HomeMy WebLinkAbout236 W 4th St - Building
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt?
17252
, Port Angeles, wash1ngton...~_..::'_....~.......................m....mm, 19.!..O
,
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 d6 electrical work as listed below.
Address ....~..3...&m..W........'I-...~........................m.. Occupancy............,~..m....___....
Owner .?1:t1.l.4../.,1J:Y1..'mdz:.,'AI-::.Y~~";;'n TenanL..m___m___.m_.....___..____._.........._.....m.._m......
Wiring Contractor t9..,..~..I$.~.......---. By.......mm......m..___.......___...m.........m..m..........
Light OutletB..............................._.._..... Service, VOltB .!.:J..o..:...~.'I....Q........ Type 01 Wiring:
Receptacle Outlets_m.__d....._................ No. wIres m..n~__m_.nm.___m.__.m_ Armored Cable ..........-............-.....
Dryer, KW........h_U.._....hU..U.._____n___._ SIze Wiresn~.L_::___~.....__. Non.Metalllc .....m.mn......n....n...._
r:; 0-0> Ir Knob & Tuhe..................................
Main lUBe ....r.::::...........................
............r...........................................,
I
:::::::.:::::::::::::::::..:::::::::::::::::::::Z:::::::
/
............................................,.,.-.......-
'j Ser. NO....u._...._................._...n n' n_
Remark:~ta:..~ti~.._~.~::.:~:...:.....:.......:.::...........::.:....:::..___m___.___........~::::....::..:::..:::.:::.::::.:::..::..::..::
,
I
_._..___..___..___.._.______.__.._____..!_..~.~_.._.n.._n._.n._.n_........n.......u..n_~_n._......._...._....u..._._.....____.._.............u_.......................
f
Range, K\V._._....____.._n_______n__.__n______n.
Water Heater:
Enclosure ....._...........n...n.....__.....n.
Heat~:~:j3:;...:'i.;:::l~~..::.
Type of Wiring:
Entrance Cable _d..........._...m_.......
Motors: size, volts and phase:
Rigid ConduIt ......._.n......_..m........
Metallic Tubing ......_....................
Current transformers:
No. & Size__....__...;n.........................
Ser. NO..n.n....:~......_.........nnn.__....n...
Ser. No. _....:__..nn...............................
RIgid Conduit ...............................
Metalllc TUbing ......................._..
Raceway ......................._......___._
Circuits, Light................_....n..___._...___..
Utility.............................................
Ii eat .._._...........___.........._.........__....
Range ._............................._.............
Water Heater ...............................
Motor ..._............_____...__...._........_....
Dryer _..._...__.....................__..............._
Furnace .........................'_...................
-..__U._n___n_....Uh..ndh_n_n._..n.uUUnUhUn._nn_..nn..nnn.nnnuuun.~.____.__.nnnnnnnnu....n.n_n___..nu.nnu.n..._n..........n
Permit Fee
fmm........._m..mmmm....
Treas. Receipt
NO.m.mm.....m....._...
By ......m..........mm._mm..m_.....m......mmm....m.
NOTICE-Current must not be turned on until CertIficate of Inspection has been issued. If work Is to be con.
cealed due noUce must be given the Inspector so that work may be Inspected before concealment.
~OTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
,
ELECTRICAL PERMIT
N?
17252
Address....____.._____...........................__.......___._.............._...............__.._.._..............................____.__n...Date..._...____.__.._.._.........._......_......_......._
Owner.__................_____.___..___.________.__......_......_.._.......____.....___....__.._...._.___._._____._____..._....Tenant..____......_...__..........__...._.___.___.._______..___._____.....
WIrIng Contractor ........................_.__._.._................_.......___.__....._.....__.__..____.___.............................___ By....................____....__...____......_................n
NOTICE-Current must not be turned on until Cert1ficate of Inspection has been issued. If work ~8 to be con-
, cealed due noUce must be given the Inspector so that work may be inspected betore concealment. .
1M Olympic Printers, Inc.
07/09/2014 12:38 FAX
16001/001
Note: $5.00 for each additional TSlat
NEW CONSTRUCTION ONLY;
First 1300 Square Ft $120.00 $
Each Additional 54C Square Ft. or Portion of $ 40.00 $
Each Oulbuiiding or Delachad Garage S 7400 $
Each SWlmm0g 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 if above said property is for sale, rent or lease, Permit expires after six months of last inspection,
After reading the above statemenl, I hereby certify that f am the owner of the above named property or a licensed electrical contractor. I am Making
the eleet' cal installation or alteration in compliallc wi(h the electrical laws, N,E,C., RCW, Chapter 19,28, WAC, Chapter 296 -46B, The Clty of Port
Angele, cal
Code, andgi rtASpeoificaf s and )PAMC 14 05.050 regarding Electrical Permit Applications.
of owner,}eieciri fal cornkractor r alacfr 1 administrator: 11 cash q check n
�"' galadr ' r. r / 01rON2012
Application Number
Application pin number , .
Property Address . . . , . ,
ASSESSOR PARCEL NUMBER;
Application type description
Subdivision Name . , . , , ,
Property Use
Property Zoning , . , , . ,
Application Valuation : . . .
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
14- 00000813 Date 7/11/14
546559
236 W 4TH ST
06-30-00-0-0- 8728 -0000-
ELECTRICAL ONLY
RESIDENTIAL HIGH DENSITY
0
Owner
Contraotor
RESULTS:
THOMPSON KEVIN HAROLD
DITCH
SHAMP .ELECTRICAL
CONTRACTING
32 N TPNSEN'RD
PO BOX 383
PORT ANGELES
WA 983629371
PORT ANGELES
WA 98362
�f.10 y, ! �/-
�P �J
IS' 1
(360) 452 -1689
Permit I , . .
ELECTRICAL ALTER
- ---------------
RESIDENTIAL
- ---
Additional desc
1 -4 CIRCUITS
DUCTLESS
Permit Fee
75,00
Plan Check Fee
00
Issue Date
7/11/14
Valuation
0
Pxpiration Date
1/07/15
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 Checic Total
00
100 00
.00
Grand Total
75.00
75.00 .00
00
1
REPORT SALE'S TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
/ A hp
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
IS' 1
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING
FROM : A.P.S. ELECTRICAL CONTRACTOR FAX NO. : 360 452 6753
CITY OF POSY' ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Sox 1150 / Port Angeles Washington, 98362
Ph; (360) 417 -4735 Fax: (360) 417 -4711
Date, 6 —lf 15
' 18r. 2 Single Family Dwelling
May. 04 2025 05:20PM P2
RECEIVEU
MAY
INSPECTIONS
" Plan Review Be Requited, Please Complete Flectdoel Plan Review Informati-on Sheet
Job Address: � tv _W `- - e - - - - -- -_
- -- — — -- . _.
-
6uiidlrlg Square Footage"
Dewponofawe �1� „� aa�rxar✓ WC � �"
�—r
?ice g
Owner Irj rmka ion 1
Contractor InFo ation t
Name;_
r�arRe:_ 5ieC.�¢`rC
Mailing Address:, 2 3 ..0 . -__ U ._' . _
Clvy State,
Mailing Address; n
City: State 1 p:
—zip,
Phone 7�7- Fax;
Phone; Fax f
ucense # l Exp.
License # l Exp.
Ram
link Charge
gt Tot ai (MY rauttin led Aran ,CharopA
6 gNicelFeeder 200 Amp,
$120,00
$
SeMcelFaeder201 -400 Amp.
$146,00
SenricelFeoder 401 -600 Amp
$ 205.00
$
SetVaTeeder 601 -1000 Amp_
$ 262.00
ServlwFeeder over 1000 Amp.
$ 373.00
Branch Cimuit W1 Service Feeder
$ 00
Branch Circuit W10 Service Feeder
$ 63.00
Each Additional Branch Circuit
$ 5.00_
$ 5 • o G
Branch Circuits 1-4
$ 75.00
$�
Tamp. Service! Feeder 200 Amp.
$ 93,00
$
Temp, Servim/Feeder 201 -400 Amp.
$110.00
Temp, ServicafFeWer 401 -600 Amp,
$149.00
$
Temp, ServicelFeWar % 1-1000 Amp .
$168 -00
$
Portal to Portal Hourly
$ 96 -00
$
final CircuiV Limited Energy -1 & 2 Family Dwalling
$ 64 -00
Manufactured home Connection
$120.00
$
Renewable Etecttiea4Energy. - 5KVA System or Less
$102,00
$
Thermostat
$ $6.00
$�
Note: X5.00 for each additional TStat
NEW CONftGTION ONLY,
F1rst 13W Square Ft.
$12000
$�
Each Additional 500 Square Ft, or Portion of
$ 40,00
$
Each Outbuilding or Dobchad Gamgo
$ 7400
$
Each Swimming pool or Hot Tuts
$110,00
_ $
$Total
Owner as defined by RCW, 49,28.2 61; (1) Oww 011 occupy the studure For taro years attar this eieattfcal permit is #idolizes', (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 l am the owner of the above named property or a licensed electricat contractor. I am making
the electrical installation or alfera4on in compliance wlfh the elect ical im, N.E.0C , RCW, Chapter 19,28, WAC. Chapter 296-46B, Th6 City of Fort
Angeles Municipal Code, and utility Specifications and PAMC 14.05.054 regarding Electrical Permit Applications,
Signature of owner, electrical contractor or electrical administrator: ❑ cast, ❑ chwk
. �� --��yy �1 Cradlt Card 1t G'�• ...._,.
naiad., � s � 6. � l � 0110112012
�l
t
CJ
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number , , . . .
15- 00060480 Date 5/05/15
Application pin number , , .
291520
INSPECTOR:
Property Address . , , .
236 W 4TH ST
ASSESSOR PARCEL NURSER:
06-30-00-0-D- 8728 -g000
SERVICE
Application type description
ELECTRICAL ONLY
Subdivision Name
ROUGH -IN
Property Use , , . . . . . ,
Property Zoning , . . . . , .
RESIDENTIAL HIGH DENSITY
Application valuation . . , .
0
COMMENTS:
Application d.esc
2 circuits to garage
Owner
Contractor
--------- -------- - - - - --
THOMPSON [KEVIN HAROLD
------------------------
APS ELECTRIC
32 N JENS'EN RD
546 BENSON RD,
PORT ANGELES WA 983629371
PORT ANGELES
WA 98363
(360) 452 -6753
----------------------------------------------------------------------------
Permit , . , , , . ELECTRICAL
ALTER RESIDENTIAL
Additional desc , ,
Permit Fee , , , , 68.00
Plan Check Fee
00
Issue Date .5/05/15
Valuation
0
Expiration Date 11/01/15
Qty Unit Charge Per
Extension
1.00 5,0000 ECH 'EL -ECH
ADDNT BRANCH CIRCUIT
5.00
1.00 6310000 ECH EL -R-
BRANCH CIR WO/ 9ER FEED
63,00
Pee summary Charged
Paid Credited
Due
Permit Fee Total, 68,00
6B, 00 Do
,00
Plan Check Total 00
Do 00
00
Grand Total 68.00
68.00 .00
,00
REPORT SALES TAX
on your excise fax 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 (G) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAIEXCHANGRBUILI)MG
"1
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735 .
Application Number . .
. , , 14- 00001265
Date 10/17/14
Application pin number
. . . 150805
DITCH
Property Address .
. . . 236 W 4TH ST
ASSESSOR PARCRL NUMBER!
06-30-00-0-0- 8726 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name
Property Use , , . , .
. . .
FINAL
Property Zoning , . . .
., . . RESIDENTIAL HIGH DENSITY
Application valuation .
. , . 0
Application desc
Repairs
------------------------------------------------------------------------------
Owner
Contractor
THOMPSON KEVIN HAROLD
BLACK DIAMOND ELECTRICAL
CONTR
32 N JENSEN RD
502 BLACK DIAMOND
RD
PORT ANGELES WA 983629371 PORT ANGELES
WA 98363
(360) 565 -1035
----------------------------------------------------------------------------
Permit , , . , , . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1 -4
CIRCUITS
Permit Fee
75,00 Plan Check Fee
00
Iesue Date
10/17/14 Valuation , .
. . 0
Expiration Date
4/15/15
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
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 SLY (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBIIILDING
RECEIVED
pQkr,j;tF,�fr� .�
CITY OF PORT ANGELES PERMIT APPLICATION OCT Building Division/Electrical Inspections 16
321 East Fifth Street — F.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417- 4711LiF� }C��
Date. 0 6 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of above
Owner Infowation Contractor Information
Name: ;. t)L, R C- Name:
Mailing Address, W Mailing Address:
City: State; Zip: City: State: Zip:
Phone: Fax: Phone: Fax:
License # ! Exp• License # 1 Exp, L G 4
Item Unit Charge Total Q Multiplied by Unit Charge
Servicel.Feeder 200 Amp. $120.00 $
Service /Feeder 201 -400 Amp• $146.00 $
ServicelFeeder 401 -600 Amp $ 205.00 $
Service /Feeder 601 -1000 Amp, $ 262.00 $
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 $$r. --
Branch Circuits 1-4 $ 75.00.
Temp. Service/ Feeder 200 Amp. $ 93,00 $
Temp. SenricelFeeder201 -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 Circult! 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 CONSTRUCTION ONLY:
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 $
$ d J 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.
Signature o aw r, lectrical contractor or electrical administrator: ❑ Cash check
❑ Credit Card It
x Dated; / " _ C 4... 0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735 .
Application Number . , , . .
14- 00001265 Date
10/17/14
Application pin number , , ,
150805
DITCH
Property Address
236 W 4TH ST
ASSESSOR PARCEL NUMBER;
06-30-00-0-0 -8728 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name , . , . . .
Property Use
FINAL
Property Zoning . . , , . , ,
RESIDENTIAL HIGH DENSITY
Application valuation . . , .
0
Application dcac
Repairs
Owner
Contractor
THOMPSON KEVIN HAROLD
BLACK DIAMOND ELECTRICAL CONTR
32 N JENSEN RD
502 BLACK DIAMOND RD
PORT ANGELES WA 983629371
PORT ANGELES
WA 95363
(360) 565 -1035
Permit . , , , . , ELECTRICAL
ALTER RESIDENTIAL
Additional desc . , 1-4 CIRCUITS
Permit Fee . . . , 75,00
Plan Check Fee
.0,0
Issue Date . , . , 70/17/14
Valuation . , , .
0
Expiration Date . . 4/15/15
Qty Unit Charge Per
Extension
BASE
FEE
75.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total '75,00
75.00
Plan Check Total DO
00 . .00
00
Grand Total 75,00
75.00 .00
00
REPORT SALES TAX
on your excise fax 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) MONTI4S FROM LAST INSPECTION
Signature of owner or Electrical Contractor Date:
G:IEXCHANGETUILDING
Black Diamond Electrical Contractor
502 Black Diamond Road
Port Anseles,.WA 98363
IO DAY NOTICE OF PERMIT EXPIRATION
DATE: April 29, 2015 ADDRESS; 236 W 4th Street
PERMIT NUMBER I DESCRIPTION
14- 00001265 Electrical — Residential
The above referenced permit(s) is /are about to expire. Please call
417 -4735 within 10 days from the date of this notice to arrange for
one of the following:
1. If work has been completed, call to schedule an inspection.
2. Request cancellation of the permit if work was never started.
3. Request an extension if work is not complete.
City of Port Angeles Electrical inspections - (360) 417 -4735
Thank you for your cooperation
-Ti�p-
.Trent Peppard
Electrical Inspector
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . .
17-00000178 Date 2/21/17
Application pin number . . .
030134
Property Address . . . . . .
236 W 4TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -0 -0 -8728 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . .
Property Zoning . . . . . . .
RESIDENTIAL HIGH DENSITY
Application valuation . . . .
0
----------------------------------------------------------------------------
Application desc
Bath remodel
----------------------------------------------------------------------------
Owner
Contractor
PATRICIA L FERRIS
BOB'S ELECTRIC INC
236 W FOURTH ST
2293 DEER PARK RD.
PORT ANGELES WA 98362
PORT ANGELES
WA 98362
(360) 457-6887
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 75.00
Plan Check Fee
.00
Issue Date . . . . 2/21/17
valuation . . .
. 0
Expiration Date . . 8/20/17
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
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
DATE: RESULTS:
;,)Ia h7
jo k v1
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR
W
Signature of owner or Electrical Contractor X Date:
VOR R r -j t
CITY OF PORT ANGELES PERMIT APPLICATION = = -to -
Building Division/Electrical Inspections IlV �li,7f
321 East Fifth Street — P.O. Boz 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 4174711
Date: )-//?/17 _ 1 & 2 Single Family Dwelling
Plan Rev* Ma Be Requ Please Complete Electrical Pian Review Information Sheet
,lob Address: T?� t'--
Building
vBuilding Square Footage: /
Descriptionof above {p kh
Owner I�jT{��mti1��atio
E'/ r'S
Contra r I forotlQtt
Name: 0 U t7l ec 7� / • C [ V1C-
Name: I Cbl-
Ma:ii Ad ss: -6 f.,A `! .�
t
Maili A d 190 b t✓
City: State:lyl�, Zip: Q�.36 "a
City d State:>_ZiP:' if?6 3
Phone: Fax:
License # 1 Exp.
Phone: Fax
License # f Exp. D X23
Item
Unit Charge
9ty Total (Qtv Multiplied by Unit Charciel
Service/Feeder 200 Amp,
$120.00
$
Service[Feeder 201 AGO 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/0 Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
S
Branch Circuits 1-4
$ 75.00—
$ 7l•�
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 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
S
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
$120.00
S
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 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 296468, 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 ❑ check
-Cmdecud#Oy\ je
Ate,
�t 1
x t/"� "L i 1
Dated:
0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 17-00000178 Date 2/21/17
Application pin number . . . 030134
Property Address . . . . . . 236 W 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -8728 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Bath remodel
------------------------------ — --------------------------------------------
Owner
Contractor
PATRICIA L FERRIS
BOB'S ELECTRIC INC
236 W FOURTH ST
2293 DEER PARK RD.
PORT ANGELES
WA 98362
PORT ANGELES
WA 98362
(360) 457-6887
----------------------------------------------------------------------------
Permit . . . . .
. ELECTRICAL ALTER RESIDENTIAL
Additional desc
1-4 CIRCUITS
Permit Fee . . .
. 75.00
Plan Check Fee
.00
Issue Date . . .
. 2/21/17
Valuation . . . .
0
Expiration Date .
. 8/20/17
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:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
RESULTS:
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR:
Signature of owner or Electrical Contractor X Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
Application Number 18-00000194 Date 2/15/18
Application pin number . . . 771736 .
Property Address . . . . . . 236 W 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -8728 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Panel and circuits
----------------------------------------------------------------------------
ownerContractor
------------------------ ------------------------
PATRICIA L FERRIS APS ELECTRIC
236 W FOURTH ST 546 BENSON RD.
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 452-6753
----------------------------------------------------------- ----------------
Permit . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 145.00 Plan Check Fee .00
Issue Date . . . . 2/15/18 Valuation . . . . 0
Expiration Date . . 8/14/18
Qty Unit Charge Per Extension
5.00 5.0000 ECH EL -BRANCH CIRCUIT W/FEEDER 25.00
1.00 120.0000 ECH EL -0-200 SRV FEEDER 120.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 145.00 145.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 145.00 145.00. .00 .00
INSPECTION TYPE
DATE:
RESULTS:
DITCH
SERVICE
/
A
ROUGH -IN"
�
FINAL
3 , $, ��
17�`
COMMENTS:
_A
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
REPORT STAV SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
3
INSPECTOR:
Date:
02112/2018 12:37PM 3604526753 A.P.S. ELECTRICAL PAGE 02/02
0�lj
L
CITY OF PORT ANGFLES PERNUT APPLICATION
BuBd ng Dflvjx1oxi&kct'l cgd Tispections AI.• M
321 East ak'ifth Street -P.O. Box 1150 / Port Angeles Wa~om6 9$362
Ph.- (360) 417-4735 Fax: (360) 4174711
NO*: 1 & 2 Single Famiiy Ding
Plan ReviewMay5e RegWr , mpiete Electrical ft -m Review trtforrn ltim Sheet
.lob Addros l
g 5qme Footage
Owner n t;ontr ar fa ati
ran `rctli
ang:p
N�
M Acmes: � A. (& w ;4 Y-- ll ri4M atfa Adams& 4 Xn �
too - JA `7� : o Phorw- Fax:
Lkwee tt / Exp. - Llcwm # / Exp. - � f
Ilam � Unit terve}
SerAx Feeder 200 Amp. $120.00 $1 ZS3
ServiceiFeeder 201400 Amp. S f46.W $
SorvicaJF9@d0r 401.600 Amp S 20M S
SeNi re*14000 Amp- $ 262.00 - R,
Ser taFeeder over 1000 Amp. $ 373.00 $
twnch Ckent W/ Service Feeder $ 5.00 S S
Branch GrciA W/O Sweviw Feeder $ 63-00 $
Each AddNonal Branch Clrcuk $ 5.00 $
Branch arcuitc 14 S 75.00 _ $
Temp. Service/ Feeder 200 Amp., S 93.00 $
Temp- Sewice/Feeder 201-410 Ainµ $110.00 $
Tenip. Setvice/Feeder 401-500 Amp. $149,00 $
Temp. Sesvioe Feeder 601-1000 Amp. $18$.00 $
Porta io Porta Houry $ 96.00 $
Sfl W t kmW Urnked Energy - I A 2 Fw* Omft $ 64.00 $
Manufectured Home C.arrnedian S 12000 $
Renewable Owhicat EneW - 5KVA System or less $102.00 $
Themaoaat $ 56.00 $
Note' $3-00 for each additional T-Stat
First 1300 Square Ft $120.00 $
Each A&Mo>tal 500 SgLm f=t or Porfioe of $ 40.00 $
Each Wbullding or Detached C,iirge $ 74.00 $
Each Swimming Pod or Hot Tub $110.00 $
$ / s1 ci - Total
Owner as defined by K*18.28-261: (1) Owner A occupy the structure for two years attar Ns electrical perrt+it is frdiaed. (2) Owner is recitked
to hire an ekcVcat contra$or i# above said property is for We, font or lease. Permit e)#m aTer six months of last inspection.
Aftr reading the above stir enk I hereby oei* that I am the owner of The above named property or a kensed e6cWcW rwtracbor. I am malting
the elec iricat instafiWo t or dleration in cmiianoe with the ele*cad Wm N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port
Ane„fales Municipal Code, aril thfiity SWdocatons and PAMC 14.05.050 regarding Efecaicel PermttAmmons.
manoturo of owner. eteotrfcar centraater. er `arocencal actn$niatrgtor-
x � ��ai�t+{.. iia: '.�" � J p� ► `�
V
Application Number
Application pin number
Property Address .
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning , . . . ., .
Application valuation . . ,
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
14-00001265
150805
236 W 4TH ST
06 -30 -00 -0 -0 -8728 -0000 -
ELECTRICAL ONLY
. RESIDENTIAL HIGH DENSITY
0
Date 10/17/14
Application desc
Repairs
Owner
THOMPSON KEVIN HAROLD
32 N JENSEN RD
. PORT ANGELES
WA 983629371
Contractor
BLACK DIAMOND ELECTRICAL CONTR
502 BLACK DIAMOND RD
PORT ANGELES WA 98363
(360) 565-1035
Permit
Additional desc
Permit Fee
Issue Date , ,
Expiration Date
Qty Unit Charge
Fee summary
ELECTRICAL ALTER RESIDENTIAL
1-4 CIRCUITS
75,00 Plan Check Fee , .
10/17/14 Valuation , . . .
4/15/15
Per
BASE FEE
.00
0
Extension
75.00
Permit Fee Total
Plan Check Total
Grand Total
Charged
75.00
.00
75,00
Paid
75..00
.00
75.00
Credited Due
.00
, ,00
.00
,00
.00
.00
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:
r 2_c44--
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:IEXCHANGEIBUILDING
Date:
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — F.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 41/C7-4735Fax: (360) 417-4711
Date: fr) -'16r� fDKI
• & 2 Single Family Dwelling
ECEIVED
OCT 16 2014
'L,ECTRlCAt
INSPECTIONS
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: i 3 (p W
Building Square Footage:
Description of above
Cd c‘.) ITS /F( Seicej
Owner Infoamation
Name: vL, i)f-mei
Contractor Information
Name: Pa_
Mailing Address: 236, w i� • Mailing Address:
City: State: Zip: City:
Phone; Fax: Phone:
,
License 4 / Exp, '7.1�s / f) . 3 (.7 License 41 Exp.
Item Unit Charge
Service/Feeder200 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/Feeder201-400 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 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 CONSTRUCTION ONLY:
First 1300 Square FL $ 120.00
Each Additional 500 Square Ft. cr Portion of $ 40.00
Each Outbuilding or Detached Garage $ 74,00
Each Swimming Pool or Hot Tub $ 110.00
State: Zip:
Fax:
LAC. IC -
Total Q Multi lied b Unit Char e
$
$
$ 7) Total
Owner as defined by RCW19.28.261: (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, 1 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 Eiectrlcal Permit Applications.
Signature o ow r, lectrical contractor or electrical administrator: ❑ Cash (Check
0 Credit Card tt
Dated: / 1 6 1 V 0110112012
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER;
Application type description
Subdivision Name
Property Use
Prope.rty Zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
14-00001265
150805
236 W 4TH ST
06 -30 -00 -0 -0 -5728 -0000 -
ELECTRICAL ONLY
RESIDENTIAL HIGH DENSITY
0
Date 10/17/14
Application desc
Repairs
Owner
THOMPSON KEVIN HAROLD
32 N JENSEN RD
PORT ANGELES
WA 983629371
Contractor
BLACK DIAMOND ELECTRICAL CONTR
502 BLACK DIAMOND RD
PORT ANGELES WA 98363
(360) 565-1035
Permit
Additional desc
Permit Fee .
Issue Date . ,
Expiration Date
Qty Unit Charge
ELECTRICAL ALTER RESIDENTIAL
1-4 CIRCUITS
75.00
10/17/14
4/15/15
Per
BASE FEE
Plan Check Fee ,
Valuation
0,0
0
Extension
75.00
Fee summary Charged
Permit Fee Total
Plan Check Total
' Grand Total
75.00
.00
75,00
Paid Credited
75.00
,00
75.00
.00
.00
.00
Due
.00
.00
,00
REPORT SALES TAX
on your excise fax 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) MONTI-IS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:IEXCHANGEIBUILDING
Date:
Black Diamond Electrical Contractor
502 Black Diamond Road
Port Angeles, WA 98363
10 DAY NOTICE OF PERMIT EXPIRATION
DATE: April 29, 2015 ADDRESS: 236 W 4th Street
PERMIT NUMBER / DESCRIPTION
14-00001265 Electrical — Residential
The above referenced permit(s) is/are about to expire. Please call
417-4735 within 10 days from the date of this notice to arrange for
one of the following:
1. If work has been completed, call to schedule an inspection.
2. Request cancellation of the permit if work was never started.
3. Request an extension if work is not complete.
City of Port Angeles Electrical inspections - (360) 417-4735
Thank you for your cooperation
Trent Peppard
Electrical Inspector