\Buildingpermit.wpd Applicant: _0 1 0 Date 7 /9 /0
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000729 Date
.189248
2902 REGENT ST
06-30-15-5-6-0800-0000-
RES FOUNDATION REPAIR
8/16/04
RS7 RESDNTL SINGLE FAMILY
1075
Owner
Contractor
JOHN HUGHES/JANET KAILIN JT
2902 S REGENT ST
PORT ANGELES WA 983626948
HUTCHINSON CONSTRUCTION
P. O. BOX 1161
PORT ANGELES WA 98362
(360) 460-2151
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
FOUNADTION VENTING
65.30 Plan Check Fee
8/16/04 Valuation
2/13/05
26.12
1075
Qty Unit Charge Per
Extension
47.00
18.30
BASE FEE
6.00 3.0500 HND BL-501-2K (3.05 PER C)
Other Fees
STATE SURCHARGE
4.50
'f>
~
?
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 65.30 65.30 .00 .00
Plan Check Total 26.12 26.12 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 95.92 95.92 .00 .00
~
~
..:::>
--f
CA
~'J
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 of Contractor or Authorized Agent
Date
-:h ____J G'-.. ,-,~_,-\ \ ( 'c,-, ( "-
Signature of Owner (if owner is builder)
'6 It b !:</
Date
T:IPLANNINGIFORMSIl ]02.15 [11/]4/2003J
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 UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS A T JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER 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 ONL Y)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I
MECHANICAL
HEA T PUMP
GAS LINE
WOOD STOVE / PELLET / CHJMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE 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 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 ~-11 ,o/)H II-I.- BUILDING
T:IPLANNINGIFORMSI1102.15 [11114/2003]
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . 18-00000989 Date 6/29/18
_- Application pin number . , 312834
Property Address . . . . . . 2902 REGENT ST
ASSESSOR PARCEL NUMBER: 06 -30 -15 -5 -6 -0800 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Cove heaters
----------------------------------------------------------------------------
Owner Contractor
------------------------_ ------------------------
JOHN HUGHES/JANET KAILIN JT EXTRA MILE TECH & ELECT., LLC
2902 S REGENT ST 418 N. RACE ST.
PORT ANGELES WA 983626948 PORT ANGELES WA 98362
(360) 457-5222
----------------------------------------------------------------------------
Permit . . . . , . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . • 63.00 Plan Check Fee .00
Issue Date . . . . 6/29/18 Valuation 0
Expiration -Date 12/26/18
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
k
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION ME � DATE: RESULTS: INSPECTOR -
DITCH -
SERVICE
ROUGH-IN1*3
-1
FINAL 17
CONZMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor,X Date:
-�
I" E
1 - mom
2 SINGLE-FAMILY F1 LL
ELECTRICAL PERMIT APPLICATION Ut4 : E
Public Works and Utilities Department
1 if
321 E. 5th Street, Port Angeles, WA 98362 ELFrTRWAl
360.417.47351 www.cityofpa.us eiectricalpermits@cityofpa.us i!lrSp".cl,10K';3
OL `-1C
Deamiption: 103 (-e- tk
S1ngk- amt, Residual o Duplex / ARU 9ukfimg Square b0t3W
Name:
€T-
: 9cf62-
Name: EWA* 4 F
Mailixj Address: Pt o .:R aha
Email: 04
�7I
^r-vC1+ 4 ft k CL raacr^•t
3 I Ar ?V.- `trs 6 Z
r.A/F_T
serr+os+Feeaa 200Amp
Swvicaf 2 40GAmp.
ServicelFeader 401-800 Amp.
Sen icsfFeeder801-1000Amp.
Serviaeir"der over 1000 Amp.
Branch Circuit W Service Feeder
Brandt Circuit WO Service Feeder
Each Additional Branch circuit
Branch Circuits 1-4
Temp. SearAmfe eder 200 Amp.
Temp. 3erAmFeeder 201-4W Amp.
Temp &erviwfteder401-80OAmp.
Tera. SwAcafteder8(114000Amp.
Portal to Portal Hourly
Signal CiirmM..irn led Energy -18,2 OU.
Manufactured Homo Connection
Renewable Elea. Energy. S M System or less
Themhoetst (Mole: $5 foreach adMonef)
First 1300 Square Feet
Each AdcNt mW 600 square feet
Each OWb dit t DebdW Garage
Each Sa inrehirhg Pool t Hot Tub
Ar
3&0-(49-:;R
ucann: Ex f
Expiratia, Datec /2-26--Z61?
Raw -SW-4&1 -1-232
x UnitChwip)
$120.0
$
$146.00
$
$205.00
$
$2$7.00
$
$373.00
$
$5.00
$
$63.00 .L
$
$6.00
s
$75.00
$
$93.00
$
$110.00
$
$149.00
$
$188.00
$
$96.00
$
$54.00
$
$120.00
$
$10200
$
$58.00
$
$120.0
$
$4&W
$
$74.00
$
s110M
s
s (o �•"
mrAt_
0%�7
Owner as rem by RCKI9.282B1: (1) Ownerwi occupy the structure for two yews alter this dacWcd perm8 is &N&M& (2) Owner is
required to hire an electrical contractor 8 above said property is for sale. rent or lease_ Porn it expires after she nhonft of last kwpscftL
Atter reaft ft the above seierrherht. l hereby cer* OW 1 aura the owner of the above ramd property or a fioeneed electrical cm*actor. 1
am meddng the electrical hvd aftfion or sbraftn in eorroariee with the eled*d leers. NLE.C, RCW Chapter 1928. VAC. Chapter 2W
468, The City of Portftgdes Municipal Code. and UdNy Spedticeaons and PAMC 14.05.050 regarding Elacktal PermitApplicaiions.
27 -/f ..%
Date print Name Signature (❑ Owner Cr/sContractor /A&*&rabr)
piectricsi Permit Applicata m maybe submitted to City Ha! or .us or faxed to 360.417.4711]
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . 18-00000989 Date 6/29/18
_- Application pin number . , 312834
Property Address . . . . . . 2902 REGENT ST
ASSESSOR PARCEL NUMBER: 06 -30 -15 -5 -6 -0800 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Cove heaters
----------------------------------------------------------------------------
Owner Contractor
------------------------_ ------------------------
JOHN HUGHES/JANET KAILIN JT EXTRA MILE TECH & ELECT., LLC
2902 S REGENT ST 418 N. RACE ST.
PORT ANGELES WA 983626948 PORT ANGELES WA 98362
(360) 457-5222
----------------------------------------------------------------------------
Permit . . . . , . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . • 63.00 Plan Check Fee .00
Issue Date . . . . 6/29/18 Valuation 0
Expiration -Date 12/26/18
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
k
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION ME � DATE: RESULTS: INSPECTOR -
DITCH -
SERVICE
ROUGH-IN1*3
-1
FINAL 17
CONZMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor,X Date:
-�
I" E
1 - mom
2 SINGLE-FAMILY F1 LL
ELECTRICAL PERMIT APPLICATION Ut4 : E
Public Works and Utilities Department
1 if
321 E. 5th Street, Port Angeles, WA 98362 ELFrTRWAl
360.417.47351 www.cityofpa.us eiectricalpermits@cityofpa.us i!lrSp".cl,10K';3
OL `-1C
Deamiption: 103 (-e- tk
S1ngk- amt, Residual o Duplex / ARU 9ukfimg Square b0t3W
Name:
€T-
: 9cf62-
Name: EWA* 4 F
Mailixj Address: Pt o .:R aha
Email: 04
�7I
^r-vC1+ 4 ft k CL raacr^•t
3 I Ar ?V.- `trs 6 Z
r.A/F_T
serr+os+Feeaa 200Amp
Swvicaf 2 40GAmp.
ServicelFeader 401-800 Amp.
Sen icsfFeeder801-1000Amp.
Serviaeir"der over 1000 Amp.
Branch Circuit W Service Feeder
Brandt Circuit WO Service Feeder
Each Additional Branch circuit
Branch Circuits 1-4
Temp. SearAmfe eder 200 Amp.
Temp. 3erAmFeeder 201-4W Amp.
Temp &erviwfteder401-80OAmp.
Tera. SwAcafteder8(114000Amp.
Portal to Portal Hourly
Signal CiirmM..irn led Energy -18,2 OU.
Manufactured Homo Connection
Renewable Elea. Energy. S M System or less
Themhoetst (Mole: $5 foreach adMonef)
First 1300 Square Feet
Each AdcNt mW 600 square feet
Each OWb dit t DebdW Garage
Each Sa inrehirhg Pool t Hot Tub
Ar
3&0-(49-:;R
ucann: Ex f
Expiratia, Datec /2-26--Z61?
Raw -SW-4&1 -1-232
x UnitChwip)
$120.0
$
$146.00
$
$205.00
$
$2$7.00
$
$373.00
$
$5.00
$
$63.00 .L
$
$6.00
s
$75.00
$
$93.00
$
$110.00
$
$149.00
$
$188.00
$
$96.00
$
$54.00
$
$120.00
$
$10200
$
$58.00
$
$120.0
$
$4&W
$
$74.00
$
s110M
s
s (o �•"
mrAt_
0%�7
Owner as rem by RCKI9.282B1: (1) Ownerwi occupy the structure for two yews alter this dacWcd perm8 is &N&M& (2) Owner is
required to hire an electrical contractor 8 above said property is for sale. rent or lease_ Porn it expires after she nhonft of last kwpscftL
Atter reaft ft the above seierrherht. l hereby cer* OW 1 aura the owner of the above ramd property or a fioeneed electrical cm*actor. 1
am meddng the electrical hvd aftfion or sbraftn in eorroariee with the eled*d leers. NLE.C, RCW Chapter 1928. VAC. Chapter 2W
468, The City of Portftgdes Municipal Code. and UdNy Spedticeaons and PAMC 14.05.050 regarding Elacktal PermitApplicaiions.
27 -/f ..%
Date print Name Signature (❑ Owner Cr/sContractor /A&*&rabr)
piectricsi Permit Applicata m maybe submitted to City Ha! or .us or faxed to 360.417.4711]
Application Number . . . . . 24-00000748 Date 7/26/24
Application pin number . . . 626652
Property Address . . . . . . 2902 REGENT ST
ASSESSOR PARCEL NUMBER: 06-30-15-5-6-0800-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heaters
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
GREEN WAX TRUST BLACK DIAMOND ELECTRICAL CONTR
2902 S REGENT ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983626948 PORT ANGELES WA 98363
(360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 95.10 Plan Check Fee . . .00
Issue Date . . . . 7/26/24 Valuation . . . . 0
Expiration Date . . 1/22/25
Qty Unit Charge Per Extension
1.00 95.1000 ECH EL-R- BRANCH CIR 1-4 95.10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95.10 95.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 95.10 95.10 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
EL1-2 SF 1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □Single-Family Residential □ Duplex / ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Unit Charge Quantity Total (Quantity x Unit Charge)
$190.20 $
$190.20 $
$285.30 $
$380.40 $
$475.50 $
$5.30 $
$95.10 $
$47.55 $
$95.10 $
$95.10 $
$190.20 $
$285.30 $
$380.40 $
$95.10 $
$95.10 $
$190.20 $
$190.20 $
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuit/Limited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.30 for each additional)$95.10 $
First 1300 Square Feet $190.20 $
Each Additional 500 square feet``$47.55 $
Each Outbuilding / Detached Garage $95.10 $
Each Swimming Pool / Hot Tub $190.20 $
TOTAL $
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□Owner □Electrical Contractor / Administrator)
Pe
r
m
i
t
#
:
New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
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
2/19/2024 24-748 TAP
OWNER
CONTRACTOR
Black Diamond Electric
PROJECT ADDRESS
2902 Regent St