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Home My WebLink About2405 S Laurel St - BuildingCF PORT µC U tJ i� Ft IL v Toe CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 05 00000389 Application pin number 898778 Property Address 2405 S LAUREL ST ASSESSOR PARCEL NUMBER 06 -30 10 5 0 1532 0000 Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 4970 Owner FOLDEN TTE HENRY B /EDNA J 240.5 S LAUREL PORT ANGELES WA 98362 s Date 5/23/05 Contractor DIAMOND ROOFING ENTERPRISES P 0 BOX 2963 PORT ANGELES WA 98362 (360) 452 9518 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR -OFF FELT METAL Permit pin number 49742 Permit Fee 134 75 Plan Check Fee 00 Issue Date 5/23/05 Valuation 4970 Expiration Date 11/19/05 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 Charge d Paid Credited Due Permit Fee Total 134 75 134 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 139 25 139 25 00 00 T' \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] 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. Signatureaf Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T'\Policies \1102_15 building permit inspection record05 wpd [1/4/20115] BUILDING PERMIT INSPECTION RECORD DATE I ACCEPTED YES NO >pi It 1q COMMENTS 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 I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT U 5 I BUILDING I I I I I I I I CUSTOMER'S ORDER NO. DEPARTMENT DAT NAME 11 r d r 14e ADDRESS a S Lur CI TE, ZIP SOLD BY QUANTITY 1 2 3 DESCRIPTION xv&+-4 CASH C.O.D CHARGE ON ACCT MDSE RETD PAID OUT 1 PRICE AMOUNT t "am51 Y49 4 It ft 4- R 5 6 7 8 9 10 11 12 40 13 ii 14 4C4 15 k 16 17 18 19 20 RECEIVED BY C.AV..0 V U 1-.).' '1. cal q 9 70 I I 6 4 I L1 7 I ,r i (*It_ 3 '2 :st adams KEEP THIS SLIP FOR REFERENCE 5805 69►693 Application Number Application p~n number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning . Appl~cat~on valuat~on 08-00000870 Date 294370 2405 S LAUREL ST 06-30-10-5-0-1532-0000- ELECTRICAL ONLY 7/22/08 RS7 RESDNTL SINGLE FAMILY o Application desc Hot Tub Owner Contractor Kelley Jim 2405 S LAUREL PORT ANGELES WA 98362 SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457-9270 WA 98363 130435 46 00 7/22/08 1/18/09 Plan Check Fee Valuat~on 00 o N .--\: o ~ Perm~t Additional desc Permit pin number Perm~t Fee Issue Date Expiration Date EL-HOT TUB Qty 1 00 Unit Charge Per 46 0000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extens~on 46 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Perm~t Fee Total 46 00 46 00 00 00 plan Check Total 00 00 00 00 Grand Total 46 00 46 00 .00 00 \0 ~ G ~ r . , . SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL ~ OMMENTS: .... CITY OF PORT ANGELES ' DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321EAST 5TH STREET, PORT ANGELES, WA 98362 ~lll-iJIl~l~ I"r't~MII ISSUED: 11/14/2002 PERMIT NO: 13853 OWNER/APPLICANT PROPERTY LOCATION H.B.FOLDEN 2405 LAUREL S 2405 S. LAUREL Lot: 9,10 Port Angeles, WA 98362 Block: 15 [] Long Legal 360/452-2816 Subdivision: PSCC 2nd Addit. T: S: Parcel No: 063010501532000 CONTRACTOR ARCHITECT ALL WEATHER HEATING & COOLING N/A 302 KEMP STREET PORT ANGELES, WA 00009-8362 , 98360-0000 360/452-9813 360/000-000Q PROJECT INFO Project Value: $4,845.00 SFD Units: 0 Commercial: 0 Project Type: PROPANE INSERT SFD SQ FT: 0 Industriak 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES INSTALL ONE FREE STANDING FIRE PLACE & ONE FIRE PLACE INSERT RECEIPT#9912 FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $42.50 Plumbing: $0.00 AMOUNT PAID: $42.50 Mechanical: $42.50 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. S~nature of C~ntre'ctc~r ¢~uth"~/t~d'Agent j ,,l~te - Signature of Owner (if owner is builder) Date T:\PLANNING\FOKMS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES { NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'$: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPAKATE PERMIT #'$ 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 ELECTPdCAL LIGHT DEPT CONSTRUCTION ILW. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIKE DEPT. PLANNING DEPT. 417-4750 [ PLANNING DEPT. BUILDING 417-4815 // /~ //~" ~-~-/-/ BUILDING T:~PLANNING~FORMS\ 1102.15 {4/2002] FROM : FILL WEATHER HEATING & COOLING FAX NO. : 368 452 5177 Now. 14 2002 10:20AM P1 BUILDING PERMIT o APPLICATION PI~ ~ ~ p~t in ~ If you h~ve ~ny qu~flo~ ple~e ~ 417~15 ~ .... Ph~=: -~-- ~ ___, Lic~ E~: ' ~ ~ON: ~ BIo~ ~ ~: Ci~: ~t~ ~ Exp. D~M: ~ MC ' ~ ~ , ~UA~ON: ~ oN~. o ~r~f o W~mvc SF.~$ I~.-$ o ~-~ ~ A~ ~ Move ~ ~e~c SF. ~ $ ~P. ~ $ o ~ o S~ = TOT~ V~UAnON :. ~::~ O~'s~ ~: , ~ ~/~ , P~G U~ O~Y: ~ROVA! ~ N~ : ~,, , D~ ES~J~4(~): ~ Y~ O No S~A ~t ~d? 0 Y~ o No O~er: c~l~d a~h~on, si~ p~ (for a~o~) ~d bu~g co~ p~s ~e m be su~d ~ ~e B~ ~v~i~. V~UA~N' ~ ~N~I'K~ON:. ~ ~ ~ n v~u ~t m~ ~ eu~ p~ f~ ~ ~ ~ ~of~t ~ce. B~ ~ ~ ~ ~ ~ f~ ~on ~ ~e applic~t up ~ 1~0 days u~n ~ request by ~ a~t (~ ~ 107.4 of · e U~ B~ ~, ~t ~n). No a~li~on can ~ ex~n~ more than once. th~ ~. I ~e~ It ~ ~ t~e Ct~*s legal ~po~btli~ to detemtne what pe~i~ a~ r~ulr~; tt ~mat~ tie applicant~ r~ihili~ ~ de~ine what p~i~ a~ ~qui~d and to obta~ch~ ~ . t:$OBS~uild~l f/ ~ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date //-//-7/ - ~-~'~-~ Time Received by ,~) ~//(phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Permit No. Type of Inspection (circle appropriate one).' ./,,~.-~-~ Sewer Foundation Framing ChimneyP~.~lu_mbin, g~SewerExcav. Other INSPECTION NOT.ES: Inspected: Date// t/~*/'~O~' ~ By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~]Gravel []Asphalt I~PCC []Other [] Repaired by City Work Order # ~] Repaired by Permittee [-~ COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) Site Address: ;L 10 5" Installed By: 1)AV ( Owner/Business: ~ I t Owner/Business Address: CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. /1 Zt. /2 -B - n . ELECTRICAL PERMIT DATE o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Phone: Sq. Ft. ~esidential Heat KW D Baseboard D Furnace/Boiler D Heatpump D Other D Commercial/lndustriai load Total Connected load (attach breakdown) Total Motor load (attach breakdown) D New Construction ,%-Remodel D Service update/alter/repair Ii Add/alter circuits D Auxiliary power (list below) D Special equipment (list below) Overhead Underground Vol ge D 1 D 30 Service ize D Temp Amps DetailslDescription: REMorld ~fuJ loJJ VL PLUGS" -+-G-u-tL. () h t+-'"T':. t 3~DO lAJ, I~I fl 'iC l. '+-( >c7U (U. d~ . . W.S. No. Service Capacity: D O.K. D Not O.K. g Ditch-fflspectJon.o.K._ pi po- ~ugh.in/cover O.K. G O.K. to e9RAec.t service 'B rilla.l 6.K. Size Comments Date Hold for: D 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 Addres::z- C; 0 ~ Installer: !r\JL ~, J(t '1 'JZL Permit/Receipt No. /12- f, New Meters Date: 1'l-1-17 . 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 Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. /0 P'" - Inspector Amount paid WHITE - file by address VELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT OLYM"'IC PRINTERS. INC. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 17228 Port Angeles, washlngton.__...L:::m2._~=.m__mmm.m..........., 19m~E? 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 granted to do' electrical work as listed below. ~:~::s__::m:~~~:----;::~--~:::.__~::~~~.~~~:::::::~=:~:::~::::::=::~::::::::: Wiring Contractor .~~:<.!__~~m.C~~ By..__mm__.......___m.....m............__...____............____ ~Igbt t o~t1e~~~;.~.;~../tti.........._.... serv~c:, :~::: ..i~1.g?.......... TyP::::::~bl. ............................. D:Y::~ :: ~.m....___.__i::::::...::::..:::::.::::::.. s'l:e wlre.::ffd:::::::::::::::::::~:: Non.Metalllc ................................ / :J. -' 'JC> ()" A Range, KW n.........n..__......................... Main fuse ....__......m.....__.....m........ Enclosure ....':':-:-5...........mm......... Knob & Tube.................__.__....._..... RIgid Conduit ............................... Water Heater: / KW.--..---.....,t;...~--..-----;r....----- Type of wirIng: Heat: KW..m.~!2.d[:c....t:~~/.td.~~~. Entrance Cable -............................ Motors: size, VOlt: and~hase: Rigid Conduit .....nnm__m..........m. ...L~...f.~.~.l.~.c::::.~......................m__ MetalUc Tubing .00.............. ~:~~~1J~:::~~ MetalUc Tubing .....m...m............. Ser. No............____.....__...____...__.__...__.__. Raceway ............__................._.___._ G Circuits. Light.......~.................._.....__._.. Utility ......G......_....._.................... Heat ......~...................._....__ '::; Range .............................._._............ .:z Water Heater .................__............ Motor ..._.........[g,........................ Drycr..........~........_n..................._ Current transtormers: No. & Size.................____n....__ Ser. NO..........n..............__............n.... Furnace .. .......................,~................... Ser. No............__................................ . ~~ ~~=~~::~:.al::~~:~~~~y~~i:~::::::~~~~~:~:~::(~:~:.~::=:::~~?::~:::~..:~::~.:~:::~: ...._..U._._____.n_._n_nn..Unh__..____n_~.~.n____n__n.UU.h_...h___h__~..____n.nn.uu...n__.n..u.hu_..._._.~.nnu_nn___nunnnn.._u___u_n___ Permit Fee' 3, ;).0 $.................___...............__. Treas. Receipt No............................. By .5t:..r?{fL~:~~.<f.J:..~1.,'___ NOTICE-Current must not be turned on until Certificate of Inspection has been Jssued. If work is to be con- cealed due notice must be gJven the Inspector so that work may be inspected betore concealment. NOTIFY THE-INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION \ ELECTRICAL PERMIT N? 17228 / ..r.,.....-. Address Date_.._......____......_.........._......_......_......._ Owner.......................____........_......_.__......_......_.._...........................................................Tenant...................................._...................___......... WirJngContractor..................................._......................_............................................._...............By........._.........._................................._...._.. \ NOTICE--Current must not be turned on unt1l Cert1ficate of Inspection has been Jssued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. -, I 1M Olympic Printers, Inc. 07/21/2008 07:02 4579270 SIMPSON ELECTRIC P"'3E 01. Qg-0370 . ELECTRICALWORKPERMIT APPLICATION ./01__ b.I' )i EIodrtaIICoe_ [J 0.-- ~. cotmactDl' ,,1IDICIi l.icenM II:IDIbDr DR t!apiTeI ': ~W-/1 Eled'/!,'e /...1.( SUnpSGt- 'n5et;) Pur< molllol,_ , \ , . b' . OJ ~ at. . WA ZIP q 8363 'Ill1.".....,. nam"" c; PAX - -1- 5?--,;J..1o ~A17'l- 14' PrltIIlle. owaer'. ...e k. I I -r: tv! _~ l-I.Ql1 A...... .r l...,..a.. <"" -#? . _ n .;J i.f 0 C; . J. ct::J1 ~ Clly f' -A ' .........don J.4tJi9C~ gr. II did ~_.~ IIw( 01'1... ,r~~D j- LJ (! IJe(lv :-/'\ /--10-1-- I L<---fr- fJ ,,~h..-1F o 0Q \ ~ ---J o Owotr d$ ~ a, RCII'./'.21.16/:(/) 0..- wlU _"" _"""" for _ yorns"'" _ __ /If*/I=I. ~ 0-11 ~ ..,.....-- J1ft114C(lOlI If 4'bowIt .wi J1"DIIt!."Y it./tw'" rar or IN:ft:. Allor cadi. ... _ -. I ......, ..mfy tbIll om ... 0_ or the _. named ~ ar I UctnIod dI!Idricld _4 . 1 .. ...... !:be eIectrieIl ma.l- \IIIIon or IIIIErnda ift ~1I r';M- willi elec:IriclJl I..... ttI.E.C-. RCW. CJt.pter ".28. WAC. ~ 2!l6-4fiB. of""" A...... ......i",,1 Colk, _. Udr . [J Cub ~.Cbeck# . CIInI ~ MIat>...:-d IlilIecm!r Cardll ____-~_~_.____ n...;.""-1lIIIe ttfClll'd Q NO I.(MD CHANGES a ph4~ ~ _KW OF_ KW Q~SeMce , Q _ Pump = Ton _lJ\R Q Tomp Selvlce [J FelloW.. _KW Q ~ geNIce SAME DAY INSPECTION. CALL BEFORE 7:00 AM 3~17-4735 .IIu::P'Je 11IfDnl....... ROtIGIHN 7 /7fillR "r.M' -... TIIERMOSTAT 0- ~", r FINAL 7,/?fiC'?, ~ DlTaI .... - ...,..- DllIte Am, Bmldins OlllquiplDCllt lnopa:Iod Application Number . . . . . 23-00000707 Date 7/12/23 Application pin number . . . 481057 Property Address . . . . . . 2405 S LAUREL ST ASSESSOR PARCEL NUMBER: 06-30-10-5-0-1532-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc T-stat ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SAMUEL M WURZ AND RUDO AMBAYI DAVE'S HTG & COOLING SRVC INC 2405 S LAUREL PO BOX 413 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-0939 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 56.00 Plan Check Fee . . .00 Issue Date . . . . 7/12/23 Valuation . . . . 0 Expiration Date . . 1/08/24 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 1 - 2 SINGLE-FAMILY ELECJBICAL PERMIT A_eeucAIJDN. Public Works and Utilities Department 321 E. 5th Street, Port Angeles, \VA 98362 3 (i() .417.4715 I www.l'. ityo fpa .us I clectri calpcrmi tsr?j/.ci tyo fpa. us Project Address:-------------------------------------- 2405 S. LAUREL ST. P , D . , LOW VOLTAGE THERMOSTAT W IRE FOR THERMOSTAT AS PART OF A DUCTED HEAT PUMP INSTALLATION reject escription: ------------------------------------- 0 Single-Family Residential D Duplex/ ARU Building Square footage: ..::2:.;:.5~65;;__ _ - . - ... - ·- .. - . OWNER-JNFORMATION ·· - . -_ .. :.tt Name: _SAM WURZ Mailing Address: 2405 S LAUREL ST., PORT ANGELES, WA 98362 Email:=-----~-------- Phone: 4062624386 Name: Dave's Heating & Cooling Services, Inc. Mailing Address: PO Box 413, Port Angeles, WA 98362 Email: davesheatino@.wavecable.com License: DAVESHC9912C Expiration Date: _0_5_/2_0=2-'-5 _ Phone: 3604520939 .l!m!. 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 CircuiULimited Energy- 1&2 DU. Manufactured Home Connection Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for e~ch additional) First 1'300 Square Feet Each Adlditloo al 500'square feet" Each Outbuilding / Detach ed Ga rage Each Swimming Poof/ Hot Tub Unit Charg~ Qll.lllillf $120.00 $146.00 $205.00 $262.00 $373.00 $5.00 $63.00 $5.00 $75.00 $93.00 $110.00 $149.00 $168.00 $96.00 $64.00 $120.00 $102.00 $56.00 $120.00 $40:00 $74.00 $110.00 I2mf (Quantity x Unit Charge) $ _ $ _ $ _ $ _ $ _ 1 $ $ $ $ $ $ $ $ $ $ $ $ $ 56.00 $ $ $ $ $ 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 t owner o am making the electrical installation or alteration in complian e wi, the 468, The City of Port Angeles Municipal Code, and Utility S ecific tion 7/5/2023 LACI WILLIAMS Date Print Name Owner [Z] Electrical Contractor I Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] E le c tric a l In fo rm a tio n F o rm Public Works & Utilities Department (360) 417-4700 City Electrical Inspector (360) 417-4735 Street Address ~,......i.-=~--'..,.l.l,,,U,a...L.l~=.4....L:::~----lo.o'-lo....:..-. -~---------I City I State I Zip: ~i.....l::;..:._-l--.i,::;:;i....r..;~~..l.J-..::..---,,.-1--1,~.;.i....;i..---1..~--.,ll,,l:-::C'--::..;;.. _. Company Name: 1--.:.;;;.,.~=::::....=-___:....i.::::::ia..::..i....1..L..::::.....J,....___;__~~::..:::..~~4-----------I Contact Name: Phone Number: Project Type Existing ~ingle-family residence D Commercial D Overhead service D Underground service □New D Multi-family residence; # of units D Subdivision D General service □other: Project Information Detailed description of work: (Oil to Gas Conversion, Gas to Electric, New Heat Pump, etc.) Levo \Jdl~ ¼.0YtV\,,oStov-\- \0tv.e k{)Y '-YY\Q)(~ ve-~ revv+-ef- (A, c1~ ~ -t 9 U,vy\, P \ ~~¼\, \ ev--n- DV' . Main Disconnect Size e-h Amps: , 2 1....2 Select Voltage: .,Kh 20/240 1 ph 0120/240 3ph 0 120/208 3ph 04 80 3W 3ph 02 77 1480 3ph Check all that apply: Standard residential loads (Lighting, refrigerator, dishwasher, washer) D A/C (_ton) D Range/Oven D Hot Tub D Clothes Dryer J;81 Heating D Pumps ( __ Hp) D Water Heater D Elevator ( __ Hp) D Other _ Supporting Load Increase (kW).:;;;======-..;L;;.;;o;,;;;a;,;;;d..;;D;;.;e;.;;c;;.re;.;a;;.;;s;,;;;e..:(,;.;.kW~)======;;;..I Please provide a copy of the fo llowing: *Detailed plot plan (.dwg or .dxf for at mandatory for subdivisions). *Electrical one-line drawing sho *Connected load data Date: MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360-417-4711 ws ----- WF _ Ne wrliflf@.~trolilnfxo rm per Trent Revised 1-09-'11 PREPARED 7/05/23,14:36:10 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000707 2405 S LAUREL ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 56.00 TOTAL DUE 56.00 Please present reciept to the cashier with full payment 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 7/24/2023 23-707 TAP OWNER CONTRACTOR Dave’s Heating PROJECT ADDRESS 2405 S Laurel St Application Number . . . . . 23-00000770 Date 7/24/23 Application pin number . . . 744410 Property Address . . . . . . 2405 S LAUREL ST ASSESSOR PARCEL NUMBER: 06-30-10-5-0-1532-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SAMUEL M WURZ AND RUDO AMBAYI EXTRA MILE TECH & ELECT., LLC 2405 S LAUREL 418 N. RACE ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457-5222 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 68.00 Plan Check Fee . . .00 Issue Date . . . . 7/24/23 Valuation . . . . 0 Expiration Date . . 1/20/24 Qty Unit Charge Per Extension 1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 68.00 68.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 68.00 68.00 .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 7/20/23,14:23:04 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000770 2405 S LAUREL ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 68.00 TOTAL DUE 68.00 Please present reciept to the cashier with full payment 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 7/24/2023 23-770 TAP OWNER CONTRACTOR Extra Mile Electric PROJECT ADDRESS 2405 S Laurel St