HomeMy WebLinkAbout139 W 7th St - Building
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
."121 EAST 5TH STREET. PORT ANGELES. WA 98]62
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000062 Date
.538024
139 W 7TH ST
06-30-00-0-1-6555-0000-
RES REMODEL
3/02/05
RESIDENTIAL HIGH DENSITY
20000
Owner
_________________l______
LINDBERG WILLIAM A"
130 LOPEZ AVE
PORT ANGELES WA 983622536
Contractor
OWNER
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
1600SQ. FT.+GAR-/ OLYMPIC EL.
OLYMPIC ELECTRIC
126.90 Plan Check Fee
3/02/05 Valuation
8/29/05
"-
t>J
-.()
.00
o
Qty
1. 00
1. 00
1. 00
Unit Charge
73.0000
23.4000
30.5000
Per
ECH
5C
ECH
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
EL-R-OUTBD/DTCH GAR W/SERV
Extension
73.00
23.40
30.50
~
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 126.90 126.90 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 131.40 131.40 .00 .00
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COMMENTS/ACTION NEEDED
ELECfRICAL PERMIT INSPEgJON RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER.
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
I INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
DITCH ..J~lq-05' 4.- ~
ROT liTH-IN / COVER f3~i8 .o~ -;j, ?J. /
~~K VICE ~ ,/5'IJ>:J' ~ f, .J
... ......,fiL I I It:;c ~ J e-€- 0 ~-;) 9- () f3
.
;
GENERAL COMMENTS:
PW.1102.lS (4196)
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Laserr ,-
CEe
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Appl1cation valuation
2/22/05
05-00000062 Date
.538024
139 W 7TH ST
06-30-00-0-1-6555-0000-
RES REMODEL
RESIDENTIAL HIGH DENSITY
20000
E5< pr ~tD
[ oil/or;
Owner
Contractor
LINDBERG WILLIAM A
130 LOPEZ AVE
PORT ANGELES WA 983622536
OWNER
pernut MECHANICAL PERMIT
Additional desc
Permit Fee 75.20 Plan Check Fee .00
Issue Date 2/22/05 valuation 0
Expiration Date 8/21/05
Qty Unit Charge Per Extens10n
BASE FEE 47.00
2.00 7.2500 ECH ME - VENT FAN 14.50
1. 00 13.7000 ECH ME-REPAIR/ALTER/ADD APPL. 13.70
Permit PLUMBING PERMIT
Additional desc
Permit Fee 68.00 plan Check Fee .00 r~
Issue Date 2/22/05 Valuation 0
Expiration Date 8/21/05
Qty Unit Charge Per Extension
BASE FEE 47.00
3.00 7.0000 ECH PL- EA. FIXTURE ON ONE TRAP 21. 00
Perm1t
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
INTERIOR REMODEL
344.75 Plan Check Fee
2/22/05 Valuat10n
8/21/05
137.90
20000
Qty Unit Charge Per
Extension
92.75
252.00
BASE FEE
18.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Perm1t Fee Total 487.95 487.95 .00 .00
Plan Check Total 137.90 137.90 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 630.35 630.35 .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 an the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state regulating construction or the performance of
constructio n.
Signature of Contractor or Authorized Agent
Date
r (if owner is builder)
-r.
T.\Pohcles\II02_15 bUlldmg penmt mspectlOn record05.wpd [1/4/2005]
1..lIIII
"'lllIIIIII
BUILDING PERMIT INSPECTION RECORD
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 UNLA WFUL 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 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS )
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN '~-30 -f> ~ JJ-L
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALL/HOLD DOWNS" ,..
WALLS 1 ROOF 1 CEILING . ~- 3r")-(9,<", I )..L
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR / CEILING I}:[-J:f-o~ I...) J..l--- I
MECHANICAL
HEAT PUMP 1 FURNACE I DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s SEPA
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R. W.
ENGINEERJNG 417-4807 PW 1 ENGINEERJNG
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T \Pohcles\1102_15 bUilding permIt inspectIOn record05 wpd [1/4/2005]
...
PREPARED 3/30/05, 12 24 19
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
12
3/30/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER-
139 W 7TH ST
SUBDIV-
PHONE
PHONE
LINDBERG WILLIAM A
06-30-00-0-1-6555-0000-
05-00000062 RES REMODEL
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01 ~/30 05 ~L BUILDING FRAMING TIME 17 00
BILL L 452-6116
HOUSE LOCKED, NEED KEY, CALL BILL
----------------------------------- CONTINUED ONTO NEXT PAGE -----------------------------------
Lasered
CEO
PREPARED 4/04/05, 12,11 11
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
4/04/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
139 W 7TH ST
SUBDIV
PHONE
PHONE ,
LINDBERG WILLIAM A
06-30-00-0-1-6555-0000-
05-00000062 RES REMODEL
PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3
3/30/05
3/30/05
JLL
AP
01
BUILDING FRAMING TIME 17.00
BILL L 452-6116
HOUSE LOCKED, NEED KEY, CALL BILL
:::__::__~__~___::~~~:~:~::::::T::: NOTES ______________________________________
Lasered
CEO
PREPARED 3/30/05, 12 24 19
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
139 W 7TH ST
SUBDIV'
PHONE
PHONE
LINDBERG WILLIAM A
06-30-00-0-1-6555-0000-
05-00000062 RES REMODEL
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2
3/30/05 Jm
~ ---r-
PLUMBING ROUGH-IN TIME 17:00
BILL L 452-6116
CALL TO HAVE BILL MEET YOU, HOUSE LOCKED
01
PAGE
DATE
13
3/30/05
-------------------------------------- COMMENTS AND NOTES --------------------------------------
Lasered
CEO
.'
BUILDING PERMIT - APPLICATION
Lasered
CED
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815
CLALLAM COUNTY PARCEL NUMBER:
/-I t I tL^.\Mb\"'-<j ,
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
o ResIdential 0 New Constr. 0 Re-roof
o Multi-faIntly 0 Addition 0 Move
o Commercial ~ Remodel 0 Demolition
o Reparr 0 SIgn
BRIEF DESCRIPTION OF THE PROJECT:
Qt:J(. ~
City:
Exp. Date:
/SF. = $
/SF. = $
$ "tJJ,VPO
Occupant Load:
No. of Stones: Lot SIze: EXlstrng Sq. Ft. & Proposed Sq. Ft.
EXIStIng lot coverage _ % & Proposed lot coverage _% = Total lot coverage
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist requrred? 0 Yes 0 No Other:
BillLDING PERMIT APPLICATION SUBMITTAL: The Bmldmg DlVlsIOn can provIde you With mformatIOn on the applIcation and
plan subIntttal reqUIrements If you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applIcant. Thrs figme will be revIewed
and may be revIsed by the Bmldmg DIVISIon to comply WIth current fee schedules. Contact the PermIt Coordrnator at 417 -4815 for assistance.
PLAN CHECK FEE IF a plan check fee IS due it must be subInttted at the tIme the bmldrng permIt applIcatIOn and constructIon plans are
subInttted. All other permit fees are due at the time of permIt Issuance.
EXPIRATION OF PLAN REVIEW: If no permIt IS Issued wIthrn180 days of the date of applIcation, the application will expire. The
BUIldrng OffiCial can extend the time for action by the applIcant up to 180 days upon written request by the applIcant (see SectIOn 107.4 of
the Uniform Buildrng Code, current edItion). No applIcation can be X ed more than once.
be true and correct I am authorized to apply for this permit and
't 's, and that I must obtain such permits pnor to work.
Date: LJd- oS
I hereby certify that I have read and examined thiS application and kno
understand that it IS my responsibility to determme what permits are reqUl
T \FORMS\APPS\Blllldmgpermlt wpd
ApplIcant:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nl!
17453
/ -'/3 F7
Port Angeles, Washlngtonm.m._u........_.._._.mmum...m.......u..m., 19m..'..
In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec..
trlcal equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to d6 electrical work as listed below.
Address u/.X..:immc.-r.u.u.2...Ll'!..nu.nmm...un__..no____... Occupancy....~!L.~umuu.uuum.nmu
~::: ~~~~~:2;~~~:t:~~::2~~~?)~;~::::::::::::.:::.~::::::::::=::::::::::::::::=::::::::::=:::::::::
-v
/.? 0 fi 9"<:;
Service, volts ..........__..................:.........
No. wl~e. '."')./:1'&7;)'''
Size wlres...._.._........................_..
/~.tP/1
Main tuse .......................................
os..
Enclosure .......................................
Light Outlet...........................................
Receptacle Outlets.........................._....
Dryer, KW...nn..n.n........____......n........
Range, KW n......n.......n.....__..........
Water Heater:
KW......"'......"'."'''''''....''''''''''''...
- /f.
Heat' KW..../J...I.,]rCf.-1:,cL.m...
Motors: size, volts and phase:
Type of wiring:
7 Entrance Cable ........._.............
Rigid Conduit ..m:;'.~~.m
Metallic TUbing ...........
Current transformers:
,
No. & Size...............................
Ser. No..................:_........................
Ser. No. .............................................
Ser. No..............................................
Type of Wiring:
Armored Cable ............................_
Non-Metallic .................................
Knob & Tube...................._..........._
RIgid C()ndult ...............................
Metallic TUbing ...........................
Raceway ...............................__..._
Circuit.. LlghL......m.............m...........
Utility .....000000...............................
Heat .......................-......--.-.----
Range ........h...................................
Water Heater ...............................
Motor ..._.........................................
Dryer...................................-..............
Furnace .........................__......_.._.......
Remark:~ta:u~~~...~~~,<_=.mu~~:u:::~~~::....::..E::..Z~~~~::00::::'::::::':::":::':::::::'::"
,/ .
$.000000000__..0000.......000000000000.
By :.:rLZ~6'&.~!.~:'Y.:Y
/ v .
NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. It work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment
Permit Fee
Treas. Receipt
No......................___...
t~
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
~' ,'"
ELECTRICAL PERMIT
N?
17453
Address................_.__..............._...................................................................................................Date..._......_......_.._.........._......_......___....._
,.
Owner............................_......_......_.._......_......_.._...........................................................Tenant.............................__.........____............_...........
......../"\
./' ,,-wiring Contractor........n.....................................................................__............__................._......... By..............................................................
"\ NOTICE-Current must not be turned on until Cert1rtcate ot Inspection has been issued. It work is to be con-
cealed'due notice must be given the Inspector so that work may be inspected before concealment.
1M
Olympic Printers. Inc.
\
02/28/2005 15:35
3504523498
o Electrical Contractor
~
o Owncr ~
o Annual Permit 0 Alarl11 0 Carnil-'ol 0 Commercia'
OLYMPIC ELECTRIC
PAGE 01
ELECTRICAL WORK PERMIT APPLICATION
o Request Inspection
~!idential Q Residential Maint. Q Si~ns 0 TheTmostat Q Telecom.
Installation descri):ltion
;? r-dV?d" I 16t7t7:p #
+-- fkl<1clt,.~ r::;;;tr~c
/6'SQ Ff 9t,.'/6
[)L'~ 30,SO
/02 h, 90
N)!. f"
I~!;: -Z 11--;:': In '."
: \\ " . .
. ,_._. I :.~ ',^ '. I \
I ~r----'-\;;-"'-'---'-=', r) !
I! '-n 0/ / '5"".,\ .-./
Job wired by
~ectric.l Contractor 0 Owncr
r...iccnst number
t//,Y/l/?h:-;?,f;-l? I
Electrical contractor f1am~
011.. OV7' /, /!I,.,d;-, /.,
rurc~r'f'mailing "ddress
..!ilJ~ J//#v/f-T/K
Ci,-, , /J / Stote ZIP
fhL-r /7L1r ,..1 T 5 U;7
Telephone numtS'(;r FAX number
if - I.-
7r7,6'3'
prB'ses nwncrls name
,II Ll7d~'
Addre9~ 01 lnsp~ctlo
/J' /d 7
Clty,-?
o Cash 0 Check #
1 hCf'(:by certify that I am the owner of tbe ahove named property Of a liccnlled
electrical contractor (or the finn'~ authori?ed agent) and am making thc electric::.!
jn~allation or alteration in compliance with the electrical law. Chapter )9.2~ RCW.
o Credit Card Visa
Card # .
Mastercard
Discover
----------------
x
Si~n"tlln': or ownu. electrical contractor or elcttrlcnl adrninhtralnr
Expiration Date
of card
CEILING
Insulation Only
WALLS
Insl,lation Oflly
~"- -'"
3) 'fJ. () Coyer
Ie AplIl"ll\lc!i By
#""
. _ ,C ....ef
DOl
Electrical Load Additions and or subtraclls>JllI
o NO LOAD CHANGES
o Baseboard KW
a Furnace _ KW
o Heat pump _ Ton _ LAR
o Fan-Wall 'tQN
THERMOSTAT
)~~m- (t~
SERVICE
s;",~5 ~{2
tICt;JJI!K
^ppn:I~tIRy
DITCH
AW
^flrrcwed By
D~lC
J\l'lfll'O\led 9y
.ddJ
^'J'ITTTt'lIo(I ~y
.J
~erhead Service
o Tamp Service
tJ Underground Service
Service InformallM
Vollage ~JI tl
Phase at, 0 3
Service Size: )!.(:?t::1:r1'Jl'
Feeder Size:
ITl$J'lcction Area~ Building or 'Equ;pment Tn.~pectcd Action Tllken Electrical
Date Tn!lpector
:? -( -()") ""'iJ1' - ~ f!6(jJ JrIZ-EJ'/>1Ei''' ,-?<: 6'}.'1 A'a -/J
,
- -
/1t'tJ 371 't/5
-- .
Application Number . . . . . 23-00000814 Date 8/01/23
Application pin number . . . 211174
Property Address . . . . . . 139 W 7TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6555-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Service and garage
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
LINDBERG WILLIAM A UPPER LEFT ELECTRIC LLC
130 LOPEZ AVE 1306 ROOK DR
PORT ANGELES WA 983622536 PORT ANGELES WA 98362
(360) 461-7720
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 140.00 Plan Check Fee . . .00
Issue Date . . . . 8/01/23 Valuation . . . . 0
Expiration Date . . 1/28/24
Qty Unit Charge Per Extension
4.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 20.00
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 140.00 140.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 140.00 140.00 .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
Item Unit Charge Quantity Total (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 Circuit/Limited 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 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)Permit #: New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
PREPARED 7/31/23, 7:45:28 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000814 139 W 7TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 140.00
TOTAL DUE 140.00
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
8/3/2023 23-814 TAP
OWNER
CONTRACTOR
Upper Left electric
PROJECT ADDRESS
139 W 7th St
Application Number . . . . . 23-00000153 Date 2/15/23
Application pin number . . . 035125
Property Address . . . . . . 139 W 7TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6555-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Temp power after fire
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
LINDBERG WILLIAM A UPPER LEFT ELECTRIC LLC
130 LOPEZ AVE 1306 ROOK DR
PORT ANGELES WA 983622536 PORT ANGELES WA 98362
(360) 461-7720
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL TEMPORARY SERVICE
Additional desc . .
Permit Fee . . . . 93.00 Plan Check Fee . . .00
Issue Date . . . . 2/15/23 Valuation . . . . 0
Expiration Date . . 8/14/23
Qty Unit Charge Per Extension
1.00 93.0000 ECH EL-TEMP SRV 0-200 SRV FDR 93.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 93.00 93.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 93.00 93.00 .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
Item Unit Charge Quantity Total (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 Circuit/Limited 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 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)Permit #: New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
PREPARED 2/14/23, 8:32:33 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000153 139 W 7TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL TEMPORARY SERVICE 93.00
TOTAL DUE 93.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Temp service
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
2/15/2023 23-153 TAP
OWNER
CONTRACTOR
Upper Left Electric
PROJECT ADDRESS
139 W 7th St