HomeMy WebLinkAbout732 W 5th St - BuildingELECTRICAL INSPECTION
WIRING REPORT
4bRKS 417 -4735
b
DAT
M
O*NER/CONTRACTOR
PERMIT
ADDRESS
73 L LA) 5
DO NOT REMOVE
INSPECTOR
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
0. SERVICE
FINAL Pr
CORRECTIONS NEEDED: L-14; L- K1 t_L 6
1?-{A 1 Sz r S 1- as idol
1 i U tz ►'A►•lu R as 1-1
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
200 amp service change
Owner
Caldwell Donna
1335 w llth st
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 98362
148312
93 75
6/15/09
12/12/09
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
09 00000578
267046
732 W 5TH ST
06 30 00 0 1 0035 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
ALLEN ELECTRIC
PO BOX 1976
SEQUIM WA
SEQUIM
(360) 683 4840
ELECTRICAL ALTER RESIDENTIAL
Qty Unit Charge Per
1 00 93 7500 ECH EL 0 200 SRV FEEDER
Special Notes and Comments
June 15 2009 8 39 00 AM Brian 417 4708 OK
Fee summary Charged Paid Credited
Permit Fee Total 93 75 93 75 00
Plan Check Total 00 00 00
Grand Total 93 7 5 93 75 00
DATE.
Plan Check Fee
Valuation
7 1 47
Signature of owner or Electrical Contractor X Date
Date 6/15/09
WW 5' 6b
WA 98382
Due
RESULTS
00
0
Extension
93 75
00
00
00
INSPECTOR.
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)417.47.11
Date: yS .1 it Aire_ /J F
RECEIVED
JUN 1 5 2009
LIGHT DEPT
vl 2 Single Family Dwelling
Multi Family or Commercial*
Commercial Addition Alteration Remodel Repair*
*Plan Review May Be Required, Please Co plete Electrical Plan Review Information Sheet
Job Address: 7 32 t.)
Building Square Footage' e1
Description of above 266 PP R i) t L A 0.1 (0
Owner Information Contractor Information
Ad. Name: _lD oAMIA- d 4 7 LL1-- Name: 0C.L.E.iv /..C. T2
Mailing Address: t'S 17 4 GO. it r 11 Mailing Address: Ply A ax /976'
City r--' State: OA Zip R8 3G2— City _,C" 1 u i AA. Statet,AA Zip: 98 3 A z-
Phone: Fax: Phone(ol )-6R3 —/-Maz, Fait:
License Exp. License.# Exp Z u& ..0 7 R J i 070
Unit Charge Q Total (Qtv Multiplied by Unit Charae)
93.75 4 .15 Service /Feeder 200 Amp.
$113.75 Service /Feeder 201 -400 Amp.
$160.00 Service /Feeder 401 -600 Amp.
$205.00 Service /Feeder 601 -1000 Amp.
$291.25 Service /Feeder over 1000 Amp.
2.00 Branch Circuit W/ Service Feeder
57.50 Branch Circuit W/O Service Feeder
2.00 Each Additional Branch Circuit
72.50 Temp. Service/ Feeder 200 Amp.
86.25 Temp. Service /Feeder 201 -400 Amp.
$116:25 Temp. Service /Feeder 401 -600 Amp.
$131.25 Temp. Service /Feeder 601 1000 Amp.
75.00 Portal to' Portal Hourly
69.00 Sign /Outline Lighting
75.00 Signal Circuit/ Limited Energy Commercial
50.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling
50.00 Signal Circuit/ Limited Energy Multi Family Dwelling
93.75 Manufactured Home Connection
80.00 Renewable Electrical Energy 5KVA System or Less
86.25 First 1300 Square Ft.
27.50 Each Additional 500 Square Ft. or Portion of
57.50 Each Outbuilding or Detached Garage
86.25 Each Swimming Pool or Hot Tub
43.75 Thermostat
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.
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,
Signature of owner electrical contractor or electrical administrator Cash
Checx
4- Credit Card
.,e/L
Date. /ScJvneE
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
07 00000928
554272
732 W 5TH ST
06 30 00 0 1 0035 0000
DONNA CALDWELL
RE ROOF
RS7 RESDNTL SINGLE FAMILY
1200
Owner Contractor
DONNA L CALDWELL
1335 W 11TH ST
PORT ANGELES
(360) 457 3009
WA 98363
OWNER
Date 8/07/07
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF AND RE ROOF
Permit pin number 108589
Permit Fee 71 35 Plan Check Fee 00
Issue Date 8/07/07 Valuation 1200
Expiration Date 2/03/08
Qty Unit Charge Per Extension
BASE FEE 50 00
7 00 3 0500 HND BL -501 2K (3 05 PER C) 21 35
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 71 35 71 35 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 75 85 75 85 00 00
„A y
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities private and public improvements This permit becomes
null and void if work or constnaction authorized is not commenced within 180 days if construction or work is suspended or abandoned
fora period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last
inspection !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 goveming 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 Contractor or Authorized Agent
T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
Date Signature of Owner (if owner is builder) Date
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE 01? CONCEAL AN)
INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW /WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL /HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
FIRE
PLANNING DEPT
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING
417 -4807
417 -4653
417 -4750
BUILDING PERMIT INSPECTION RECORD
YES
I I
BUILDING 417 -4815 1 Pp 1 odd 1-20
T. \Policies \1102 15 building permit inspection record05 wpd [l/4/2605]
NO
FINAL
FINAL DATE ACCEPTED BY,
SEPA.
ESA.
SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
DATE YES NO COMMERCIAL
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW /ENGINEERING
FIRE DEPT
1 PLANNING DEPT
BUILDING
COMMENTS
DATE ACCEPTED BY,
DATE
WORE;. DEFORE
ACCEPTED
YES NO
O
.-J
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application, prescriptive energy
form, plans, specs, and a 8 %z" x 11" site plan MUST BE COMPLETE to be
accepted for review (360) 417 -4815 FAX (360) 417 -4711
FOR OFFICIAL USE ONLY `�7
Date Rec.
Permit n 1 q 2$
Date Approved:
Date Issued:
Residential projects: submit two sets of plans
Commercial projects: submit three sets of plans
Applicant or Agent f Phone 1 7 G 3 3
Owner Q 1 zi/ il/A /I'VeP t e'9 Phone AO 3 G 5'
Owner's Address
Contractor/Engineer
Contractor/Engineer's Address
PROJECT ADDRESS 7 32 k f
LEGAL DESCRIPTION Lot: Block:
CLALLAM COUNTY PARCEL NUMBER.
State License
Subdivision.
Expires
Phone
ZONING
TYPE OF WORK SIZE/VALUATION
Residential New Constr 'Re -roof Stove SF /SF
Multi family Addition Move Garage SF /SF
Commercial Remodel Demolition Deck SF /SF
Repair Sign Other TOTAL VALUATION
iG -r O ,c A y de ,Ls
BRIEF DESCRIPTION OF THE PROJECT•
COMMERCIAL/RESIDENTIAL. Occupancy Group
Existing Structure(s) basement Sq Ft. Proposed Structure(s) basement Sq. Ft.
1" floor Sq. Ft. 1" floor Sq. Ft.
2 "d floor Sq. Ft. 2 floor Sq. Ft.
3` floor Sq. Ft. 3` floor Sq. Ft.
Existing Structure(s) TOTAL Sq. Ft. Proposed Structure(s) TOTAL Sq. Ft.
Maximum Height of Proposed Structure(s) Ft. TOTAL Sq. Ft. of existing proposed structures
LOT COVERAGE
Occupant Load. Construction Type:
Lot size Sq. Ft.
Existing Structure(s) Sq. Ft. Footprint
Proposed Structure(s) Sq. Ft. Footprint
TOTAL Structure(s) Sq. Ft. Footprint
Total Lot Coverage (Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.)
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be
reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815
for assistance.
PLAN CHECK FEE The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are
due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW An application for a permit for any proposed work shall be deemed to have been abandoned 180
days_ after the. date..of filing. unless such.application.has been pursued .in.good. faith ..or -a_permit has been .issued,.except that the building
official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial
projects) each. The- extension shall -be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006 105.3.2)
1 hereby certify that I have read and examined this application and know the same to be true and correct. 1 am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required, and that I must obtain
such permits prior-to- work.
Date 7- 7 a 7 Applicant r ii 1 1. 0 eP t
T \FORMS \BUILDING DIVISION\SIdgPermitAppl. -2006 CODE.wpd
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. J.:) ;:2:<
.:2. /.5 /rf,?
, ,
DATE
Installed By:
73:2.. We
~{u-k,'
D READY FOR 'WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
I:JI Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
% Remodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
o Underground
Voltage
010 03.0
Service size
o Temporary
Amps
DetailslDescription:
Rykc
,.6tJ t ./ ~C-
(
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
o 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
.
w. s-f-L-
v 'c-- $ q{tI,'u.-
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 Inspector 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 / fo &:fl
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
Site Address:
73;;2..
~
Permit/Receipt No.
Installer:
/$';<:2....
New Meters Date:
o
OLYMPIC PRINTERS. INC.
Application Number . . . . . 23-00000646 Date 6/22/23
Application pin number . . . 992784
Property Address . . . . . . 732 W 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-0035-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Stove circuit
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CATAMOUNT PROPERTIES 2018 LLC FELTON ELECTRIC
2105 MANHATTAN BEACH BLVD #100 196 GANDALF RD
REDONDO BEACH CA 90278 PORT ANGELES WA 98363
(360) 775-5001
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee . . .00
Issue Date . . . . 6/22/23 Valuation . . . . 0
Expiration Date . . 12/19/23
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
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 6/21/23,10:57:57 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000646 732 W 5TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 75.00
TOTAL DUE 75.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
8/3/2023 23-646 TAP
OWNER
CONTRACTOR
Felton Electric
PROJECT ADDRESS
732 W 5th St
Application Number . . . . . 23-00000920 Date 8/30/23
Application pin number . . . 746080
Property Address . . . . . . 732 W 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-0035-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Circuit repairs
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JESSICA AND NATHANIEL MCKNIGHT FELTON ELECTRIC
732 W 5TH ST 196 GANDALF RD
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 775-5001
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 95.00 Plan Check Fee . . .00
Issue Date . . . . 8/30/23 Valuation . . . . 0
Expiration Date . . 2/26/24
Qty Unit Charge Per Extension
BASE FEE 75.00
4.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 20.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95.00 95.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 95.00 95.00 .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