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Home My WebLink About1803 E 4th St - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00000010 Date 1/25/03 Property Address ...... 1803 E 4TH ST ASSESSOR PARCEL NUMBER: 0630115006600000 AI~plication description . . . ELECTRICAL ONLY Property Zoning ....... Application valuation .... 0 Property owner ....... JEFFREY C/KATRINA C WELLER Owner address ........ 1083 E 4Ta ST PORT ANGELES WA 98362 () Contractor ......... ELECTRIC SERVICE Permit ...... EL-RM-SERVICE & OR FEEDER Additional desc . . Permit Fee .... 94.80 Plan Check Fee . . .00 Issue Date .... 1/25/03 Valuation .... 0 Expiration Date . . 7/24/03 Qty Unit Charge Per Extension 1.00 94.8000 ECH EL-Pdt-201-400 1ST SRV FEEDER 94.80 Fee su~nary Charged Paid Credited Due Permit Fee Total 94.80 94.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 94.80 94.80 .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:\PLANNING~FORMS\ I 102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 41%4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ,4NY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE BATE ] ACCEPTED COMMENTS I YES [ NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAdNAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEy HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PEKMIT #'s: WATEP. LINE/ METER SEWER CONNECTION SANITARY STORM PLANNING DEPT, SEPARATE PEtLM1T #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PR[OR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERFNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.I5 [4/2002] CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5T t STREET PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 3/27/2002 PERMIT NO 7585 OWNER/APPLICANT PROPERTY LOCATION JEFF WELLER 1803 4TH ST E 18034TH ST E Lot: part12/al113,14,part15 Pod Angeles, WA 98362 Block: 6 [] Long Legal 360/417-5536 Subdivision: GREENS BELL VIEW ADD T: S: Parcel No: 063011500660000 CONTRACTOR ARCHITECT COLEMAN ELECTRIC N/A PO BOX 1326 PORT ANGELES, WA 98362 , 98360-0000 360/452-7594 360/000-0000 PROJECT INFO Project Type: RES. MISC. Project Value: $0.00 Occupancy Type: Construction Type: H. P./FURNACE Occupancy Group: Zoning Use: RS7 Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 10 KW [] Overhead Service Voltage: 0 [] Heat Pump 3 KW [] TempService Phase: [] 1 [] [] Fan Wall 0 KW Service Size: 0 Feeder Size: 0 PROJECT NOTES 10 kw furnace and 3 ton heat pump 100 LIRA 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 ('OMMI~NTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4 I%4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLA I, VFUL TO INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PER/vl]T CARD A/qD APPROVED PLANS AT JOB SITE DITCH ROUGH-IN/COVER ,~//,/0 ~ I SERVICE FINAL I_c//~/~ ~ I ~.~. I GENERAL COMMENTS: l~/-110~.15 [4t961 CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 I~UILUIIV(~ I"'I::I~MII ISSUED: 3/15/2002 PERMIT NO: 13287 OWNER/APPLICANT PROPERTY LOCATION 1803 4TH ST E JEFF WELLER 1803 4TH ST E Lot: pad12/all13,14,part15 Port Angeles, WA 98362 Block: 6 [] Long Legal 360/417-5536 Subdivision: GREENS BELLVIEW ADD T: S: Parcel No: 063011500660000 CONTRACTOR ARCHITECT PENINSULA HEAT N/A 502 W. 8th Street Port Angeles, WA 98363 , 98360-0000 360/457-2775 360/000-0000 PROJECT INFO Project Value: $9,271.00 SFD Units: 0 Commercial: 0 ~ - Project Type: HEAT PUMP ADD SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 ,.j Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES ADD HEATPUMP AND LOW VOLTAGE THERMOSTAT RECEIPT#8844 FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: THERMOSTAT $34.40 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: $68.55 Plumbing: $0.00 AMOUNT PAID: $68.55 Mechanical: $34.15 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All previsions of laws and ordinances goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD _ CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITI$ UNLAWFUL TO COVER, INSULATE OR CONCEAl. ANY WORK REFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE I ~'~ ~ 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 FRAMING JOISTS / GIRDERS SHEAR WALL WALLS ! ROOF / CEILING DRYWALL T-BAR INSULATION SwLAALBL / FLOOR / CEILING ] ] ] MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY / iNSERT HOOD/DUCTS PW UTILITIES / SITE WORK (Engincerlng Division) SEPARATE PEPoMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM 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 DEPTI 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PWJ CONSTRUCTION - R,W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. BUILDING 417-4815 BU1LDING C:La. PPL.WPD BUILDING PERMIT- PREAPPLICATION The Building Permit - Preap, vlicatlon murl b¢.fdltd o~ COliCky, ~ ~ Pl~e t~ or p~t ~ ~ Myou have ~y qu~t~, plebe c~ 417~815 Appli t orAgent: ..... Phono: We,,tl Pho. : Address: [~0~ ~ ~ City:~ ~cMtec~n~eer: , Phone: coat .oto .u ~G~ D~C~ON: ~t; BI~: Su~Msion: ~iOF WORK: SI7,F, NALUATIONt dcatial o New Constr. r~ Rcroof o Woodst0ve SF. ~ $ /SF. = $ r', Multi-family o Addition o Mov~ · o Garage ~.. SF. ~l $ /SI:. = $ C~ Conuncrcial r~ P. cmodcl 0 Demolition n Deck SF. (~ S_..~.__~SF. = $ - __. O Repair o Sign -a TOTAL VA,L.UATION. S~ BKI~.F.DE$CRII"rlON OF THE PRO,IECT: l[gL. ' ' , COMMERCXA/dRESIDgNTIAL: Ocoupanoy Group:. Otc-pant LO~I: __ Con.st:motion Typ~: No. of Stories:. Lot Size: % Lot Coverage: % Existing Lot Coverage: /sq. ii. + Proposed Lot Coverage: . /sq. fi. = TOTAL LOT COVERAGE: J~.ft PLANNING USE ONLY: APPROVALS: PLAN Pcrmi~z Rcquinxl: . Notes: BLDG Max. Height: Scthacks: ..... Z. afiag: DPW Site Plan and Usc Approved by: Date: FIRE ESA/Wedand(s): n Yes c~ No SEPA Checklist required? r~ yes n No Other: OTHER. PRF_.APPLICATION S UBM_I'I-t-AI,: Your ~p_~on and ~epltm rnu.g I~fdlzd out compl,~,,~ to be accepted for rev/em Thc Building Division can provida you with more dctailcd information on thc application and plan submittal requircm~ats. BUILDING PEKIVIIT APPLICATION SUBMI'I'I'AL: Your complclcd application, site plan (for additions) and buikiia$ construction plans arc to bc submitted to thc Building Division. Any addl/ion lar~er than 500 sq. fi. will n~ed · PreappUcatlon P~vlew. VALUATION OF CONSTRUe-lION: h all cas~ a valuation mount au.~ b~ catered by ~hc applicant. ~ figure will b~ reviewed sud way bg revised by thc Buildlag Div. to comply with curt,mt fc~ schedules. Contact thc permit Coorditator at 417-481 $ for usistancc. PLAN CHIiCK FEE: Your plan chock lc* is due at the time thc buildiag permit application and construction plans arc submitted. All other t:,~nnit fees ar~ duc at thc time of permit issunncc. F.,X~IRATION OF PI.AN REVIEW: II' no permit is issued within 180 days of thc date of application, this application will expire by limitations. The Building Official can cxtcad ~c time for action by the applicant up to 180 days, on writton request by thc applicant (see Sccfitm 304(d} of thc Uniform Building Code, current edition). No application can bc ex'tended more than once. I ben, by certij~ that I haw read and examined this application and Imow the Jame to be true and correct, and I om authorized to appO/for this permit. [ understand it ts not the Cio~ legal respo~uibili.tv to deter.tine what perturbs are reqmred: tt ren~atn.~ the applicants re~ponsibility to determine what permits ar" required and to obtain ~uch. /n /~ ' · .t~ . -- pat:.C:~DATA~WP~KEEPERSIi3LDA.oP, FRM - . ~ slsW. I l~.03[rev.2~9~l WASHINGTON, U.S.A. DATE: 3/28/02 ME M 0 TO: Permit Counter- # FROM: Light Department PUBLIC WORKS & UTILITIES RE: 1803 East 4th Street - Electrical Permit Application Review Comments DEPARTMENT Glenn A Cutler Director [4801 ] Phyllis Rasler ~l) Per my field review, the existing power facilities will accommodate the Administrativeassislant proposed increased load. [4800] Cate Rinehart 2) Have the customer contact me if they see dimming lights when their heat Administrative Assistant [4700] pump engages. Ken Ridout Deputy Director [4802] City Engineer [4803] [4702] Larry Dunbar John G. Hebner [47t31 Electrical Engineer Specialist Doyle McGinl~y (360) 417-4706 Superintendent [4855] Superintendent [4835] [4731] Jeff D. Young [4845] Supehntendent [4872[ Landfill Supervisor [4873] [4825] N:~WKS~LIGHT~ENGR~JOHNSConstr Review MemosL2002\1803 E 4th St.wpd ~/v'7 O:j-iO ELECTRICAL PERMIT APPLICATION _ ~ FOR OFACIAL USE ONLY [)ate/Reo:: PmniI ~ Ihl~ App\lvnI: Date Ig:unl: The Electrical Permit Application must be filled out camDletelv. Please type or reprint In Ink. II yOu have any questions, please call (360. 417-4735 A't\t? P , Fax number: (360) 417-4711 ..--I v eJ1f"P Owner or Elec. Contractor Agent:::=-f ~ p i f~ ; I, ~ N'J, r l_ Phone: i-t ') J - lcJ'?:1lf Fax: l-{ S :2 - 6 ''-1 "L Y Property Owner. " \ 0 f\ ( ;J-p J lLr 1.~O'l E 4-ilA- City:_P, fi., Electrical Conlractor: FJ.QJLJ'1r1 <:..... ~ L U license': ~:!i'3:r",~XP: ~'J.. f)u--c~" l)d~R&City:Jjf DOWNER ft ELECTRICAL CONTRACTOR Phone: Zip: phoneH52-{"li1.V Zip: 1k-:J bL-' Address: Address: INSTALLATION WIRED BY: Credit Card Holder Name: --.. Billing Address: City: Zip: Credit Card Number: Exp. Date: VISA: MC:_ PROJECT ADDRESS: /803 R: ~d4 TYPE OF WORK: Check all that apply: 0 New ~ Alteration/Addition YResidental 0 Multi-family .' 0 Commercial 0 Mobile Home . Sq. Ft. o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 ~pticP.u,mp 0 Low Voltage 0 Telecom. (f) OSi Number of Circuits added or alterlid:!.' '. ....., j.." r ko f(J2 / DESCRIPTION OF THE ELECTRICAL PROJECT: .. 1:.f(J'() (","'\7' . .':~'O -f\II.iQ. Electrical Heat load Additions f1Lf,f3o .. ~. Service Information o Baseboard o Furnace o Heat Pump o Fan.Wall _KW _KW _KW _KW ~Overhead Service o Temp Service o Underground Service Voltage: ?JI (l Phase: liD 1 0 3 Service Size: '7 (J (14 Feeder Size: PAMC 14.05.060(8): For industrial, commercial, & residential projects larger than a duplex, a one - line drawing 01 the Electrical Service I Feeder.s, building size (sq. ft.), load calculations, and the type & of conductor.s and/or raceway is required and shall accompany the Electrical Penni! application. I hereby certify that I have read and examined this application and know that same to be true and correct, and I c authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. I/~~:$ rAt __ ()(c.. It-'? ,S; 1t.f -lL 2(0 5VL Credit Card Holder's Signature: (dJ J1~ul Date: Date:~ Owner or Elec. Cont.. Signature: PW-9019 / - 3-03 @CO__ il'OIIr~ ~"'~"<" ~~- ~r'Eiiii ~ 'IL -- 'l;;:.""" 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 Property zoning . . . Application valuation property owner Owner address . . . . 03-00000010 Date 1/25/03 1803 E 4TH ST 0630115006600000 ELECTRICAL ONLY Contractor o JEFFREY C/KATRINA C WELLER 1083 E 4TH ST PORT ANGELES WA 98362 ( ) ELECTRIC SERVICE Permit EL-RM-SERVICE & OR FEEDER Additional desc Permit Fee 94.80 plan Check Fee Issue Date 1/25/03 Valuation Expiration Date 7/24/03 .00 o Qty Unit Charge Per 1.00 94.8000 ECH EL-RM-201-400 1ST SRV FEEDER Extension 94.80 Fee" summary Charged :Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 94.80 94.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 94.80 94.80 .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 orwork 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 iaw regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Date Signature of Owner (if owner is builder) T:\PLANNING\FORMS\1102.15 [412002] nar ~b U~ u~:~~a HObbl::t o. Coleman 360-452-7554 p.l WlItfJR'lClALUSlO"L't ~:-'-- ..-" bIIc""",..-d'- (hI.lU1Itd__- --- Q 4tIfi ELECTRICAL PERMIT APPLICATION The~~it ~ mUSlba nlJecluu\l::IIIInDIelatv.. PleaSe type 01 reprtn1 iD Ink. If JOII....., ~.... eaR (310. .\1-4135 Fu~(3IO)417""" .ee..i:...t~ ~+ . c roAJprc..c.h-':'rY /'/:; J .' - . _ / oJ JIJ /~-j~L I ('::.I C Owner 01 B~. CordFaCtOf Agent: L.> r ~ ,r ../ ' '.' &:. - :L . 111M f.1?:/,- A""'." J 8'03 ? 4't-f, cay. E:IecIlica6Canh~ 1(!(il/r-:-I)/il~L"/ k/,~'~f[;(:' ,........ 5j.')., L,'" t.. f-I, 0..: """""' :). 75<, y Fax ;( . II ;;,"Y <f Prap6IW C>Nner: ~.or- Ptc>ne: UceMe'; (~ .". t- i~ noLi ~;L.' , INSTALLATION WIRE~ BY: :J OWNER ~ELEClRlCAL CONTiV'GTOR Oet/IIClWHoIdMName: ,6;011)' &' /'!r. /~ City: ' El<p: z;p. p,..,.::;( - 7:> " 'to lip; '-'1 \.. 3~. 1... Zip: VISA: /' MC:_ Bi/litI9 ArJdreaS: PROJECT AQDftESS: Ira) et:l~ Check ~ thai apply: )1i New n Ah_Iion/Addition TYPE OF WORt(; 'pesiden1al 0 MuIIl-lamily 0 eommen;iaI Cl MDbiIe Home Sq. Ft. CAemoteUeler: ODellll:heOg8rage OHOlTub OSWimPOOI OSepticPump CJLowVonage o Telecom. ~Si9n Number 01 Gircui'lS added Of altefect. OESCRlP1JllH OF:TIE ELECTRICAL PROJECT; / " K ...J /~+- ~u... ~..d i A r-} C. ~.4- t::' K..-rl.l\- a...--.~ ...... <3 I Th0 D .. ,..-...,~ .'+5", a.> . - c. r r'\' .,.. - Service ....,nnation Eieem!;sIHeel LaBd -- C BM~2rd C Furnace o Haill PumP [J Fan.WaU ~KW jLL.KW 60 .,.-KW :2 n." .!..-.....t.4 ~KW o Overhead SeNice: U Temp Service o UndBfgrourd Service VoIlage: ___ - Phase: [11 fl 3 Service Size: Feeder Size: pAM(; '4.05.060(~~ fOllnduslnal; comman:ial. & residenIi8I pnlIllClS _ th8n . __ . one -line _ir09 01 tI1e fleC1riCal SeN",e & Feedel" IlUlIdIng size (sq. ft.}. load calc_OIlS. and the type & ol corOJ_ s_'_ is required and sIIaIl accompany ....e ~~icaI Perm~ .ppIication. 1 hereDyamity thaI t have mad and examined this application and /lnOW lhal same to be true and correa. and 1 am a<Ahorized to apply for this pennit. I undelSland iI is not the Cin"s legal responsibility 10 detennine what pennirs are required; il remains the appticanlS responsibility to determine whal penni/S are requi " I - , . . 1/, u;(/ Date:.3 ... ~6 't'Z- Credit Cef1I Holder'S SIgn&IWe: _Dale; PW-9019 Application Number . . . . . 22-00000705 Date 6/15/22 Application pin number . . . 585225 Property Address . . . . . . 1803 E 4TH ST ASSESSOR PARCEL NUMBER: 06-30-11-5-0-0660-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat pump system ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JESUS AND MEGAN C TEJEDA ALL WEATHER HTG & COOLING INC 1083 E 4TH ST 302 KEMP ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (520) 456-6885 (360) 452-9813 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 56.00 Plan Check Fee . . .00 Issue Date . . . . 6/15/22 Valuation . . . . 0 Expiration Date . . 12/12/22 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us EL1-2 SF 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Project Address: Project Description: □ Single-Family Residential □ Duplex / ARU Building Square footage: OWNER INFORMATION Name: Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Name: License: Mailing Address: Expiration Date: Email: Phone: PROJECT DETAILS Item Unit Charge 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 $ 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 $ First 1300 Square 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- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (□ Owner □ Electrical Contractor / Administrator)Permit #: New Construction Only [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] Application Number . . . . . 22-00000725 Date 6/14/22 Application pin number . . . 560550 Property Address . . . . . . 1803 E 4TH ST ASSESSOR PARCEL NUMBER: 06-30-11-5-0-0660-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JESUS AND MEGAN C TEJEDA BLACK DIAMOND ELECTRICAL CONTR 1083 E 4TH ST 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (520) 456-6885 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 6/14/22 Valuation . . . . 0 Expiration Date . . 12/11/22 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 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