HomeMy WebLinkAbout830 W 9th St - Building
rJPORt~
S
~i,..
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Property Zoning . . .
Application valuation
03-00000424
830 W 9TH ST
0630000299300000
RES DETACHED GARAGE
Date
4/28/03
8448
Owner
Contractor
MARCEL STREETER
830 WEST 9TH STREET
PORT ANGELES
(360) 457-3053
Structure Information
Construction Type
Occupancy Type . . . . .
Other struct info . . . .
WA 98363
MEYERS CONST. MAINT.
391 BROWN RD
PORT ANGELES
(360) 452-5457
NEW384 SF DETACHED GARAGE
TYPE V NON-RATED
GARAGES, CARPORTS, SHEDS
NUMBER OF UNITS
WA 98362
10.00
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit Fee 190.75 Plan Check Fee 76.30
Issue Date 4/28/03 Valuation 8448
Expiration Date 10/25/03
Qty Uni t Charge Per Extension
BASE FEE 92.75
7.00 14.0000 THOU BL-2001-25K (14 PER K) 98.00
Other Fees
STATE SURCHARGE
4.50
oEl
~
G
Fee summary Charged Paid Credi ted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 190.75 190.75 .00 .00
plan Check Total 76.30 76.30 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 271.55 271.55 .00 .00
~
~~~ ,'\ t
~
--0
--
::s-
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 aflerthe work as 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. Ail 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
resume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
co ction.
'a~
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES I NO
FOUNDATION: /41 en1. 0 SIc- b O-}'O3 <!JI:: R.1f
FOOTINGS
WALLS
FOUNDA nON DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I
PLUMBING U'C}- w<d/..s r~16-4r3 -.(ff\ J , I-.
UNDER FLOOR 1 SLAB
ROUGH-IN
WATERLINE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS T I I
CEILING I I I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS 1 ROOF 1 CEILING -:/--1 L-o"3
DRYWALL
T-BAR
INSULATION
SLAB I I I
WALL 1 FLOOR 1 CEILING T I I
MECHANICAL
HEAT PUMP
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. / PW / CONSTRUCTION. R. W.
ENGINEERING 417-4807 PW I ENGINEERlNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 (:"'?I,r.e d PLANNING DEPT.
BUILDING 417-4815 O-':'-iPf:. -a;- N\I BUILDING
T:\PLANNING\FORMS\1102.15 [4/2002]
o w w
" ~ ~
. W"
W
000
~ ~ ~
'J) wmlJ]
, .....................
>--' 1-'00
0\ O'\1IlU'l
....... .....................
o 000
W wwe.>
t~f. >"
. t-< '0<:
; t""' t-<
n
o
3
3
~
Z
~
w
tJj P-llllll HdIl
/-""0:::"""0:::
f-"< H >-' p> H
I-' t:"'>-'3t-<
:E:t:l f-'.O
3: ro H 3:::S H
III I-' Z III L!l Z
'< I-'Q,< G'.l
ro ro "
'1H1tJt1:;J"'l
OJ 0 ::>::l 00 {Il :<:I
~ t1;j "" 'g ~
lJlP.t<J\J10H
NOt'NrtZ
:(L' f-'Q
U'l::S lJ1 0
. ."
~ m ~
,~ '
o
0" 0
"0 "
00<' 00
0" 0
oo. 00
".
W" W
00 m 00
o 0
o 0
~
Z
o
~
~
w
~ ~
~ ~
W H
o ~
w
8
~
o
Z
Q
"
o
o
~
.
n"~
O~
'0
~5ig
~w
~~.
~gsS
~
H
" .
~H~
wz
~w~
Si'O~
H
~
"0'
~~
WW~
~gCll
~HH
w.o
'();j~
00:1
'ZH
~ ~
Z
~
W
,
W
~
>
w
;l>'1::l0nE;
:g~~~tl
r< nt>J >-3"
zgl::tl~&l
~ nw
.. ~
W 0
t<J. :<:I.
"
~~~~e:
I I ::>::l ~ 0
ownt>:l
Qot<J::tI:E
0' t:" if.)
00 0
Down....
""'>-30~
NO:;tlZ
.... I t>l[J)(J]
t..l[ll...,...,
" ~.
~o~
Ul~:>:l~
00 H
~ Z
~o ~
>0
no
"0
~,
o
~
~
~
n.
H"
~o
".
>
0"
"~
o
.
o
"0
~,
~~
Qo
ow
~.
~
w~
~
~
~
o
o
..w
BSS
ZZO
OOH
<
H
HZ
zw
w.
.0
on
n~
~H
00
"Z
~~
~~
O~
WO
~
~
S
o
"
"
"
ww
mm
00
..
~~
,~
w~
o.
~~
w,
o.
>>
~Q
O~
o
,
~
o
,
o
W~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . . . . . .
v
REQUEST:
Date ~-S-c>3:
Time
Received by
IE?V
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Ins (circle appropriate one):
Sewer Foundatio\Framing Chimney
I-\Ao\A.U
<(~ leA-ie
TES:
Inspected: Date ~.;;--~-C;S
Remarks:
<2;36
W qi'-\
ga99'_
Phone No.~-~
Permit No. ?-/2 '-I
Plumbing Final Sewer Excav. Other
INSPECT
Time
By
K?V
GJI\:
,
RESTORATION REQUIRED. . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONIX
Date Rec.: try t( -/6 -0 hZ;
Permit #:
Date Approved:
Date Issued:
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for reyiew. If you haye any questions, call
(360) 417-4815
APPlicanto~~ \~~("~\~"n,)td,(M,\- Ci\,,J Phone: 3 &'O-'-15'd.--S457
owner:~~._ __ '<.Q_~_ Phone: !::LSr-20c-,3,
Address: 8:<,,;) \>2;'1-\\-" '::,4 City:\>(ji'\Ah~~h.s Zip:~~~k?)
Architect/Engineer: Phone:
(lI1 r \) JYk~ti'Cm I~l ~ 8 ~ - .,
ContractOTllle~f$ Ul,.,<" 'l- mo.:,,", State License #.~. Exp: -",5-0J
Address: ,~'1' ~ r'(":) 'c''':' " R d. City: "? Q"\ A,,,, { \ Q "
PROJECT ADDRESS: ~ ~ <:) 'A) ~ -\\, S~y A '
.:JOel
Block: !:LO L /
at, :';,100- O.x'1130
Phone: =5 (,,0' i.{ 5"Ol-5!.ffj
Zip:3b~CoJ
i~ ,<) 7
LEGAL DESCRIPTION: Lot:
..-.
/
Subdivision:
ZONING:
If.' A
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Moye
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
o Stove
1IIl Garage
o Deck
o Other
Irel.{'
SIZENALUATION: <l>. d'J
38'-} SF. @$ J~ /" /SF. ~ $ 8.4.'-1'0 -
.
SF. @ $ /SF. ~ $
SF. @ $ /SF. ~ $
TOTAL VALUATION $ 9,. L.jl-j S 'Q
\l"x d-.'-\ '
C\ C\. " ""1
."
COMMERCIAL@SIDENTiAn Occupancy Group: Occupant Load: Construction Type: VJC7i'Jd
No.ofStories:-L- LotSize:~ Existing Sq. Ft. 7lPlo &ProposedSq.Ft.~ ~TOTALSq.Ft. 1/50
Existing lot coyerage ~ % & Proposed iot coverage ~% ~ Totallotcoyerage I~,.') %
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESNWetiand(s): 0 Yes 0 No SEPA Checkiist required? 0 Yes 0 No Other:
BIDLDING PERMIT APPLICATION SUBMITTAL: The Building Diyision canproyide you with information on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a yaluation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Diyision to comply with current fee schedules. Contact the Pennit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building pennit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno pennit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply far this permit and
understand that it is my responsibility to determine what permits aT uired ,not the City's, and that I must obtain such permits prior to work.
Date:4~ Il,-()3
T:\FORl\.1S\APPS\Buildingpenni 1. wpd
f,!,ORT-c..,.
........O~~
~'1,
~ ~/
t'~""W
DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION
APPLICANT: m~'tfr-::. (' .l"m<\\..\.\!:.L)"'(\4 mo-\"I\\- PHONE: 3~Cr 4~a.- '5457
PROJECT/DEVELOPMENT ADDRESS: "O:So \AI '1"'\- ~.\
See Page 4 for instructions on completing the site plan. For more information, caI/417-4815.
~"b
'- ~C """ I
~
I'
"" , '''; IT
, """--- " f'--... ['-;
" ") ~f ~ " "... \ ~ '.
; , , ~-. .
<j v i'i. -/...\ '-' -...... "' 1 ~ If
...\ !\~ ( '-. ,
--. \' 1\ , -. J.,
." f'-.
~ V ~ F-...... ..:i: ''t-
.\ ."\l r~ \ ,).,..( ,v ~ I
.,
\: ,,-' ..... -...... "\ "" ....... . ~C
r-.. I'-..
-:\ '\ " -...... " .....
'-. -......
-3 ~ r~ "- "- '-. i'- II
.
~ ,,-,
I 'co
I~"
W
C ~
'.
J.
~lii ..
IJ-.
~ "
,
l'l~\t ; i'- ,
(,I:,.~ r. ..
,
i.-r1... II i-.. I) . I
1',1
A\ ~
'\
rJPORt~
~
....C~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000424 Date
830 W 9TH ST
06-30-00-0-2-9930-0000-
RES DETACHED GARAGE
7/12/03
8448
Owner
Contractor
MAR,C!j:I,. STREETER MEYERS CONST. MAINT.
830. WEST 9TH STREET 391 BROWN RD
PORT 'ANGELES WA 98363 PORT ANGELES WA 98362
(360) 457-3053 (360) 452-5457
Structure Information NEW384 SF DETACHED GARAGE
Construction Type TYPE V NON-RATED
Occupancy Type . . . .. GARAGES" CARPORTS, SHEDS
Other struct info . . ., NUMBER OF UNITS 10.00
, ,
-------------------------------------------------
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
BOB'S ELECTRIC INC
105.90 plan Check Fee
7/12/03 Valuation
1/09/04
.00
o
d3
\.)J
\j
Qty Unit Charge
1.00 76.3000
1.00 29.6000
Per
ECH EL-RM-0-200 1ST SRV FEEDER
ECH EL-R-OUTBD/DTCH GAR W/SERV
Extension
76.30
29.60
--------------------------------------------------------------
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 105.9d 105.90 .00 .00
Pl.an Check Total, .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00'
Grand Total 110.40 110.40 .00 .00
t:
~
....,
~
-
QJ'.
-=-\
Separate Permits are required for electrical work, SEPA, Shoreiine, 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
fora period of 180 days afler the work as 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.
Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T;\PLANNING\FORMS\l ]02.]5 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS '"
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # .
ROUGH-IN I T I .
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER L1,NE
GAS LINE
BACK FLOW /WATER
AIR SEAL
WALLS I T T
CEILING I I I
FRAMING I
JOISTS I qIRDERS
SHEAR WALL
WALLS I ROOF I CEILING .
DRYWALL
T-BAR
INSULATION
SLAB I I I
WALL I FLOOR I CEILING I T I
MECHANICAL
HEAT PUMP
WOOD STOVE I PELLET I CHIMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGfLIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ?/..,J03 7-'..p ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI I I CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 4]7-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\\ 102.15 [4/2002]
FROM BOB'S Electric
FAX NO. : i 350 452 9943
'.
Jul. 07 2003 02:49PM Pi \
Qj"''''''...
l' .', <:-~
~~"'"
ELECTRICAL PERMIT APPLICATION
FOP. OFrIC'I^I, \.'f-f; O"l~'
D~lUI.<<
r<<T"l.4; _____
D.I.Al'p"'-.d:
L1j7
T),{t ElaetrieQl PlVmll A~~lIe<l\lor'l mu!!;.! b. filJod out ComD/atoJ",.
Ploa:te tyPC Qrrcprint In Ink. IfVQU he'f8 any qU83tJoml, plea~e :alI1360) 4~7- ~
47J~
Fax number' (3fia) 417-4711
t!Zq.
Ow""ro'e'oecrm;;;~~;'~ ~:tJ;:;~-Z'
Propcrtj Owner,_ __;- ~
Add .'7f.i3o 'f '1 CITy:
E'e:~1 Cor1t',ctor ~ & ,~~ Llc.nM~.,t-(J~;Q..l7
Addr..s: ,.!) ~ ~~ ,/ fl-# P'j 4A.L CIl)' / J1.
INSTALLATION WIRED BY: DOWNER ~CTRICAL CONTRACTOR
Credit Card Holder Nama: C. A (>0 t...... OL ~o B, G'-'. \::> G-!;" L-
BII/lng Address' ~ 'd- <1 ~ 'Dt.ER (1,,/2 K City: ~ 1'+ P, (\ c,e r~ s
Credit Card Number "
REQUEST INSPECTION~
?n009 4S7-c'fV Fox L..{.S;)- '9"7</3
Phone:
Zip:
"no16"?-~Rf;
lip "1 t :3 6 2.
w"-
ZIp: '1 IS ~~ L..
VISAL MCc--
PROJECT ADDRESS'
,'~U2 ttd-_.__
TYPE OF WORK-
Check aIllhal apply: 0 New
o Alteration/Addition
~9Sldenlial Q Multl.famlly 0 Commercial 0 Mobile Home Sq. Ft
Remote Meter 0 Detached garage 0 Hal Tub 0 Swim Pool Q Seplic Purrp I, Low Voltage 0 Telecom. 0 Sign
Numbtlr of Circuits added or altered:
L>.11-/"" p{~_~p
2CJO fl.A1~
DESCRIPTION OF lHE ELECTRICAL PROJECT:
o Baseboard
o Furnace
o He~! Pu~
o Fon-Wan
_I<W
_KW
_ TON_LRA
_KW
PERMIT FEE: 7~ ~ -t- 21. 'OS..",lc.. Information
f/ cJ s: 'YD
EI""lrlcal Heat Load Addlllons
C Overhead Servlce
a Temp Service
c:: Underground SelVlc.
VoI:age:
Phase: CJ 1
Service Size:
Feeder Size:
03
I hareby cer/ify that I have read and examined this application and know that same to be true and correct, and I am
author/zed to apply for Ihis permit I undarsland It is not th9 City's I"gal rasponslbi/lty 10 dstermine Wh91 permits
are required; it remains fhe applicants responsibility 10 determine what permits are required and to obtain such
~c~
Credit Card Hold..r's s,gnature:~dcX~.../
q
Owner or Elec. Cont. Slgnatu....: ,.,
C:/ELECTRICALPERMITAPPLlCATION \. ~fJ . I,,:'I}
(\\'\ /lltfl'Y/
0~.y )
/1 ~'
oP ,
,
Dale:
17 / t{3
/
Date:
'1- ~. 61~
$/05:",90
Application Number . . . . . 22-00001276 Date 10/11/22
Application pin number . . . 105444
Property Address . . . . . . 830 W 9TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-9930-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
Amber Hosken EXTRA MILE TECH & ELECT., LLC
830 W 9th St 418 N. RACE ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 670-8573 (360) 457-5222
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 68.00 Plan Check Fee . . .00
Issue Date . . . . 10/11/22 Valuation . . . . 0
Expiration Date . . 4/09/23
Qty Unit Charge Per Extension
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 68.00 68.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 68.00 68.00 .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:--------------------------------------â–¡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 10/10/22,13:35:20 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001276 830 W 9TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 68.00
TOTAL DUE 68.00
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
10/11/2022 22-1276 TAP
OWNER
CONTRACTOR
Extra Mile Electric
PROJECT ADDRESS
830 W 9th St