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Home My WebLink About204 W 2nd St - Building E-lectical Permit 204 W 2°d St 13 - 151 ELECTRICAL PERMIT W 1 CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 13-00000151 Date 2/08/13 Application pin number . . . 687171 Property Address . . . . . . 204 W 2ND ST DOWN ASSESSOR PARCEL NUMBER: 06-30-00-0-0-5200-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form Property Name . . . . . . to the City of Port Angeles Pro ert Use Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY (Location Code 0502) Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1-4 circuits heaters ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ POWELL, FREDERIC BRENT & BOB'S ELECTRIC INC AMY DENISE POWELL 2293 DEER PARK RD. 1407 E 2ND ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457-6887 (360) 775-5826 ---------------------------------------------------------yz9'�3 Permit . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date . . . . 2/08/13 Valuation . . . . 0 Expiration Date . . 8/07/13 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 V G��,.Eo 21 JZ r3 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN Z 3 t FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING FEB-7-2013 09:53 FROM:BOBS ELECTRIC 3604529943 TO:CITY PERMITS P.1/1 1. V ryt, CITY OF PORT ANGELES PERMIT APPLICATION rI Building Division/Electrical Inspections E!-!-:0 4;j2'L 321 East Fifth Street—P.O.Dox 11.50/Port Angeles Wnshington,98362 f,.'SPECTfgpls Ph:(360)417-4735 Fax: (360) 417-4711 Date: n-1 — 13 _1 &2 Single Family Dwelling Plan Review May Be a ulr$d,Ple se Compl a Electrical Ian R view Inform ilon Sheet Job Address: �f � ^��'rif Bullding Square Footage: 06icrlption of above OwnedAlormationContra r In Tatlo , Name: ��' Name: Mailing Ad rc& Melling A s: Clly: Slate: Zip: City; Slats: Zip: Phone: Fax; Phone: L Fax; — f Lkense p/Exp. Ucertse#1 Exp, BM Unit Charge kc Total fgty,Multl Iled by Unit Chace) Servica/Feeder 200 Amp, $120,00 $ Servim'Feeder 201.400 Amp. $146.00 $ Servlce/Feedor 401.600 Amp $205.00 $ Service/Feeder 601.1000 Amp. $262,00 $ ServicelFeeder over 1000 Amp, $373.00 $ Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 63.00 $ Each Additional Branch Circuit S 5.00 $ �� Branch Circuits 1.4 $ 75.00 Temp.Service/Feeder 200 Amp. $ 93.00 $ Temp,Service/Feeder 201.400 Amp, $110.00 $ Temp,Servlce/Feoder 401.600 Amp, $149.00 $ Temp.Service/Feeder 601 A 000 Amp, $168,00 $ Portal to Portal Hourly $ 06,00 $ Signal Circuit/Limited Energy-1&2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy•5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat NEW COWBUCTION ONLY; First 1300 Square Ft. $120.00 5 Each Additional 500 Square FI.or Portion of S 40.00 $ :Each Oulbuildinp of Detached Garage S 74.00 $ Each Swimming Pool or Hot Yub $110.00 $ . $ Total ' It. 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 � I 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 fhat I am the owner of the above named property or a licensed electrical contractor.l 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 Munlclpal Code,and Utility Specifications and PAMC 14,05,050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: 0 Cash 0 Check Dated;--1 0110117012 CITY OF PORT ANGELES . DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 12-00000958 Date 7/30/12 Application pin number . . . 496908 Property Address . . . . . . 204 W 2ND ST DOWN ASSESSOR PARCEL NUMBER: 06-30-00-0-0-5200-0000- REPORT SALES TAX Application type description RES REMODEL Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . to the City of Port Angeles Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY (Location Code 0502) Application valuation . . . . 850 ------------------- Application desc REPLACE GARAGE DOOR WITH FRENCH DOORS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ POWELL, FREDERIC BRENT & OWNER AMY DENISE POWELL 1407 E 2ND ST PORT ANGELES WA 9836.2 (360) 775-5826 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . RPL GARAGE DOOR W/FRENCH DOORS Permit Fee . . . . 62.20 Plan Check Fee 40.43 Issue Date . . . . 7/30/12 Valuation . . . . 850 Expiration Date 1/26/13 Qty. Unit Charge Per* Extension BASE FEE 50.00 4.00 3.0500 HND BL-501.-2K (3.05 PER C) 12.20 ---------------------------------------------------------------------------- Other Fees . . . . . . . . STATE SURCHARGE 4.50 -------------r summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 62.20 62.20 .00 .00 Plan Check Total 40.43 40.43 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 107.13 107.13 .00 .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 has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO 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 FOUNDATION: `s.. 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 b AIR SEAL: - Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/CeilingI Drywall Interior Braced Panel Onl ) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit its SEPA: Parkin I Lighting ESA: Landscaping SHORELINE: 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 T-Fnrm0Riii1riinn nivi.inn/Riiildinn Parmit PREPARED 8/14/12, 9:30:35 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/14/12 ------------------------------------------------------------------------------------------------ ADDRESS . : 204 W 2ND ST DOWN SUBDIV: CONTRACTOR : PHONE : OWNER POWELL, FREDERIC BRENT & PHONE : (360) 775-5826 PARCEL 06-30-00-0-0-5200-0000- APPL NUMBER: 12-00000958 RES REMODEL ------------------—--------------------------------------——-- --— ------------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL - REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESUL RESULTS/COMMENTS ---- ----- -------------------------------- --- BL3 01 8/14/12 If L v BLDG FRAMING August 14, 2012 9:27:17 AM hCatUZO. BRENT 504-2929 BL99 01 8/14/12 J L BLDG FINAL ---------------------- COMMENTS AND NOTES THE: 1 LES CITY OFP A For City Use Permit # "Z--� W A S H I N G T 0 N , U . S . Date Received: ' 321 East 5th Street Port Angeles, WA 98362 Date Approved: P: 360-417-4817 F: 360-417-4711 hcatuzo@cityofpa.us Building Permit Application Project Address: 0 UJ Main Contact: Phone # 50 Property Name Phone Owner b96=----AJ 4 C—C Mailing Address Email 0 City State Zip Contractor Name Phone W-i✓ 6 Z Mailing Address Email City State Zip Contractor License # Expiration: Project Value: Zoning: Tax Parcel # Lot# $ 49'i5-0 Type of Residential 5 Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ For the following, fill out both pages of permit application: New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other ❑ Existing Fire Sprinkler System? Maximum height of structure Proposed BeProposed Bathrooms Yes ❑ No 2 Lk J 0drooms Project Description Lcsi- I have read and completed the application and know it to be true and correct.I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required,and to obtain permits prior to working on projects.I understand the plan review fee is not refundable after review has occurred.I understand that I will forfeit 20%of the review fee if I cancel or withdraw the application before plan review has occurred.I understand that if the permit is not issued within 180 days of receipt,the application will be considered abandoned,and the fees forfeit. Date ® Print Name Signature ---------------- I cs IE� I -�— ;, I ! I 1 1 ' I I i I �� i I I I _ �� v m c �-t--r-�--�-, I --•— I - "_. Lai 1 p—�_•vc__�.+ n ^4 -I— — Pwy' I ' h � T �— �' 1 y i�-jj W cv G s I NA Yl 7 i I rio y c �'L I 1 7 I I I I ! I r _Ydl a c as �• , ply L+. ' I--I—-�- ! 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"�'rat ,t�"'wwg-t �s.,w •,. - ' ..L w 'yc`fi. +m 'd�'«<i I :w<'�`�s..5'�"a�.�� ....v, � �.a. �*k=`m yis4s� `�sf �;. is =n'r >fa OF PORT 4NC CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. fj o,T ELECTRICAL PERMIT DATE ® Site Address: �J READY FOR ❑ WILLCALL FOR � 0 Vv INSPECTION INSPECTION Installed By: k License Number: Phone: Owner/E usiness: � A M / pho e' �_nJ �, �Oti ,r� ��7 -Sf41 Owner/Business Address: rN� Sq. Ft. IJ Residential 1-1Ne Construction y /round ad Heat KW ❑ model ❑ Baseboard ❑ Furnace/Boiler Service update/alter/repair❑ Heatpump ❑ Other ❑ 30 ❑ Commercial/Industrial load Add/alter circuits ze Amps Total Connected load ❑ Auxiliary power rary (attach breakdown) (list below) Total Motor load ❑ Special equipment (attach breakdown) (list below) Details/Description: A• Ns t,-) IA/4, rZ— W.S. No. Service Size-Date-Hold for: ❑ Easement ❑ Letter Capacity: ❑ O.K. ❑ Not O.K. Comments ❑ Ditch inspection O.K. ❑ Signed up for service/meter ❑ Rough-in/cover O.K. ❑ Meter Department notified for installation ❑ O.K. to connect service ❑ Fire Department notified of inspection Final O.K. ❑ Plan Review approved/pending Site Address: I Permit/Receipt No. 2"' / DO 0 �1/, d /3 s1 G Installer: / New Meters Date: # f f L z(_ 11CsJs' ® Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspeplor in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT.224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /(�/ Dj Inspector — I -Amount paid WHITE—file by address YELLOW—file by number PINK—Top:Eng,Bottom:Customer GREEN—Top:Inspector,Bottom:City Hall i OLYMPIC PRINTERS. INC. ' , ELECTRICAL PERMIT ` CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 16-00000003 Date 1/05/16 Application pin number . . . 249039 Property Address . . . , . . 204 W 2ND ST DOWN ASREPORT SALES TAX ASSESSOR PARCEL NUMBER; 06-30-00-0-0-5200-0000 Application type description ELECTRICAL ONLY on your excise tax form SWDProperty Name . : to the City of Port Angeles Pro ert Use Property Zoning . . . , . . , RESIDENTIAL HIGH DENSITY (Location Code 0502) Application valuation 0 ---------------------------------------------------------------------------- Application desc Duct7.ess heat pump ---------------------------------------------------------------------------- Owner Contractor POWELL, FREDERIC BRENT & BOB'S ELECTRIC INC AMY DENISE POWELL 2293 DEER PARK RD, 1407 E 2ND ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457-6887 (360) 775-5826 ---------------------------------------------------------------------------- Permit . , . . , . ELECTRICAL ALTER RESTDENTTAL Additional desc . , 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee 00 Issue Date 1/05/16 Valuation . . , , 0 Expiration Date 7/03/16 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 OO 00 00 00 Grand Total 75.00 75.00 .00 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-II T } FINAL 1 COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date.- G:1I:XCHANGEII3UILDING � ti�akf CITY OF PORT ANGELES PERMIT APPLICATION 'SAN 1 'lfj�j `� ( ►� Building Division/Electrical Inspections I.r, g ,A Ff.�C'�.�lt 4f. 321 East Fifth Street—P.O, Box 11501 Part Angeles.Wasitington,98362 Pix: (360)417-4735 Fax: (360)417-4711 Date: 1 &2 Slagle Fancily Dwelling "Pian Review Ma Be RexiredJPlease Complete Electrical Flan Review Information Sheet Jab Address;. .. t aaZ•]+�_ Building Square Footag Description f above (2t)TOM , yl Owner I form tlo J, Contras or Inf motion Nance: i4 1;r Name: tnaill A dress: +/ �+!r "� hlailln cldress: til—961 City, r e State: City: s State: zip: Phone: 2 Fax: Phone: Fax: License !Exp. License W Exp, .. tem Unit Charge Total My.Multiplied by Unit Charge) Service/Feeder200 Amp. $12000 _ S Servfce/Feeder 201-400 Amp. $146.00 $ $ervicelFeeder 401-600 Amp $205.00 $ ServiceiFeeder 601-1000 Amp. $262.00 $ ServieeiFeeder over 1000 Amp. $373.00 Branch Circult W/Service Feeder $ 5.00 Branch Circuit W/0 Service Feeder $ 63.00 Each AddillonW Branoh Circuit $ 5.00 $ Branch Circuits 1.4 $ 75.00 L?M10-1 Temp.Service/Feeder 200 Amp, $ 93.00 $ Temp.ServlcWFeeder 209-400 Amp, $110.00 $� Temp.ServloelFeedar 401-600 Amp. $148,00 $ Temp.Service/Feeder 601.1000 Amp. $168.00 $ Portal to Portal Hourly $ 88.00 $� Signal Circuit!Limited Cinergy-1&2 Family Owelling $ 64.00 $� M@Nfactured biome Connection $120.00 -- Renewable Electrical Energy-5KVA System or Less $102,00 $ Thennostat $ 56.00 $ Mote:$6.00 for each additional T-Stat NgW CONSTRUCTION_ ONLY! First 1300 Square Ft. $120.00 $� leach Additimal 500 Square Ft or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 g� $ 2i roe . Total Owner as defined by RCW.19,2&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. Ile After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed eiectrlcal contractor, I am making the electrical Installation or alteration in compliance with the electrical lags,N,E,C„RCW. Chapter 15.28,WAC.Chapter 29646B,The City of Port ' Angeles Municipal Code,and Utility Specifications and PANIC 14.05.050 regarding Electrical Permit Applications, Signature of owner,electrical contractor or electrical administrator: 0 Cash 0 Check FL CradttCard# X P� Qate�f; � )lr __.,._... ��_ 411411241 � f � s'p .Set�t ) XIS' ' et,� ELECTRICAL PERMIT � CITY OF PORT ANGELES 360-417-4735 Application Number 16-00001319 Date 9/06/16 Application gin number . . . 220179 Property Address 204 W 2ND ST DOWN 4WPORT ' . ASSESSOR PARCEL NUMBER: 06-30-GO-0-0-5200-0000- Application type description ELECTRICAL ONLY on.your-exclse.tai fb Subdivision Name . . . . . to,the city Of Port Al geles Property Use . Property Zoning . RESIDENTIAL HIGH-DENSITY (Location-Code 0.502), Application valuation 0 -Application desc Basement recess and circuits ----------- ---'------------------- ----- - -------------------- Owner Contractor ------------------------ -------------- POWELL, FREDERIC BRENT & BOBIS ELECTRIC INC ANY DENISE POWELL 2293 DEER PARK RD, 1407 E 2ND ST PORT ANGELES WA 98362 PORT ANGELES WA 98362: (360) 457-6887 (360) 775-5826 ---------- +--- --------- Permit ELECTRICAL ALTER RESIDENTIAL Additional desc 1-4 CIRCUITS ` Permit Nee 75.00 Plan Check Fee . .00 Issue' Date 9/06/16 Valuation 0 Expiration Date 3/05/17 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 INSPECTION TYPE DATE: RESULTS: INSPECTOR D I`CII SERVICE - ROUGH-IN FINAL CCW17S- PER r WILL M SFROM LASTINSPi 'TM S f, ,df`s 1W of El tdrod Conn X ate: D G. EIP+f�itfttl+iG A O� Q Q°RTa" ELECTRICAL INSPECTION � � WIRING REPORT It�• lK 417-4735 DATE: PERMIT k 1 PECTOR v -13- _ OWNETI CONTRACTOR 1 ADDRESS APPROVED NOT APPROVED ❑ DITCH . . . . . . . . . . . . . . . . . . . . ❑ -ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑ . . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . 0 ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: jar^! 51 Y NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS -- DO NOT REMOVE- CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street—P.O.Bos 11501 Port Angeles Washington,98362 \ W!)F, Ph:(L3/60/)4i7- 735 Fax:(360)417-4711 � Cate: / `� l� ✓9&2 Single Family Dwelling Pian Revi v M Be Rquir�d,Plea Co�rtppte El�r.�rrcai Piar rev Information Sheet Jc�kcid�eSs: U'` � "s.i ^3 S^,are Fo-age J De s;, c i c`move —. — A—^f Owner t formatio Contr o info sonf < re,� o �� _ r.=Me. Tn t �^ ::a .c: r,ss d z -:�r�/ __ Sa:e kv l, Z'p- C:y. Ica 5ta` Zr,: lax &VA Ce'SefiitKt?. L%tE Se=(cxO.�A6c� � 0.1 Item Unit Charge ON Total(Qt3f Multiplied__y Unit Charge Se-v:Cei ee'eer 200J Prip. j 123.110 �. w v"201-M Arris. j 146.63 — Serv:ce rveeHe 401 ECi A.mp 205.0" Se'r,^e eeaer601-1C-„0 Amp S 20""2.000 S — Serv,ce Feeue-over 1CCO Amp. S V3.00 Brarch CircLi; !..Ii Service Fee I'll er 5.0 arm>c?C rcu+`.1;.1 S@rv' a=ee t 03M S -- i.-.aC - 3(ar.-ch Ci'.0 tS 1 4 751"D / Ten u Ser;4ce Feser 2 0 Amp 93.01 Y T emp Se•v<ce,Feeder 201-400 A np StrG de;401 50 c .,..,ce ee O Amp. ?49:4,, — .:';'g ry �G'."til•'irta''r�J::')f .f�..?.GJ ej crergy-i Z 2 Fag .7 Cr e 'cg c4.G la.a:!::factured Horne Co^rec+icn S 1201.01 S� Rei;eaaa6`.e Electrical Energy-5KVA System or Less $10200 S ,_ ThetTPDStai �j,U ,Ncte:S;i.Gl fo.each adamt c t. --Stet NEW CONSTRUCTION ONLY: "ca^h k o,Vczal 560 Square F, cr Port c:7 of S 40 C0 IS — Eecti Cut:cu.'d,ng c Cetacned Garage S 74.00 Y Ea h S.4lrnrn rg Po;^,l or Hot Tut: :i 10 Go Total 0.*,rrer as defined by RCV'V.19.28.261:(1)C finer vi.,;;i occupy the structure for two years after this vectrica permit is finalized.(2)Cerner is required to hire an e',ectrical 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.,RCM Chapter 19.28,WAC.Chapter 29646B,The City of Port Anceles`Aun*1cipal Code,and Utility Specifications and PAI1C 14.05.050 regarding Electrcat Permit App';[Oons. Signature of owner,electrical contractor or electrical administrator: cash chE' ',- Application Number . . . . . 23-00001267 Date 11/30/23 Application pin number . . . 670483 Property Address . . . . . . 204 1/2 W 2ND ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-5200-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc ADU ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ POWELL, FREDERIC BRENT & SYNERGY ELECTRICAL CONTRNG LLC AMY DENISE POWELL 910 W 10TH ST 1407 E 2ND ST PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 461-3954 (360) 775-5826 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 120.00 Plan Check Fee . . .00 Issue Date . . . . 11/30/23 Valuation . . . . 0 Expiration Date . . 5/28/24 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL-R-SQFT FIRST 1300 120.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 120.00 120.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 120.00 120.00 .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 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 12/04/2023 23-1267 TAP OWNER CONTRACTOR Synergy Electric PROJECT ADDRESS 204 ½ W 2nd St