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Home My WebLink About2816 S Laurel St - Building ~ pORT :"\.\'. ~~O~~"" ~,.~ "- -="" ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00000606 Date 6/23/03 2816 S LAUREL ST 06-30-16-5-0-0800-0000- RE-ROOF 3250 Owner Contractor FLODSTROM DAVID T 2816 S LAUREL ST PORT ANGELES WA 983626909 WIKER & WIKER 43 SENS RD. SEQUIM, WA SEQUIM (360) 681-4800 WA 98382 Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE TEAR OFF, SHEET, FELT, COMP 120.75 Plan Check Fee 6/23/03 Valuation 12/20/03 .00 3250 Qty Unit Charge Per Extension 92.75 28.00 Other Fees STATE SURCHARGE 4.50 ~ OG "'- ~ BASE FEE 2.00 14.0000 THOU BL-2001-25K (14 PER K) Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid Credited Due ---------- ---------- ---------- ---------- 120.75 120.75 .00 .00 .00 .00 .00 .00 4.50 4.50 .00 .00 125.25 125.25 .00 .00 en o ~, ~ )' ~ - &1 -:f 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. (IN t/t:E Date Signature of Contractor or Authorized Agent Date Signature of Owner (If owner is builder) T IPLANNlNGIFORMSIl102 15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. 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 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATERLINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng 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 J /J-/6 -t'-; J -.L' BUILDING T'\PLANNING\FORMS\1102 IS [412002] PREPARED 10/16/03, 12 49 12 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/16/03 ----------------------------------------------------~------------------------------------------- ADDRESS 2816 S LAUREL ST ~UBDIV: CONTRACTOR WIKER & WIKER PHONE . (360) 681-4800 OWNER FLODSTROM DAVID T PHONE PARCEL 06-30-16-5-0-0800-0000- APPL NUMBER. 03-00000606 RE-ROOF PERMIT: BNOP 01 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 ~0/16/03 J. BUILDING FINAL Re-roof f1nal Perm1t 18 on back porch ---------------------- -------------- COMMENTS AND NOTES FROM WIKER & WIKER CONSTR-R00FING FRX NO. 360 681 4800 Jun. 19 2003 07:43PM P1 . " ,~- J - ~ JI BUILDING PERMIT. APPLICATION ."111 OUl COMPL~TEI_Y l1nd in JNK. Your application Ilnd site pial) MLST BE COMPLETE tn bE ac\,.cpt"u fur "/:'vi..",,_ If YOII h:lve any qlltlStlu/J!>, call (360) 417-4815 f-OR O~t"l(1A1 "~,..' lNI y, IJ",~Rcl ~O'-C~ f'emlll /I ~ o-~ ,_ D"'tl I\.ppmve.:j,___ Oak I'S\ICd' -- Applicant Or AgclIlj,U ~kN ~ VJ. ~v (...() lA.~fvu (ti /WI ,-tv1( , Phone: ~<6! ~CO__. Owner: \)'1 \k ~\od S-1YD\IY\ -'_~_ PhDlle' 1--\t; 2 _ n 103 \ Address: ,.Q~ \ 10 S. ~\A{e \ St. City. Vo.r-\- ^^-CJ.des Zlp: '1 R 5~7/ Architect/Engineer: , _ ..__. .~_ Phone;:: Contrac;tor.wi~" t vS\~ v' c.~V\S"(lA (~g}ic t1-c~fl~ #. wU<~1{ we 9[J~'-:;:<:~<4t~~~i;.{ Phone: ~g\ -i~06 AJdress: ~ 3 \-(\r1-l; t6. ._ C:t>':._~PA vtd..VV\ Zip: I':-[ ~3gZ:- I PROJECT ADDRj<;SS:J ~ \ (;. S - GA \-'.I/e \ ~l' ?CV1 PM~f Ie 5 ZONING: LEGAr. DESCRTPTION: Lot: Bloi;k: SubdlVlS1OO: CLALLAM COUNTY P ARC.EL NUMBER: J Credit CardHolder Nam\); S,,"tVl 5 VV;kev Bmlng AddFl!!ls~ L.-'I ~ S -e~ '2- Iter-- Se q '^-\ M City: ._~ .' Cn"!dit Can.tTypl!: VISA~l\<{(" ~ # ' TYPE OF WORK; SIl.,}:fVALUATIO~: o Rcudcntlal 0 NewConstt. XRe-roof G Stove _______ Sf.@$__/SF.-$ D MlIll1-familv 0 Addition 0 M"OVt Ci Garage SF. (iil:l, /SF. _ $ u c.=~"i 0 Rom.dd D Domoli,;"" 0 Daok __ SF @ S~SF. ~ $- ~.oG<\ 0" o "P';' 0 Sign u 01"', TOTALVALl.ATrON '-;t ~~ BRIE)' DESCRIPTION O~ l'HE PROJECT -rea V' a fl-C. 5h f'f"f" J lJ ' · f,<:;-' ~ 'J:J'J..e'h7 M~ 2~-30~f. (~I""'; no.-fi'd Sf-inS )e,5;J P-,'sp:;se -fc L.0/1d.f}jj- Af/j~ hrto:i( V(-tdi COMMERCIAl '..SIDENTIAL; OCt:upa...'lcy Group: OC~l.lp:llll road: Cor.z:truction TyPe;:;._ "_ No, of Stories' .___ Lot SIZe. Exi!;rine Sq. Ft & Ptoposcd S\.j:Ft. '" TOTAL Sq.Pt., bmmg iot cOVetag~ _ % & Proposed lot coverage _% = Tota; Jot coverage % I crg-3l?' ~ APPROY ALS: PLAN: BLDG: DI'WU: 1<'JRE:_ -=== OTIlKR: - PLANNING USE om,V: ESAlWetllnd(s): 0 Yc<; 0 No SEPA C'heckilstrequiIed? 0 Yca Cl No Other: BUILDING PERMIT APPUCATlOI~ SUHMLTT AL: The BUlldmg DivIsIOn can provid~ yOt.: with infnrmation on the apphc3tlon and plan submittal requllCIIltmts If you have questions. VALUATION OF CONSTRUCTION: In all cases, 3. valulItirm ~mO\lnt ltI!lst b~ c!nt.eted by the app be reviewed andmay1-e Jl:;VJscd by the Bui[dulg l)lYlslon to comply Wlt1 ~um:nt fee scbc:dulcs Contacl tht: Permlt Coordinator at 417~4815 for assu;t;C:U:e. PLAN CHECK FER IF>J plan checl,: fee 19 d= it TTJU$t be sublllltte.d at the tlr.:\!: the ~ll!lcing permit applic<ltl0l1 ~nd CuuslJ m:!in!l pbns :lre :,ub'TIlttt:cl All 0 thc:r pcnnit fees are d\.:e Olt the time lJfpamit 1~h11Jnct> EXPIRATION OF PLAN IU!;V lEW: If no pemljt i~ i8SllCd within 1 RO days of"th(: u<!lc of applicarion, the llppJicll.ticn will clIpire. The R'lilding Ofticial can eXTp.llci ihe time for ;1ction by rhc ~pplicant up to 180 days upon wr~tten request by the apphcaut (:il::t: Section 1074 of the Uniform Buildl.ng Code. c;urr~t editioll) No <If'phcannn C'an be:> e>;tt:o~tt:d more thl..'lo::J>:e. ! hereby certify that I hi'lve read 81ld eX8mfned this applicaUon and know the ~amo to !:Je true ,and correct. I am authcrized 10 appl; fo' this permft and understand that It is my responsibJltty 10 deferrmne ~'fIhat p"rrmts are req!.l:f'9d ,not Ore C~y'.s, and t/;at I must Dbtam :;/.ich permits plior to wor:'~ APPhca~~d'~~alt: --h - 11)-03 1.\fOk."1S\AI'I-'S\J:IlIildln2'p"nnll ""Pd (j)'-~<' "[S!O ""'o::"'~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 12\ EAST 5TH STREET, PORT ANGELES. WA 98362 ELECTRICAL PERMIT Issued: 6/19/97 Permit No: 5960 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ DAVID FLODSTROM 2816 LAUREL S 2816 S.LAUREL Lot: 4 Port Angeles, WA 98362 Block: 360/457-4474 Sub: T: S: Parc No: Long Legal: ALDERWOOD ACRE TR 063016500800000 CONTRACTOR-----------------------------DESIGNER--------------------------------- 'ELECTRIC SERVICE 924 DRAPER RD. PORT ANGELES, WA 98362 360/452-6424 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: RES. MISC. prj Value: $0.00 Occ Type: Cnstr Type: FEEDER Occ Grp: Occ Load: Land Use: RS7 Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: o o o o Service Type Riser X Overhead Service Underground Service Temp Service Voltage: Diameter: Service Size: Feeder Size: 120,240 X-I -3 200 AMPS 30 AMPS PROJECT NOTES------------------------------------------------------------------- 30 AMP FEEDER TO GARAGE, WIRE GARAGE PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $40.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $40.00 $40.00 --------------------------------- --------------------------------- TOTAL FEE: $40.00 Balance Due: $0.00 COMMENTSI ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER. INSULATE OR CONCEAL ANI' WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATF. ACCEPTED COMMENTS YES I NO -IN / COVER :ShKYICh r / ~INAI It, '11 ~.& I GENERAL COMMENTS, PW.I 102.15 (4J96] ..:f .. . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Site Address: Installed By: Owner/Business: Owner/Business Address: 'if' Residential Heat KW [ Baseboard D Furnace/Boiler [ Heatpump D Other [. Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) D New Construction D Remodel D Service update/alter/repair' DetailslDescription: ~. Add/alter circuits D Auxiliary power (list below) D Special equipment , (list below). . I I tu l,et: ffi I Yw/:J PERMIT NO. /.3& 0 7/3/37 . , DATE o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. D Overhead D Underground Voltage D 10 D 3.0 Service size D Temporary Amps e)! . j! I: I. " KUJ ~ (gJ - - I: I' " (4~ i,~J ~ (7~~ , I I Ii I' W.S. No. Service Capacity: D O.K. D Not O.K. D Ditch inspection O.K. D Rough.in/cover O.K. D O.K. to connect service N-q.-- JiJinal O.K. Size Comments Date Hold for: 0 Easement D Letter D Signed up for service/meter D Meter Department notified for installation D Fire Department notified of inspection D Plan Review approved/pending Site Address: I ;;28 lIP InstallerD: : I4Vl; Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electricallv_energized before inspection and O.K. for covering or service has been given by th~ector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, E XT.158 or EXT. 224. ().... (' NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT J/ C)O , V'lI-'\ ~ ' "'::20 .- - Inspector Amount paid WH:TE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall -5iJ. L~P PJoJ-s-k . Permit/Receipt No. 138c) New Meleb Da9h/J77 .- -;. 1'- ~.-:..~ '" --. --" --;-..< -,"'- .- -~-~:"';"":":----'#- <~ . :)- ~r ELECTRICAL INSPECTION WIRING REPORT 457-0411 Ext. 158 APPROVED NOT APPROVED o ................... DITCH ................... 0 o .............. ROUGH IN ICOVER ......... . .... 0 o .................. SERVICE .................. 0 o .................... FINAL ~. . . . . . . . . . . . . . . . . ., 0 C/V If!. t I"" .~ {, u-T . ~I/T o~ '''''' f,~j( U.r jfJ ,0/1I1.A-"tj[.. , NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (206).52-1381 . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15902 Port Angeles, washlngton__m_mm_f__f.m_m_mm__mm____.._m_m, 19?~_ 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- :~::: i:_~~;%2_rez~:2~~:~:.-~.0.~~--~:-:::~-~~.-~~-10:~cupancy.__..4~._..____._____..._____.___...... Owner mnn_G_.n;J::.;~e"'_n7J---n--m------.n....... TenanL__._..nm._.n.._mn_...__._.....m.__mn...m__m.____.____ Wiring Contractor -__(S).Jr;-:_E.l:~,{:-<.'t__~_nmnnn_n___..._ By.-nn----.----.-.n...---------n------..-----..n---m-m.....-m Light Outlets...................._..........____...~ Service, volts ........_.............................. Type of Wiring: Armored Cable' .m._n_._...._.............. Receptacle Outlets...___...m_.mm..n_...... No. wires .._......_.....__...................... Dryer. KW nn....Und........__Unn_____n_____ Size wlresumm_..m_..__._n..mn___n_n Non.Metallic .................__............_. Knob & Tube.nn............................. RIgid C"ndult ___:______.___nmnm_______ Metallic Tubing n._m..m._............. Raceway ............_........._......_......._ Circuits. LIgbLn____hnnn.____.______________m Ulillly h__.nmh._____hh_h______n__________ Range. KW _____mm_nn_________. Water Heater: MaIn fuse _.n..n..mn...nn___mmm..... Enclosure m."mm__,'nmn_____n..m..__ Heat~:~:::;~~:f.i_;r;;;~: Motors: size, volts and phase: Type of wiring; Entrance Cable mn....n__nm__..m..n Rigid Conduit ...__mnnnn...__n.___n.. Metallic Tubing .mm Heat ...._.................._.....__......._._.. Ser. NO_.._..n.............._....n__.._n._____.... Range ...___..____....__._____.._____.............. Water Heater n.....__n.m................ Motor ..__........................._......00.._... Current transformers: No. & Size_.........._.m..._m_.._ Ser. NO...............................__....n_.__... Dryer 00....0000.............................._.....__ -'. Ser. NO.n_...__nnu_.........._n..._..........n F urn8ce ..........................___...__..___ ...... Total Loadn.._m....m_....._..._... Ser, NO.nnnnn.nnn__......n._............_. Total ..00.__00__..._____.0000..........00... Remarks: ....__.._mm_____mmm.m_.n...n.n_..nm_n__n_nnn_.nm__m_...m_m___m.n_____m......._______......n..._..._mm__...._..._.. .__..nnnnn.nu.n.u..._.n.n_nnnnnnnuuu..._......nnnnn.nnnnnnnunuh..n_..._.Onnnnnnnnnnnn.hn...n.u_nnnnnonnnnnnnn n.n.noon.hnUhUn.._u...U...Unhd.nnnnonnOh.n.._.._nnouuoU.__nnhnd.n.uno_un..nuu~u..uO......nnonnonuouoonUnO...hUnunn.. Permit Fee $:_________._....____mm..m.._'_'__ Treas. Receipt No..__.___.____.__________.___. By .~t...l!t~A~:4~..._~.___m:<m NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION , , ELECTRICAL PERMIT N? 15902 Address___.........._..._.__..._................................................._00_.____.__...__._...................___.....___............Date..._____..____.._.._..........___...._.....__......... Owner ........n_............n....._n..__.....o..._n...._...no____....n....n...o.n....n.._.......n..._nn....___un__. Tenant.n...._.........__...........n.....n..nnn.._nn_.__........_ WiringContractor..........................__......._............._____..___._..__............._........._0_0......_......................By____.._................__....___...........___..00....0.._.... NOTICE-Current must not be turned on until Certiflcate of Inspection has been issued. If work 18 to be con- ce:aled due notice must be given the In!:Jpector so that work may be inspected before concealment. . .' ~ ....r. 1M Olympic . Prinl~~S:' Inc. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15068 6-'-/3 "'/ Port Angeles, WasWngtonooo...nnn__.___...m.::..ooo._________noooooom_ooo_.ooo, 19!'.::___ 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 grante!l to d~ electrical work as listed below. ,-. - y: ~' =:"~~~~5ii:~=~=-~:o~;:;~:"-~:'-=-_~:--:=-:_= 0-, /c2o/!J5/c; Service, volts ..._....h......................_...... 3 . No. wires ........n...n.n....h...__.n....... Light Outlets.................................___..... Receptacle Outlets............................... Drye" KWI....._______........_oo_._oooo_...._____ Rlmge, KW.h.......n..hn........ Water Heater: KW.____oo________oo_..__________________________ Heat: RW ....:.3..e../!I:......L~.,t..::;..-:..,'!!:d!j... Motors: size, volts ald phase: ~... . -,...,V.......------..................................... Size wires..................................._.. 300/-1 Main fuse .....h.h...=........................ Enclosure ....~..jL4.........h.... Type of wIring": Entrance Cable .................h... Rigid Conduit ..............h......... Metallic Tubing ........................... Current transformers: No. & Size....................................... Ser: NO.........._.........n....................... Ser. NO....................h......................... Ser. NO.................._........h.......n....... Type of Wiring: Armored Cable .............................. Non.Metallic ................................. Knob & Tube Rigid Conduit ......................._..._... Metal11c Tubing ........................... Race\vay ........................................_ CIrcuits, LighL..................................... Utility ....h....................................... Heat Range ............................................. Water Heater ...n.......................... Motor ..._........................................ Dryer.....................................__........... Furnace ....................h...._. Remark:~ta:__::~..;~~..~=:-::_:::_."~~((ooL~.~~:..~;!..~t2.:_:~=:~.~~...-_::-__i~,c)t___:~::I.:..-._.~___-____-..:~:..-__:-:_:~:.: ./'- --.,.. i .._________________._........__.___n._n_______.._._____..__..__________________________._._._.__~l______...._._.........___..._..._..n...___._._____..._...__._....___.______ ....nn_.n...nnnnn.nun.nun.:".::":'".":'"_'::nnnn......uu__u...nnn.nn...._..___.UU.h...nn....n__hnnn.n..nn__uuh....nn_n__n___..n.n.uuu_ By -.l:..t.._j?.,(:.C~:fd,1L,yooo........ / NOTICE--Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION Permit Fee $.000______000000000..000.__..00_______ Treas. Receipt No.___.____ooo.......ooo...._.. ]0 !IV t'J ro -";J...L-., {f...-<../- /4/ . 1.......t..~,..:~t~....." - ~ Ii ...., " - ELECTRICAL PERMIT N? 15068 Ii i; __ r9 G " /~ I:~ I i :~:~::!;,~~~~;;-~-~==:=-~:==:==:=:: Total Load .....u..................u.............h~~..........n....uu............h.......uu. ....... .....u..............................h............................h............._.........._......_ /" 1M 3-72 Olympic Printers, Inc. Application Number . . . . . 23-00000328 Date 4/07/23 Application pin number . . . 806696 Property Address . . . . . . 2816 S LAUREL ST ASSESSOR PARCEL NUMBER: 06-30-16-5-0-0800-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc DHP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JAMES H AND ERIKA A MCCLURE BLACK DIAMOND ELECTRICAL CONTR 2816 S LAUREL ST 502 BLACK DIAMOND RD PORT ANGELES WA 983626909 PORT ANGELES WA 98363 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 4/07/23 Valuation . . . . 0 Expiration Date . . 10/04/23 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 PREPARED 4/04/23,14:52:17 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000328 2816 S LAUREL ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 63.00 TOTAL DUE 63.00 Please present reciept to the cashier with full payment