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Home My WebLink About1730 W 13th St - Building.... CITY OF PORT ANGELES °~% DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DiVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 8/26/2002 PERMIT NO: 13648 OWNER/APPLICANT PROPERTY LOCATION 1730 13TH ST W LINDA BRUCH 1730 W.13TH ST Lot: w17' It7, It 8, e16' It 9 Port Angeles, WA 98363 Block: 403 [] Long Legal 360/457-1498 Subdivision: TPA T: S: Parcel No: 063000403300000 CONTRACTOR ARCHITECT EVERWARM N/A 257151 HWY 101 Port Angeles, WA 98362-0000 , 98360-0000 360/452-3366 360/000-0000 PROJECT INFO Project Value: $2,600.00 SFD Units: 0 Commercial: 0 Project Type: LP GAS INSERT SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 ..~ Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES INSTALL PROPANE INSERT, PIPING AND TANK RECEIPT#9583 FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: PROPANE INSERT $35.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $35.00 Plumbing: $0.00 AMOUNT PAID: $35.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of Signature of Cq~ti/actor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITI$ UNLAWFUL TO ~OVER, 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 YES I FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERS&IT: # PLUMBING UNDER FLOOR / SLAB ROUGH-1N WATER LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD/ DUCTS PWUTILITIES/ SITEWORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWEB CONNECTION SANITARY STORM PLANNING BEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHOKELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCEPANCY/USE RESIBENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION ~ R.W. ENGINEEILrNG 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT~ BUILDING 417-4815 BUILDING T:\PLANNING~FORMS\1102.15 [4/2002] '~ BUILDING PERMIT- APPLICATION '"~ '"'- PIM~ tylx or pflnt h ilk. Ir you hsvl stay quediom, plesm call 117-4815 ' Addle,s: Z. ip~ C.~n~-Ktot ~ ~ License ~ ...... .- t~p.~..=p.~/=~ ~,non~.~..~=~.~ No. of S~K ~ ~: ~ ~ Co~: ~ "- ~ ~t~: , /~. · *~~: .... /~.'~=~=~~ ' /~.~ P~G ~ O~Y: No~: _ ~ .... may ~ ~ ~ ~ Bu~ Div. ~ c~ ~ ~t fm ~e~. ~u~ ~o P~ ~ ~ 417~1~ ~ u~cc, I~i~. ~ B~d~ ~c~ ~ ~d ~ ~e ~ ~ti~ by ~e ~lf~t ~ m 1~ ~ ~ ~ ~ ~ &e ~Ucuc (see Se~n 107.4 of~ tAU ~ I ~ ~ b w ~ C~'~ ~ ~o~lbU~ to ~ ~ ~ ~ ~; g ~ t~ ~plicw~ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: /~/ DateC( ~ ~//o--~- Time Received by (phone, person) Location of Work to be inspected ~ ~ ~ 1 Name of person requesting inspection ~[~c::~y .~,~_C_ ~ Address of person requesting inspection Phone No. _./3/~/.~ Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final SewerExcav. Other~<~ INSPECTION Nq~ES: Inspected: Date ~ '~ , ' -:~. Time_ By .~' Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel ~Asphalt []PCC [~Other [] Repaired by City Work Order # ~'1 Repaired by Permittee ~ COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~'~ BUILDING PERMIT ISSUED: 9/25/2001 PERMIT NO: 12997 OWNER/APPLICANT PROPERTY LOCATION LINDA BRUCH 1730 13TH ST VV 1730 W.13TH ST Lot: w17' It7, It 8, e16' It 9 Port Angeles, WA 98363 Block: 403 [] Long Legal 360/457-1498 Subdivision: TPA T: S: Parcel No: 063000403300000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $500.00 SFD Units: 0 Commercial: 0 Project Type: REROOF SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 ,,4 Occupancy Group: MFD Units: 0 ~-,~ Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES TEAROFF / FELT / COMP RECEIPT #8106 FEES ASSESSMENT Building Permit: $23.50 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $28.00 Plumbing: $0.00 AMOUNT PAID: $28.00 Mechanical: $0.00 Radon: $0.00 BALANCE DUE: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities pdvate 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 pedod of 180 days after the work as commenced, or if required inspections have not been requested w th n 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 A 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 ?gn'atu~ of Contractor ol1 Authorized Agent Date ~ of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNL/iWFUL TO COVER, INSULATE OR CONCEAL /iNY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT .1OB SITE INSPECTION TYPE I DATE IYEsACCEPTEDI NO COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS I CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB I WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY / INSERT HOOD/DUCTS PW UTILITIES / SITE WORK (Englneering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECIION SANITARY SlORM PLANNING DEPT. SEPARATE 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 R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 4174807 PW / ENGINEERING FIRE 4174653 FIRE DEPT, CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 17976 Port Angeles, washfngton...___._.___...9_d-..___G...___..___._.h___.___...., 19.~.~ In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment In, ol,l, or about any building or other structure In the City of Port Angeles, per- ::::s: 1~..~.~~;~Q.~~~IJ.~:~:~:I&.J.-i;I.:~lo:~cupancy..--..i!e&.,._....___...__.__...._.. Owner .~_~___u&_~r-..tS---u----u---.-u.---uu---uu---n--- TenanL_.___________...___u___n___._____u___h_u___.___u_uh._._h______ Wiring Contractor ____nu___.______u___________uuU_._._h_UUh_Un_n_..___. By...n--n---.u-------u---h-__u__________.hun_u___.hh___.____ Light Outlets......._....._................__n_n... Receptacle Outletsm__m.._............_....... Service, volts ..J"..-t3J....-..........r;... :I:~ w~:::s:..tJ!...t::!z:- Dryer, KW.n....._n............___..___...n___._. Range, KW _.h..hnn__n.h_hn. Main fuse _.........000000_....._..0000.......... Water Heater: Enclosure n._.nnn.......mn..n......n._.. KW..... ......m..m...mn.....nm.. Type of wiring: Entrance Cable .......... Heat: KW.............__............_n.........._ Motors: sIze, volts and phase: Rigid Conduit ............ h.._n.n................n_..........___..........nn... Metallic Tubing m_....._ Current transtormers: .--.-----....---.-.......------_...._______......______n. No. & Slze.n......__n__.....n_nn._......_... Ser. NO.......n__...n__.......n_..........._._..... -....--.---.-...-------....-------.......-------.......--.- Ser. No. ....__................._.._.............00... Ser. No. ..00__..__......_..00_.......00___......00_.. Type of Wiring: Armored Cable ..............00...._......... Non-Metallic ......00_.00..............._..._. Knob & Tube..._.__nn............n_..__.._ RIgid Condnlt ...._.......................... Metalllc Tubing .........................._ Raceway ___.._.........................___...._ CIrcuits. Light........._..__..n....n....n...__.... Utility............................................. Heat .._____.._......................__...._...... Range ....._______................_.______......._. Water Heater .............._m..n......... Motor ................_.............0000..._....... Dryer 00._........._0000................._..........__ Furnace .___.....................____...._............ Total I..oad_.n_.....nnn_........n.. Ser. ~'O..n__.n_........__.........__n........n_. Total ............0000___.............._...._ Permit Fee Treas. Receipt . <:...--; $'______h'______h"___'h_.m___.__. NOh___u___u___.__h_________ By hm___u________ . .00______00___0000__00__________.___00___00 NOTICE-Current must not be turned on until Certificate at Inspection h been issued. It work is to be con. cealed due noUce 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~ 1 7 9 7 6 Address...___.___......_............._...._....._______......__.....__..._...___.........._......_..........._.....-..........-._...._..__.....Date____....._____.._..__..__.....____..._......___...._.. Owner -.......n...n..n.._..._n.......___..n_.._..n.._n..n...._n............_.......-n.._..........._...._......n_.... Tenant._._...n__._n...n__.___....nnn......nn_......_nn__......n Wirlng contractor..nn_...:......n................._n_._.......nn_........n_.............h..........._.........._..__............... Byhn.n_.....n__....................._.._._........._n...... NOTICE-Current must not be turned on until Cert1ficate at 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. 1M Olympic Printers, Inc. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? l6441 p. - r Port Angeles. WashJngtonm....m:::.::__........___...__.._....mmm....m.__.. 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 electri~ work as listed below. Address _ml._?:.m}..rL__.!~"!'._/m:L?i.f______________._______m____m_ Occupancy____,!'lj!.-::2",~__..__h______mm_m___ ~:=~~~~~~~;:::::::2::~'::~!~~:S::~~:;:::::~:~~:__,,~~~~;:::::::::::::..._.:.._~::::::::::=::::::::::::::::::::::::::::::::::::::: If" J "..'"''/''.,''0 c,.,:, -.. I\,_ ... ~f!'- Light Outlets..................::_n~....m_..-..... Service, volts ......(...:::........_.'::_.~_........_. :,J ,.. ? :rey::,p;;~___::tl.~S:.:::-:::::::::..:.::...:....- ;I:'e W~:::s::::P7;:;';Z?':::: o ,/ "\' ." / ./.. "'~{':~ .I..,~ Range, KW uumu~..."'.:~..~:mmm_m..mu.... Main fuse mm~_:.;::._~~h_~nL...m....... Water Heater: ,/ KWm__m.__~~2_________.m . - tl/3 Heat: KW............/.:...~;....:..?..~.:'........ Motors: size, volts and phase: I F(J", ~A1 .....'..'&...":7".-----------.---------------... /t .'.f ~ .----v..--....-------.-----------------------------.--... , Enclosure __......._.:::.........__._.._._....... Type of wiring: Entrance Cable ......m_um...._.. Rigid Conduit ...."............__..___.__ Metallic Tubing .mm Current transformers: No. & Size.___........__m.__._......_ Ser. N 0............0000......_._..........._......_... Ser. No. 0000__00_00........0000..00_..00___.0000__00. Ser. No. __nnn__hnnn.nn_nn__nnn.__.n_.. " '. ".;;.:> 19.mm_ Type of Wiring: Armored Cable .............mn_..n.h.... Non-MetalUc ..........._....__nn_..n_h.._ Knob & Tubenn.._........................__ RJgid Ccmdult ....__............__.___....__. Metallic Tubing hn.._..h................ clrc:::~:::~~:::~:~~:~::~~~~~~~::~~~~~~:=~~~~~= -'- Utility m__...~....__.....n..n____..__.___... I-Ieat _________~_..........................._.._.. ::t:: ~::;~>::~::::::::::::::::::::::: ::::~m~~~?::~~~~~~~~~~~~~..~~..~~~~~~~~~~~~-_:~~ Furnace _n...._....__._....._....__nnnnn__n.... ;IF Total Loadnn.n_nnn_nn_nn___.. Sec. No. .n_n__.nnnn__.__n_n_____un_.n.... Total n.n_nnnnn_n.nn.........._.... Remarks: nm__mnm___.m'!n'.!-?c1.n'_!":'o:.:__.n__../.,tr.'!.::~'.:f.~n~_nn____mn..n____m__h__n__n._.m.mn.mnn.___n___mn___ :.~.=~.~J::r:D.n__..___._.. ::~_~.~:..~~.~.~~.~.~........ By ..~!t/t/i..::~:'-.!'!::~~-.:{{!-:.~'~..n- 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 before concealment. , NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N'! 16441 Address..................___.__......____._._._._..n__......__....____.._______._.____..__._._._..._........................._...._____.__....Date..._........_._.__.._.........._......_......_......... Owner._____._...........................__....._.._......_......__.____..._................_....__.__.__._...________....._.._.Tenant....___._________________._.___._______.___._.__..._.__..._......_.. Wiring Contractor ....._.._.__...._....................___._._____________....._.._..............___.__..._._____.._____.._.._._.._.._._.._. By......__._____..________....___....__...___.____.._.____.___.. NOTICE-Current must not be turned on until Certirtcate 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. ELECTRICA1, PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . I . . I 16 00000736 Date 5/20/16 Application pin number . . . 211552 DITCH Property Address 1.730 W 13'1.'H ST ASSESSOR PARCEL NUMBER: OG 30 00 0 4 0330 0000 Application type description ELECTRICAL ON1,Y Subdivision Name FINAL Property Use Property Zoning RS7 RESDNT1, SINGLE FAMILY Application vaivation 0 Application desc Ductless beat purnp Owner Contractor JOHN M & LINDA C BRUCli EXTRA MILE TECH & EI,ECT. 1,1.,C 1.730 W 13TH STREET 418 N. RACE ST, PORT ANGEJ...,ES WA 98363501.4 PORT ANGE1,ES WA 98362 (360) 457 5222 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 68 00 Plan Check Fee Issue Date 5/20/16 Valuation 0 Expiration Date 11/1.6/1.6 Qty TAit 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 ChaKged Paid C.redited Due Permit Fee'Total 68.00 68.00 .00 00 Plan Check Total. .00 00 00 Crand. 'Total 68.00 68.00 00 00 I 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 SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date,- GAEXCHANGEWILDING Crff OF FORT ANGEL" PERMT APPLICATICON Ph: (360) 417-4735 Fain (360) 417-4711 1 ( Date: "l- Plan Review May Be Required, Please COW ric,� Ian e �Ietea Secl:rical Plan R afiloln, Sheet Job Addrew- 'Z? —6' 80ding SqMM Fbu%e: 0890#0" of above t9 nor lnftatwlatitert, Conhador inkmwition Namm Z�� Me H-4-moe'41acgt maag MOINAMMS' rig-.5sko-z— Citr. -SWE phon;-, Pho Urensa#/Exp�—. LicenseVExp. ex Item MOAC-h—Ume- M -W-611 I Wadk f t —In not C h Service/Feeder 200 Amp. $120.00 SerWcWeed9r20I400Amp- $ 146.OD Service/Feeder401-600Amp $205.00 servica#;R�6014000 Pinp- $28100 Service/FaMer over 1000 Amp- $373.00 Branch CkaRW Smi&:e Feeder $ 5.OD Branch Cfta VWO Service Feeder $ 63.00 $ Each Add&nal Branch Circuit $ 5.00 Branch Circuits 1-4 $ 75.00 Temp. Servicel Feeder200 Amp- $ 93.00 Temp. SerW,=Feeder 2DI400 Amp. $110.00 Temp- SenAoeFeeder401-600 Amp. $149.00 Temp- servicoFeeder 6014000 Amp $168.00 Portal to Partal Hourly $ ROD ,T9 n, a i c i r cW if I j rn I t P d FA" y - I & 2 F r nify D m Eff ni $ 64.00 Manufactured Home Conneftn $120.00 Renewable Eled rical Energy - 5KVA Dist am or Less $102.00 Thermostat $ 56.00 Now. $5.00 for each additional T -M .40-9PAIM First 1300 Square FL $120.00 Each Addiuonal 500 Square Ft. or Pofflon of $ 40.00 Each CuUmiding or Deladzed Garage $ 74.00 Each Swimming Pbof or Hot Tub $110.00 Owner as defined by RCW.19.28.261: (1) Owner will coM ft structum fortwo years after this elecbW permit is finalized. (2) Owner is required to hire an electrical contactor If above said property is for sate, rent or team Permit expires after fac months of last inspection. After reading the abovestatement, I herebyce*lhat I arntime owner of the above named properly ara firensed electrical contractor. I am making the electrical installafion or altaon in compliance vft the electrical Ian, N.E.C., RCW. Chapter 19.28, WAC. Cbqbr 29646B, The City of Port Angeles, MuriMpal Code, and Utffq Specificattons and PAMC 14.05.050 regarding Ekdrical PerinitApplications. Signature of owner, electical contfactororeleatrical administrator. 0 coh 0 Chuk let few— x ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 15-00000567 Date 5/20/I5 Application pin number . . . 691653 Property Address . . 1730 W 13TH ST ASSESSOR PARCEL NUMBE�R: 06 -30 -00 -0 -4 -0330 -0000 - Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Application desc Fan and recessed lights Owner Contractor JOHN M 5 LINDA C BRUCH KIRSCH ELECTRIC INC. 1730 W 13TH STREET P. 0. BOX 3396 PORT ANGELES WA 983635014 SEQUIN WA 98382 (360}...683-6819.... 360)683-6819.0 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc 1-4 CIRCUITS Permit Fee 75.00 Plan Check Fee 00 Issue Date . . . 5/20/15 Valuation 0 Expiration Date . 11/16/15 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 Grand Total 75.00 75.00 ,00 00 REPORT SALES TAX on your excise tax form to the City of Pott Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH . . . ..... .. ..... SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X_ Date: G:\EXCHANGE\BUILDING jjjjj��I�yy�� r'(� CiTX OF PORT ANGELES PERMIT APPLICATION Inspections Building Division/Electrical 321 East Fifth Street -- P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Pax: (360) 417-4711 Date: I ✓1 & 2 Single Family Dwelling Plan Review Mary Be Reguired, Please Com I to Electrical Plan Review Information Sheet Sob Addres,sM Building Square Footagew Description of atwove r Information on Contractor Information Name: Name:K irsr-_C _ M Motilin Addr ,�,�... k Mailing Address; Pr ( Cl State; Zip: �� Crty.. r oma State. Ip: 17 �'" Phone: (4 Phcne, 4ot)) �14-Vq Fax: ('4) — �0i 4,1-6 _14' License # / Fxp. Lloense #! Exp. Item Unlit Charge Cyt Total IgN Multiplied §y Unit Char e Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201400 Amp. $146.00 $ Service/Feeder 401.600 Amp $ 205.00 $ Service/Feeder 601-1000 Amp. $ 262.On $ Servlce/Feeder over 1000 Amp. $ 373.00 $ Branch Circuit W1 Service Feeder $ 5.00 Brdnch Clrcult W10 Service Feeder $ 63.00 Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 75.00 Temp. Servicel Feeder 200 Amp. $ 93.00 Temp, Service/Feeder 201-400 Amp. $110.00 Temp. Service/Feeder401-600 Amp, $149.00 $ Temp. ServicelFeeder 601-1000 Amp . $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit] Limited Energy - i rig 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 NfA!GQNSTRUC1n0N PMLY: 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 $ $ 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. Signature of owner, electrical contractor or electrical administrator: ❑ cast, ❑ Check credit card e, 1` -fi 4