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Home My WebLink About1218 E. 4th Street Address: 1218E 4t" Street PREPARED 7/06/16, 11:12:47 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/06/16 ------------------------------------------------------------------------------------------------ ADDRESS . : 1218 E 4TH ST SUBDIV: CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 452-3154 OWNER Amanda and Matt Dubeau PHONE (360) 460-1238 PARCEL 06-30-00-0-1-7920-0000- APPL NUMBER: 15-00001416 PLUMBING PERMIT ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------- ---- --------——-------- - PL2 01 7/06/16 JL PLUMBING ROUGH-IN July 5, 2016 9:53:39 AM pbarthol. matthew 460-1328 July 6, 2016 11:06:40 AM pbarthol. COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES �i DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 15-00001416 Date 11/05/15 Application pin number . . . 447264 Property Address . . . . . 1218 E 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7920-0000- REPORT SALES TAX Application type description PLUMBING PERMIT on your state excise tax form Subdivision Name . . . . . . Property USe . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 3450 Application desc RES repair plumbing throughout house ---------------------------------------------------------------------------- Owner Contractor �\ ------------------------ ------------------------ Amanda and Matt Dubeau ALPHA BUILDE$ CORPORATION 1218 E 4TH ST 105 1/2 E. 1ST ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 460-1238 (360) 452-3154 6 --------------------------------------------------------------------------'- ,�'^ Permit . . . . . PLUMBING PERMIT Additional desc CHANGE WATER TO PEX Permit Fee ,. . . . . 57.00 Plan Check Fee .00 Issue Date . . . . 11/05/15 Valuation . . . . 0 y Expiration Date 5/03/16 V _ Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 EA PL-WATER LINE 7.00 11 , ------F---------y----------Charr- -ged------------P--aid--------C------redited---------Due----------- �J ee summar •- --, _^� !. Permit Fee Total 57.00 57.00 .00 .00 ! Plan Check Total .00 .00 .00 .00 Grand Total 57.00 57.00 .00 .00 —Q S• tf Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within_180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or I al law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS- Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footin s Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-in Water Line Meter to Bldg) Gas Line Back Flow/Water AIR SEAL: Walls Ceiling FRAMING: Joists/Girders Y Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) / T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction-R.W. PW /Engineering 417-4831 -Fire 417-4653 —Planning 417-4750 Building 417-4815 THE CITY OF SORT l'�TGELES For/City Use j per mit# w A s H i N G T o N, U. S. to Received: /'C- 3 2 1 -321 E Slh Street to Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits@cityofpa.us BUILDING PERM AP LICATION Project Address: C199 _ � 4 Phone: -- Primary Contact: �- Email: (� Nam Phone Property Mailing Address Email Owner L City State Zi Name Phone U Z Contractor Address i \ Email Information city ) State Zi Contractor License# Exp.Date: Legal Description: Zonin : Tax Parcel# Project Value:(m-terials and labor) $ �I Residential Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair Reroof(tear off/lay over) ❑ ''Classification For the following, fill out both pages of permit application: (check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ appropriate) Mechanical ❑ Plumbing 0 Other ❑ Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms or Existing? Yes 0 No 0 Existing? Yes 0 No In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwater cit o a.us Project Description LZ Jq IJ Is project in a Flood Zone: Yes 0 Nojp Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to work. I understand that plan review fees are not refundable after review has occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is issued. I understand that if the permit is not picked up/issued within 18o days of submittal,the application will be considered abandoned and the fees will be forfeited. A /' e5— Date Date Print Name Signature Residential Structures Existing Proposed Construction For Office Use Area Descriptions(SQ FT) Floor area Floor area $Value new area Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or 2" floor) Garage Carport Other(describe) Area Totals Commercial Structures Area Descriptions(SQ FT) Existing Proposed Construction For Office Use Floor area Floor area $Value new area Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) Site Area Totals Lot/Site Coverage Calculations Lot Size(sq ft) Lot Coverage(sq ft)foot print of %Lot Coverage(Total lot cov_lot size) Max Bldg Height all structures sq ft Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site cov_lot size) Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # Haz/Non-Haz Piping Outlets: Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # repair/alteration Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas - # portable) Fireplace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Water Heater # Plumbing Vent piping # Medical gas piping #of Outlets: Water Line # Fuel gas piping #of Outlets: Sewer Line # Industrial waste pretreatment interceptor Grease Trap) Size Other(describe): T:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx Address: 1218 E 4th Street PREPARED 4/28/16, 10:50:43 INSPECTION TICKET PAGE - 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/28/16 ------------ ------------ ADDRESS . : 1218 E 4TH ST SUBDIV: CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 452-3154 OWNER Amanda and Matt Dubeau PHONE (360) 460-1238 PARCEL 06-30-00-0-1-7920-0000- APPL NUMBER: 15-00001536 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------ PERMIT. ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME99 01 4/28/16 L MECHANICAL FINAL April 27, 2016 4:22:20 PM jlierly. DHP --------------------------- --------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 15-00001536 Date 12/08/15 Application pin number . . . 161408 Property Add ASSESSOR PARCELSNUMBER: 06130-00-0-1-7920-0000- REPORT SALES TAX Application type description RES MECHANICAL PERMIT on your state excise tax form Property Name . . . . . . to the City of Port Angeles Pro ert Use s ,I �f Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code O$O2) Application valuation . . . . 3375 ---------------------------------------------------------------------------- Application desc ductless heat pump i ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ Amanda and Matt Dubeau ALPHA BUILDER CORPORATION 1218 E 4TH ST 105 1/2 E. 1ST ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 460-1238 (360) 452-3154 -------------------------------- ------------------------------------------- Permit . . . . . . MECHANICAL PERMIT . _ Additional desc DHP Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . 12/08/15 Valuation . . . . 0 Expiration Date 6/05/16 Qty Unit Charge Per Extension f BASE FEE 50.00 L P 1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80 I n ------------------ --------------------------------------------- Special Notes and Comments - Per Washington State Code 51-51-315, installation of Carbon Monoxide detector(s) is required if you are installing or replacing a fuel burning appliance (wood, pellet, gas)and must be in place prior to the final inspection of this permit. They are required to be place directly outside of each sleeping area and at least one on each floor of the house. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within.180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-in Water Line Meter to Bldg) Gas Line Back Flow/Water AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW /Engineering 417-4831 Fire 417-4653 —Planning 417-4750 Building 417-4815 THE For City Use CITY OF OcANGI�LES. Permit# w A s H I N G" T o N , U. S. Date Received: 321 E 5lh Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permitsOcityofpa.us BUILDING PERMIT APPLICATION Project Address: 12,1 r'r 4'S 54. Phone: 3(-0- -052- e,q Primary Contact: K�Toh%ao Email: c0 pk6LOol coY.� Name Phone 17 atbe woo- 1328 Property Mailing Address Email Owner I e 4 1�p S+. city p State Zi Name i'�}yc Phone A1 L�:ZIJAOX Car 3(0 0 - 1-/52-- 315y Contractor Address 9 ' Email / C Om Information o�- S. L, co ►1 Y City ?4rr-1 State W� Zip p �2 Contractors Licens # � Exp.Date:�A Ju--R- . .0 6 Legal Description: Zoning: Tax Parcel # Project Value_ : (materials and labor) L-4- 5 ?L 171 -rPA l tS;�e+.�+� 5�y33 $ 3 3 '75.0-0 Residential Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ Classification For the following, fill out both pages of permit application: (check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ appropriate) Mechanical R Plumbing ❑ Other ❑ Fire Sprinkler System? Irrigation System? Proposed Bathrooms Proposed Bedrooms Yes No Yes 0 No Project Description ,n Is project in a Flood Zone: Yes [3 No❑ Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to work. I understand that plan review fees are not refundable after review has occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is issued. I understand that if the permit is not picked up/issued within 18o days of submittal,the application will be considered abandoned and the fees will be forfeited. 1 zl ells Kos-c Date Print Name Signature Residential Structures For Office Use Area Description(SQ FT) Existing Proposed $$value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or 2 nd floor) Garage Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions(SQ FT) . Existing Proposed $$Value Existing Structure(s) Proposed Addition Tenant Improvement? t Other work(describe) Site Area Totals - Lot/Site Coverage Calculations Lot Size(sq ft) Lot Coverage(sq ft) %Lot Coverage(Total lot coverage_lot size) Site Coverage (Sq Ft of all impervious) %of Site Coverage(total site coverage_lot size) Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # Haz/Non-Haz Piping Outlets: Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # re air/alteration � Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) Fireplace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel gas piping #of Outlets: Water Heater # Medical gas piping #of Outlets: Water Line # Plumbing Vent piping # Sewer Line # Industrial waste pretreatment interceptor Grease Trap) Size Other(describe): T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. 33p)- DATE/:2/3 /9'/ , , Installed By: I J' .2. [) o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: ~L- Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair ~Overhead o undergzr 'Ulls! /" " Voltage ~ ~ 1.0 0-3.0 Service size ;:I/O i:J Amps o Temporary o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Detai IslDescription: !./Of- . d&O W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. o Rough-in/cover O.K. .'~ Jj>I O.K. to connect service IIJi1 '0 Final O.K. Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Installer: PermitfReceipt No. ,... '3395 Site Address: I ~ ,8 c. '- New Metl) . Notify the Department of (City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the ~r in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~o ~ Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall ELECTRICAL PERMIT CITY OF PORT ANGELES - 360-417-4735 Application Number 15-00001554 Date 12/14/15 Application pin number . . . 094678 Property Address . . . . . 1218 E 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 7920 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . Property Use . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Application desc Heat pump Owner Contractor Amanda and Matt Dubeau ELECTRIC SERVICE 1218 E 4TH ST 503 RHODES RD PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 460-1238 (360) 452-6424 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc 1-4 CIRCUITS Permit Fee 75.00 Plan Check Fee c00 Issue Date 12/14/1S Valuation 0 Expiration Date 6/11/16 Qty Unit Charge Per Extension 'BASE FEE 75.00 Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 COQ Plan Check Total .00 .00 00 .00 Grand Total 75.00 75.00 00 00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X--- Date: GAEXCHANGEWILDING REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X--- Date: GAEXCHANGEWILDING FROM : FAX NO. : Dec. 12 2015 1:26PM P1 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 19.26, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ cath ❑ check ❑ CndltCaMS— 0110112012 (1 V 1' gar 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: i V 1 & 2 Single Family Dwelling Plan Review May Be R uired Please Complete Electrical Plan Review Information Sheet Job Addresa; 1 S Building Square Footage: Description of above Owner Inforrnad n Contract Iform tlan Name: tj46+2° Name: Mailing Address; k,� Maili A City: State :, 'p: cit+, 6hahe. 2�p: Phone; Fax: Phone" Fax License # / Exp, Ucense # l ;p. Rem Unh C ta e 9!X Tot I Ku_hjg!lj# ov Unit Chlra e Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201400 Amp. $146.00 $ Service/Feeder 401500 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 Ci Temp. Service/ Feeder 200 Amp. $ 93.00 $ Temp. Servlce/Feeder201-400 Amp, $110.00 $ Temp. Service/Feeder 401-6W Amp. $149.00 $ Temp. Service/Feeder 601 -1000 Amp . $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circu1V Limped Energy -1 & 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy • 5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional TStal NEW CQUIRUMQU f9NLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft. or Portlon of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ t 70tal 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 19.26, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ cath ❑ check ❑ CndltCaMS— 0110112012 (1 V 1'