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Home My WebLink About913 E 5th St - Building ELECTRICAL PERMIT pc CITY OF PORT ANGELES 360 -417 -4735 Application Number 11- 00000401 Date 5 /02/11 Application pin number 62495 Property Address E 5TH ST 9'173 1� REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -1- 7665 -0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Furnace Owner Contractor COOPER WILLIAM R BLACK DIAMOND ELECTRICAL CONTR 915 E 5TH ST 502 BLACK DIAMOND RD PORT ANGELES WA 983624112 PORT ANGELES WA 98363 (360) 565 -1035 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 184820 CNN Permit Fee 73.50 Plan Check Fee .00 1 Issue Date 5/02/11 Valuation 0 Expiration Date 10/29/11 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 Plan Check Total .00 .00 .00 .00 Grand Total 73,50 73.50 .00 .00 -q75 vb.h INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: 6 1 125- •P1 1;k PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:AEXCFIANGE \BUILDING ok_7 CITY OF PORT ANGELES PERMIT APPLICATION Building DivisioniEleTtrical Jinspec.tlon MAY 2 s 1.1:;-7: 0 321 East Fifth Street P 2011 ,O, Box 11501 Port Angeles Washington, 98302 Ph: 4). 7z4735 Fax: (366) 4174711 ELECTRICAL 0 Date: L i 2-__?"7- 1 INSPECTIONS ,)(1 2 Single Family Dwelling Multi-Family or Dommercial* Commercial Addition Alteration" Remodel Repair* Plan Review May Be-Rapt'd-, Please COtiVete Electrical Plan Review nformation heet Job Address: e Y1,,-Ep.crr 4iiiidifig Square FOOtage: Description of above j/t2r,&Ez2_____,41..tDii Owner Information Contractor Infotinatiriii Name: 34 A N 4- GA-0 w C-4- 71C-71— Name: gLA-4...c.. 1.31A Jut-6, o it.i-i-'41 e_ C.-„c•JT. 'MailinaAddress: c /i C 6 S" Mailing Mdi.ei: '4 Ria,,i Di 4/, 0- Ro City; It State:AA/A Zip: 'k CRY: P..A s0* 14 ZiP: Phone: Fax: Phone: 3L 0 tt GI Fax: LiTlie Ejci: License if/ ExP. 1St Acx-E--c-•69q 1 3 2 2- 3 item Unit___gfa e 9,...q Total. .•alti fied by unit Charge) Serike../Feeder 200 Amp. $119,00. Service/Feeder 201-400 Amp. 145.50. Serviceifeeder 401-600 Amp 204.60 SerViceiFeeder 601-1000 Amp, $262,20 Service/Feeder ovet 1000 Amp. 372,50 Branch Circuit WI Service Feeder 2.60 Branch.Circuit MO Service Feeder 73.50 _i_ 7 3 Each Additional Branch Circuit 2.60 Tel Seivieelfqede:r 200 Amp. 92:70 Temp. Service/Feeder 201-400 Amp. 110.30 Temp. Service/Feeder 401-600 Amp. $'148.70 Temp. Servile/Feeder 601-1000 Amp 167.90 Port& to Portal Hourly 95.90. SigniOutline Lighting 88.20 Sign& Circuit/ Limited Energy/ Fir& 1500'sf Commercial 95.90 Note: $5.00 for each additional 1500 et Signal Circuit/ Limited Energy 1 2 Family Dweliing 63.90 Sirial Circuit/ Limited Energy Multi-Family Dwelling 63.90 kanufactUred Home Connection 119.90 Renemtble Electicat Energy 5KVA System or Leos 102,30 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square 110.30 Each Additional 500 Square Ft or Portion of 35.20 tatl OutbiiiidiN Ot Ctgadhcki C„lnve 73.50 Each Swimming Pool or Hot Tub 110.30 1 7 3 S:19 Total Owner as defined by RCW.19,28.261; (1) Owner will occupy the structure for two years after this electricatpermit is finalized, (2) Owner is reepred to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six =rant 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. tarn making the electrical installation or alteration in compliance with the electical laws, N.E.C,, RCW. Chapter 19,24, WAC. Chapter 296-464, The City of Port Angeles Municipal Code, and Utility Specifications and RAMC 14.05.050 regarding Electrical Permit Applications. Signature of o er, ectrical contractor or electrical administrator: El ogii 3( Check 74 Credit Card 4- S IP 01/11112010 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000349 Date 4/19/11 Application pin number 056701 Property Address 913 E 5TH ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -1- 7660 -0000- REPORT SALES TAX Tenant nbr, name GRACE JOHN TIETZ Application type description MECHANICAL APPL. PERMIT on your state excise tax form Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 3618 Application desc INSTALL AN ELECTRIC FURNACE Owner Contractor GRACE AND JOHN TIETZ ALL WEATHER HTG COOLING INC 2350 OTTAWA AVE 302 KEMP ST WEST VANCOUVER BC V7V2S PORT ANGELES WA 98362 (604) 922 -0344 (360) 452 -9813 Permit MECHANICAL PERMIT Additional desc INSTALL AN ELECTRIC FURNACE Permit pin number 184077 Permit Fee 64.80 Plan Check Fee .00 Issue Date 4/19/11 Valuation 0 Expiration Date 10/16/11 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80 Fee summary Charged Paid Credited Due Permit Fee Total 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .00 .00 ivta,l 5•�� it 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 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. nn I 1 6 1/11 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD C 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 COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments 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 FINAL Date Accepted by AIR SEAL: Walls rcc 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 FINAL Dater) I lR Accepted OW MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE Inspection Type Date Accepted By Electrical 417 -4735 5 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T:Forms /Building Division /Building Permit c ,;�o i roRr^ BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES f Attn: Building Permit Technician For City U On e 4 Date Received 321 E. Fifth St., Port Angeles, WA 98362 NNW' (MO) 417 -4815 fax 360) 417 -4711 Permit 1L x1 1 IZSo Date Approved Applicant 1 tAel Ced Ing Phone -4 5:13a S14 Property Owner ra [i Mi Phone t1 Property Owner's Addres p ,u Contractor i L1I Phone Contractor's Addr ss "I,AM1 License I Ex•ires E -mail ItRl PROJECT ADDRESS (3 1 Efla 5 areer Parcel Number Lot Zoning Proiect Type Brief Description: )(Residential o Multi family a Commercial o Industrial Chock all that apply New Construction •.a Addition Remodel u Repair a Demolition c Re -roof o House o garage oo other tear off re roof o lay over one layer feat System o Heat pump c wood burning stove o gas fireplace o pellet stove 'other Other Floor Areas Existing (sa. ft.) Proposed (sq. ft.) Basement per sq. ft. 1" Floor 2 Floor 3"' Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION at 014€ :D I Total footprint of structures sq. ft. 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 of bedrooms Will a lawn sprinkler system be installed? Occupant Toad of full baths WIII a fire sprinkler system be installed? Construction type of half baths 1 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 is y responsibility to determine hat permits re required, and to obtain permits prior to wo ng on er Jecfs, Datej Print Name SI na g ture b\ T;Fonr,SJBulltling Division/Bldg Permll.doc 4114, 1 b0 /Z0 39Cd 9NI1v3H d3H1C3M 11v LLLSZSb096T bE TT TI0 /5Z /b0 Clallam County Assessor Treasurer Property Details 57387 GRACE AND JOHN TI... Page 1 of 2 Clallam County Assessor Treasurer Property Search Results 57387 GRACE AND JOHN TIETZ for Year 2011 2012 Property Account Property ID: 57387 Legal Description: LOT 12 BL 176 Geographic ID: 0630000176600000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: 1 Location Address: 913 E FIFTH ST Mapsco:,__ PORT ANGELES, WA Neighborhood: Cycle 5 Res Map ID: 2 4 Neighborhood CD: 10955130 Owner Name: GRACE AND JOHN TIETZ Owner ID: 56254 j43.- \/\\(-11.:(bN lj Mailing Address: 2350 OTTAWA AVE Ownership: 100.0000000000% WEST VANCOUVER, BC V7V2S Exemptions: Taxes and Assessment Details Property Tax Information as of 04/19/2011 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. First ;Second 1 j i i Half Half j Base ;Base 1 I Year [Statement ID I Taxing Jurisdiction i Amt. Amt. I Penalty Interest I Base Paid; Amount Due; 152096 ST SCH STATE SCHOOL $168.92 $168.91 $0.00. $0.00 $168.92 $168.91 2011 152096 CC -GEN COUNTY CLALLAM $93.26 $93.24 $0.00 $0.00 $93.26 $93.24 E 2011 152096 SD #121 SCHOOL DISTRICT #121 $220.81 $220.79 $0.00 $0.00 $220.81 $220.79 i 2011 152096 CITY PORT ANG CITY OF PORT ANGELES $215.27 $21527 $0.00 $0.00 $215.27 $215.271 2011 152096 PORT PORT OF PORT ANGELES $13.13 $13.12 $0.00 $0.00 $13.13 $13.12 152096 OLY LIB NORTH OLYMPIC LIBRARY $39.11 $39.10 .0.00 11 $39.10� $0.00 $0.00 $39.' 2011 NTH O j 2011 152096 HOSP #2 HOSPITAL #2 $38.28 $38.28 $0.00 $0.00 $38.28 $38.28; i 2011 152096 WSMET PK DIST WILLIAM SHORE MET PARK DIST $11.64 $11.63 $0.00 $0.00 $11.64 $11.63 1 2011 152096 CITY CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $36.00 $36.001 2011 152096 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $0.82 $0.81 E 1 2011 152096 TOTAL: $837.24 $837.15 $0.00 $0.00 $837.24 $837.15 01 2010 40386 ST SCH STATE SCHOOL $167.22 $167.23 $0.00 $0.00 $334.45 $0.00 2010 40386 CC -GEN COUNTY CLALLAM $89.00 $88.99 $0.00 $0.00 $177.99 $0.0 2010 40386 SD #121 SCHOOL DISTRICT #121 $216 61 $216.60 $0.00 $0.00 $433.21 $0 00 2010 40386 CITY PORT ANG CITY OF PORT ANGELES $206.04 $206.04 $0.00 $0.00 $412.O8 $0.00 1 1 2010 40386 PORT PORT OF PORT ANGELES $12.51 $12.51 $0.00 $0.00 $25.02 $0.00 2010 40386 NTH OLY LIB 1 B -NORTH OLYMPIC LIBRARY B RARY $25.86 $25.86 $0.00 $0.00 $51.72 $0.00, 12010 40386 HOSP #2 HOSPITAL #2 $36.50 $36.51 $0.00 $0.00 $73.01 $0.00 2010 40386 WSMET PK DIST WILLIAM SHORE MET PARK DIST $11.62 $11.61 $0.00 $0.00 $23.23 $0.00 2010 40386 CITY_STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $72.00 $0.001 2010 40386 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.00: 2010 40386 TOTAL: $802.18 $802.16 $0.00 $0.00 $1604.34 $0.00 http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop_id =57387 4/19/2011 ELECTRICAL PERMIT CITY OF PORT ANGELES 0 360 -417 -4735 w Application Number 11- 00000333 /a0( Date 4/19/11 Application pin number 002950 Property Address 913 E 5TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00- 0- 1- 7660 -0000- on your excise tax form Application type description ELECTRICAL ONLY y Subdivision Name to the City of Port Angeles Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 0 Application desc New furnace no load change Owner Contractor TIETZ GRACE L ALL WEATHER HTG COOLING INC 2350 OTTAWA 302 KEMP ST WEST VANCOUVER BC V7V2S9 PORT ANGELES WA 98362 (360) 452-9813 45z 17-) ^r Permit ELECTRICAL ALTER RESIDENTIAL 7 v Additional desc Permit pin number 183848 Permit Fee 56.00 Plan Check Fee .00 cll Issue Date 4/19/11 Valuation 0 Expiration Date 10/16/11 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL- LVT- THERMOSTAT 56.00 V� Fee summary Charged Paid Credited Due Permit Fee Total 56.00 56.00 .00 .00 1 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: 312,1112-- fAVI agy PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:AEXCHANGE\QUILDING City of Port Angeles Permit Application h t'ON Building Division /Electrical Inspections e 321 East Fifth Street P.O. Box 1150 f Port Angeles Washington, 98362 ut,1° Ph; (360) 41 •4735 Fax: (360) 41T -4711 f i. q 0, ?i;,;,�,;,;:..•'"(_�'i._a (Qv� 1 1 I R j� v 20i Date; �oeye 1 X l iteligg r 1 2 Single Family Dwelling ELECTRICAL Multi- Family or Commercial" INSPECTIONS Commercial Addition Alteration Remodel !Repair' ;2_71 ;2_4 e �C&4 r ---J .o.► C—r Nik 5Q A Plan Review R. r• lea m Electrica Plan Review Information Sheet Job Address: W Building Square Footage: s Descrip i of a, we Owner I •r4 .lion Contra or inf. -to Name:. III :r� I w f �r Name. �'I a g 11 Mai; n• As ress: !s'•� 1 11.41L1L11TIllr►1 Mailing r. ress: rk mtjiTZ City: i Ij tate: Zip: VVis City: ileN State; li Ne• l Phone 11.! F :x: O Pho �f��l.l`•:>�! Fax: V License #1 Exp. License Exp. Iv, t'0 'rill VA 1 Unit Charge Qy Total (Oty Multiplied by Unit Charge) 93.75 Service /Feeder 200 Amp. $113.75 Service /Feeder 201-400 Amp. $160.00 Service /Feeder401 60U Amp. $205.00 Service /Fender 601.1000 Amp. $291.25 Service /Feeder over 1000 Amp, 2.00 Branch Circuit WI Service Feeder 57.50 Branch Circuit W/O Service Feeder 2.00 Each Additional Branch Circuit 72.50 Temp. Service/ Feeder 200 Amp. 86.25 Temp. Service /Feeder 201 -400 Amp, $116.25 w Temp. Service /Feeder 401600 Amp, $131,25 Temp, Service /Feeder 601 -1000 Amp. 75.00 Portal to Portal Hourly 69.00 Sign /Outline Lighting 75.00 Signal CirculU Limited Energy Commercial 50 Signal Circuit' Limited Energy -1 2 Family Dwelling 50.00 Signal Circuit' Limited Energy Multi Family Dwelling 93.75 Manufactured Home Connection 80.00 Renewable Electrical Energy SKVA System or Lass 8 86,25 First 1300 Square FL 27,50 Each Additional 500 Square Ft, or Portion of 57.50 Each Outbuilding or Detached Garage 86.25 Each Swimming Pool or Hot Tub 43.75 ___I____ Thermostat 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. 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 tho electrical Installation or alteration in compliance with the electrical laws, N.F.C., RCW. Chapter 19.28, WAG. Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administrator Caeh Check X CX5eitaiLd Dater 1� V I Credit Card 1l tV0 /170 39Vd 9NI±G3H c13H273M -FM LLTSZ7Sb09ET VE:Tt TtOC /5T /t'0 DATE PERMIT 1, 1201°9 0 62:5 Z. OWNER /CONTRACTOR Np2-1 S i4 l J J lam. °'C'1R.1 e ADDRESS s-� APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE 1 FINAL CORRECTIONS NEEDED6r2 JS� M� D� aka 0 V. Met .At Lou,2 3) gRL 2 c-t4 St n T OE c- 31' /i )C3ettc- to 4 f iy-, 0 kL?+ _A.- `fog, (.aAC 2%-Y 6 -5- 3`l) VA.) iv e tdm u r-x Di 4 1- j1 u c t 5Z 12.E6?Ute£, 'a rz_ So; s?J4 1■1,x- c- 250 -1,t0 J J 6 Zr F-..0 V E L> tin F 7. f A er ne /Li os" v), IE 0 0. 17 Cart. no •14 rCoC qtr INS GT At.!_ krib13 4- Tr)RTu Li fsC. 2 iS 3917) NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 ELECTRICAL INSPECTION WIRING REPORT 417 -4735 I 'NSPE''l Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 200 amp service Owner Rickenbacher John 913 East 5th Street PORT ANGELES WA 98362 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Special Notes and Comments MAINTAIN CLEARANCES FROM SERVICE WIRES Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS 142927 93 75 3/13/09 9/09/09 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000232 150368 913 E 5TH ST 06 30 00 0 1 7660 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor ELECTRICAL ALTER RESIDENTIAL Qty Unit Charge Per 1 00 93 7500 ECH EL 0 200 SRV FEEDER Charged Paid Credited NORTH PENINSULA ELECTRIC 761 FRESHWATER PARK RD PORT ANGELES WA 98363 (360) 477 1764 Plan Check Fee Valuation 93 75 93 75 00 00 00 00 93 75 93 75 00 DATE RESULTS izo 1 2 1 ,1 4 6"' 1-M Date 3/13/09 Due Extension 93 75 00 00 00 00 0 Signature of owner or Electrical Contractor X Date INSPECTOR. 2009 -03 -13 09.17 3604574535 City of Port Angeles Permit Application Building Divisionfi7ectrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington. 98362 Ph: (380) 4174735 Fax: (960) 417 Date: 8 2 S Family Dwelling Multi-Family or Commercial' Comniei ial Addition Alteration Remodel Repair" Plan Review Ms Please Complete Electrical Plan Review Information Sheet Job Address: r- Building Square Footage: Description of above ��U�..� r <'r ►i1 Sc hma 93,75 3113.75 3160.00 .$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 3 93.75 .3 80.00 86.25 27,50 57.50 3 86.25 43.75 &NUMMI FT C‘sCI V Chi 3604 3604174711 R 1 3 2009 y UZ c t vuR1.m `q tr 1 y V .l G3 r A 3 3 8 LIGHT DEPT %MIS Total Muied by Unit Charge ervicelFeeder 200 Amp, 3 Service/Feeder 201 -400 Amp. Service/Feeder 401-600 Amp, Service/Feeder 601- 1000Amp, 3 ServiceJFeeder over 1000 Amp. Branch Circuit Wl Service Feeder 3 Branch Circuit W/0 Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp, Temp. ServicelFeeder 201.400 Amp, Temp. SenricelFeeder401.600 Amp, Temp. ServicelFeeder 601 -1000 Amp. Portal to Portal Hourly SignlOudine 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 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square FL or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat $Pt .AS Total Signature of owner, electrical contractor or electrical administrator Caah //3i Q pate: 2 stilt Cad 'O f l w Owner u defined by RCW.1 A23.261: (1) Owner will occupy Me structure for two years after this electrical permit is finalized. (2) Owner 1s required to Alm an elacMal contractor N above sold property is for solo, rant or Weee. After reading the above Matsmud.1 hereby certify that 1 am the owner of the above named property or a licensed eledrical comractor.1 am malting the electrical installation or atteratlon In compliance with the electrical laws, N.E.C. RCW. Chapter 19.23, WAC. Chapter 296.48B, The City of Port Angeles Municipal Code, and tilility Specifications. P 1/1 0 Owner Information Contractor Informatiqn Name: Cr C_ E J' Name: h ">r, N.r, cP VN S V_ L \-31-=-\C:-.-- t r C--- Mailing Mdress: Mailing Address: ...ak V'`- k A Q City V N State: Zip: o City State: L Zip: b a Phone: Fax: Phone: "1 C1 U Fax: R S y 3 5 License Exp. License Exp. r r r\- 'Pe °1 1o^\ L-- <0 CO 0 , .,. 0 , '" 0000 (')E-< ~~ 0.0 00 00 <>: <>: 00 00 0:: 0:: r-.,. E-< E-< "'.,. "'0'1 E-< E-< 00 00 00 . . (') (') r-N Q) Q) <ON ..... ::0 ..... ::0 .,.'" Q) Z '"' 0 '"' 0 ..... o :>, 01 >< 01 >< '"' H ..... <:: <:: 0'" 01 E-< '"' '" 00 '" 00 "'0 <:: U Q) 0. <>: 0. <>: >< ,.., \D '" Ol-rl ..... 0 ..... 0 >-'l 0. 0...... ~ ~ <>: ..... 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CO~" orca""' 'lL -=->II' ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name . . Application type description Subdivision Name Property Use Property Zoning . . . . . . . Application valuation . . . . 08-00000738 Date 862800 913 E 5TH ST 06-30-00-0-1-7660-0000- JOHN & GRACE TIETZ RES REPAIR 8/26/08 RS7 RESDNTL SINGLE FAMILY 15000 Owner Contractor ,,~>.\~?~(\J~~ "',0\09; .~ Q)f~'\ 06\ ~ ~~ -\0 \1-' ~(\'\ Application desc replace rotten beams/re-roof garage/skirting GRACE / JOHN TIETZ 2350 OTTAWA AVE WEST VANCOUVER BC V7V2S9 (604) 922-0344 RICKENBACHER HOME REPAIR 121 E 2ND STREET PORT ANGELES WA 98362 (360) 457-0467 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT RE-PLUMB HOUSE 13 314 0 57.00 8/26/08 2/22/09 Plan Check Fee Valuation .00 o Other Fees STATE SURCHARGE 4.50 P3 lof&- BLi~ lJ~~ Pe.rm i+- ~ Pl V mbf VlJ ~m it Qty Unit Charge Per Extension 50.00 7.00 BASE FEE 1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 57.00 57.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 61.50 61.50 .00 .00 f70t:(~ 9-0 ( ~()J 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 has commenced, or if required inspections e t been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application an now e same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with ethe speci d herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of an te loca aw regulating construction or the performance of constructi n. o r :r~ 4 tJ fr' J. 'rfra Date Print Name Signature of Owner (if owner is builder) T:Forms/Buildillg Divisioni8uilding Permit (05113/08).wpd BUILDING PERMIT INSPECTION RECORD CALL 4] 7-48 ] 5 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES. CALL 4] 7-4886 FOR BACKFLOW PREVENTION INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A. CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO , FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDATJON DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULA nON SLAB WALL / FLOOR / CEILING MECHANICAL HEATPUMP/FVRNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT II's SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W / PW/ CONSTRUCTION - RW. 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'" 0< .~ 0< , 0< ZO '" Pl , 101 b .~ , ~~ cIl -U ri , 0<0 CIlb<1: >-'lZ !-< 0 0 , <1: g]~~el~L H cIl , 0<>< ~ '- H , ~b I01ZZZo<O< 0< 0< , o<H 101~0:S:<1:0< >< >-'l , o<U <1:bUOO<<1: 1lI b '" , :fPORr~ t-t.O~~~ ha ~ -=..s' ~ 'U8l~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] EAST 5TH STREET, PORT ANGELES, WA 98362 08-00000738 Date 862800 913 E 5TH ST 06-30-00-0-1-7660-0000- JOHN & GRACE TIETZ RES REPAIR 6/30/08 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation RS7 RESDNTL SINGLE FAMILY 15000 Application desc replace rotten beams/re-roof garage/skirting Owner Contractor GRACE / JOHN TIETZ 2350 OTTAWA AVE WEST VANCOUVER BC V7V2S9 (604) 922-0344 RICKENBACHER HOME REPAIR 121 E 2ND STREET PORT ANGELES WA 98362 (360) 457-0467 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL FOUNDATION RPR/REROOF/SKIRTING 128934 277.75 Plan Check Fee 6/30/08 Valuation 12/27/08 .00 15000 Qty Unit Charge Per Extension 95.75 182.00 BASE FEE 13.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 277.75 277.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 282.25 282.25 .00 .00 Ps r of 2 BLJJ fex-Mt~ <$ ?lurY\Io(~ P~m\t- fir,'ikA OQ ~'1 1.....0 1-0,2 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 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 an n€lW he same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with w eth s~ ifi d herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of an te I' 10 I w regulating construction or the performance of constructi n. . (/.kY'\t~(t, T.Forms/Building DivisionlBuilding Permit (05/13/08).\Vjld Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD o ov , -J vJ o<J CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES. CALL 417-4886 FOR BACKFLOW PREVENTION INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: 7-10-015 Re.bb..r-- P B FOOTINGS 7 -2-4--D'6 "0 L-L-- 'g-II-Dg ~vJa.. \ \ 'j L1- SHEAR WALLS I WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN 9 - 4-O~ ;)LL WATER LINE (METER TO BLDG) 1~-Z;1/0g :TL-L-- GAS LINE FINAL q - t.-f ,O~ATE ;JLL- ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING I FRAMING JOISTS I GIRDERS SHEAR W ALLfHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULA TION . SLAB W ALL I FLOOR I CEILING MECHANICAL HEAT PUMP I FURNACE I DUCTS GAS LINE WOOD STOVE I PELLET I CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT II's SEPA: PARKINGILlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYlUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPY 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT BUILDING 417-4815 'is ~'1- ()g JLL- BUILDING --D - \,N m \)) ~ ~ :;0 ~ ~ ~ ") T.I;Mlll<:/nllil,;;110 T)jvi,inn/Hllilrfilll' Permit roS/13/08),wod Pl\)l'Y\bl\n~ r:,'Vltd q-~-()2 "J't-L- ~ BUILDING ,PERMIT APPL1CA TION 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 For City Use Only: Date Received b -30 ....() 8' Permit # f!Jf; -/3 S t'lhtl Applicant or Agent ::];,401J !?,.c~ e.-J~I.{~ if Property Owner ,::y;~"1 I- Gr'1c.<::- T(~fz Property Owner's Address 2 gSo c;rf1r7tul! j'lv F t.. } !:(T Contractor/Engineer Rick e"1Lc.~..r ~ It<-Jt! /I ~/$ Contractor/Engineer's Address I 2 I c... 2!J..1I s r PorI License # R Ie k E. /I R Cj 7<' B C '122.... 0?l.f4 V 7Vzsq flb/ tl2Y~ 9f-3'~ '11"v E. s11. sr Parcel Number PROJECT ADDRESS Lot Zoning Project Tvpe & Brief Description: ykesidential o Commercial o Multi-family o Industrial Check all that apply o New Construction -- o Addition o Remodel P"r..,.. I .;:;s~.... ne,./""ef'e,. -Fpot;;'7 a.J .:J't:r oJ e. ,;, ~ 'J~,,/fieJ t';A,~_",J 'g(Repair 8- ' c.s o v .Pc.;",:f-e )r IRe-roof e pc..,,. rNtlf/..'1 (.,t,) h ec.....} . ~(' pie. (,p s/n( ,;', o Demolition R ~ "/fAI Q R(>c.j: eM Gc,."''''f e- O Heat System o Hecft pump 0 wood-burning stove 0 ga fireplace 0 pellet stove o other o Other Floor Areas Basement 1 sl Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Existing (sq, ft.) Proposed (sq, ft.) @ $ r^~~ per sq. ft. = $ 1,.0 u ~\,vvYVb~\'\!j ~-~' .. ~\ . .. .... .. I -Ii . gO ~/2'1 g - tJt.~ ~Z~ ~;t4/~ - /VJ,f,_~..,,113Scx)- I.) o,.1c d. y 6 tt 'Pl u tt'lA 1#6.. I TOTAL VALVA T/ON $ sq. ft. % Lot size sq. ft. = Lot coverage Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? ft. Occupancy group OC,fupant load Construction type # of bedrooms # of full baths # of ha ths Print Name (]:~"' fi?'cke",t we' ff- I have read and completed this application and know it to be true and correct. / am autha understand that it is my responsibility to determine what permits are required, and t projects. or this permit and prior to working on I / I / I / / I / I / / v! 9:5 (>0 # / I / i I / I / / I / .' I ,,/ "- ;<. / ", " , " , " , " " , " , " , " , " '6f~ &1, ." , " , " " ..... , " , " , 0' ......<::; " , " , " " , " .. , " (::;.. ., ',~', ,-:; . ~ I , , /C0;' > . .. . 'l4:f:.n .' " ~,'; ,S " " ,. N'''', . " , , .' "' " , 'l'~ .~ " '. , " -L++11 I---+I,.-I--J-=i I +r-ts---:bj-1-1 I, j --+' ~-I,- 1---,--1-- -~-=t- . 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I , ! ! , I I I, i Ii! . ~?Ollr~ o~ L~ ~ "'.#' CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT PERMIT NO: 13500 OWNER/APPLICANT GRACE TIETZ 913 E. 5TH STREET Port Angeles, WA 98363 360/000-0000 T: ISSUED: 6/21/2002 PROPERTY LOCATION 913 5TH ST E Lot: 12 Block: 176 D Long Legal Subdivision: TPA Parcel No: 063000001766000 S: CONTRACTOR EMERALD ROOFING 133 LELAND AVE Port Angeles, WA 98362 360/452-4681 PROJECT INFO Project Value: $3,200.00 Project Type: RE-ROOF Occupancy Type: RESIDENTIAL Occupancy Group: Construction Type: Zoning Use: ARCHITECT NIA , 98360-0000 360/000-0000 SFD Units: 0 SFD sa FT: 0 MFD Units: 0 MFD sa FT: 0 Commercial: Industrial: Garage: o o o r - ~ !JI II PROJECT NOTES TEAR OFF 1 REFEL T 1 3T AB RECEIPT #9233 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $97.25 $0.00 $4.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Mise Fee 1: Mise Fee 2: Mise Fee 3: v , . , $0.00 $0.00 $0.00 TOTAL FEE: AMOUNT PAID: BALANCE DUE: $101.75 $101.75 $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 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 authorit lola or cancel the provisions of any state or local law regulating construction or the performance of construction. C -:21-CQ r or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [412002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 17J60U INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATERLINE GAS LINE BACK FLOW! WATER AIR SEAL WALLS I I CEILING I I FRAMING JOISTS! GIRDERS SHEAR WALL WALLS! ROOF! CEILING DRYWALL T-BAR INSULATION SLAB I I WALL! FLOOR / CEILING I I MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD I DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANIT AR Y STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYiUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERlNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 ~-5'21'bL.. Ut? BUILDING T:\PLANNlNG\FORMS\I 102.15 [412002] ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number , . . , , 15- 00001277 Date 10/13/15 Application pin number , . , 067542 Property Address . . . . . . 913 E 5TH ST ASSESSOR PARCEL NUMSE 'R: 05- 3.0- 00 -0-1- 7660 -0000- Applic,'ation type description ELECTRICAL ONLY Subdivision Name . . , Property Use , , . Property Zoning . . . . . , RS7 RESDNTL SINGLE VAMILX Application valuation . , . , 0 Application desc Ductless heat pump Owner Contractor RESULTS: TIETZ FAMILY TRUST DITCH EXTRA MILE TECH & ELECT., LLC 2350 O'T'TAWA AVE 418 N. RACE ST. WEST VANCOUVER BC V7V2S9 PORT ANGELES WA 98362 (604) 922 -0344 (360? 457 -5222 Permit. . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional dead. . COMMENTS: Permit Fee . . . . 68,00 Plan Check Fee 00 Issue Date . . 10 /13/15 Valuation 0 Expiration Date.. 4/10/16 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 65.00 .00 00 Plan Cheat Total .0o ,00 .00 Do Grand Total 68.00 68,00 .00 .00 �1 REPORT SALES TAX on your excise tax form to the City of Port Ange %s (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMrr WILL EXPIRE S IX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: UTXCHANGEWILDING CITY OF PORT ANGELES PERMIT APPLICATION Building ]DIvLdowTiectiical Inspections � � °3 205 321 East FMh Street —P.[) Box 1150 I Port Angeles Washington, 9836271 VCTRICAL Pia-. (360) 4174435 Fax: (360) 417 -47:11 Date: 0 * Pian Review Iv�ay Be Requites, Please. Job Address:, /,. ..,..,.::.: SlAding square F oiage: - oescripdorr of abeue -- .Ivtc IIJ`� c & 2: Tingle family Dwelling e Efeckical Plan Review Infor naffan Sliest Owner Information _ luame: J-- c-� �t�� '� -� � - information Mai{ Address +— � M�Ctngr�ddre5s• .r - iT� City Efate: —zip.6 .— _- ____ate: ,�► T.� �i x-� • Ltcensel#IExp. T I�c�nselklExp. .�":,.7'1�/#r�t""" � I�G Ikem Unit ChM a C ittal Multiulied 6_3nii Cw ServlcefFeeder200Amp. $12ff.00 � aervicelFeeder2D1400Amp. $146.00 Servica[Feecler401-600 AMp $ 206.00 _ 5ervlcelFeeder6014000 Amp. $ 262.0.0 Servir e/FeederoverlOW Arne $ 8743.00 $ Broach Circuit W1 SeWfue Feeder $ 5.06 Swch Ciroult W/O Service Feeder 63.00 �- � �� , �• &0 Additional praimh Circuit $ 5.00 $� Branch Circuits 1-4 $ 75.0D Temp ;;ervicatF"e er200 Amp. $ 93.00 Temp. SePAcWf:bs fer201 -40 Amp. $ '110.00 $ Temp SeruiWFaWar401- 600 Amp. $14900 $ Temp. SeMca[Fi edar 60f 1000 Amp. $168.00 podalto Portal Hourly $ 99.00 $ Signal Circuifl Limited F-riergy -1 & 2 Family Dmiling $ 64.000 $ Mar3trfactured Home Connectlan $120.00 $ Renewable S aWcai Energy-fiWA System or Les $102.00 - Thermostat $ 56.00 $ -� Note., $5.00 foreach additionatTStat NEW C(jST liCi10N Ci3ti.Y: First =0 Square Ft. $12000 $ Each Additional 500 Square Ft or Pcrpon of $ 40.00 � &ch Outbuilding or Detached Garage $ 74.00 $� Each Urriming Pool or Hot Tub $110.00 $ Total Owner as defined by RCW 19.26.261: (1) Owner will =UPY the strUctUrO for tW yeata 8fter MI electrical permit is Insfized. (2) Owner is require to hire an elecctrical imntractor if move said pmpe 3jr is for sale, rent or tem. Perirtit expires after six months of last inspection. Al=ter reading the above statement I hereby certify that I am the owner of the eve named property or a licensed electrical cuniractor. 1 am makir the electrical installation or alteration in compliance vnth the electric al Ian, N.E.C., RCK Chapter 19.2$, WAC. Chapter 29646B, The City of Poi Angeles Municipal Code, and Utility Speciffcafr®r:s and PAMC 14.05.050 regarding Eactrical Permit Applications. Signature of owner, eletWeal contractor or electrical administrator: Q case CI check 0 Cmda Cat V x 14 -_._e.� _ jA - --A �� --- Application Number . . . . . 23-00000818 Date 8/01/23 Application pin number . . . 993926 Property Address . . . . . . 913 E 5TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7660-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc EV Charger ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KYLE R CHRISTENSEN SERVICE MAX HEATING & AC LLC 913 E 5TH ST 3405 172ND ST NE #5 PORT ANGELES WA 98362 ARLINGTON WA 98223 (360) 333-5904 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 8/01/23 Valuation . . . . 0 Expiration Date . . 1/28/24 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Pub! ic \Yorks and ULili ties Department 32 l E. 5th Street. Port ;\ngeles. WJ\ 98362 300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _ OWNER JNFORMATtON Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRfCAL CONTRACTOR fNFORMATION Name: ___________________________ License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ Temp. Service/Feeder 200 Amp. $93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal CircuiULimited Energy - 1 &2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Ren ewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Sql;Jare Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool/ Hot Tub $110.00 $ TOTAL $ Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] '"'CJ CD PREPARED 7/31/23,13:58:59 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000818 913 E 5TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 63.00 TOTAL DUE 63.00 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 8/2/2023 23-818 TAP OWNER CONTRACTOR Service Max PROJECT ADDRESS 913 E 5th St