The URL can be used to link to this page

Home My WebLink About510 E 2nd St - Building ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number 11- 00000950 Date 8/31/11 Application pin number 042300 REPORT SALES TAX Property Address 510 E 2ND ST on your excise tax form ASSESSOR PARCEL NUMBER: 06-30-00-5-2- 5820 -0000- Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name (Location Code 0502) Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 200 amp service repair Owner Contractor GERBERT, JOHN P ANGELES ELECTRIC '3933 EAGLE CT 524 E. 1ST ST. BLYTHE CA 92225 PORT ANGELES WA 98362 (360) 452 -9264 Permit ELECTRICAL ALTER RESIDENTIAL K Additional desc Permit pin number 191965 Permit Fee 119.90 Plan Check Fee .00 Issue Date 8/31/11 Valuation 0 Expiration Date 2/27/12 Qty Unit Charge Per Extension 1.00 119.9000 ECH EL -0 -200 SRV FEEDER 119.90 Special Notes and Comments August 30, 2011 2:19:57 PM tamiot. Maintain 12ft min clear for overhead secondary conductors. Strike knob on house adjacent to non operable window. 1 Fee summary Charged Paid Credited Due 1 V Permit Fee Total 119.90 119.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 119.90 119.90 .00 .00 lc INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE l'AOM Sl 39l J 1 14? c›14k ROUGH -IN FINAL COMMENTS: c ark. (E.c- K I Go��`T ?Q >F �f r PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION q1 ,4 Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING 4 4 ELECTRICAL CAL INSPECTE0 1 p t.-411 y WIRING REPORT F CORKS &Sty 417 -4735 DATEi PERMIT INSPECT 8 0 r 2 v luz- OWN 4034 ki G ff_rz'gic_a 661 Z CONTRACTOR IW 6 £L 5 LCfiz4 C ADDRESS 50 C- 2 APPROVED OT APPR• DITCH ROUGH IN /COVER Pis (K-f" SERVICE FINAL CORRECTIONS NEEDED: ?2d i T V i EX WO t Ti W? S t &'L 146 (4 Al2 )d e- c_ 33L/ /5 SSo e--6 v- ro 7,_-- SO-At L c srr -4=t5ciz f l; ILO e (Z T2,1t-w,01J£ 7I 4 6 �cc�L. >io 01T2M T C6.c- L.1TLt4.C. Tra GIVZIke,;) 1,90fz,kt14 L cao_+oz. Lc£ _ra 0t,iz c d0 I? OTOfFV If SPlECTOIR WHEN CORRECTIONS AIRIE COMPLETED WITHIN 15 D -'VS -DOMOT REMOVE 08/30/2011 09:02 FAX 360 452 9265 Angeles Electric Z0001/0001 .11 •ee h Et•: 1, j A INSP ECT I ONS 6 E E C T R 2 t* ....C1VgliottAngeles Pirmlt Application liiiik1141;00111Oifikeoliel InepectIone L '.32 ro i o :Eiiit ,m w r ia I tiret, thigtoni. 4PS. 11$0 0 7461400444 ,,g ....!s li Omni i Date 7 c____. .......4. 1. ...:...12sfrolips.mtoweling ......'..1........•.*:......:....- Multiandly.ot Ccetnemirr COMMerclel Addition, Atteralion 1 Remodel Repar Plan•Revlinvilay 84 Required, Please Complete Electrical Plan WAVIER Intone* Sheet 'JOU Addrast SAO t Z/V1) 577.4e.e -001kIlitSqUarefeotajt ::,.:)•DeSCription ct,ebee: i 1114421 44*M/di/ay 71-zt i i iCA;../.1? fly 1 o ,,7:.r. ,•Nanie:' i_.....,_,..• ..,s4 4 --11V-04,771F Name IL1=_ MaliniAddree..5 Sr H 09: an: /4/t- ZIP 4 7 Or t)otr Spec Ador,_ Bp: ft/V.4. ..Phate sr Phone; Aels V Fax 4.43 i ..Licehrief Exp. License I t gap, 4416XLIE.r v‘D.es Unit tbarpq l ,D1I i 1 4 I g_ial l• '..;119i9C i P:: fr a Sandee/Feeder 200Amp. I 105.50 1 Sernefeeder 201.400 Amp. 204.60 $ SeMonfinder 401430 Ain. 128120 SandoefReeder 601-1003 Arn, 43700 S Bondeolfooder nor 1C00 Amp. i Brch atitY0 Sinn an Cl Radar i *.73.50 •$_____: Breen Cent Y60 •BROW Feeder Each Addifaull Brandt COO 4.. On Temp Senn Fowler BM kno. 4.11040 $—.--.7ortee. Sannefonfor 201400 kn. $148.70 8 Tenet. Seninfiedir401400 amp. •3 IPA 8 Trap. Sente/FeeSer 1101-1000Ane. 9560 Paid lo Pada** 3 $310 Signroutino woe 1 0510 $ WI Cleat Wind Ong- ConInciaL Addition! SOO $6.00 i 1 Bianai Churl Lintel Energy- 112 Fandly Donne 8 INIrtal mei Urraeteriegy hisifrei o wag 3 tits Aintdachied Homo Couraern .1 102.3o 1 Rename% Bonen Ent*/ SAVA *dem or 4ss T .4110:30 First 1300 Bonn Ft i Each Addiknal MO *pun Ft. or Pone of 7340 Eath Maar. or Warned Cones r.,..4 ••,..--....6.- 311r Bch BranalP161.4 t ThsnmeNt Total $AP,7-1751-.70A__ NOW hi:Elia:MI: (1) owner Ng ocouPY the stroohn &no Poo norridd fineirdPoni id anent .12) aralfr k rifluktil ID Om add* contrOx g :lbetiiiild propitifri fit saki, 'Wig km. ?or ajt twins after s I x months of tut tiropsceon. ...Afternidlni ihe non sistantant, I hereby cottly that I ion the owner of the dove named moody are leensod sienna contmator. I SM. 17 110 duirkalinsiktion or "rittireileiilircoiiipthintielthihs skittle Ms, NLC, RCW. Chapter 12, 9 WAC. Cheater NNW, The Clty of Port Mns i NuniolpetC06, WRY ang4kdo.ao.• elgifivin of emnst,.•Netifeal contradar et eledrital admInIstritor A/ Oira I ELECTRICAL PERMIT o f CITY OF PORT ANGELES —S- 360-4 17 -4735 0 Application Number 11- 00001401 Date 12/16/11 Application pin number 433245 REPORT SALES TAX Property Address 510 E 2ND ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -5 -2 -5820 -0000- on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor GERBERT, JOHN P KIRSCH ELECTRIC INC. 3933 EAGLE CT P. O. BOX 3396 BLYTHE CA 92225 SEQUIM WA 98382 (360) 683 -6819 G 4iyio Permit ELECTRICAL ALTER RESIDENTIAL 77 Additional desc Permit Fee 119.90 Plan Check Fee .00 Issue Date 12/16/11 Valuation 0 Expiration Date 6/13/12 Qty Unit Charge Per Extension 1.00 119.9000 ECH EL -0 -200 SRV FEEDER 119.90 Fee summary Charged Paid Credited Due Permit Fee Total 119.90 119.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 119.90 119.90 .00 .00 N e INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH 1 Z1 1 SERVICE ROUGEI -IN (Z— `s FINAL 24/(9 Z 4;4:) COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: 4 *,;ZQ m ELECTRICAL INSPECTION WIRING REPORT U N G <u cy onks 417 -4735 DATE PERMIT INSPECTO tzlzoi I1 I t -NO) OWNER /CONT ACTOR 3014 1 4 &iZ Es2 1 ADDRESS APPROVED NOT APPROVED 1'Z 7.411 DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: Fc l o 1 cT 4(.1-- Zee—VT 1 210 1 dr y 1 i- 7 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 12/13/2011 01:47 3606814360 PIONEER. MARINE, INC. P,^-,GE 01/01 S r °RT4,1, CITY OF PORT ANGELES PERMIT APPLICATION i 1 t r Building Division/Electrical Inspections s 321 East Fifth Street P.O. Box 1150 Port Angeles Washington; 98362 y Ph: (360) 417 -4735 Fax (360) 417 -4711. Date:_ 2-I�z II 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration 1 Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 5 D E ZhGI S1 1 4 &((4 s 1. Budding Square Footage: Description of above Cm+ bu.l Ow f° cL. up. Q Owner InforTnatloN Contractor Information Name: Tarn l� Name: Kirsch Ee ern` c_ mailing Address: 510 E z�'S+ P Mailing Address: 0 O R 3 �t So a l n State: i d_ Zip: yls .8 Phone: Ctty: i I 9i o 350 ro5 F 354 Fax: ax: S Ja Zip: 9 £r ?r k 0 -osj �tfr Fax: ,.r a fort3 6 (10 r L1r:ense 1,I Exp., r'r L.A. i t lcenseil Exp. -Erry%e tare Unit Chigoe 9$( Total (Obi Multiplied by Unit Charnel Service/Feeder 200 Amp. 119.90 1161.9c) SerVicelFeeder 201 -400 Amp. 145.50 ServicelFeader 401.600 Amp 204.60 Senrice/Feeder 601 -1000 Amp. 262.20 ServicelFeeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit WIO Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service/Feeder 201 -400 Amp. 110.30 Temp. Service/Feeder 401 -600 Amp. 148.70 Temp. Service/Feeder 601 -1000 Amp 167.90 95.90 Portal to Portal Hourly $8620 Sign /Outline Lighting Signal Circuit/ Limited Energy First 1500 si- Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi- Family Dwelling 163.90 63.90 M Hone Connection Renewable Electrical Energy SKVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY; $110.30 First 1300 Square Ft. Each Additional 500 Square FL or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 5110.30 I (q .51) 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 1 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. cal con r or el ical adm'nlstrator: D cash Oleck I Signature of owner, ,nr (q r,. r..w� it a CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001168 Date 10/17/11 Application pin number 900512 Property Address 510 E 2ND ST A a ASSESSOR PARCEL NUMBER: 06- 30- 00 -5 -2 -5820 -0000- REPORT SALES TAY, Application type description RE -ROOF Subdivision Name on your state excise tax form Property Use to the City of Port Angeles Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 3536 (Location Code 0502) Application desc RE -ROOF AND SOFFET REPAIR Owner Contractor GERBERT, JOHN P CMU CONSTRUCTION 3933 EAGLE CT 1695 S. BAGLEY CREEK BLYTHE CA 92225 PORT ANGELES WA 98362 (360) 452 -1771 Permit BUILDING PERMIT NO PR FEE Additional desc RE -ROOF AND SOFFET REPAIR Permit pin number 194779 Permit Fee 123.75 .Plan Check Fee .00 Issue Date 10/17/11 Valuation 3536 .Expiration Date 4/14/12 Qty Unit Charge Per Extension BASE FEE 95.75 2.00 14.0000 THOU BL- 2001 -25K (14 PER K) 28.00 Other Fees STATE SURCHARGE 4.50 c ej( Fee summary Charged Paid Credited Due (.1, Permit Fee Total 123.75 123.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 '.00. l ‘0A/:\\ Grand Total 128.25 128.25 .00 .00 U 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. (6 -(1 -Z.0 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 PLEASE PROVIDE A MINIMUM 24- HOUR NOTICE FOR INSPECTIONS V 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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments P YP P i 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 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 Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: �y FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 16 I c k— it f p E, H W W H a s a q q W a H H r w a N v O F H W t tr W o C O 0 N a a q x z H H H F OZ w 0 x W w x0 0 0 F H 4 V a a 0 z H h a' W q 00 a �a H O 0 H F F F v w w w N z v a i a il oH HH ;4.0 400 0 00. En H N 0 U a H F W N H as 4x 000 00U,1 o x, cn ul q a0 a H o 0 a 0000 o O E o O H g O a m x a o 'z Na aZ a• VIgON U' H W '0 r z ah� H x h z .o -i q v1 Nx, Foo .•7 ,j W O U W o 0 0 w w H H W W r, o CA H C7 0 0 (k vl 0 l 0 0 0 0 0 0 W H PI W 0 o 0 0 a 1:4 M a 0 CO q F z 0 vi U a z E a 0 W 00.2200. a U 400 W RC W H W BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM (To be used for projects that do not require plan review.) Date Received 1 J Permit# City of Port Angeles Please print in ink. Date Approved c2 1- Attn: Building Permit Technician Approved by 321 E. 5,h St., Port Angeles, WA 98362 360- 417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm Contact person: Phone: a∎SLI 0 J& t-1 t0G -0 it Property o ne Phone: Cici 1S p Z Pro ert o ner's address: 51-0 E., ZT"' S7/-. Contractor's business name: C/t4O CG Phone: (or property owner's name if he /she is doing /overseeing the work) 01 y Contractor's mailing )4 (7K Y C'tK ti AYI 4ij 7 -ELLS L4 c f Contractor's L &I license number: Expiration date: C44(AZ6 ?ik Z2MCs- -7-1 -20/1 Project Address: Project Type: a Residential o Commercial D Industrial Multi- family Project Business Name: (for commercial, industrial, or multi family projects) The following permits are usually issued over the counter immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project. Re -roof: o house rage other 7- rear off re -roof o lay over one layer I Licensed contractor: Submit a copy of your re -roof bid. Project Valuation (labor materials, not including sales tax) Re -side: house garage other Project Valuation (labor materials, not including sales tax) Repair: (explain the project) NEL. .soFF Project Valuation Z Z, Lt V Z *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project Valuation T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011) Page 1 of 2 Contractors or Tradespeople Printer Friendly Page Page 1 of 2 General /Specialty Contractor A business registered as a construction contractor with LEtI to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name C M U CONSTRUCTION INC UBI No. 601794518 Phone 3604521771 Status Active Address 1695 Bagley Creek Rd S License No. CMUCOI *022MG Suite /Apt. License Type Construction Contractor City Port Angeles Effective Date 7/7/1998 State WA Expiration Date 7/7/2013 Zip 98362 Suspend Date County Clallam Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses Specialty Specialty Effective Expiration License Name Type 1 2 Date Date Status CMUGECI032M1 C M U GENERAL Construction General Unused 7/21 /1997 7/7/1998 Archived CONSTRUCTION INC Contractor CMUCO *080DB C M U CONSTRUCTION Construction Contractor General Unused 3/2/1992 2/19/1998 Archived Business Owner Information Name Role. Effective Date Expiration Date ULBRICH, CHARLES M President i 01/01 /1980 Bond Information Bond Bond Effective Expiration Cancel Impaired Bond Received Bond Company Account Date Date Date Date Amount Date Name Number 3 LEXON INS CO 9803016 07/12/2010 Until $12,000.0007/12 /2010 Cancelled 2 CBIC SB0435 07/02/2002 07/12/2010 08/20/2010 $12,000.0006/04 /2002 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Policy Number Effective Expiration Cancel 'Impaired Amount Received Name Date Date Date Date Date Bankers 9 460470000767301 07/12/2011 07/12/2012 $1,000,000.0007 /01/2011 Ins Co https: fortress .wa.gov /lni /bbip /Print.aspx 10/17/2011 CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15136 )- ;JY . >v. Port Angeles. Washlngton.............nnnm........m.............................. 19..m... In accordance with the City Ordinance to regulate the installation, extension. or repair of elec- trical equipment in. on. or about any building or other structure In the City of Port Angeles. per- mission Is hereby granted to do electrical work as listed below. ~::::s..::::~=~~::::~lf~:::::::::::::::::::::....;~=::~:::...~~~~:~.~~~:::::~~:~:~:::::::::::::::::::::::::::::::: Wiring Contractor ..nn.OJl:!L..ee:."J1....c:lr.:.nn... By...........n........n..nn.......................................n V Light Outlets.....................................n... Service, volts uu./2uO'!.'./>.uf.'!..... Type 01 Wiring: 3 No. wires nn__.nn_n_..._...._nn__h.__nn Size wires......;~!2..cJ.!...~....-.. Main fuse ...__ndi??"Q:..1"_'__"'_h_ Enclosure ....Snm_.mnmnnnm...... Receptacle Outletsmm_______.m...__n....... Dryer, KWj........n___n_n_..n____n______n_.___ Range, KW ___.____ Water Heater: KVI'.n_____.n_____n_____ ? 1/15 Heat: RW._m_.nm_...._.m..2._ Type of wiring-: Entrance Cable __m..mn..n......n._.__ Motors: size, volts and phase: Rigid Conduit m.m.n__nm.......n..... MetalUc Tubing ___.__..00....__......_..__ Current transformers: No. & Size_m_m._..n.._...______n._____m.. Ser. NO._.._...___n__n.._......._n__.n.__nnn_ Ser_ NO..__nn_.nnn__.__..._........_____n.n__.. Ser. NO........._.._.........n._n_.__n_______...h. Armored Cable mm..mmn..........._. Non.MetalUc __.m..m_mmnmnmmn Knob & Tube............_n.__.___._...___m Rigid Conduit uuuu..u...uuu.......... Metallic Tubing .._._...__.......m.....n Race\vay __............__..........00........_..... CIrcuits, LlghL.......m.._.........nm...m___. Utility u.....................................uun Heat Range 00.....00.._...._......._.................... Water Heater ....n...._.................... Motor _00___0000__.._...00...00................00. Drycr._..u...__.__..........n........._...........n_ Furnace _....._.h_.h..._.......,_. Total Load_.............mmm_m.. Ser. NO.m_..mm................._.mm__m... Total .................mn____...____.__.._ /i Remarks: ........n......d.y~d::_::.......~~~.....lm...~:d?::!?m.,,!:...~.Jt.....................nn...........mnnn......... .i~~~::~::..::::::::..:.::::...:m...m.i~~.~.~:.~.~.~.~~.~.~.::.~:~.............n...::.:::Lf::l~~i~:.=Z~:~:~:~:. / - NOTICE-Current must not be turned on until Certificate of Inspection has been Issued. If work is to be con~ cealed due notice must be given the Inspector so that work may he inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT \ , \ N? 15136 , Date called for in~pectionnnn.-nnnn...nnn.-n-n....nn........h..-.......n-..n-_.........._nn...........nn............n......._._...._...n...nn_................0000.............. PreliminaryinSpe~tl0n..date8::::=::::.-.............._.._____...._---........_.._.._.....____.._...........__.__........_-----.._......________.......__.........h..__...___................._ lnspectioncompleted..._n_.._...................................._......_nn...n___n__n...._._......hn_._n._............_.._......d..n00__.........____...._._.........._....00_............ 1M 3-72 Olympic Printers, Inc. Total LOad......n-::.nnnnn-nn--..n-n-.nn-n..-................n..n......n ...nn__._...... __n...n.........__n.nn......._........nn........h......._..........n.._00.._....._.00.._.._......_ ELECTRICAL PERMIT CITY OF PORT ANGELES 360 - 417 -4735 Application Number . . . 16- 00000393 pate 3/21/16 Application pin number . . . 793099 Property Address . . . . 510 E 2ND ST ASSESSOR PARCEL NUMBER; 06- 30- 00 -5-2- 5820 -ao00- REPORT STATE SALES TAX Application type description ELECTRICAL ONLY on your excise fax form Subdivision Name Property uge to the City of Port Angeles Property Zoning , . , . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . , . 0 Application desc Mast repair Owner Contractor RESULTS: GERBERT, JOHN P DITCH ANGELES ELECTRIC 3933 EAGLE CT 524 F. 1ST ST, BLYTHE CA 92225 PORT ANGELES WA 98362 (360) 452 -9264 ---------------------------------------------------------------------------- Permit . , . , , . ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee . . 120,09 Plan Check Fee .00 Issue Date 3/21/16 Valuation , . . , 0 Expiration Date 9/17/16 Qty Unit Charge Per Extension 1.00 120.0090 ECH EL-0 -200 SRV FEEDER 120.00 Fee summary Charged Paid Credited Due Permit Fee Total 120.00 120,00 .00 00 Plan Check Total .00 00 Oq .00 Grand Total 120.00 120 00 QO 'Go INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX 0) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: 1 W 03/10/2016 09 :13 FAX 360 452 9265 Angeles Electric CITx OF PORT ANGELES FERNUT APPLicATION Building DivisiioruElectrical Inspections 321 East Filth Street —P.O. Box 1150 /Port Angeles Washington, 95362 Ph: (360) 417 -4735 Fox-, Date: 3kp (360) 417 -4711 1 2 Single Family Dwelling kFF va `� iii „� •I IM 0001 /0001 * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address; j Building Square Footage: , Description of abovg ��....^ _..._ ..... .. _ _ :_.. �,,c'.tl _ � �L' /'i �- . a e.ti % •r. La .dl %U ill;- ., s .l. d, r i .. Owner InfQrrnatlo r f Name: MailingA(Argss: CRY: xf ' — State: Phone: >rex: _ _ -- License #! Exp. .�.aQ � � ��• Item C r d SenricelFeeder 200 Amp, $120.00 Service/Feeder 201 -400 Amp. $146.00 Sery €cefFeeder 401 -600 Amp $ 205.00 ServicelFeeder 601 -1000 Amp. $ 26,2.00 Service/Feeder over 1000 Amp. $ 373.00 Branch Circuit W1 Service Feeder $ 5,00 Branch Circuit W10 Service Feeder $ 63.00 Each Additional Branch Circuit $ 5.00 Branch Circuits 1-4 $ 75.00 Temp, Service/ Feeder 200 Amp. $ 93.00 Temp, ServloelFeeder 201 -400 Amp. $110.00 Temp. ServioelFeeder 401 -600 Amp. $149.00 Temp. ServicefFeeder 601 -9000 Amp. $168.00 Portal to Portal Hourly $ 96.000 Signal Clrcuitl Limited Energy -1 & 2 Family Dwelling $ 64.00 Manufactured Home Connection $120.00 Renewable Electrical Energy - SKVA System or Less $102.00 Thermostat $ 56.00 Note: $5.00 for each additional T-Stat NEW CONSTRUCTION ON-LX -, First 13001quars Ft, $120.00 Each Additional 500 Square Ft. or Portion of $ 40.00 Each Outbuilding or Detached Garage $ 74.00 Each Swimming Pons or Hot Tub $110.00 Name: Ma €Ilrtg Address: �- City: fate: Zlp: Phone. arc: License # ! Exp. Total (Otv MuNpilled bv Knit Shure) $ $ i� otal Owner as defined by RCW.19.28.2$1: (1) Owner will occupy the structure for two years.after thle electrical permit is finalized. (2) Owner is required to hire an electrical oontractor 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 eleWcal laws, N.E",C„ ROW. Chapter 19.28, WAC. Chapter 296 -4613, The City of Port Angeles Municipal Code, and Utility Specifioations and PANIC 14.05.050 regarding Elactrieal Permit Applications. - Signature of owner, electrical contractor or electrical administrator: ❑ cash 13 check U51 �cara 01/01012