HomeMy WebLinkAbout536 E 4th St - Building
";-, c, "~', ,ClTYgFJ?OR1;,Alt<JELES
DEPARTMENrOF.COM~ybEVELOPMENT - BUILDING DIVISION
321 'EAST5TfJST~.EJff. PO~T A~q~LES. WA98362
'\ "::'. ;:,1 ;";" ;,_,,:',." ~-.. ", ~ <; '_,.
Application NUmber
PropeJ;ty"Address. .
ASSESSOR PARCImfNtJMBER:
Application description
SUbdivision. Name
Property Zoning. . . .
Application valuation .'
03-00000984
53,6 B 4Tij: ,ST
06-30-00~O-1-7200-0000~
PLUMBING REPAIR
, ': ~-': - t ~,:(~ ;: i "-;
Date '10/07/03
. ;<-;~'..
500
Owner
contractor
----~-~-~~~~--~~-~----~-
lUNEBARTlfILLIAM B
536 B 4TH ST
PORT ANGELES KA 983623406
LANDSCAPINCLBY" COCKBOM
4950 SEQ DUNGNBSSKAY
SBQUIM KA 98382
,(360} 681-.0644
Permit . .' . .
Additional desc
PermitFee . .
Issue Date . .
Bxpi~ati~ Date '. .
PLUMBING PERMIT
54.00
10/07/03
4/05/04
Plan Check Fee
Valuation 'c.
.00
o
Per
,<,-',
7.0000 BCH
BASB FEE '_,"
PL- EA LAWNBACKFLOW
Extension
47.00
7.00
Fee SUJIIIIlAX"y Charged Paid Credited Due
""Permit,F~ Total
Plan, Chf!!.ck Total
, Gr8nd' Total
-54,.00.-
.00
54.00
54 . OO'~
.00
54.00
.00'
.00
"". .00
.00
.00
.00
':--
A4'.'"
~pa~f!,~!tm,L~;~rereqlllr~ tQr~i~~'NOfk.S.Ef'.A.~li~~""~"''"'''.' :~'util:r~~~!,~1fat~andp'~bllc!rnP':'lveT~llts"~IQ~iT!l~eC()"T~'
nlJU aqd ~~ld ifwoTk or construct/on authorlzeqls not Comme , ' " 1018b days, It~nstruptlbn or work Is,sus~iUfftl(jra!ialjdo.i)'Et~
to'r~(~n~d'(jJ ,180 days after the work as ~mm~nced, o~ It;req,>~JnspectJons have not been re9uestecJ within 18:O.~aY1l tt(.lP'!theia$f
i~speCtlohi I hereby certify that Ihave'read'andexam~!le~.thl~lication>andkn~w>the sametl> ,b84true,and'cOrrf)C~,,>Aii'PJ(MsiO,nsgf
laws ,and ordinances governing this type of WOrk W1l/becorilplledWith, whether specified herein or not. . The, granting ofr8lpermit(ioestlqt
presume to give authority to violate or canCel the provlsiQnsOf any 'state or local law regulatirmconstruction or the'performanceqt
construct/bn. . ,,' ; " "
!
Date
~C~f\~~,.>
Signature ot-OWner (It oWner Is builder) ,
. '--""
BUILDINGPE~f INSPEti'~p~ ~<:;ORD
CALL 417-4815 FOR BUlLDINGmSPECnoNS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IScjJVLAH(FtfLrOq,~R,
, INS1jLA7;EORCONCE-1L /fJVX:Jf:Qig(BE{()RE llYs.r~CTBD. AND AfCE,fTED. POST PElWIT IN A CO~~,~~<<:UO,!S~TI~.'
KEEP PERMIT. CARD AND APPROVED PLANSATJOB SITE
'"
}1~o~.,(:,;/t1"'~~;l~l
,
'::0 ;'" ~-- - ;"'_~,;;,. ''''Y'~{~,,"~.r,~.,-
INSPECTION TYPE
I.. ' --=-
",,'d,', ','
."" ,.
".<"i "f" .~. _ -, '
"~;-~::.. .' . ," ,
" ,. ''':.: - '..' ~"',
,: .,:i}; ; ,
DATE
ACCEPTED
YES I NO':'
I
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SE~ARA TE PERMIT: "
ROUGH.IN' I
PLUMBING
UNOER FLOOR I SLAB
..
.
" I
.
ROUGH.~
WATER LINE
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
ORYWALL
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING
MECHANICAL
,
~ I
,
-'
,
'1J-;/-,
"7
I
I
I
.
,
'.
-
-:
I
I
,
HEAT PUMP
,
WOOD STOVE I PELLET I CHIMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT II's:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT "'s
PARKINGILIGHTING
.'
,
SEPA:
ESA:
LANDSCAPING", '.
"','. ,.:( .',', ,J'
, ".' REsfDENTIAC"
. ,,' SHORELINE: " .
: . '..' F1NAMNSP.ECTIONS,ltrtQum~ ,PRIUR T(),~(IUPAJII<:YIl1$!5:!,!")",;," i ,;-',icAyi-. ,; .,o~t;-~,,/? ,~~1.; '.,
J;' P "JDATE 'YESi:" 'NO ;,"] :djMMUfuALY:'- ::DA"rE'3:-r ie" ~AbdEPTKD; i
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~; ,",.
ELECtRlC.A.L f'': __"
L1G~D~tr;_ .... " '" .... y
ELECTRICAL.' LIGHT DEPT. 417-:4135 ' ,:!
.. , ,",,'. I ".
CONSTRUCTION R.W.I PWI
ENGINEERING 417-:4807
.
FIRE 4!.H~53 '. "
0 ,
PLANNING DEPT. '417-:4750 I~ ~ "'~,
71,
BUILDING..- ~.. .., ,.. ,.:. ,,417-481 5 'Ta -- -"..
/" .iJ
CONSTRUCTION - R. W.
PW I ENGINEERING
FIRE DEPT.
, PLANNlNG;DBPT.",. r I'Li<, ','"
,
-
,( ,,' ,'~ ,'~ ,"'~'"
,
, , , -,0' . " i"
BUILDING '-.___ ..
T:\PLANNING\FORMS\1102.15 [412002]
''':4-
'....i>.~.'.
-
,
Site Address:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
e-
ELECTRICAL PERMIT
PERMIT NO. ,5,-sgi
DATE~S--1 (
-53'
7/
o READY FOR
INSPECTION
License Number:
"_ WILL CALL FOR
INSPECTION
Phone:
Installed By:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercialflndustrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
;':[Underground
Voltage
01003.0
Service size '. ,-
o Temporary
Details/Description:
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
~j?~"L:X F'7'-
toO
'Y Amps
.'
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
11.NJ'-W Rough.in/cover O.K.
(WI 0 O.K. to connect service
~ Final O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
....-
f::.
Permit/Receipt No.
33'61
Site Address:
530
New Meters
Date:
/-1S;7'/
e r
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 Inspecto in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
---r/ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT -:)
c-::20, 00
Amount paid
YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
.
OLYMPIC PRINTERS. INC.
16699
Port An1.eles. washJii.~.on...m_iL__=2~m_m_mm_m__mmm...., 19__;:._~r--
sit: '''--....
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nl!
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.
Address __m~?_~m_ -~cf~----m------m----. Occupancy_____~~mm_____m_____.____
~:=~ ~-~:~5~j;?i.~:::~~~h~~:~~~;=:::::::::::---:--:-~::::::::::=::::::::::::::::=::::::::::=:::::::::
V
Light Outlets_____._______._____._________u________.
Service, volts .......................................
Receptacle Outlets________.___.........__........
Dryer, KW nnu..____.......................____...
Range, KW ___u___....___n______....._______.
Water Heater:
No. wires ____....................__..__...__....
Size wlres..................................._..
Main fuse ..n..........................__.......
Enclosure ._......_____m...._____
KW....___hhm_m_mum_uum_____
Heat KW.____r:!.:C?__Ot.I.:::.___u___
Type of wiring;
Entrance Cable nmnm......______.......
Motors: sIze, volts and phase:
Rigid Conduit _________________
Metallic TUbing __._....._n_________......
Current transformers:
No. & Sizem.......m__......__.......
Ser. No...____.___..._.._________..________.______...
Ser. No._____.__..__.._______.._......_______...__...
Ser. No._..______..........___..........._...__......
Total Load.mm.m....m____.____..
Ser. ~o. .._______........______..........h_h....__
Type 01 Wiring:
Armored Cable .mm____................._
Non-Metalllo _____mm..m__________m____
Knob & Tube___....___......................_
Rigid Conduit ___h___m_m_m..m____..
MetaJllc Tubing h___mm.____________.__
Raceway ......................._......_._..._
Circuits, Llght................_______..___.__...._..
Utility .._um__mm___m..mm._____...._____
Heat .._..._................_....._.._....____
Range ._..._.............___.._....___.............
Water Heater _.........m....mm_.......
Motor _._......__.._________.....___.............
Dryer...............................__.___.____.__..._
Furnace .........................'_......_.._.......
Total __._.___.______...__.___._._.___.__....
Remarks: ---------------__._h_____-4.-e~-...-~~-..----------.-----------....-.--------------_____________________________________________
, -
(
Permit Fee ~"._ Treas. Receipt
$_._______~__...._____________________, No.___..__.__....______._______
. '~;vi~' , :
C .. ./.'
....,-rtkc,c.4._..,.
By,_ m_______________________________h__m_________________________""--_
NOTICE-Current must not be turned on unttl Certificate of InspecUon has been issued. It work is to be con.
cealed due notice must be given the Inspector so that ~~rk may be inspected berore concealment. .:
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTIO~,
-,
\
,
(~.:.......
ELECTRICAL PERMIT
Cu.
N?
16699
.J
A.ddress._..____._........._........___...___._.................___h...___..______._...............................__......___.__.............Date.______...____.._.._.........._......_......_.........
--
Owner _.......h__....._______.._........_......_.._......____..._.._.....................______......____.............____..... Tenant..__....___________.________..........._...............__h__.....
WiringContractor._..____.___._..__........._.............................__................__......__.___..............._.........______..By....._____..__._..____........................................
~.......... ".;....'
, NOTICE--Current must not be turned on untU Certificate of Inspection has been issued. If work Is to be con.
\' cealed due notice....must b.e given the Inspector so that work may be Inspected before concealment. .
" ./,.
_r', '
.".~
'\ _.... ~JM Olympic Printors, Inc.
CITY OF PORT ANGELES
LIGHT DEPAR~\
ELECTRICAL PERMIT
'l,. ~.
Nt!
16692
Port Angeles. Washlngtonm.f.Q..:-....~=;L.",..nm...m.m...m...... 19.2.nY'
In aocordance 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.
Address n.~3n~nmGm...4nLl:"mnm:.J:n..nn...____n.nm. OccupancY.nnm.~_..n.nn...mn
Owner n__.Ld.Jj2..__.6.~,~.~~,~L<fl_nnm Tenant.m.mmnnmm_.n....n._n__.mmnmn.nn__..._.mm__
Wiring Contractor ml2~lLv..t.,{k,n~:....nnm. By......mm.nnmnnmnmm...nnmn__.m.mnm.mnn
Light Outlet................................_..___... Service, volts ..J.J.__~:.2:,I:L.Q...... Type of Wiring:
Receptacle Outlets.......n___n................. No. wires .......~.........................n Armored Cable ..n.mm.hn............_
SI I If/./!. ~ Non.Metalllc .................................
Dryer, KW _.000000.....00........................... ze w res.,;;... noon .. 0.0000......_..
Range, KW m.mnmm.m.nn Main fuse ....~~.....!':.~.---..
Water Heater:
Enclosure n..n..m..mm..n...
KW....nn....................n...
Hea" KW.::;....o.........E..~.......
Type of wiring:
Entrance Cable ..mn...h...........
Motors: size, volts and phase:
RIgid ConduIt ....00.......00................
MetalUc Tubing .__m_....................
Current transformers:
No. & Size.......................................
Ser. NO......n.n.....nn_n_....__n__.....h......
Ser. No...............................................
Ser. No. .............................................
Knob & Tube.............._......._........._
RIgid Conduit ...............................
Metallic Tubing ....00.....................
Raceway ................__....._....____._
Circuits, Light........___............................
Utlllly.....................__.........__...........
lIeat ___......_............._........_...._.._
Range .............................................
Water Heater h.............................
Motor .__..........__......................00......
Dryer................................................_
Furnace .........................'_......_..... ......
Total Load.....n....nn.............. Ser. No.................._.......................... Total.......................................
Remarks: n.m..Iii2~~~A.__...n.;;d___Q...k.w.___..n.F::~nJ.mmmm.mnmm.mnnmm.mmm..n.....n
Permit Fee
$:mnm.mmm..mn...mmn.
Treas. Receipt
NOhn__.mn..mm.m_m
By ..nn{.-Ll.~nm__.__nm.mm.m.mnmm.m.
NOTICE-Current must not be turned on until Certificate of Inspection has been Issued. It work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
16692
Address.........._........._...................................................................__.................................._...........Date..............._.._.............._......_..............._
Owner.........__........._.............._._...._.._......_......_.._..............___.........................................TenanL............................._........._.__............_...........
WlringContractor.....__.........__................._......_.............._.........................................................___.By..............................................................
NOTICE-Current must not be turned on un~n Certificate ot Inspection has been Issued. If work Is to be con-
cealed due notice must be given the Inspector so that work may be Inspected before concealment.
1M Olympic Printers, Inc.
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . 16-00000546 Date 4/19/16
Application pin number 192970
Property Address . . . . . . 536 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 7200 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use
Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Ductless heat pump
Owner, Contractor
RINEHART WILLIAM E EXTRA MILE TECH L ELECT., LLC
536 E 4TH ST 418 N. RACE ST.
PORT ANGELES WA 983623406 PORT ANGELES WA 96362
(360) 457-5222
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 68.00 Plan Check Fee „00
Issue Date 4/19/16 Valuation 0
Expiration Date 10/16/16
Qty it Charge Per Extension
1.00 5.0000 ECH `EL-ECH ADDNT BRANCH CIRCUIT 5.00
1.00 63.0000 BCH EL-R- BRANCH CIR WO/ SER FEED
Fee summary Charged Paid Credited Due
Permit Fee Total 68.00 68.00 100 100
Plant Check Total .00 .00 100 „00
Grand Total 6840 68.00 .00 .00
Is
o"o ----
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor ,X
GAEXCHANGEWILDING
Date:
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.
Signature of owner, electrical contractor or electrical administrator ❑ cash ❑ chc*
�reancaraa D N
X 011010112
-04;-ib
�t
CITY OF PORT ANGELES PERmT
APPLICATION
�l`� r1
Building Division/Electrical inspections
321 East Fifth Street —P.O. Bog 1150 / Port Angeles Washington, 98362
Ph: (360) 4174735 Fax: (360) 4174711
cam.
Date:
!' 1 8.2 Single Family Dwelling
In oW mITmY a tion Sheet
* b Plan May Be Required, Pleas Complete Rsoitio I Plan Review Information
Job Address: y���
,
Building Square Footage:
Description of above,.
Owner Inf nnation
ma:
PG (rv4d _.EV�.
Contractor of to4" 1�
gaillrq Address° t� i 1 �ICet I
Mailing Address:
City State i� Zip ��
City" State:? __ Zip:
Phone:_.. .m ew Pte. _._.. _.._.
Phone:, t �.
License # ,/ Exp, _ .
to
tlnit Charge
9-tC ��pl% bit irit Ihp e
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
Branch Circuit WIO Service Feeder
$ 5.00
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
Branch Circuits 1-4
$ 75.00
$
Temp. Service/ Feeder 200 Amp.
$ 93.00
Temp. Service/Feeder 201400 Amp.
$110.00
Temp. Service/Feeder 401 -600 Amp.
$149.00
Temp. Ser icafFeeder 601 -1000 Amp.
$168.00
$
Portal to Portal Hourly
$ 96.00
Signal Circuitl 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 CON T UY[P
First 1300 Square Ft.
$120.00
Each Additional 500 Square Ft. or Portion of
$ 40.00
Each Outbuilding or Detached Garage
$ 74.00
$ _.
Each Swimming Pool or 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 `rf 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.
Signature of owner, electrical contractor or electrical administrator ❑ cash ❑ chc*
�reancaraa D N
X 011010112
-04;-ib
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
Application Number I . . . 1 16-00000703
Date
5/17/16
Application pin number 615771
INSPECTOR:
DITCH
Property Address . . . 536
E 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30
-00 -0 -1 -7200 -0000 -
Application type description ELECTRICAL
ONLY
Subdivision Name . . . . . .
Property Use
FINAL
Property Zoning RS7
RESDNTL SINGLE FAMILY
COMMENTS:
Application valuation
0
Application desc
Ductless heat pump
Owner
Contractor
RINEHART WILLIAM E
EXTRA MILE TECH & ELECT.,
LLC
536 E 4TH ST
418 N. RACE ST.
PORT ANGELES INA 983523406
PORT ANGELES WA
98362
(360) 457-5222
Permit ELECTRICAL ALTER
RESIDENTIAL
Additional desc
Permit Fee 63.00
Plan Check Fee
00
Issue Date 5/17/16
Valuation . . .
0
Expiration Date 11/13/16
Qty Ait Charge Per
1.00 63.0000 ECH -,EL-R-
BRANCH CIR WO/ SER FEED
63.00
Fee sumfma.r.y 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
OO
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
.... .... . ..... . . ......
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
-
GAFXCHANGE\I3UILDING
Cr -r Y OF Pon ANGELES P=MT APPLICATION
Building DivisioufflIechical "SPeeflons
321 East Mk Street- P.O. Box 1150 / PortAngeles Washington, 98362
Ph: (360) 417-4735 Fam (360) 417-4711
Date -13 - /(- 18 2 Single Family Dwelling
*Plan Review Mq Be Required, Please Complete Electrical Map Rev! Information Sheet
Job Addrew,
Building Square Foalage:
Dewriplion of above
L Zf
Owner Info adon
Name..—
Contractor Infornzation
IV �11 tv��4.-Ekir-hiicgt 1
_MT -11, —
Matting 7
M
City.
P
Ucense#/Exp---�
em
fjrf Chaffie
Total (Q-ty MYMW kit ratha
Serviceffieeder=Amp.
$120.00
Senifee/Feeder 201400 Amp-
$146.00
Service/Feeder 401-600 Amp
$205.00
$
89rvIcPjFeeder601100D Pinp-
$ 26106
ServicelFeader over 1000 Amp.
$373.00
Branch Ciwjjft W SeMoe Feeder
5.00
$
Branch Cim& W/O Service Feeder
$ 63.00
$ L--- 6
Each AddigooW Branch Mcuft
$ 5.00
Branch Circufts 1-4
$ 75.00
Temp. ServiW Feeder 200 Amp.
$ 93.00
Temp. ServiceFeeder201400 Amp.
$110.00
Temp, SeNi 401-600 AMP.
$149.0
'ramp. SeMce/Fwder 601-1000 Amp
$168-00
Portal to Portal Hourly
$ 96.00
Signal Circuftl Urrifted Energy- I & 2 Family Dwelling
$ 64.00
Manufactured Home Connection
$120.00
Renewable Electrical Energy-51MA &fltarn or
$102.00
Thermostat
$ 56.00
Note: $5.00 for each additional T-=
NEW ONLY -
—CONSTRUCTION
First 130D Square FL
$120.00
Each Aciditional 500 Square FL or Portion of
$ 40.00
Each Outbuilding or Detached Garage
$ 74.00
Each Swimming Pool or Hot Tub
$110.00
Owner as defined by RCW.1928.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an elecM contractor 9 above said property is for sale, rot or lease- Permit expires after fb(months of last inspection.
After reading the above staliament, I hereby certify that. I am the ovwner of the above named property or a ficertsed electrical contractor. I am making
the elechizW in or alteration in compliance W% the electrical laws, N.E.C., RCVV. Chapter 19.28, WAC. Chapter 2964B. The City of Pod
Angeles Municipal Code, and Uft Specificaffons and PAMC 14.05.050 regarding Electrical PermitApplications.
Signature of owner, el 'cal contactor or electrical administrator. 0 CM& 13 ChMIC
tit Card 40 pi
Application Number . . . . . 23-00000029 Date 1/10/23
Application pin number . . . 167663
Property Address . . . . . . 536 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7200-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
DHP
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Owner Contractor
------------------------ ------------------------
RINEHART WILLIAM E EXTRA MILE TECH & ELECT., LLC
536 E 4TH ST 418 N. RACE ST.
PORT ANGELES WA 983623406 PORT ANGELES WA 98362
(360) 457-5222
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 1/10/23 Valuation . . . . 0
Expiration Date . . 7/09/23
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
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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 1/09/23, 7:54:42 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
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APPLICATION NUMBER:23-00000029 536 E 4TH ST
FEE DESCRIPTION AMOUNT DUE
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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:
DHP
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
1/10/2023 22-29 TAP
OWNER
CONTRACTOR
Extra Mile Electric
PROJECT ADDRESS
536 E 4th St