HomeMy WebLinkAbout533 E Park Ave - Building ELECTRICAL PERMIT a
CITY OF PORT ANGELES
360- 417 -4735
CO
Application Number 11- 00000718 Date 7/14/11
Application pin number 814818 REPORT SALES TAX
Property Address 533 E PARK AVE
ASSESSOR PARCEL NUMBER: 06- 30- 10 -4 -3 -0230 -0000- on your excise tax form
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
1 circuit bath remodel
Owner Contractor
JOHN RICHARD M FORSTER DISCOVERY BAY ELECTRIC, INC.
533 E PARK AVE PO BOX 3531 Q.)
PORT ANGELES WA 983626937 SEQUIM WA 98382
(360) 681 -5194 Iv
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 189076
Permit Fee 73.50 Plan Check Fee .00
Issue Date 7/14/11 Valuation 0
Expiration Date 1/10/12
Qty Unit Charge Per Extension
1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50
Fee summary Charged Paid Credited Due
Permit Fee Total 73.50 73.50 .00 .00 4i91:c:)1
Plan Check Total .00 .00 .00 .00
Grand Total 73.50 73.50 .00 .00 L
,----i
e
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN 7h9 11
FINAL 7 zN I t
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
r■
Signature of owner or Electrical Contractor X Date:
GAEXCHANGE \BUILDING
tii OF pOR7gA.Cic ELECTRICAL INSPECTICi N
C
U�� N
1- t
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o w,
417-4735
W ORKS b V'
DAT PERMIT INSPECTOR
z r y 11 TAP
Ow
a 2STir re___
CONTRACTOR
D cs COtJ rz x*
ADDR5 3 3 ?p 1 z
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED: 17 0O•4 5 2 ,1; 1 1) 1 12K--"? !'L—
GO
t A'ovs___ ¢-f ov
W flY fL r hl l�
Co vi. o rL ➢Cc(Z
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETE[ WITHIN 15 DAYS
DO NOT REMOVE
07/14/2011 07:49 FAX 1?1001
i�
ilk 14 2011 oo p
CITY OF PORT ANGELES.PERMIT APPLICATION ELECTRICAL A��—
Building .Divlslon /ElectricalInspections INSPECTIONS 1� d%
321. East Fifth Street —:P.O. Box.1150 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: t'4 Z O I 1
X '1 2 Singl FamllyDweling Multi Family or Commercial' Commercial Addition Alteration Remodel Repair'
Plan d Reeview�l Be R Pl K ease o plete Electrical Plan Review Information Sheet
Job Building Square Footage:
Description roar.
Description of above
Owner I formation Contra Information
Name: -I' r e Name: DtSG(� ij L3 AlY El"FCrRIc,
Maul„ Ad•ress: iiiikMaa'S Maili Addre ,oX S 31
City: r A State:w)r� Zlp: 'Z City: State: A ZIp: q 2 a 5> 7
Phone: 4SZ- 91'1 Fax: Phone: t 1'14 Fax:
License ft Exp. License Exp, b t S t.o 13E 9 4 t I7 4 ?rot?.
Item Untt Charge Total My Multiplied by Unit Charael
Service/Feeder 200 Amp. 119.90 S
Service/Feeder 201-400 Amp. 145.50
ServicelFeeder 401.600 Amp S 204.60
Service/Feeder 601 -1000 Amp. 262.20
Service/Feeder over 1000 Amp. 372.50
Branch Circuit W/ Service Feeder 2.60
Branch Clrcult W/O Service Feeder 73.50 _i_.____
Each Additional Branch Circuit 2.60
Temp. Service/ Feeder 200 Amp. 92.70
Temp. Service/Feeder 201 -400 Amp. 110.30
Temp. Service/Feeder 401.600 Amp. 148.70
Temp. Service/Feeder 601.1000 Amp 167.90
Portal to Portal Hourly 95.90
Sign/Outline Lighting 88.20
Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90
Signal Circuit/ Limited Energy Multi- Family Dwelling 63.90
Manufactured Home Connection 119.90
Renewable Electrical Energy -5KVA System or Less 102.30
Thermostat 56.00
NEW CONSTRUCTION ONLY;
First 1300 Square Ft. 110.30
Each Additional 500 Square Ft. or Portion of. 35.20
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub 110.30
$Pbtal
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 here 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, WAG. Chapter 296 The City of Port
Angeles Municipal Code, and Utility Specifications and PANIC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: Cash Check
4 Iab I 1 7 Cr.dk Cad N
f 1
1 ate Dated t G 0 01/0112010
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
No Load change 3 ton heat pump t stat
Owner
JOHN RICHARD M FORSTER
533 E PARK AVE
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983626937
ELECTRICAL HEATPUMP
180901
56 00
1/28/11
7/27/11
Qty Unit Charge Per
1 00 56 0000 ECH EL LVT
Charged
56 00
00
56 00
Signature of owner or Electrical Contractor X
G: \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
11 00000092
957960
533 E PARK AVE
06 30 10 4 3 0230 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Paid
Contractor
ALL WEATHER HTG
302 KEMP ST
PORT ANGELES
(360) 452 9813
Plan Check Fee
Valuation
THERMOSTAT
56 00
00
56 00
DATE.
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Credited
0 0
00
00
Date 1/28/11
COOLING INC
WA 98362
Due
RESULTS
PIP
Extension
56 00
00
00
00
00
0
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
w
Date-
City of Port Angeles Permit Application
Building OlvlsionlElectrical Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph: (350) 4174735 Fax: (360) 4174711
Date:
.1 2 Single Family Dwelling
Multi -Family or Commercial`
Commercial Addition I Alteration Remodel I Repair
Plan Review a Be Repair ,�P pl t� s Electrical C Plan Review Information Sheet
Job Address: t' LV F�1t
Building Square Footage: yIX)
Description of above \1 \5 t UIM( C& 1 i C 0 CX"\\
Owner l fo n n a mov
Name:∎
Mailin Address:
City a. erl L.
Phone: r U l
License #1 Exp.
Unit Charge
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57,50
2.00
72.50
86.25
$116.25
$131.25
75.00
69.00
75.00
50.00
50.00
93,75
80,00
86.25
27.50
57.50
86.25
43.75
t'0/E0 39Cd
I.
Owner as defined by RCW.19.28. (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, tent or lease.
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.
Signature of owner, electrical contractor or electrical administrator
Dale V A t
RECEIVED
JAN 2 7 2011
Contras o Informatio
Name: bleat'
Mailin Address: "1
City i a 0L State: VA
Phone' !i Fax:
License Exp. 19 iL IIA. I i
ELECTRICAL
INSPECTIONS
T tai, Multiplied by Unit Charaj
Service /Feeder 200 Amp.
Service/Feeder 201-400 Amp,
Service/Feeder401.600 Amp.
Service/Feeder 601 -1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit WI Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201.400 Amp.
Temp. ServlcelFeeder 401 600 Amp.
Temp. Service/Feeder 601 -1000 Amp.
Portal to Portal Hourly
Sign/Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit! Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy SKVA System or Less
First 1300 Square Ft
Each Additional 500 Square Ft or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
Total
Cash
Check
O Credit Card If
YOUTA
r/
s
9NI1v3H d3H1C3M 11V LLTSZSb09ET 60 ZT TtOZ /LZ /TO
nNP�iva��c�u ivuuwer
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
INSTALL A HEAT PUMP
Owner
JOHN RICHARD M FORSTER
533 E PARK AVE
PORT ANGELES
(360) 452 7917
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
14 8000 EA
T Forms /Building Division /Building Permit
WA 983626937
MECHANICAL PERMIT
INSTALL A HEAT PUMP
180885
64 80
1/27/11
7/26/11
Per
Charged
64 80
00
64 80
11 uouuuusu hate 1/27/11
365230
533 E PARK AVE
06 30 10 4 3 0230 0000
JOHN RICHARD M FORSTER
MECHANICAL APPL PERMIT
RS7 RESDNTL SINGLE FAMILY
4999
Contractor
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452 9813
Plan Check Fee 00
Valuation 0
BASE FEE
ME FURN /HP /FAU OR 5 TON
Paid Credited
64 80 00
00 00
64 80 00
Due
Extension
50 00
14 80
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Separate Permits are required forelectrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes
null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the
last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
Parking Lighting
Landscaping
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO CO /ER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit #s
T Forms /Building Division /Building Permit
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Comments
FINAL Date Accepted by
02--b3—‘.1 UL—
IFINAL Date Acce b c
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
PREPARED 2/03/11 8 13 47 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/03/11
ADDRESS 533 E PARK AVE SUBDIV
TENANT NBR JOHN RICHARD M FORSTER
CONTRACTOR ALL WEATHER HTG COOLING INC PHONE (360) 452 9813
OWNER JOHN RICHARD M FORSTER PHONE (360) 452 7917
PARCEL 06 30 10 4 3 0230 0000
APPL NUMBER 11 00000090 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 2/0
MECHANICAL FINAL TIME 01 00
February 2 2011 4 50 28 PM 1pangrle
JENNY (ALL WEATHER HTG 452 9813)
MECHANICAL FINAL HEAT PUMP
AFTERNOON
COMMENTS AND NOTES
Applicant '&t k Q
Property Owner
Property Owner's Address
Contractor klik 1 Lit .1 A
Contractors Address _Of if 4
License
PROJECT ADDRESS
Parcel Number
Floor Areas
Basement
1 Floor
2nd Floor
3` Floor
Garage
Carport
Covered Porch
Deck
She
Other
T:Forms /Building Olvision /Bldg Perrnit.doc
b0 /170 39'dd
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 4815 fax (360) 417 4711
Proiect Tvoe Brief Description. Residential
Check all that apply
a New Construction
o Remodel
o Repair
o Demolition
u Re -roof
,Heat System
o Other
ei toss- Pam
hr
o Multi family
House garage o other o tear oft re -roof a lay over one layer
AHeat pump wood burning stove c gas fireplace pellet stove other
Exlstlnq (sq. ft) P 'nosed (so. ft.)
TOTAL VALUATION 4 41
Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be Installed? Occupant load
Will a fire sprinkler system be installed? Construction type
Phone
Phone
For City Use Only'
Date Received 0( —2; (l
Permit# qr)
Date Approved
Lot Zoning
per sq. ft.
Phone eel ch2.
E -mall (Rat OO1t j n .C1Y1
Commercial o Industrial
of bedrooms
of full baths
of half baths
I have read and completed this application and know it to be true and correct. am authorized to apply for this permit and understand
that it i my responsiblNty to determine .what permits are
required, and to obtain permits prior tovvarking oil projects.
Date' 1 Print Name uJis! 191� Signature
9NI1t13H 213H1V3M 11V LLTSZSb09EI 60 ZT ITOZ /LZ /IO
<J'O<O'~ CITY OF PORT ANGELES
"Qi PUBLIC WORKS - ELECTRICAL DIVISION
121 EAST 5TH STREET. PORT ANOELES. WA 98.162
-
ELECTRICAL PERMIT ISSUED: 7/20/2001 PERMIT NO 7341
OWNER/APPLICANT PROPERTY LOCATION
JOHN FOSTER 533 PARK AVE E
533 PARK Lot:
Port Angeles, WA 98362 Block: ~ Long Legal
360/457-7917 Subdivision: .66 acres tax460 s 1 On30r
T: S: Parcel No: 063010430230000
CONTRACTOR ARCHITECT
STRAITS ELECTRIC N/A
P.O. BOX 2914
PORT ANGELES, WA 98362 , 98360-0000
360/452-9104 360/000-0000
PROJECT INFO
ProjeclType: RES. MISC. Project Value: $0.00 \J
Occupancy Type: Construction Type: SERVICE CHANGE V
\.I
Occupancy Group: Zoning Use:
Electrical Heat: (\
D Baseboard o KW 0 Riser D Underground Service ~
D Furnace o KW ~ Overhead Service Voltage: 120,240 V
D Heat Pump o KW D Temp Service Phase: ~ 1 0 3 -I
D Fan Wall o KW Service Size: 200 "'l
Feeder Size: 0
PROJECT NOTES ~
relocate meter 7'i
~
<
IT
FEES ASSESSMENT Service: $63.20
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Mise Fee: $0.00
TOTAL FEE: $63.20
AMOUNT PAID: $63.20
BALANCE DUE $0.00
(()\1\11.'cIS.^>.CTLON NEEDED
ELECTRICAL PERMIT INSPECTION 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 I DATE I ACCEPTED I COMMENTS
I YES I NO I
I DITCH I
I ROUUH-IN 1 COVER I
I SERVICE "7/2-e>/,,' '7 A- I
I
IHNAL I ;/u/n I ,.;1.- I I
I
I I
I
I I
I I
. GENERAL COMMENTS,
:' PW-JI02.U(4I96J
:{o
'.
:
a~ CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
121 EAST 5TH STREET. PORT ANOELES. WA 98162
~....,~
- -
ELECTRICAL PERMIT ISSUED: 11/07/2002 PERMIT NO 7888
- -------------
OWNER/APPLICANT PROPERTY LOCATION
JOHN FOSTER 533 PARK AVE E
533 PARK Lot:
Port Angeles, WA 98362 Block: ~ Long Legal
360/457-7917 Subdivision: .66 acres tax460 s1 On30r
T: S: Parcel No: 063010430230000
CONTRACTOR ARCHITECT
OLYMPIC ELECTRIC NIA
4230 TUMWATER
PORT ANGELES, WA 98362 , 98360-0000
360/457-5303 360/000-0000
------------------- -------- -------------- --------
________n_____ \J'
PROJECT INFO
Project Type: RES. MISC. Project Value: $0.00 \)\
Occupancy Type: Construction Type: H. P.I FURNACE V
Occupancy Group: Zoning Use:
Electrical Heat: .......
I~ Baseboard o KW [ Riser I Underground Service ~
t>< Furnace 10 KW [I Overhead Service Voltage: 0 ~
V( Heat Pump 7 KW I I Temp Service Phase: 1 D 3
[~ Fan Wall o KW Service Size: 0
Feeder Size: 0
---- - ----------------..------------- ______nn_______ _ ~
- ____________________n_
PROJECT NOTES
HIP - FURNACE HOOK-UP. ~
.-
~
RECEIPT # 9781 a
---------- - ------------------ --------------------- - ---- ""
FEES ASSESSMENT Service: $0.00 "'-
Additional Feeders: $0.00
Circuit Wiring: $46.70
Temp Service: $0.00
Mise Fee: $0.00
. -------~---- ~~"--.~
TOTAL FEE: $46.70
-------
AMOUNT PAID: $46.70
BALANCE DUE $0.00
CO!\1I0JJ'!TS/Al.TJON NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE I ACCEPTED COMMENTS
I YES I NO
DiTCH
ROUUH-IN I COVER
SER VICE
/ . I
FINAL I iI171~'Z-1 (I?',/JI
, I
GENERAL COMMENTS,
PW-II02.1.s(<lI96)
,
S CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET. PORT ANGELES. W A 98362
....c"""
- -
BUILDING PERMIT ISSUED: 7/18/2001 PERMIT NO: 12804
OWNER/APPLICANT PROPERTY LOCATION
JOHN FORSTER 533 PARK AVE E
533 PARK Lot:
Port Angeles, WA 98362 Block: ~ Long Legal
360/457-7917 Subdivision: .66 acres tax460 s1 On30r
T: S: Parcei No: 063010430230000
CONTRACTOR ARCHITECT
J & J CONSTRUCTION NIA
233 ALICE RD
Port Angeles, WA 98363 , 98360-0000
360/457-1809 360/000-0000
PROJECT INFO
Project Value: $4,500.00 SFD Units: 0 Commercial: 0
Project Type: ENCLOSE CARPORT SFD SO FT: 0 Industrial: 0
Occupancy Type: Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SO FT: 0 V\
Zoning Use: VI
NO flNA L-- V'<,
PROJECT NOTES
Enclose exsiting carport, install 20 min door, replace post at header ~
~
FEES ASSESSMENT N'i
Building Permit: $111.25 Mise Fee 1: $0.00
Plan Check: $0.00 Mise Fee 2: $0.00
State Surcharge: $4.50 Mise Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $115.75
Plumbing: $0.00 AMOUNT PAID: $115.75
Mechanical: $0.00 BALANCE DUE: $0.00
Radon: $0.00
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 i!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 goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to 9ive authority to violate r cancel the provisions of any state or local law regulating construction or the performance of
constructio
Sig Si9naIure of Owner (if owner is builder) Date
otl' CITY OF PORT ANGELES
[J!I DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DNISION
~ 321 EAST 5TH STREET, PORT ANGELES, WA 98362 11?0tlO
<~IlIl..DJNG P1=RMIT :KM::'. 'UUV"VUL ,::-:,llrflS. 13810 -
OWNER/APPLICANT PROPERTY LOCATION
JOHN FOSTER 533 PARKAVEE
533 PARK Lot:
Port Angeles, W A 98362 Block: ~ Long Legal
360/457-7917 Subdivision: .66 acres tax460 s10n30r
T: S: Parcel No: 063010430230000
CONTRACTOR ARCHITECT
ALL WEATHER HEATING & COOLING NIA
302 KEMP STREET
PORT ANGELES, WA 00009-8362 , 98360-0000
360/452-9813 360/000-0000
PROJECT INFO
Project Value: $8,027.36 SFD Units: 0 Commercial: 0
Project Type: HEAT PUMP ADD SFD sa FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0 VI
Occupancy Group: MFD Units: 0 \J\l
Construction Type: MFD sa FT: 0 W
Zoning Use:
PROJECT NOTES --t
INSTALL HEAT PUMP AND LOW VOLTAGE THERMOSTAT
~
'1
T\
RECEIPT#9898
FEES ASSESSMENT }>
c::
Building Permit: $0.00 Mise Fee 1: THERMOSTAT $35.30 (\J
Plan Check: $0.00 Mise Fee 2: $0.00
State Surcharge: $0.00 Mise Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $69.45
Plumbing: $0.00 AMOUNT PAID: $69.45
Mechanical: $34.15
Radon: $0.00 BALANCE DUE: $0.00
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 Ihis 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 Ihe provisions of any state or local law regulating construction or the performance of
consIruction. ~. 11 jo (, 10 z..-
r~j.k: ~
Signature of Contractor or~horized AgenI Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\1102.15 [412002]
FROM: RLL WERTHER HERTING & COOLING FRX NO. : 360 452 5177 Nov. 06 2002 10:08RM P1
S ! FOR OFFICIA,l.. USE ONLY:
iTA Dolo Roo . , f, -C:>'7
BUILDING PERMIT - APPLICATION Ptnni.,::"'~4"")-
Dole """"'oed;
~~ Tlte BIIiJ.di'lg Perlflil - Pre-4pplicatlo1l _ be ft/Id .., cOlllpl.ely. lloIe__:
Plege type or print iu Ink.. Ir ou IuIve Iny queatlolU, please caU 417-4815
AppJicam or Agent: _ Phone: JhO).f1'2--t/rf I ~
0Wu0r:-R ~,,)f ' . Phone:
AddreIt" t)~.2, 7<. . City: ?IY1 ~ek , Zip: Qj-1(p 2-
~~nPT; . Phone:
eouar.torJ:l::.LJ W&tA.o Y LicCDa #:B/ifA}g.vJi'ifl{J}Exp; q;j,fA?J Phono:!f? l-qgr!j
~~t-- _ it.-City: PfI- . Zip: qY?W2--- _
"'~~~. ~ "'1 ~ &.-.P..t1 ZONING:
LEGAL DIiIlIC'JlJP'rJN': Lot; Block: '1ubdivision.
C'.L,AYY.~,~" w.I&': PARCELN'UM8EJl: ~ndItClrd8okJerN'ame:
BlDlac4dd~: . CIty,
CredIt Card,; . ~.p" Dale: VISA Me
TYnOJ'WOIlK: SIZElVALUATION:
o RllIj"-tiol C New Coaslr. C IU-roof C WoodIlOve SF. @ $ 'SF. '" $
C MulIi-fimily C Addition C Move IJ Garage _ SF. @$ 'SF. _ $
C ~ C lLl!nodel C Demolition [J Deck SF. @$ 'SF. = $
o Repair 0 Sillll IJ TOTAL VALUATION $ '{/ (l.:t.-l ~(/J
BIlW'DIS_..ON'OI'TQPIlOlEcr: ~~ .Vl<;{ab, I. (I -r,c:;!-cd-
I
CO~IN1'IAL: OccUpancy Group: Oecupa.lll Load: COD.Slructioa Type:
. No,of--= Lo!S~; % Lo1Cov""'lIe: %
:0.:, .:..", LcltCoverase: Isq, ft. + Proposed LOI Coverage: /sq. ft. . TOTAL LOT COVERAGE: /aq.ft
P~GU"ONLY: APPROVALS, PLAl'I
N.,. . aLDG.
.DPW
.FIU
ESAlWedatuI(.): 0 Yes 0 No SBPA Checklial requi.red? IJ Yc.o No Other: OTHER,
. BlJILDING.PlltMlTAPPLICATJON'SUBMITTAL: y....'""fl.....,a..lUld.Ilep'-..IUIHjfIJM_CIIIIIJI.- fir.... "',." fpr
rffll8lfl. The RnjJ.t;'Ig Division can provide you with more detailed information on the application and plan sublDillal.rcqul._.._..J. Your
completed applicatiO.ll, sile plan (for additiollS) and building collS1ruction plaus are 10 be submitted to the Building Division.
V ALl1A11ON OF CONS1'I\l' ~ ,..,. i '.: In aU aiel, a vallWloD amount QIUII be entered by the applJcanl. Thia fi&uro will be reviewed
and may be revised by !be Bu.iJding Division to comply with cwrcnl fee schedules. Conw:t lbe Permil Coordinator a1417-481 S for assistance.
PLAN rpf,(X RI:: Your plm c:bedt fee ill due allhe lime !be building pemUI application and cOll5lluctian plans _ submilll:d. AD olber
pc:nnir fees are due at the lime of pennit issuance.
EXPIRATION 01' PLAN REVIEW: liDo permit i. issued within 180 cia>" oflbe dale ohpplication. this .appllcatloa...m upIre. ne
Building 0fliciaI CI.Il exread the lime for aclion by the applicant up to 180 days UpOD wrirrcn requesl by lbe applicB.llt (see Seclion 107.4 of
lbe Uniform Building Code, cwre:nl edition). No application can be extended more than once.
t I hlftbyCfll'tifytlull I "- rwulllIU/lQUllllbtu rhu lIpp/katiOll arut k1Iow Ihe,ollle /0 be ,",earut correcl. allJ 1_ l.Iu/'\, i;..J'/o lIppIJift>r
Ihis pemtil. 1 ulldel'lI411J il is ""'.lh" City" legal resPO",ihlli.ty '.0 dete,.", ine w ... ~~ - ,.,......;. f'::i,." ""'.C/.I1J/'s
respo....lbi.' 10' to d_ Ine wlu.1 p_11s are required and 10 Obl?i~1 /. ,Ik ...
. APplicanl .J '{jf.f f, S Dale:!J (f. (J ') ~
, T:IFOItMS\APPSlBuildiDprmit I' . -
ELECTRICAL PERMIT APPLICATION
FOR OFFICIAL USE ONLY,
Date Rec.:
Permit #: -"7 .~ r=- J
Date Approved: '
Date Issued: ., /~ .., / .... I
The Electrical Permit Application must be filled out completely.
Please type or print in ink. If you have any questions, please call (360) 417-4735
Fax number: (360) 417-4711
Applicant and/or Agent:
Property Owner:
Address:
STR,l1irs tieC-ki~Phone: ~SZ-"1loypax# l/S7-~69J1
Contractor
Fn .~" -/-e-,-eJ
,
City:
License #:
Phone:
Exp:
Zip:
Phone:
Address:
City:
Zip:
Credit Card Holder Name: ..c; 't"R~ I T.s ~I c.c.'k< it. /
Billing Address: ~ O. ~ OX .;2. 911 I
Credit Card Number
Pennit Fee: -I th ..3, ..:< 0
C hit i..d"k TILc.K ( If.
City H"d ~r,lt~ Zip: '1J'34L
Exp. Date:
PROJECT ADDRESS:
LEGAL DESCRlPTION: Lot:
S- 3 -3 zp o--v- k
~
ZONING
Block:
Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
TYPE OF WORK:
o Residential 0 Multi-farillly 0 Commercial 0 Mobile Home
Electrical Permit fees are based on WAC 296-46-910
BRIEF DESCRIPTION OF THE PROJECT:
(?.4/~/t1 ,L'j
~~~ ~":~ o~-I- o.f!-
Electrical Heat Load Additions
Service Information
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
KW
KW
KW
KW
o Riser
o Overhead Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 1 0 3
Service Size:
F ceder Size:
Comments:
, h.,..by certl/r thaI I haw ,-,ad and examln~ thtJ appl/callr," and 111I0
for rhls ~'mll, 1 undersfand 1/ Is nor rho Clry'llegal rvpolUlbllll)!" dere
responsibility ro ,derermlne lIIIar permll1a" 1'Cljlllred and 10 oblal lu~h.
, ,"', arrd eqmcr. a~d I am aurloom.d ro apply
permlf# are NIJUIred: tr I"ClIl/IlflI rh. applic(Jnr~
PW-IIOU) f,.v3I.0~J
Credit Card >>.oldll"" Sl
DBlo: 0/lf( (j)
<
CITY OF PORT ANGELES
LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15142
< - '
~ '? ~
Port Angeles, Washlngton_uu________n____._____m~_oou______________oo______oo____, 19________
In accordance with the City Ordinance to regulate the installation, extenston. 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.
- -":l -- ,/ ;:
Address __ooo~__u?____:'~ooo_.cuu_../'LL./b____oooooo_________oooo___ooo_'uu__oo__ Occupancy_u____'uu'u<.:..d___ooo__uoo_ooo,_ooo____oo
:' ,,'I j)
Owner __=.}L:!:=:l_l..;!?."'______~~___!__.;_~_.;~.:--_-.;-.:---~...t...:;t-~:..n.-un _ TenanLH_______U____________._..nnnhh__n.~___~____._____h________hh_.
,.. " //"
'~/iring Contractor ______.__:._!~_f~:____~c=_..2~_______n....___m~h~._;::_______ BY...h_____________u..___n____________n_________h__________m.__..
"
Light Outlets........_mh.......__......._........... Service, volts m.___._..........._n...___mm_.__ Type of Wiring:
Receptacle Outlets......_______.______........... No. wires ______n___..........__________._______ Armored Cable ... nnmmnhnh.....__.
D.-yer, K'Vi ___________.....___. _._.0_________________ Size wires.______________u_____...__n_______... :::::t~~:e::::::::::::~:::::::::::::::::~::
Runge, KW __nmmu__m______ n.._ m_m____. Main fuse .___...._______'....m._______m___.. Rigid Conduit _____m_____.......____.______
Vlater Heater: Enclosure ......_.u...__,___u___uu___._...... UtIlI T b'
m.e a c u lUg ____..m___..u.........__
H.:at~:~-:::2.ic:;t:::::::-::::nn 00___ '!'yp~::r:;~n~~ble nnnnn.nnnnn ClrC~::.C:::h~_ n~~~~~~~~~:-~~~~~:~::::
.,; RigJd Conduit ...m_.n...............u....
Kotars: size, volts and phase: Utility .___00'......__..........___.___.............
Metalllc Tubing .....___..mm........... Heat ...____n______m____..________....________.._
~~~~~~~:~~~~~~::~~~~::~:~~~:::~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ curr~:~ =::~~.~~_~:~_:___.__.__....... ....._._. Range .__....._._... .."..._........n........___._
'Vater Beater ....m........___.............
__...u........._................_..___._._..............__ Ser. NO......u..m..........._...._.......u.....n Motor ..__.........00..............._____..........
_"._.'._'...n.____..____________..________.........._h_ SeT. N O...._.n.._...__________.______..........__.___ Dryer..._______.._..___________________________........
..............00___...__.._............_....__......____... Ser. NO.._...._...._.._____...._.U..h__......_.._... Furnace __......h..n............_u..
Total Load..............nn........... Ser. NO.u_.._nn...._u_...____...............___.. 'rota! _n...........___.....__....._.........
Remarks: m__oo_oooo_ooumum_hoo______oo_____oooooo_nnm__mmmh___oom___m_m_h___oou_oo________moooo__m___h'_____________nmm_ooohh
_u .uuu__________n____u_uU_U___.hUnnn___pnnuuu__UUnn____n___p___..__n_uu~__n___n_n_____._______n_n__n___n_nn_n__p._unUh_____n____.n.__
__. n_u_u..UUUnd____________n__.__n_nuhdd____________.n__n_nn__.nunh____n__~__._____..hn__n__n__n__.h__.h________~___.____._n__.__..__n_u___.h
Permit Fee Treas. Receipt
$_m____ooo___ooo___h___oo_________n NOhm___ooo__h__'_h_hU___ By nh__oo_____mn_ooohhh_______h_mooom_____ooom_h_________
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
c€aled 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 ~ERMIT N~ 15142
D;~te called for inspection...._.._n_n......___............_................._.._......_........n.._..._....u.............u....__.....hn__.....__.___.........._.......hU...____n_........._....
Pleliminaryinspectiondates......................__.__________....................~_______....._.____........_.._._.......__..__......________.......____.....________..........._.____.............
In 3pection cO'Dlpleted._.____.._...._......._.................._._______.________.._.__.___.~_..._..__..._.____..__..._._.._".. ..____.._......______........._____......_______._............__...______..
Tc tal Load __......___....._.....h....................______._n....... ..__.....00................. ...n..n..n......._................ ...,_ n...n.._._......._n_n_.._..._....h___...._..........._......_
\ 1M 3-72 Olympic Printers, Inc.
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . 16-00000626 Date
5/03/lG
Application pin nurrrber. . . 829806
RESULTS:
INSPECTOR:
Property Address . . . . 533
E PARK AVE
ASSESSOR PARCEL NUMBER. 06-30-10-4-3-0230-0000-
SERVICE
Appl.icati.on type description ELECTRICAL
ONLY
Subdivision Name
ROUGH -IN
FINAL
COMMENTS:
Property Use . . . . ,
Property Zoning . . . . . RS7
RESDNTL SINGLE FAMILY
Application valuation
0
Application desc
Water feature
Owner
Contractor
JOHN RICHARD M FORSTER
APS ELECTRIC
533 E PARK AVE
546 BENSON RD.
PORT ANGELES WA 983G26937
PORT ANGELES
WA 98363
(360) 452-6753
Permit ELECTRICAL ALTER
RESIDENTIAL
Additional desc .
Permit Fee G3.00
Plan Check Fee
00
Issue Date 5/03/16
Valuation
0
Expiration Date 10/30/16
Qty tit 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
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
3 f
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical ContractorDale:
._ ._. _ .
G:\EXCHANGE\BUILDING
05/02/2016 11:19AM 3604526753 A.P.S. ELECTRICAL
V
4,
,v
Crry OF PORT ANGELES PERMIT AppucAnoN
-800dW DMsiouffiedrical Inspecdo"s
:121 Eastfff(h StTeet —P.O.. Dox,1150 / -Port Angeles Washington, 99362
Ph:(W) 417-4735 FaX, (360) 4174711111
� I & 2 Single Family Dwelling
'* Plan Review Be Re -qui P � Complete Electrical Plan Review Informaton 'Sheet
Job Address:. rarm 65 - A f-
BuIlTing SqLere fooft@6.
Dw�Wn of abw6
Omer Infomation
7Y-0 In, Fnl
NaW A .4
mall e PttK A—U-K;—
L
Ctq--
Address.
pb�rIE�� Fri:
U08M#/Exp.
item
M
Smice/Feeder 200 Amp.
-C-h—a
$120.00
ServicafFeeder 201400 Amp.
$146.60
S,Wce/Feeder 401 -WO Amp
$205-00
SeModFeecfer 601-1000 P
Ain
$262.00
Servimfemw over '1000,Astip.
$ 373.00
Branch Girafft W/ Service Feeder
$ 5100
Offinch Circuit W108ovice Feeder
$ 63.00
Each Additional Branch Circuit
$ 5.00
Branch QiMuft 14
$ 75,00
Temp, Seri Rmwler'A AnI
*2 93.00
T". SQ),rimFoadar 201400ArrI
$110.00
Temp, ServitxJFeeder 401-600 Arrp,
$149.00
Temp, S r6oi-moArras ,
$168.00
Portal to Portal Hiwrly
S 96.00
Signal 0j=W Limited Energy -1 & 2 Farnity Dwelling
-$ 64.00
Manufactured Home Connection
$120-00
Renewable EWWcd energy - 5KVA System or Lm
-$102.00
Thermostat
$ 66-00
Note: $5.00 for each additional T-Stat
ho . 2MLt
First 1300 Square Ft
$120-00
Each Ad&OW,500 Square Ft or Porfion of
$ 40.00
Each OuthulkUng or Detac�M Garage
t 74.00
Each SwimI Pool or Hot Tub
$ 110.OD
PAGE 01/01
Colt maor Infof
aW
Name;twlarl
L
Address.
Lkedse # I 1Mxp.
Owner as defined by RCW 19.28.261: (1) Oymer will occupy the structure far two years after this electrical permit is finalized. (2) Owneris required
to hire an OkOrical contractor if above said property Is for safe, rent or lease. Permit e*rw after sic months of lad inspection.
After reading the above statement, I hereby cw* That I am the owner of the above named property or a licensed eWI coribmtor. I aim making
the 610ch* inswWon, or alteration in compliance with 0* electrical laws, N.E;C,, RCW. Chapfdr 1918, WAG. Chapter 2964613, The City of Port
Angeles Municipal Code, and 11tpfty SpIns and PI 14,06,060 regarding EFlectdcal Permit ApplicsHons.
Signatum of owner, electrical pont.ractor or eleeffleal adminfatmtor.- 0 own 0 Cheek
Cmd1I
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
Application Number . . . . . 18-00001079 Date 7/19/18
Application pin number 899717
Property Address . . . . . . 533 E PARK AVE REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-10-4-3-0230-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Security system
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BRADLEY L AND DEBRA K HOUSTON HI TECH SECURITY INC
533 E PARK AVE 723 E FRONT ST
PORT ANGELES WA 983626937 PORT ANGELES WA 98362
(360) 452-2727
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
. Permit Fee . . . . 64.00 Plan Check Fee .00
Issue Date . . . . 7/19/18 valuation 0
Expiration Date . . 1/15/19
Qty Unit Charge Per Extension
1.00 64.0000 ECH EL-SINGLE CIR LIMITED RES 64.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.00 64.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.00 64.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DrFCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
-2 SF
1ELI 7_� CD
1 - 2 SINGLE-FAMILY I
0 pORTi/V ELECTRICAL PERMIT APPLICATION ZA"'i ;;:
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 www.cityoFpa.us � electricalpemi its((�Icityo fpa.LIS
0
ti __4
Project Address: 533 E Park Ave
Project Description: Install Security System
1�1 Single-Family Residential El Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Bradley and Debbie Houston Email:
Mailing Address: 533 E Park AVe Phone: 360-912-2925
ELECTRICAL CONTRACTOR INFORMATION
Name: Hi Tech Security, Inc License: HITECTS955BS
Mailing Address: 723 East Front St Expiration Date: 1-10-2019
Email: hitech@olypen.com Phone: 360-452-2727
PROJECT DETAILS
Item Unit Charae Quantily I2td(Quantll�U nit_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 60 1-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal Circuit/Limited Energy-1&2 DU. $64.00 1 $ 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 S
4 00
s4u
Ado
Each OutbuffdN/Detached Gareoe -$14.00-,"
'Eadlii�swirnifijiig:Pdd/Hot Tub
TOTAL $ 64.00
Owner as defined by RCVV.1 9.28.261:(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.
Digitally signed by Mike Shirley
7/12/2018 Mike Shirley Mike Shirley Date:2018.07.12 14:29:18-07'00'_
Date Print Name Signature(0 Owner V Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electrical permits@cityofpa.us or faxed to 360.417.4711]
Application Number . . . . . 24-00001093 Date 10/31/24
Application pin number . . . 275097
Property Address . . . . . . 533 E PARK AVE
ASSESSOR PARCEL NUMBER: 06-30-10-4-3-0230-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Thermostat
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BRADLEY L AND DEBRA K HOUSTON DAVE'S HTG & COOLING SRVC INC
533 E PARK AVE PO BOX 413
PORT ANGELES WA 983626937 PORT ANGELES WA 98362
(360) 452-0939
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 95.10 Plan Check Fee . . .00
Issue Date . . . . 10/31/24 Valuation . . . . 0
Expiration Date . . 4/29/25
Qty Unit Charge Per Extension
1.00 95.1000 ECH EL-LVT-THERMOSTAT 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
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
11/20/2024 24-1093 TMC
OWNER
Contractor
Dave’s Heating & Cooling
ADDRESS
533 E Park Ave