HomeMy WebLinkAbout1720 E 5th St - Building
Applicant or Agent
BUILDING PERMIT APPLICA TION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
For City Use Only:
Date Received 2~?_Z.-og
Permit # OS-2-17
Date Approved
~esidential
~
I::)Q
N
-J
Phone
Phone
t-.
Phone
Expires
/720 ESI- STA
Parcel Number
PROJECT ADDRESS
Zoning
Project Tvpe & Brief Description:
feCk all that apply
New Construction De.tlL
Addition
o Remodel
o Repair
oRe-roof
o Demolition
o Sign
c- 0 ~'
'\'" Q..0 . TOTAL VALUATION $ #32'10. ~
~1 0 sq. ft. Lot size sq. ft. = Lot cov\rage % ?~
'" ,
Max. height of proposed structures ~ ft. Occupancy group # of bedrooms . 2- t~_
Will a lawn sprinkler system be installed? ~ Occupant load # of full baths I;:: -t
Will a fire sprinkler system be installed? ~ Construction type # of half baths .-1- ~ 1.
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and f d
understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on :r :-:
projects. I ~ '-<::D r.:::.; l () ~ '
Date~ 1. L (D OPrint Name ,)c.- ...r,-. .xf ~,) I'c Signature~~
T:Forms/Building Division/Bldg Permit Appl.-2006 Code.doc .Y" If :2 /D
,/ (5 y.'7
j(5t('e
o Heat System
o Other
Floor Areas
Basement
1 sl Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
o Industrial
o wall-mounted 0 freestanding 0 awning
Total si n area s Maximum allowed si n area s "ft.
o Heat pump 0 wood-b ning stove 0 gas fireplace 0 pellet stove 0 other
-'
-1
o other ~
IT\
\f?
?
\J;\
-=+
Proposed (sq. ft.) ><D S\o-cf..-,
~'\j @ $ '\)" ~ per sq. ft. = $
, \\0' S~ ('
~ ~ ',~ 7f-\' \rf)~
"{)i'~('~ ~
~ l2-ra3
~7D
Total footprint of structures
\
~~~\
Il.l (
l\\
ANGELES MILLWORK & LUMBER COlVIPANY INC.
1601 S. "C" ST
PORT ANGELES, W A 98363
TOLL FREE 1-888-457-6610
PHONE: (360) 457-8581
PAGE NO
THANK-YOU
WE APPRECIATE YOUR BUSINESS
~
Purchase Order
Reference
Terms
CASH/CHECK/BANKCARD
Clerk
5
Time
8:24
CASH
Ship To:
MICHELLE KRANGA
EXP. DATE:
2/29/08
DOC#
919240
Sold To:
TERM#581
* ESTIMATE
SLSPR:
05 Paul Stumbaugh
A4 MILLWORKS-CAS~ RETAIL
*************
TAX
EST. 919240
LN# SHIPPED ORDERED 11M SKU DESCRIPTION SUGG UNITS PRICE/PER EXTENSION
1 12 EA 12ABP 12 x 12 PLAIN PIER SMALL HOLE 12 3.99 /EA 47.88
2 12 EA 44APBG 4X4 ADJ PIER BRKT .GALV 12 6.99 /EA 83.88
3 3 PC PT4820 4 X 8 PRES TREATED 20' ~ 57.84 /PC 173.52
4 NOTICE ! PRESSURE TREATED
5 PRODUCT IS TREATED WITH ACQ
6 WHICH HAS BEEN SHOWN TO BE
7 CORROSIVE TO METAL FASTENERS
8 AND CONNECTORS
9 1 PC PT4816 4 X 8 PRES TREATED 16' 1 .46.272/PC 46.27
10 6 PC PT2412 2 X 4 PRES TREATED 12' 6 7.042/PC 42.25
11
12 IF BOTTOM OF DECK IS 24" ABOVE
13 GROUND-
14 2 PC PT448 4. X 4~ 8 ' PRES TREATED 2 10.893/PC 21.79
15 12 EA BC4Z ZMAX - BC4Z POST CAPS/BASES 12 4.49 /EA 53.88
16
17 JOISTS & RIM-
18 26 PC PT2810 2 X 8 PRES TREATED 10' 26 11. 737/PC 305.16
19 2 PC PT2816 2 X 8 PRES TREATED 16' 2 18.782/PC 37.56
20 2 PC PT2820 2 X 8 PRES TREATED 20' 2 23.474/PC 46.95
21
22 DECKING-
23 70 PC RED54414 5/4 X 4 TK CEDAR DECKING 14' 9.01 70 9.016/PC 631.12
24
25 FASTENERS-
26 1 EA 112HDJHS 1 1/2" HDG JOIST NAILS 9G (90) 1 4.59 /EA 4.59
27 2 BX 16HGBX5 -16D HOT GALV BOX 5# 2 10.49 /BX 20.98
28 3 BX 8HGSTPD5 8D HOT GALV PATIO SCREW NAIL 5# 3 8.49 /BX 25.47
** ESTIMATE ** ESTIMATE ** ESTIMATE ,** ESTIMATE **
TAXABLE
NON-TAY.ABLE
SUBTOTAL
1541. 30
0.00
1541. 30
TOT to.'T: 2~28. 92
TAX AMOUNT
TOTAL AMOUNT
129.47
1670.77
x
Received By
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Site Address:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
/303
'S -'I -.J8
.
ELECTRICAL PERMIT
DATE
Installed By:
.~ .-..;-'-rh
t: . ..J
fUcI d_
D READY FOR D WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
,
Overhead
Underground
Vo age
01 03.0
Servic size
o Tem rary
Amps
~ Residential . r
HeatKW AI.~
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commerciai/lndustrial load
Total Connected load
(attach breakdown)
Totai Motor load
(attach breakdown)
o New Construction
~Remodel
o Service update/alter/repair
~Add/alter circuits
, 0 Auxiliary power
(list below)
o Special equipment
(list below)
DetailslDescription:
II 1\1> ill c ,J
'7)[tJ ~tJDI'1
OF I.:>
A-fl 0/77 () ,rV
IC-..v
j"g. '11.
ill:.4 ./
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
. .2 Ditch inspection O.K.
/(jJ/'fL! Rough-in/cover O.K.
o O.K. to connect service
7:: Final O.K.
~
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for instailation
o Fire Department notified of inspection
o Plan Review approved/pending
Site Address:
.
permitlR7?g:s
New Meters Da~
([ UC'T"lt L UAJ..; v --e- l) - Y ----16
Notify the Department of City Light by Street Address d Permit Number when ready for inspection. Work
must not be covered or electricaily energized before inspection and O.K. for covering or service has been given
by the Inspector i/~ting on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
A,;{ 4 . NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ./ / h ~
Inspector f Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector. Bottom: City Hall
7 ~rJ
f.
~7],
Installer:
OLVMPIC PRINTERS. INC.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt?
17251
Port Angeles. washlngton./j2.Q:::......~m.J..mmm........m.... 19.Z.()
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 1..7...?....SJ ..mG.....K:..U':,ooo......n..nn.....m........ OccupancY.n..md~.."~.""'....n_...mm....
Owner .)~.j~,:A".~m~'. TenanL._........m....._.........._........................m...mmm
Wiring Contractor m..:.~~m'.m..n.....mn....m...n.. By........mm.mm...m...mm......n..........mm..m.....
-::L
LIght Outlets.........................m..............
r.
Receptacle Outlets.........h_~.........h.._
Dryer. KW.........n_.n......hn_....._.___._.___
Range, KW.h_huhnnn__..
Water Heater:
KW...........m.....m......m..
Heal KW........3..!..S::...B...B...
Motors: size, volts and phase:
........--.....-.-..---..--.--.....----.-..---.-......--.--
..----..-.-.....--......----...----.......----....-.---...
00......0000__...00_......._.00___........._....00.........
------....---......----...--.--.......-..........-.--......
00_..__..00.._....0000................00.._.........__.._
Total Loadm__.hh..___....m_......
Service, volts ..h_n__....h..h.......h__.........
No. wires .._............_.._....._..............
Size wlres.........____........_____......._._..
Main fuse .00..00...........00_......._.._.......
Enclosure ......_._..................___.........
Type of wir1ng:
Entrance Cable ....._...m__...h___.......
Rigid Conduit ...._.0000_....___.00....____..
Metatlic Tubing ......00................._.
Current transformers:
No. & Size_h.........__........._.~......;.:.....
Ser. NO........h_...._............h_n_.._........_,
Ser. No. ............__...............00_.............
Ser. No..............._................h......h___..
Ser. No. ....._....._._...__.......00____........__..
Type of Wiring:
Armored Cable ....m_...................._
Non.Metallic .........___................._...
Knob & Tube.........._.........._........._
RIgid Conduit ...............................
Metallic Tuhlng .........000.000...........
Raceway _.........____........._.....___._
Circu1ts, Ught..__._.......___.._.........____.__..
Utillty ......................................000....
Heat .._..._.......00___.........00.........__....
Range .......___.........______.....__.__........._
Water Heater ........00_.._..........._00...
Motor ..._.._..........00.._.............._.......
Dryer _......_____.__...h___..._...........__......__
Furnace .........................._......_00.........
Total........____......___n..........___...
Remark'l.(!.J2,~~.2......,~"'.......~~L.......LU~~.....,......'"\..........
-1J,.,~f~....L:~.<CUd .~J;Z.......z.b"~...::....!:Z,~LEd,L,,,,~.._....S1.Q.,,:;.=...J:t.w..L"Ll3..
f . ... rI
n-..n.~nnh...--n----n.un._.h__un__.n.h_.n_n_n__h_..n__n_nnu.nn--hnnu.uu-.n.uh.n_i{...__nu.n____.n_hnu..hn.un.u___nn_____~.h____
Permit Fee
$:.......m.....m..m.ooo.m......
Treas. Receipt
NO......m..........._.......
By ...t22..~...~~""~~~:.__.
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 betore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
17251
Address.__......._......____........_......_...._........._..__......__......__......_._........__......._......._........................_....Date..._...____.._.._.._.........._.__..._.....___....._..
Owner ..nn...n-.....h_U..hn...n.._.___......_....h__....._.._nn....uh_..n...h.u_U._n.........n.........h..... Tenant....h......._.__..h.._n....nU...h..h._...hUn.._.hn.....
W1rlng Contractor.__.......___................_....._....._._........__...._...___................_......___......................._____. By .._.........._._...____........_._................_...........
NOTICE-Current must not be turned on untlI Certftlcate 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..
1M Olympic Printers, Inc.
.
Jarmuth Electric
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 East Fifth Street – P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417 -4711
Date: d?
X 1 & 2Sindle Family Dwelling
360 -683 -4104 p,1
ffn
HICTRWAL
Multi - Family or Commerciai* —Commercial Addition J Alteration ! Remodel /Repair*
* Plan Review hjaj Be Required, Please Complete Electrical Plan Review f nforrnation Sheet
Job Address,
Euilding Square Forrage:
Description of above r e a bL.;� C' u
Owner info ation
Name:
W11ng Address:
City: S tatt : ^_,� .
PhoneQO -
Maifng, Address; rt
License # f Exp.
Clty' U Ckvk
Item
Unit Charge
ServlcelFeeder 200 Amp.
S 119,90
Service /Feeder 201 -400 Amp.
S 145,50
Service/Feeder 401 -600 Amp
S 204.613
Service /Feeder 601 -1000 Amp.
S 262,20
Servica /Feeder over 1000 Amp,
S372.50
Branch Circuit V0 Service Feeder
S 2.60
Branch Circuit W!0 Service Feeder
S 73.50
Each Additional Branch Circuit
S 2.60
Temp. Servicel Feeder 2D0 Amp.
S 92.70
Temp. Service /Feeder 201-400 Amp,
S1110,00
Temp. Service/Feoder401.600Amp.
S 148.70
Temp, ServicelFeeder 601 -4000 Amp .
S167.90
Portal to Portal Hourly
S 95.90
SgrJOutine Lightirg
S 8820
Signal Circuit' Limited Energy i Fast 1500 sf - Commercial
S 95.90
Note; $5,00 for each additional 1500 sf
Signal Circuit' Limited Energy -1 & 2 Family Dwelling
S 63.90
Signal Circuit' Limited Energy - Multi - Family Dwelling
5 63.90
Manufactured Weme Connection
5119.90
Renewable Electrical Eneray - 50A System or Less
S 102.30
Thermostat
S 56.00
NEW CONSTRUCTION ONLY;
First 1300 Square Ft,
S 110,30
Each Add'tional 500 Square Ft. or Portion of
3 35.20
EaO Cutbuilding or Detached Garage
S 73,50
Each Swimming Pool or Hot Tub
S 11030
Contrajdqr Informat' n
Name; j�
Maifng, Address; rt
a ! S
Clty' U Ckvk
State: t Zip;
Phone; AV z
Fax:
License #1 Exp.
I t
Total (Q1V Milli i lied bV Unit Charge)
$
$
$
$
$
`6
$
$
$
S�Total
Owner as damned by RCW,19.28.261: (1) Owner will occupy the structure for two years after this electrical permit Is finalized. (2) OmAner is required
to hire an electrical contractor I above said property is for sale, rent or lease. Permit expires after six months of last inspecfion,
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 2964613, The City of Port
Angeles Municipal Code, and lUtil €ty Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator; ❑ Cash ❑ check d'
Credit Card p
x Dated: 7(3 5
otrotrzo-ly '
A4
ELECTRICAL INSPECTION
Oil
WIRING REPORT
417-4735
DATE
� I %, // G�-
PERMIT it
�
INSPECTOR
OWNER
CONTRACTOR
,'M7
ADDRESS
r? 2ic) K—
APPROVED NOT APPROVED
0 .................... DITCH..... .......... 0
0 ........... ROUGH IN/COVER. ....... 4 ... 0
0 .................... SERVICE.. . ................ 11
171- . ............ ... . FINAL..... -11--l- ... 0
CORRECTIONS NEEDED:
f�l r4
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . , , , ,
15- 00000024 Date 1/12/15
Application pin number , , .
262440
INSPECTOR:
Property Address , , , . , .
1720 E 5TH ST
ASSESSOR PARCEL NUMBLR;
06-30-00-0-1- 8530 -0000-
ROUGH -IN
Application type description
ELECTRICAL ONLY
Subdivision Name
FINAL
Property Use
y
PrOperty Zoning . . , . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation , . . .
0
-
Application desc
-- ----------------------------------
Garage feeder and cricuits
Owner
------------------------
Contractor
URANGA JOSE RAUL
J'ARMUTH ELECTRIC
3559 SW OCEAN VIEW DR
PO BOX 635 SEQUIM
SEATTLE WA 981461827
SEQUIM
WA 98382
(360) 683 -4104
Permit , . , . , , ELECTRICAL
ALTER RESIDENTIAL
_ -----
Additional desc . ,
Permit Fee 135,00
Plan Check Fee
,00
Issue pate 1/12/15
Valuation , . , ,
0
Expiration Date 7/11/15
Qty Unit Charge Per
Extension
3100 5,0000 ECH EL-
BRANCH CIRCUIT W /FEEDER
15.00
1100 120,0000 ECH EL -0
-200 SRV FEEDER
120.00
Fee summary Charged
Paid Credited
_
Due __-
Permit Fee Total 135,00
- ---------- ----
13S.QQ .00
- - - - --
,00
Plan Check Total .00
.00 .00
.00
Grand Total. 135.00
135.00 ,00
.DO
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DITCH
DATE:
,
RESULTS:
NY'
4
INSPECTOR:
SERVICE
ROUGH -IN
i
FINAL
y
COMMENT'S:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: EXCHANGEIBUILDCNC
R
~'~' CITY OF PORT ANGELES
~.~ WORKS - ELECTRICAL
PUBLIC
DIVISION
~21 EAST 5TH STREET. PORT ANGEl.ES. WA 98362
ELECTRICAL PERMIT ISSUED: 12/06/2001 PERMIT NO 7482
OWNER/APPLICANT PROPERTY LOCATION
jack gray 1720 5TH W
1720 w. 5th Lot:
Port Angeles, WA 98360 Block: [] Long Legal
3601000-0000 Subdivision:
T: S: Parcel No:
CONTRACTOR ARCHITECT
OLYMPIC ELECTRIC N/A
4230 TUMWATER
PORT ANGELES, WA 98362 , 98360-0000
360/457-5303 360/000-0000
PROJECT INFO
Project Type: RES. MISC. Project Value: $0.00
Occupancy Type: Construction Type: FURNACE ~
Occupancy Group: Zoning Use:
Electrical Heat: ~'J
[] Baseboard 0 KW [] Riser [] Underground Service ~
[] Furnace 10 KW [] Overhead Service Voltage: 120,240
[] Heat Pump 0 KW [] TempService Phase: [] 1 [] 3 ~
[] Fan Wall 0 KW Service Size: 0 ~.~
Feeder Size: 0 ~
PROJECT NOTES r~
new 10 KW furnace -t.
FEES ASSESSMENT Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $45.50
Temp Service: $0.00
Misc Fee: $0.00
TOTAL FEE: $45.50
AMOUNT PAID: $45.50
BALANCE DUE $0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417.4735 FOR ELECTRICAL I~SPECTIONS. PLFASE PROVIDE A MINIMUM 94 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT SOB SITE ~
DITCH
ROUGH-IN / COVER
SERVICE
GENERAL COMMENTS:
5VI
FEE RECEIPT NUMBER
, CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
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TOTAL FEE ZLf .!!!! 2'b'SD/ 2- PA-/s / . . J2ES/""- i,..-:
CONT. Lie. NO. TIMETOCQMPL.ETE NO. STORIES LEGAL OCCUPANCY
- ..
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
/72.0 w. [;;T1:J ..
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner :T'.M/< h~-.J Installation By f)L.-+mpjc- GU=eTnc:-
Owner's Address - '~E ~. AADv'E Installers Address .&;~ ~. '-'Ne.o~N
Day Phone . ~ -r:539~/... Installers Phone ~ ij _7 ~"'~O~
Application is. hereby mad~ for P~rmit.to install Electr.ical Equipment as follows: 14/?reE A-i)ni-ri..~ 7C)
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. Wiring Method e<Jm /5.;/
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Site Address
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NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER" . 100A F<<. USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR '0 30 V CIRCUITS CIR 10 30
LIGHT h .':::-j ~,~- '-Z~ Iz.<IL~ SIGN
\.. ../ 50 vons --
LIGHT OR LESS
- -
CONVENIENCE MOTOR
CONVENIENCE - MOTOR
APPLIANCE - ---.. MOTOR
DISHWASHER - .. .. FIRE ALARMS .
DISPOSAL BURGLAR ALARM
-
RANGE MISC.
OVEN
WATER HEATER
... -
LAUNDRY
DRYER . . REINSTALLATION LIGHT FIXTURE #
FURNACE - . SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
~LECTRIC H~AT .. - TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
-
SERVICE AW.G.
I SUB-TOTAL .
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
.-
i certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
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bate Application made
.
Date Permit Issued
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
. Permission is hereby given to do.the ab.ove described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. :
" DIRECTOR OF CITY LfGHT
By~L4/~N ~ .
PLA APPROVED (. _ .j " ~, .~~ -,,' .' l .:T' ,
Notify Depart~ent of City Light by Street Address and p'ermit Number whe~ reldY for in~pection. W~rk mukt not
be covere~ or current turned on before inspection and.O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158.
,
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PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE -Original CANARY - Duplicate PINK - Triplicate WHITE CARD. Inspector's Report
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REPORT OF INSPECTOR
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DATEOFVISIT MADE BY REMARKS
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, O.K. TO CONNECT SERVI~E
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Application Number . . . . . 22-00001240 Date 10/03/22
Application pin number . . . 117080
Property Address . . . . . . 1720 E 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-8530-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Outside outlets
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Owner Contractor
------------------------ ------------------------
URANGA JOSE RAUL EXTRA MILE TECH & ELECT., LLC
3559 SW OCEAN VIEW DR 418 N. RACE ST.
SEATTLE WA 981461827 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 . . . . 10/03/22 Valuation . . . . 0
Expiration Date . . 4/01/23
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 9/29/22,14:06:04 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
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APPLICATION NUMBER:22-00001240 1720 E 5TH 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:
Outside circuits
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
10/3/2022 22-1240 TAP
OWNER
CONTRACTOR
Extra Mile Electric
PROJECT ADDRESS
1720 E 5th St