HomeMy WebLinkAbout124 E 7th St - Building
Separa1fPermits are required for electrical ,^,ork,SEPA,Shqr~lirt~;ESA..utlJitie$: private ;:iridRuplic ,!'1lproyements. Thisperiliidiecomes
null anci:~oid if WOrk or construction authorized is not commenced. wlfhin.1 $0 da~; if construction or work Is. suspen~!i'cfor"b'~'n~oried
for a:'~eriod aflS~ ,~~ys;:i~~rJ!,1~y..ark as .~mmenc~~,~r ~t< r~q~~"2~ i~sP!ftl()ns have' not been requested Within 180 da~:frorrt tI;\~ last
Inspectl~n.1 hereby certify that I have r~ad and exa~mineClthlsappllc~tr6rtana know the same to be'true and c9rr~ctiiAUpT()viSlansqf
laws~n~fo.rdjnaricesgoveming'this type of work will tie cor'npliel1 with Whether specified herein or not. The grantinl)of apet{i11tiooes not.
presume to give authority to violate' or cancel the provisions' 'of-any state or local' law regulating construction or the . performance. of
c.(;>nstructlon.' . > ,;j. "'.
.pfgoature of Owner (if oWfier,ls.builder)
~.~-<;~_~)_;~j~;~r.~4%.:t~.:~-~tii' ,~H_ ;,: :fj'.:,':- "-,,':_"'- ~'--,
"''i'1fr''~~~~7j
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,-
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. 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 I NO
FOUNDATION:
FOOTINGS . I
I
. WALLS ..
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN , . I I
PLUMBING ,. .,
UNDER FLOOR / SLAB
ROUGH-IN '''<"
WATER LINE
GAS LINE ..' ,.
.
BACK FLOW/WATER .. .. , .',
AIR SEAL . ..
WALLS ,.
CEILING . I
.
FRAMING
JOISTS! GIRDERS
SHEAR WALL .
WALLS / ROOF / CEILING
DRYWALL
T-BAR , ..
INSULATION
SLAB ,',
WALL / FLOOR / CEILING
MECHANICAL '.
HEAT PUMP -;:;;c
WOOD STOVE / PELLET / CmMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE / METER
SEWER CONNECTION
. SANITARY
STORM c:
:
PLANNING DEPT. SEPARATE PERMIT #'s , SEPA:
P ARKlNGILIGHTING . ESA: <;t
LANDSCAPING --c-
SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TOOCCUPANCYIUSE -c.
RESIDENTIAL DATE YES NO COMMERCIAL DATE A,CCEPTED
YES NO
..
ELECTRICAL. LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W./ PW/ CONSTRUCTION -~ W.
ENGINEERING , 417-4807 PW / ENGINEERIN ,
.
.
FIRE 417-4653 FIRE DEPT. .
PLANNING DEPT. 417-4750 PLANNING DEPT. ..-
,
BUILDING 417-4815 9//710:3 . BUILDING
T:\PLANNING\FORMS\1102.15 [412002]
,~~
FOR OFFICIAL USE ONLY:
Date Rec.: "I-'2'1-<::::J:5
Permit #: 4 I 9
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815
Date Approved:
Date Issued:
Applicant or Agent: -3 n ~O(!) F / ~ ) t... L. L-
Owner: S-f..o...V\ f!.. uhl ~
Address: I ~ '{ E "7 .,Ll-. City: fJ J4
Phone: ~ S-';< - 9S- ~ 7
Phone:
Zip:
Architect/Engineer:
Contractor ])o~/d. r 54-reA:' { 'fr State License #:
Address: ~ 5""'1 fkl/'Ao... 'V\ Lei, City: ;J If
PROJECT ADDRESS: ,I.;z ~/ E rh.
Phone:
Exp: Phone: ~S-.2- ?S-S- 7
Zip:
ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
I
Block:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
o Residential 0 New Constr. .er-Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
o Stove
o Garage
o Deck
o Other
SIZEN ALUATION:
211J. 0 SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $ ~~OO. 0 ~
COMMERCIAL/RESIDENTIAL: Occupancy Group:
Occupant Load:
No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft.
Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage
Construction Type:
= TOTAL Sq.Ft.
%
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlW etland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The
Building 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 Building Code, current edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct..1 am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,no City's, d t t ust btain such permits prior to work.
T:\FORMS\APPS\Buildingpennit. wpd
Applicant:
Date: y-;< "1- 0 .s
- 1
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date 5- /q-D3
/
Time
Received by
Rv
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No. 'I~2 -9~5:/
Type of Inspection (circle appropriate one): Permit No. '7/9"
Sewer Foundation Framing Chimney Plumbing ~ Sewer Excav. Other
Re roof
INSPECTION NOT~
Inspected: Date .::> {-:it) I (J? Time~
Remarks:
I ?~ E: -, -1-4-
~.. b R~'(S(I\':J
By
Jc)
----..--.
..,4 ~~ );.l~ ~
~lc ~h (;~:~i1bY:x3: I ~
RESTORATION REQUiRED...... YES . NO
FX-pos~
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DA TEl
,. :".' ~ ,'1('. '!', ',(" ./':,': ',~ ",;.
.A
"-. ~"..'
~~~
,'~;.
~..
.~~".
". ..' ..CITY OF PQ~T~GELES
DEPARTMENT OF COMMtJNrn!DEVELOPMENT - BUll.DINGDMSION
, , ~~l EAST 5TH STREE}.'.~()J:tT ANGELES.WA 9!l3~2 .
50.00 Plan Check Fee
9/15/03 Valuation
3/14/04
.00
'0
Application Number
pr9Perty..~ess
ASSESSORPARCBLNUMBER:
AppliCation. description
SUbdivision. Name.. .
property Zoning . . .
AppliCation valuation .
03-00000138 Date 9/15/03
124 E 7TH ST
06-30-00-0-2-3115-0000-
FIREPLACE/ INSERTS/FREESTANDING
2700
owner
Contractor
. RUBLE 'STANLEY/BETTY
240.4 PINE CIR
CLARIONIA 50525
PELLET. ,HEAT CO.''''
230.C..E. 1ST
PORT ANGELES'
(360) 457-4i460
WA 98362
Permit
Additional desc
Permit Fee . .
Issue Date . .
Expiration Date'
MECHANICAL PERMIT
Qty Unit Charge Per
1.00 50.POOO ECH ME-WOOD STOVE
Extension
50.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 ':00 .00
'PlanCheck Total ,.00-- .00, .00 .00
Grand Total 50..00 50.00 .00 .00
Separate Permits are required forelectrlcal work. SEPA; ShOreline. ESA,tutilitles; private and public improvements~.
\6M~(~C'.". ..
Slgllatu~'of COntractor or Authorized Agent..
T:\JoLANNlNG\FORMs\1'102:1S"[412002]
BUILDING PERMIT INSPECTION RECORD
....
I
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER;
INSULATE OR. CONCEAL ANY WORK BPf:ORE INSPECTED AND ACCEn'ED. POST PERMIT IN A,CO~~..IClJOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED ,,' . COMMENTS" , "
-I YES NO . , .'.
"
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPl) SEPARATE PERMIT: #
ROUGH-IN I '.
PLUMBING , "
.. -
UNDER FLOOR I SLAB
ROUGH-IN ,
WATER LINE
GAS LINE
BACK FLOW I WATER " . ..
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL '.
T-BAR
INSULATION .
SLAB
WALL I FLOOR I CEILING I
MECHANICAL - .
HEAT PUMP
WOOD STOVE I PELLET I CHIMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I METER
SEWER CONNECTION
SANITARY .
STORM
PLANNING DEPT. SEPARATE PERMIT#'s SEPA:
PARKINGILIGHTlNG ESA:
LAND~~~PING_" SHORELINE:
-.' ..H....
,.....' '. ., ;FlNM.ilNSPECgONS REQUIRED PRIOR TO OCCUP~cyrosE ,;' .' ., .,:,.' ';,.,'
REsiDENTIAL "'. DATf'f/ YES NO C6MJ.lERClAL DATE. .... ACctmo
, ,"It';
- .'~-"\r YES NO
ELEC11UCAL. LIGHT DEPT. 417....73'< ,. ,ELECTRICAL
'. ..; '.,i-:\' , , LlGl:Q' D~PT, " '. . . ..
CONSTRUCTION R. W.I PWI CONSTRUCTION. R. W. n
ENGINEERING 417-4807 PW I ENGINEElUNG
. '\ . ..
FlRp 417-46S3 FIRE DEPT.
. .. "... .;., . ,
PLANNING DEPT. ' ,. 41747so' ., ., ..' ., PLANNING DEPT. ,
, BUILDING .. 417-481S -~-Ib.-(!)2. -.tL BUILDING- .. ...
T:\PLANNING\FORMS\II02.1S [412002]
PREPARED 9/16/03, 12:25:00
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR :
OWNER
PARCEL . . :
APPL NUMBER:
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
9/16/0~
124 E 7TH ST
PELLET HEAT CO.
RUBLE STANLEY/BETTY
06-30-00-0-2-3115-0000-
03-00000138 FIREPLACE/ INSERTS/FREESTANDING
SUBDIV:
PHONE
PHONE
(360) 457-4460
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME99 01 9/16/03 JLL MECHANICAL FINAL
~ pellet stove insert
stan 452-5632
-------------------- --- ------------ COMMENTS AND NOTES --------------------------------------
..
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~
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v'~~ ~
\)~ ~~ -~
~ vYV'i
~\
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't\0
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
]21 EAST 5TIt STREET. PORT ANGELES. WA 98362
ELECTRICAL PERMIT ISSUED: 8/21/2002 PERMIT NO 7790
OWNER/APPLICANT PROPERTY LOCATION
GLENN SIMKINS 124 7TH ST E
124 E 7TH Lot: 4
Port Angeles, WA 98360 Block: 231 Long Legal
360~000-0000 Subdivision: TPA
T: S: Parcel No: 063000023115000
CONTRACTOR ARCHITECT
ANGELES ELECTRIC N/A
524 E. 1ST ST.
PORT ANGELES, WA 98362-0000 , 98360-0000
360/452-9264 360/000-0000
PROJECT INFO '~
Project Type: RES. MISC. Project Value: $0.00
Occupancy Type: Construction Type: SERVICE CHANGE
Occupancy Group: Zoning Use: ~
Electrical Heat:
! Baseboard 0 KW Riser I Underground Service
Furnace 0 KW Overhead Service Voltage: 240,120
Heat Pump 0 KW Temp Service Phase: ~ 1 i 3
Fan Wall 0 KW Service Size: 200 '~
Feeder Size: 0 ~'
PROJECT NOTES
NO ADDED LOAD CHANGE SERVICE.
RECEIPT # 9549
FEES ASSESSMENT Service: $64.90
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Misc Fee: $0.00
TOTAL FEE: $64.90
AMOUNT PAID: $64.90
BALANCE DUE $0.00
('OMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MI]qlMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVEI~
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
DITCH
ROUGH-r~ / COWR
SERVICE
I
GENERAL COMMENTS:
Application Number . . . . . 23-00000038 Date 1/12/23
Application pin number . . . 126732
Property Address . . . . . . 124 E 7TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-3115-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Corrections
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
FIRST UNITED METHODIST CHURCH ANGELES ELECTRIC
110 E SEVENTH ST 524 E. 1ST ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee . . .00
Issue Date . . . . 1/12/23 Valuation . . . . 0
Expiration Date . . 7/11/23
Qty Unit Charge Per Extension
BASE FEE 75.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
1 - 2 SINGLE-FAMILY
ETECTRI CAL P E RM I T APPL I CAITO-N.
Public Worlss arrd Iitilities Dcglartrnctrt
:i2l E. 5Lli Stlcci. Polt z\ngi:lcs, \,\iA 98162
36().r117.4135 lrvr,vq',cirygfpa,us lelectricalpr"r'rrri[srZi.cityolpn,r-rs
ential ! Duplex /ARU Building Square footage
Email
Mailing Address E7 -Stzor Phone
'oo
3
*
Project Address:
Name
Name Anqeles Electric, lnc.
Mailing Address:524 E. First Street. Port Anqele WA 98362
License ANGELE146ORS
Expiration Date 21412024
Email;ksimpson@olv mpus.net Phone;360-452-9264
I!@
Service/Feeder 200 Amp.
Service/Feeder 20 1 *400 Amp.
Service/Feeder 401 -600 AmP.
Service/Feeder 60 1 -1 000 AmP,
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 AmP.
Temp. ServiceiFeeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal HourlY
Signal CircuiULimited Energy ' 1&2 DU.
Manufactured Home Connection
Renewable Eleb. Energy: SKVA System or less
$5 for each additional)
Unit.Charge
$t zo.oo
$146.00
$2o5.oo
$262.00
$szs.oo
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$'14e.oo
$168,00
$e6.00
$64.00
$'120.00
$102.00
$56.00
:: $,1.20JQ
,$'40:o0j ,,
$74:.90, ,
g1i1r0i0O
QUanlity Total (Quantity x Unit Charge)
:7
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
ry
$,-- ,,...,;-,.-..-. '
;^ ' ..':'. . !i ,iQ;:--+t-++-' '
U;,
,;,
owner as defined by RCW.19.2 8.261: (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 propeity is for sale, rent or lease. Permit expires after six months of last inspection'
After reading the above
am making the electrical
468,of Port An
statement, I herebY certifY
installation or alteration in
geles Municipal Code, and
Ken Simpson
that I am the owner of the above named properly or a licensed electrical contractor. I
compliance with the electrical laws, N.E,C,, RCW. Chapter 19.28, WAC. Chapter 296-
Utility cifications and PAMC 14.05.050 regarding Electrical Permit Applications
Print Name Sign Electrical Contractor / Administrator)Date
lt
[Electrical permitApplications may be submitted to City Hall or electricalpermits@cityofpa,us]
PREPARED 1/11/23,14:23:28 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000038 124 E 7TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 75.00
TOTAL DUE 75.00
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
5/11/2023 23-38 TAP
OWNER
CONTRACTOR
Angeles Electric
PROJECT ADDRESS
124 E 7th St
Application Number . . . . . 22-00001261 Date 10/10/22
Application pin number . . . 002479
Property Address . . . . . . 124 E 7TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-3115-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
T-stat heat pump system
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
FIRST UNITED METHODIST CHURCH DAVE'S HTG & COOLING SRVC INC
110 E SEVENTH ST PO BOX 413
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452-0939
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 56.00 Plan Check Fee . . .00
Issue Date . . . . 10/10/22 Valuation . . . . 0
Expiration Date . . 4/08/23
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 56.00 56.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 56.00 56.00 .00 .00
Application Number . . . . . 22-00001261 Date 10/10/22
Application pin number . . . 002479
Property Address . . . . . . 124 E 7TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-3115-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
T-stat heat pump system
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
DARREN M NEALIS AND JACQUELINE DAVE'S HTG & COOLING SRVC INC
504 CUSHING ST SW PO BOX 413
OLYMPIA WA 98502 PORT ANGELES WA 98362
(360) 452-0939
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 56.00 Plan Check Fee . . .00
Issue Date . . . . 10/10/22 Valuation . . . . 0
Expiration Date . . 4/08/23
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 56.00 56.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 56.00 56.00 .00 .00
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4 735 I www.cityofpa.us I electricalpermits@cityofpa.us
Project Address: 124 East 7th Street
Project Description: Installation of ducted heat pump system
~ Single-Family Residential D Duplex/ ARU Building Square footage: _1_7_9_0 _
OWNER INFORMATION
Name: First United Methodist Church
Mailing Address: 110 East 7th Street
Email: _
Phone: 360-452-8971
ELECTRICAL CONTRACTOR INFORMATION
Name: Dave's Heating & Cooling Service, Inc.
Mailing Address: PO Box 413, Port Angeles, WA 98362
Email: davesheating@wavecable.com
License: DAVESHC9912C
Expiration Date: _5/_2_02_3 _
Phone: 360-452-0939
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal CircuiULimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
~~ffl~JZ !tiitm" Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Unit Charge Quantity
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
1
IQta.l (Quantity x Unit Charge)
$ _
$ _
$ _
$ _
$ _
$ _
$ _
$ _
$ _
$ _
$ _
$ _
$ _
$ _
$ _
$ _
$ _
$ 56.00
$ _
$ _
$ _
$
TOTAL $ 56.00
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 ove nam property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electr'ca laws, N ... , RCW. apter 19.28, WAC. Chapter 296-
468, The ity of Port Angeles Municipal Code, and Util~y Specifications a d P C 14.0 . 5 egard g Electrical Pe it Applications.
o s 30ad- ¥ tM, h
Date Print Name Signature D Owner R' Electrical Contrac dministrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4 711]
E l e c tric a l In fo rm a tio n F o rm
Public Works & Utilities Department (360) 417-4700
City Electrical Inspector (360) 417-4735
Please complete and return to Public Works & Utilities Department
Applicant Information
P roje c t A dd res s : 124 East 7th Street
O w n e r: First United Methodist Church
S tre e t A d d re s s 110 East 7th Street
C ity I S ta te I Zip : Port An eles WA 98362
P h o n e N u m b e r: 360 452-8971 C e ll P h o n e :
Services
C e ll P h o n e :
00 Existing
~ Single-family residence
D Commercial
D Overhead service
D Underground service
□New
D Multi-family residence; # of units
D Subdivision
D General service □Other:
P ro je c t In fo rm a tio n
D e ta il e d d es c rip tio n o f
w o rk : (O il to G a s
C o n v e rs io n , G a s to
E le c tric , N e w H e a t P u m p ,
e tc .)
Low voltage thermostate wire fo r thermostat as part of a ducted
heat pum p.
M a in D is co n n e ct S ize
A m p s : 35
S e le ct V o ltag e : 00120/240 1 ph □120/240 3ph
D120/208 3ph
LI80 3W 3ph
0277/480 3ph
C h e c k all tha t ap p ly :
S u p p o rt in g
Standard residential loads (Lighting, refrigerator, dishwasher, washer)
D A/C (_ton) D Range/Oven D Hot Tub
D Clothes Dryer Ix] Heating D Pumps ( __ Hp)
D Water Heater D Elevator ( __ Hp) D Other _
Load Increase (kW) Load Decrease (kW)
P le ase p ro v id e a co p y o f th e fo ll o w in g :
*Detailed plot plan (.dwg or .dxf format mandatory for subdivisions).
*Electrical one-line drawing showing the service entrance panel and location.
*Connected load data.
Date: 10/5/2022
MAIL OR DELIVER COMPLETED FORM TO: 321 E 5 STREET; PORT ANGELES, WA 98362
FAX TO: 360-417-4711 ws _
WF _
Revised 1-09-11
PREPARED 10/06/22, 8:01:04 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001261 124 E 7TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 56.00
TOTAL DUE 56.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
T-stat Furnace / Heat pump
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
11/21/2022 22-1261
TAP
OWNER
CONTRACTOR
Dave’s Heating
PROJECT ADDRESS
124 E 7th St
Application Number . . . . . 22-00001429 Date 11/15/22
Application pin number . . . 095505
Property Address . . . . . . 124 E 7TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-3115-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Furnace / Heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
FIRST UNITED METHODIST CHURCH EXTRA MILE TECH & ELECT., LLC
110 E SEVENTH ST 418 N. RACE ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 457-5222
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 79.00 Plan Check Fee . . .00
Issue Date . . . . 11/15/22 Valuation . . . . 0
Expiration Date . . 5/14/23
Qty Unit Charge Per Extension
1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.00
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 79.00 79.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 79.00 79.00 .00 .00
MULTI-FA MILY/ COMMERCIAL
ELE CTRICAL PERMIT APPL ICATION
Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:--------------------------------------
Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _
OWNER INFORMATION
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRICAL CONTRACTOR INFORMATION
Name: License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
llim!
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy -Multi-Family
Signal Circuit/Limited Energy/First 1500 sf -Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Unit Charge Quantity
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$113.00
$56.00
Total (Quantity x Unit Charge)
$ ____ _ $ ____ _$ ____ _$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _ $ ____ _$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _
$ ____ _
$ _____ 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 (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
lJ CD
PREPARED 11/14/22, 7:31:41 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001429 124 E 7TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 79.00
TOTAL DUE 79.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
DHP
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
11/22/2022 22-1429
TAP
OWNER
CONTRACTOR
Extra Mile Electric
PROJECT ADDRESS
124 E 7th St