HomeMy WebLinkAbout1714 E 3rd St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
04-00001149 Date
.999282
1714 E 3RD ST
06-30-00-5-5-0120-0000-
RES REMODEL
12/17/04
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Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
RS7 RESDNTL SINGLE FAMILY
4800
Owner
Contractor
EDMISTON, KIRK
1714 E 3RD ST
PORT ANGELES
( 36) 457-1040
WA 983624910
MICHAEL RIVERS CONST
P. O. BOX 4074
PORT ANGELES WA 98362
(360) 452-9292
Permit BUILDING PERMIT -RESIDENTIAL
Additl.onal desc
Permit Fee 134.75 Plan Check Fee 53.90
Issue Date 12/17/04 Valuation 4800
Expiration Date 6/16/05
Qty Unit Charge Per Extension
BASE FEE 92.75
3.00 14.0000 THOU BL-2001-25K (14 PER K) 42.00
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Perml.t Fee Total 134.75 134.75 .00 .00
Plan Check Total 53.90 53.90 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 193.15 193.15 .00 .00
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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 go rning this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give author to violate or cancel the provi ions of any state or local law regulating construction or the performance of
ons ructi
{
Signature of Owner (if owner is builder)
Signature of Contractor or Authorized Agent
T'\PLANNING\FORMS\1102.15 [11/14/2003]
Date
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 AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS 1-?b-oL/ _ J( I
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT. #
ROUGH-IN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR I CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 ClllMNEY
HOOD 1 DUCTS
PW UTILITIES I SITE WORK (Engmeenng DIVISIOn) SEPARATE PERMIT #'5'
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKlNGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT 417-4750 I / PLANNING DEPT.
BUILDING 417-4815 r?/?41 ~~ 11M .-' BUILDING
.
T.\PLANNING\FORMS\1102 15 [11/1412003]
PREPARED 1/26/05, 12 57 42
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
1714 E 3RD ST
MICHAEL RIVERS CONST
EDMISTON, KIRK
06-30-00-5-5-0120-0000-
04-00001149 RES REMODEL
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLl 01 *) +it-
-------------------------------------- COMMENTS
SUBDIV.
PHONE (360) 452-9292
PHONE. ( 36) 457-1040
BUILDING FOUNDATION FOOTING
MIKE RIVERS 452-9292
AND NOTES
PAGE
DATE
5
1/26/05
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: . ~ Phone: - tf5~ - 19 S f(
Owner: (. lile l CO
.',-;11 r--;::. C\ ~,
Address: I...{) S- E. ' Il~ CIty: .. r \ H"'^- Zip: 7. 8- Q \,P C
ArChItect/]neer: ~f)o C S c.-l-w l1 pq w' f\'1 ~9JJe:
,.If r ( "11 en a.'l-; G ocr ." (.:)l
Contractor ul-12- aY1 <0 irvd.uv- State LIcense #: Exp: Phone:
. . 'J
Address: t1 tL\ \::; ?) r.g, CIty: ZIp:
PROJECT ~D~SS: /7 "I ~_ ;s rc:L s7 ZONING: ./1-.<)-7
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
SubdIvIsion:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
1;YPE OF WORK:
-r/J., ResIdential 0 New Constr 0 Re-roof 0 Stove
o MultI-farmly i" AddItion 0 Move 0 Garage
o CommercIal t Remodel 0 DemolItion 0 Deck
o RepaIr 0 SIgn 0 Other
BRIEF DESCRIPTION OF THE PROJECT: E~f.,#v1. d
City:
Exp. Date:
SIZEN ALUATION:
SF. @ $ /SF = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALVATION $=:g~()(,.ciD
~ c/c. r"l/o-t/d ~ YL~/o~ r:cq-f{)~T
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load:
No. of Stories: _ Lot SIZe: ? f9f!)-(;J EXIstmg Sq. ~t. / ~ '10 & Proposed Sq. Ft.
Total lot coverage ~ %
Construction Type:
lob = TOTAL Sq. Ft.I !f).l?
APPROV
PLAN: ;;
BLDG:
DPWU:
FIRE:
OTHER:_
BUILDING PERMIT APPLICATION SUBMITTAL: The Bmldmg DlVlsIOn can provIde you WIth mformatIOn 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 Bmldmg DIviSIOn to comply WIth current fee schedules. Contact the Permit Coordmator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee IS due It must be subrmtted at the trrne the bmldmg perrmt applIcatIOn and constructIon plans are
subrmtted. All other perrmt fees are due at the trrne ofperrmt Issuance
EXPIRATION OF PLAN REVIEW: lfno perrmt IS Issued WIthm 180 days of the date of applIcation, the application will expire. The
Bmldmg OffiCIal can extend the trrne for action by the applicant up to 180 days upon wntten request by the applIcant (see Section R105.3.2
of the International BuIldmglResIdential 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 aut onzed to apply for this permlt and
understand that it is my responsibility to determine what permits are required ,not the City's, that I mus t su permits prior to work. (
T \RVESS\BLDG-forms-brochures\2003-BUlldmgperrmt wpd Applicant: DateJZJ~ Otf-
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CITY OF PORT ANGElES - Construction Plans
The Issuance of thiS permit based Upon these plans. speCIfi-
cations and other data shall not prevent the bu :dlng offiCial
from thereafter reqUJrrng the correctIOn of errors In said
plans. specIfications and other data, or from preventing
building oper<:tlOns being carned on thereunder when In
violation of all codes and ordinances of thIS JurisdIction.
(SECTION 303(c) - Un; r BUll 109 COde.~
Approval Date D By ~
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Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
EDMINSTON KIRK
PORT ANGELES
(360) 457 9270
T- \PLANNING \FORMS \1102.15 [11/14/20031
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
04 00000607
751301
1714 E 3RD ST
06 30 00 5 5 0120 0000
ELECTRICAL ONLY
WA 983624910
RS7 RESDNTL SINGLE FAMILY
0
Contractor
OWNER
Date 7/14/04
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 1 4 CIRCUITS
Sub Contractor SIMPSON ELECTRIC
Permit Fee 46 70 Plan Check Fee 00
Issue Date 7/14/04 Valuation 0
Expiration Date 1/11/05
Qty Unit Charge Per Extension
1 00 46 7000 ECH EL -R OR RM 1 4 ALT CIRCUITS 46 70
Fee summary Charged Paid Credited Due
Permit Fee Total 46 70 46 70 00 00
Plan Check Total 00 00 00 00
Grand Total 46 70 46 70 00 00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last
inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
V
cm
n�
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 AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
FOUNDATION.
FOOTINGS
WALLS I I
FOUNDATION DRAINAGE/DOWN SPOUTS I
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ,lt' y_
ROUGH -IN 17 gC V t.i I I I Jl
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
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE PELLET CHIMNEY
HOOD DUCTS
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
I BUILDING 417 -4815 I
T \PLANNING \FORMS\ 1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
YES NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
12i7-1,At. la
SEPA. i3epiceli 2- rs'- 05'
ESA.
SHORELINE.
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
I I I
I I I
I I I
~ I"ORT ~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number . . . .
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000137 Date
.610628
1714 E 3RD ST
06-30-00-5-5-0120-0000-
RES REMODEL
2/18/04
RS7 RESDNTL SINGLE FAMILY
300
Owner
Contractor
HUNT, JAMES
1232 E 5TH
PORT ANGELES
(360) 457-1040
OWNER
WA 983624910
----------------------------------------------------------------------------
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
47.00
2/18/04
8/16/04
Plan Check Fee
valuation
.00
300
BASE FEE
Extension
47.00
Qty Unit Charge Per
Other Fees
STATE SURCHARGE
4.50
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----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 47.00 47.00 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 51. 50 51. 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 or work is suspl~nded or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 1,80 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 9!Jhe performance of
;'tructlon -J.-. ;1; . ~ ~ I 9-0~
Signature of Contractor or Authorized Agent
Date
Date
T:\PLANNING\FORMS\1102.15 [11/14/2003]
~
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4]7-4735 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 AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
.
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTING 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.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417.4750 'j i?iI (1"1 PLANNING DEPT.
BUILDING 417-4815 ~ - j),J). (':5'- I,: l--/ BUILDING
T:\PLANNING\FORMS\1102.15 [11/14/2003]
ti
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
.12\ EAST 5TH STREET, PORT ANGELES, WA 98.162
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00001149 Date
.999282
1714 E 3RD ST
06-30-00-5-5-0120-0000-
RES REMODEL
3/17/05
RS7 RESDNTL SINGLE FAMILY
4800
Owner
Contractor
EDMISTON, KIRK
1714 E 3RD ST
PORT ANGELES
( 36) 457-1040
WA 983624910
MICHAEL RIVERS CONST
P. O. BOX 4074
PORT ANGELES WA 98362
(360) 452-9292
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - -- - - - - - - - - - - - - - - - - --
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
SIMPSONI 200A P~L. CHANGE+ CIR
SIMPSON ELECTRIC
66.90 Plan Check Fee
3/17/05 Valuation
9/13/05
.00
o
----------------------------------------------------------------------------
Other Fees
STATE SURCHARGE
4.50
"-
~
"",
Qty
1. 00
Unit Charge Per
66.9000 ECH EL-R OR RM 0-200 ALT SRV FDR
Extension
66.90
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 66.90 66.90 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 71.40 71.40 .00 .00
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COMMENTS/ACTION NEEDED
~
ELECTRICAL PERMIT INSPEQ',10N RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
pW-II02.l~ (oU96]
83/14/2085 23:50 4579278
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, Electrical Contractor [J Owner ~'Il:O;;;O~
o AnDDal Permit 0 AhlTm 0 Carnival CJ Commercial
SIMPSON ELECTRIC
PAGE 01
.
,
ELECTRICAL WORK PERMIT APPLICATION
o Request Inspection
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Discover
I hereby certify that T iam the Owner of the above named property or a licensed
e:leetrical e:ontTactor (of; the nnn's authori7.:cd agent) and am making the e1cctrical
in!ltallation or altcrationi in compliance with the c1ectricallaw. Chaplcr t 9.28 RCW.
!
of owner, ieleetric:.al contractn
!/
x
Expiralion Date
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TIlERMOSTAT
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?ervice Information
Voltage
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itJ~
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07/11/2004 19:27 4579270
SIMPSON ELECTRIC
PAGE 01
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fi
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UO'I"fIlIOAL fDl'l1AMlf APPLICATION
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Application Number . . . . . 23-00000905 Date 10/02/23
Application pin number . . . 349220
Property Address . . . . . . 1714 E 3RD ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-5-0120-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Service
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ERIC E EDMISTON FELTON ELECTRIC
1714 E 3RD ST 196 GANDALF RD
PORT ANGELES WA 983624910 PORT ANGELES WA 98363
(360) 452-7938 (360) 775-5001
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 225.00 Plan Check Fee . . .00
Issue Date . . . . 8/29/23 Valuation . . . . 0
Expiration Date . . 2/25/24
Qty Unit Charge Per Extension
BASE FEE 75.00
6.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 30.00
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 225.00 225.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 225.00 225.00 .00 .00
Application Number . . . . . 23-00000905 Date 8/29/23
Application pin number . . . 349220
Property Address . . . . . . 1714 E 3RD ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-5-0120-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Service
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ERIC E EDMISTON FELTON ELECTRIC
1714 E 3RD ST 196 GANDALF RD
PORT ANGELES WA 983624910 PORT ANGELES WA 98363
(360) 452-7938 (360) 775-5001
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 120.00 Plan Check Fee . . .00
Issue Date . . . . 8/29/23 Valuation . . . . 0
Expiration Date . . 2/25/24
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .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 9/28/23,14:31:03 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000905 1714 E 3RD ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 105.00
TOTAL DUE 105.00
Please present reciept to the cashier with full payment
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
Application Number . . . . . 23-00001123 Date 10/17/23
Application pin number . . . 367328
Property Address . . . . . . 1714 E 3RD ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-5-0120-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Garage rough in
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ERIC E EDMISTON JOHNSON ELECTRIC COMPANY
1714 E 3RD ST 3129 S REGENT
PORT ANGELES WA 983624910 PORT ANGELES WA 98362
(360) 452-7938 (360) 728-4327
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 75.00 Plan Check Fee . . .00
Issue Date . . . . 10/17/23 Valuation . . . . 0
Expiration Date . . 4/14/24
Qty Unit Charge Per Extension
1.00 75.0000 ECH EL-R- BRANCH CIR 1-4 75.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .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
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
Partial rough approved (See attached email). Owner will complete project.
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
11/2/2023 23-1123
TAP
OWNER
CONTRACTOR
Johnson Electric
PROJECT ADDRESS
1714 E 3rd St
Application Number . . . . . 24-00000690 Date 7/05/24
Application pin number . . . 675870
Property Address . . . . . . 1714 1/2 E 3RD ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-5-0120-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Check wiring by others
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ERIC E EDMISTON ANGELES ELECTRIC
1714 E 3RD ST 524 E. 1ST ST.
PORT ANGELES WA 983624910 PORT ANGELES WA 98362
(360) 452-7938 (360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL NEW RESIDENTIAL
Additional desc . .
Permit Fee . . . . 95.10 Plan Check Fee . . .00
Issue Date . . . . 7/05/24 Valuation . . . . 0
Expiration Date . . 1/01/25
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
SIN
CTRI ERMIT P
I"rib I i c V/odrs au d i I'ii li ii cs ilei:a.rtmen1.
321 F:.5th lltleet. Por'f r\rre-r:les, \{A 98362"
360.411.4'/35 |wrvrv.cityofpa.rrs; Ir,:lr:r:l.ricalpclrlits(uojryolpa.ns
/^/
T
(D
3
Project Address:
Project Description I
W4':rrrgle-Family Residential n Duplex /ARU Buitding Square footage
Name
Mailing Address
Email
Phone
Name:Anqeles Electric , lnc.
Mailing Address: 524 E. First Street, Port Anqeles, WA 98362
License: ANGELE1460RS
Exp iration A3g313112024
Phone: 360-452-9264Emailksi m pso n (@olym p us. net
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
ServiceiFeeder 601 -1 000 Amp.
ServiceiFeeder 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 601-1 000 Amp.
Portalto Portal Hourly
Signal CircuiVlimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: SKVA System or less
Thermostat ote: $5.30 for each additional)
Unit Charqc
$190.20
$'1 e0.20
$285.30
$380,40
$475.50
$s,so
$95.10
$47.5s
$95.10
$95.1 o
$1e0.20
$285.30
$380.40
$95.1 0
$e5.1 0
$1e0.20
$190.20
$95.1 0
$190,2-0,
$47.'55
$95.1:o
$1'90.20
Quantitv uantity x Unit Charge)
$
$
$
$
--r,<e
$
$
$
$
$
$
$
$
$
$
$
$
$
$
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,City of PortAngeles Municipal Code, and Utility Specifications PAMC 50 Electrical Perrnit Applications.
Ken Sim son
ate Print Name Signature (er wEt I Contractor / Administrator)
[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
7/10/24 24-690 TAP
OWNER
CONTRACTOR
Angeles Electric
PROJECT ADDRESS
1714 E 3rd St
Application Number . . . . . 24-00000095 Date 2/01/24
Application pin number . . . 370520
Property Address . . . . . . 1714 1/2 E 3RD ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-5-0120-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
ADU
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ERIC E EDMISTON COHO CUSTOM ELECTRICAL INC
1714 E 3RD ST 162 KAISER PLACE
PORT ANGELES WA 983624910 SEQUIM WA 98382
(360) 452-7938 (360) 461-5402
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 855.90 Plan Check Fee . . .00
Issue Date . . . . 2/01/24 Valuation . . . . 0
Expiration Date . . 7/30/24
Qty Unit Charge Per Extension
8.00 47.5500 ECH EL-ECH ADDNT BRANCH CIRCUIT 380.40
1.00 95.1000 ECH EL-R- BRANCH CIR 1-4 95.10
1.00 190.2000 ECH EL-0-200 SRV FEEDER 190.20
1.00 190.2000 ECH EL-SWIMMING POOL/HOT TUB 190.20
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 855.90 855.90 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 855.90 855.90 .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
1. Install service entrance bushing
2. Install garage heat detector per building code.
3. Connect ground to concrete incased electrode.
4. Uffer shall be installed at first disconnecting means.
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
2/1/2024 24-95 TAP
OWNER
CONTRACTOR
Coho Custom
PROJECT ADDRESS
1714 ½ E 3rd St
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
2/8/2024 24-95 TAP
OWNER
CONTRACTOR
Coho Custom
PROJECT ADDRESS
1714 ½ E 3rd St
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
Strike Knob required
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
2/16/24 24-95 TAP
OWNER
CONTRACTOR
Coho Custom
ADDRESS
1714 ½ E 3rd St
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
2/20/24 24-95 TAP
OWNER
CONTRACTOR
Coho Custom
ADDRESS
221 N Lincoln St
Application Number . . . . . 23-00001220 Date 11/20/23
Application pin number . . . 819240
Property Address . . . . . . 1714 E 3RD ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-5-0120-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Circuits with homeowner
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ERIC E EDMISTON COHO CUSTOM ELECTRICAL INC
1714 E 3RD ST 162 KAISER PLACE
PORT ANGELES WA 983624910 SEQUIM WA 98382
(360) 452-7938 (360) 461-5402
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 75.00 Plan Check Fee . . .00
Issue Date . . . . 11/20/23 Valuation . . . . 0
Expiration Date . . 5/18/24
Qty Unit Charge Per Extension
1.00 75.0000 ECH EL-R- BRANCH CIR 1-4 75.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .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
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
11/21/2023 23-1220
TAP
OWNER
CONTRACTOR
Coho Custom
PROJECT ADDRESS
1714 E 3rd St
Application Number . . . . . 23-00001174 Date 11/02/23
Application pin number . . . 026272
Property Address . . . . . . 1714 E 3RD ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-5-0120-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Addition
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ERIC E EDMISTON OWNER
1714 E 3RD ST
PORT ANGELES WA 983624910
(360) 452-7938
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 75.00 Plan Check Fee . . .00
Issue Date . . . . 11/02/23 Valuation . . . . 0
Expiration Date . . 4/30/24
Qty Unit Charge Per Extension
1.00 75.0000 ECH EL-R- BRANCH CIR 1-4 75.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public ,, rks and ULilities Department
321 E. 5th Streel. Port ;\ngeks. ,v/ 98362
Project Address:
160.417 4715 ! \\ W\\ c1tyufpa u:ci: elecrnc,1lpcrn11b(c1 c1tyot'pa.us
111-t d' J"./ P.IJ •tp/9.� ,._, f ,,,.,,_. Project Description:
Single-Family Residential
Name:
Mailing Address: __ _.--,L....,_-• -t,__ ______________ _
Email: Phone: ___________ _
PROJECT DETAILS
Item. Uoil Cbacg� Q.y,aat� To1i! (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 601-1000Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal CircuiULimited Energy - 1 &2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional) $56.00 $
First 1300 Square 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 prope licensed electrical contractor. I
am making th ctrical install • or alteration in c • • • • ter 19.28, WAC. Chapter 296-
468, The c· ..... ._. lectrical Permit Applications.
�
Date
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
""CJ
Cl)
1 75.00
75.00
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
11/21/2023 23-1174
TAP
OWNER
Eric Edmiston
CONTRACTOR
PROJECT ADDRESS
1714 E 3rd St