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Home My WebLink About1421 W 6th St - Building ~\lORT "'I\.: $.J..O~~~ r... "-~ ~ '\.O(,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 5 I V1 U1 -J Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation Owner 6/05/07 07-00000557 Date 197594 1421 W 6TH ST 06-30-00-0-1-2155-0000- RES REMODEL RS7 RESDNTL SINGLE FAMILY 65000 Contractor JEFFREY / MERIDETH BREITHAUPT 1421 W 6TH ST PORT ANGELES WA 983620341 (360) 477-0669 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date B & J DAVIS EXCAVATION LLC 907 S 7TH AVE SEQUIM WA 98382 (360) 460-4081 BUILDING PERMIT -RESIDENTIAL ENCLOSE CARPORT/INT REMODEL 102103 775.25 Plan Check Fee 6/05/07 Valuation 12/02/07 310.10 65000 15.00 Qty Unit Charge Per BASE FEE 7.0000 THOU BL-50,001-100K (7.00 PER K) Extension 670.25 105.00 ~ ~ Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date - MECHANICAL PERMIT - 103861 93.05 Plan Check Fee 6/05/07 Valuation 12/02/07 .00 o ~ BASE FEE 3.00 7.2500 ECH ME-VENT FAN 2.00 10.6500 ECH ME-OTHER APPL. N/R Extension 50.00 21.75 21.30 ()' ~ ~ Qty Unit Charge Per Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 103853 121.00 6/05/07 12/02/07 ~, o :/:<t 1'$/ O~ o~ '. Plan Check Fee Valuation .00 o Qty Unit Charge Per BASE FEE 7.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1. 00 15.0000 ECH PL- EA. BLDG SEWER Special Notes and Comments The Fire Department has reviewed the project application and has no comments OS/29/2007 03:41 PM SROBERDS -- The proposal will result in a residential remodel in the RS-7 zone for total lot coverage of 28%. No land use issues anticipated. 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 after 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 regu mg construction or the performance of construction. If' ;/ ;;<--5-07 Extension 50.00 49.00 7.00 15.00 " " 70 0> y) Signature of Contractor or Authorized Agent Date I f' o s:::-. ~ Date T:\Policies\1102_15 building penni! inspection record05.wpd [1/4/2005] L BUILDING PERMIT INSPECTION RECORD CALL 417-48]5 FOR BUILDING INSPECT]ONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS. CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANY WORK EEFORE INSPECTED AND ACCEPTED. POST PERMIT Il\' A CONSPICUOUS LOCATION. KEEP PERMJT CARD AND APPROVED PLANS AT .lOB SITE. INSI'ECTJON TYPE DATE ACCEPTED COMMENTS YES NO FOUNDA TION: FOOTINGS SHEAR WALLS / WALLS FOUNDA TION DRAINAGE / DOWN SPOUTS PIERS I I POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (fNTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL ROUGH-IN HEATPU~/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE / PELLET / CHIMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKJRTING PLANNING DEPT. SEPARATE PERMlT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 4] 7-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 4]7-48]5 BUILDING T:IPoliciesll ]02 15 building permit inspection record05.wpd [1/4/2005] I '.OR"~-- I . lO~~~ r..a "-~ ~ 'tOt", ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 07-00000557 Application pin number 197594 Page 2 Date 6/05/07 Special Notes and Comments Electrical load calculations and elctrical permits are required. MAINTAIN CLEARANCES FROM SERVICE WIRES Public Works Utility Engineering has no requirements for this plan review. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 989.30 989.30 .00 .00 Plan Check Total 310.10 310.10 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 1303.90 1303.90 .00 .00 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 after 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 Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD . CALL417-48]5 FOR BUILDING INSPECTIONS. CALL 4l7-4735 FOR ELECTRICAL INSPECTIONS. CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANJ' WORK BEFORE llVSPECTED AND ACCEPTED. POST PERMIT 11" A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSI'ECTlON TYPE DATE ACCEPTED COMMENTS YES NO FOUNDA TION: FOOTINGS I Di2.o /6:t- .JVt..- SHEAR WALLS / WALLS FOUNDA TION DRAINAGE / DOWN SPOUTS PIERS I I POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN IG) -2.H -Or :-\f ~ WATER LINE (METER TO BLDG) GAS LINE FINAL:3 --3 -()&- DATE "JLL- ACCEPTED BY: BACK FLOW I WATER AIR SEAL Q-1_C; .-07 pc, WALLS CEILING FRAMING q -2-4-0i -:s/-.~ q....2--<5-07 P8 ~\~:J JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION 10-4-07 7\LL-- SLAB WALL / FLOOR I CEILING I I MECHANICAL ROUGH-IN I HEATPUMY/FURNACE/DUCTS I GAS LINE FINAL 3-3-03 DATE ""JLL ACCEPTED BY: WOOD STOVE I PELLET / CHIMNEY MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKJRTING PLANNING DEPT. SEP ARA TE PERMIT #' s SEPA: PARKING/LIGHTING 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 RW. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 4]7-4750 PLANNING DEPT. BUILDING 417-4815 (2,- (;,-'Og -'\l.-L- BUILDING T:IPoliciesll ] 02 I j building pennit inspection record05.wpd [1/4/2005] d ,0" ~. .}~~~ D8 '\ol~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ]21 EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . Application valuation 07-00000557 Date 197594 1421 W 6TH ST 06-30-00-0-1-2155-0000- RES REMODEL 9/13/07 RS7 RESDNTL SINGLE FAMILY 65000 Owner Contractor JEFFREY / MERIDETH BREITHAUPT 1421 W 6TH ST PORT ANGELES WA 983620341 (360) 477-0669 B & J DAVIS EXCAVATION LLC 907 S 7TH AVE SEQUIM WA 98382 (360) 460-4081 Permit ELECTRICAL NEW RESIDENTIAL Additional desc OWNER/ REWIRE Permit pin number 110445 Permit Fee 75.00 Plan Check Fee Issue Date 9/13/07 Valuation Expiration Date 3/11/08 .00 o Qty 1. 00 Unit Charge Per 75.0000 ECH EL-RM-0-200 1ST SRV FEEDER Extension 75.00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments OS/29/2007 03:41 PM SROBERDS -- The proposal will result in a residential remodel in the RS-7 zone for total lot coverage of 28%. No land use issues anticipated. Electrical load calculations and elctrical permits are required. MAINTAIN CLEARANCES FROM SERVICE WIRES Public Works Utility Engineering has no requirements for this plan review. -- ~ ~ -- ~ Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 79.50 79.50 .00 .00 ()".. ~. VI) -t" COMMENTS! ACTION NEEDED ELECfRICAL PERMIT INSPECfIONRECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER., · INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO -Ai- GENERAL COMMENTS: PW.II02.1S (4'96) IDCO o , ID o , .., 0101 (9E-< -0:-0: P<O ...'" COlD OlD .,.0 , , Or- IDr- .,..,. >< ..:1 ~ 01 H ..:1 E-< 0100 ~r.l ~~ E-<..., Z.. 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",..,0 lllE-<E-< 0 oD N~~I I en fit ...... d~ '" til"'t"- g~~ 0 r-llI1l")oo N N 0:;: ...... ......E-< tilO '" "'I>: I>: I>:I>:U 0 '1>: . fit Pol Pol 0 Cl III Q E-< .?; fit'" enu .... 1>:0 en..; ..:IZ E-< 0 0 ..; fit I>: I>: fit H en "'>< l>:E-<fitU..:I ~ ...... fitE-< Q5~~g: '" .... I>:H >< ..:I ",U ~uo"'..; Pol E-< Cl Prescriptive Approach-Simple FOrill For the Washington State Energy Code ( 2003 Edition) Climate Zone 1 Building Department Use Only: I Pennit # Notes: Site Information Lot: Address:. IlJ 2. J c.J. (, ~ >sTrc..""'- City: ?C;:."r"" fl.'" 8 ~(~!;. State: \...) t9- Zip: t;~ 3 ff "-- Contact:~ U/TVL''-s Phone: 3t.D - q.O - I{Dtf I Phone 2: ~ ----- FAX: Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 ( Unlimite Glazing OptIOn On y ) Option Glazing Glazing V-Factor Door Wall Wall Wall Slab Area % U- Vaulted Above Interior Exterior on of Floor Vertical Overhead Factor Ceiling Ceiling Grade Below Below Floor Grade 1",7 eJ'" Grade Grade Unlimited III Group R-3 0.40 0.58 0.20 R-38 R-30 R21 R-21 R-IO R-30 R-10 Occupancy Only d This Project complies with the following: .I The Project is a single family residence or duplex. .I The Project is wood frame OR all of the insulation is interior or exterior ofthe framing. .I All building components meet the requirements listed in Table 6-1, Option III. .I The Project will meet all other provisions of the WSECand VIAQ. The Project will take advantage of the following exceptions to the prescriptive option. o 602.6 Exception 1. One door, that is 24ft. Or less, that does not meet the standards allowed. Location of the door taking this exception 0602.6 Exception 2. Doors with aU-Factor of 0.40 allowed without calculations, Option III only. Location ofthe Door (s) taking exception Type of Heat Source: WtUt ^-~.u- .( ~.~-It-. ~..JI ). , EXHIBIT A BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 City: 10/'1- Phone: L-( 77 -(J t 6 Y /Jnj.lte Phone: Zip: trJ '3 b :L Applicant or Agent: Owner: .:f-c ~ ~ Address: J L{ l1-- J ~c I Ere' 6 {'e,l 1: ~J.l^ P t- LJ tfA 61' t Architect/Engineer: Contraetof'O.-:, ~..." (..." ....,.,.SJllk License #3 J vA 11.1 I::. 9~1?2Exp: I y '0/.... Phone: l'J,D -Sb'l' Address: &1J(J1 5. 7-';; ~J" City:~D!IL"tY'\.. ( L.t) A- Zip: '9~,-'?8 2 PROJECT ADDRESS: I" a... I LJ. ~1'1C ~ ZONING: ~s 7 LEGAL DESCRIPTION: Lot: I ~ Block: l:t I Subdivision: CLALLAM COUNTY PARCEL NUMBER: 0 ,.:3 0 (") Of) It, SS' IJ ~Ol> SlZE!V ALUATION: SF. @$ /SF. = $ SF. @ $ /SF. = $ SF.@$ /SF.=$ TOTAL VALUATION $ ''tf; I TYPE OF WORK: ~ Residential D New Constr. D Re-roof D Stove D Multi-family D Addition D MoveD Garage D Commercial ~ Remodel D Demolition D Deck D Repair D Sign D Other BRIEF DESCRIPTION OF THE PROJECT: .- - COMMERClALIRESIDENTlAL: Occupancy Group: No. of Stories: .A.- Lot Size: 7(J()b " Existing Sq. Ft. Total lot coverage 'l. ~ % Occupant Load: Construction TYPe:rjr -r:_y",... ,'''OJ( &ProposedSq.Ft. ('/8 ~~~TOTALSq.Ft. Itt~~ APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESA/W etland( s): DYes D No SEP A Checklist required? DYes D No Other: V ALUATlON 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: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPffiATION OF PLAN REVIEW: lfno permit is issued within 180 days ofthe date ofapplication, 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 Rl05.3.2 of the International BuildingfResidential Code, 2003). 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 for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. \ l"'\ - .. ~~~ 6"'- 17-07 T,\FORMSlBldgPmnri"",",-wpd App~~ ~ 1 e; 0 Date: I / p A . 17.4 ~ / t-fl::l::'O -~ OCl~j'j //1 ~fY~/c. V . ELECTRICAL PERMIT CITY OF PORT ANGELES LIGHT DEPARTMENT Site Address: 1'1, 0r ~ fJ.+u ts. W Installed By: Owner/Business: Owner/Business Address: o 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 o Remodel ~ Service update/alter/repair ~Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) DetailslDescription: ( r ( .::2&0 ~ ~ PERMIT NO. ,;;w (;L ~ (/JO!c9 I , DATE o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. o Overhead o Underground Voltage o 10 03.0' Service size o Temporary Amps f~ . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. . ~O.K. to connect service r Final O.K. Date Hold for: 0 Easement '0 Letter Size Comments o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Site Address: Permit/Receipt No. :JOrQ7 New Me~s 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. - NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ..u ~f) {J.O I~_ . r~- Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng. Bottom: Customer GREEN - Top: Inspector. Bottom: City Hall . I ----. '--'--" ._-~+,--~ ELECTRICAL INSPECTION WIRING REPORT 417-4735 ~~r-+- B ~ilr-ll>..0'?T ADDRESS 2. to 1D s. --r- APPROVED NOT APPROVED o . . . . . . . . . . . . . . . . . . . . DITCH. . . . . . . . . . . . . . . . . . . . 0 0.. . . " . . . . . '. '" ROUGH IN/COVER. .. . . . . . . . . .. . . 0 O. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 O. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . ..e::: CORRECTIONS NEEDED: : 'En,.. ~T~rJ<::'I"'" 1:> t<.?~ \ tJ~c.. 3IY.20 .' L,p, l"t'w/;" j2 ';2,Ac-- k t.;/>'Rj) NIF c.. l/ [) Gr-(" A r C~~ '7L-1'\\;E: ~'K/:'I("~ N ~ 210'CSA2 Of:. 'bGw~',,^1 '2 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE _ OLYMPIC PRINTERS, INC. (360) 452-1381 I . J ELECTRICAL WORK PERMIT APPLlC.ATION I , Job ",ired by o Electrical Contractor 9J.. Owner Installation description o Commercial ~ Residential Electrical contractor name License number Date Expires o New ~ Altered/Addition City State ZIP A ~ 1,J: rr'1 ~ i11-/I'-I" Gxup ~ Sell/,t-f I llev. ) e! ~ Purchaser's mailing address Telephone number FAX number City Port- Owner as defined by_Rew. /9.28.261 :(1) Owner wili occupy the !:itructllre for two years after lhi.~ electrical permit is finalized. (2) Owner is required to hire an electrical con/rac/vr if ahove 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 instal. lation or alteration in compliance with the electric<J1 laws, N.E.C., RCW. Chapler 19.28. WAC. Chapter 296-468, The City of Port Angeles Municipal Code. and Utility Specifications. Signatur on tractor or electrical administrator -:it o Cash \lI Check # 3cx:::lr o Credit Card Visa Mastercard Discover Card # x Date: 1-5" -() 7 Expiration Date of card Service Information LAR o Overhead Service o Temp Service o Underground Service Voltage PhaseD 103 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN 1)-zdO{ 1'<<-- Dale Approved By FINAL J.-lz.&f !ri! ~) '-... . Dale Approved By/ / THERMOSTAT "- Dale Approved By /' DITCH Dale Approved By / SERVICE Dale Approved By FEEDER Dale Approved By Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspcctor SEP 0 6 2 07 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 18-00000431 Date 3/27/18 Application pin number . . . 959841 Property Address . . . . . . 1421 W 6TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -2155 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation-. . . . 0 ---------------------------------------------------------------------------- Application desc DHP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GRACE KENDALL/ERIC DIETERLE BLACK DIAMOND ELECTRICAL CONTR 1421 W 6TH ST 502 BLACK DIAMOND RD PORT ANGELES WA 98363 PORT ANGELES WA 98363 (928) 225-5042 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee .00 Issue Date . . . . 3/27/18 valuation . . . . 0 Expiration Date 9/23/I8 Qty Unit Charge Per '} Extension 1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- 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 INSPECTION TYPE DATE.- ATE:DITCH DITCH SERVICE ROUGH -IN sI,e FINAL lie COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST.INSPECTION r Signature of owner or Electrical Contractor X RESULTS: REPORT STATE SALES TAX on your excise tax form to the City of Pori Angeles (Location Code 4502) 0 ,; .Y Cl�1 1 - 2 SINGLE-FAMILY ELECTRICAL PERMITAPPLICA Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.47351 www.cityofpa.us I electricalpermits@cityofpa.0 l;iq ; la`4'.z his fJY3..��f.� Project Address: I y 2-I Lt.-- 4 7-* Project Description: A.0 c (/t C_ ;FM.-- r.4C Single -Family Residential ❑ Duplex /ARU Building Square footage: Name: A. -LL Email: Mailing Address: / Y7 ( Gv 77* Phone: 92 f_Z 2-5' 5b I-- Name: %3 n E License: C*C4–EC iSyO �— Mailing Address:7 T3 cess-&_ t --a /Q,1 Expiration Date: Email: Phone: S�d �G!' —??J^7 PROJECT DETAILS Item Unit Chargg Quantity Total (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 $ 60 r 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 Circuit/Limited Energy -1&2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Renewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ Ilk yl4� . ,. M` .. n s ..,: is ✓ i t ,: 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 complia ce with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 46B, The City of Port Angeles Municipal Code, and U it pecifications and PAMC 14.05.050 regarding Electrical Permit Applications. .7-26 s0t1'1 , _P;r,, Date Print Name /f/ Signature^ Owner ❑ Electrical Contractor / Administrator) [Electrical Permit Applications may be sLYmitted to City Hall or electrical perm its@cityofpa.us or faxed to 360.417.4711] CD 3