HomeMy WebLinkAbout1916 W 4th St - Building
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Pin number . . . .
property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
property Use . . . .
property zoning . . .
Application valuation
04-00000178 Date
.071090
1916 W 4TH ST
06_30_00-9-0-0115-0000-
MECHANICAL APPL. PERMIT
3/02/04
RS7 RESDNTL SINGLE FAMILY
3200
Contractor
Owner
------------------------
------------------------
THURMANS (HOAGLAND INC.)
1807 E FRONT STREET
PORT ANGELES WA 98362
(360) 457-8591
RAY BARCZEWSKI/J E JAMESON JT
1916 W 4TH ST
PORT ANGELES WA 98363
-------------------------------------------------------------------------
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
FREE STANDING PROPANE STOVE
57.65 Plan Check Fee
3/02/04 Valuation
8/29/04
u
.00
o
Sl
Qty unit Charge Per
Extension
47.00
10.65
3\
~
BASE FEE
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5
c'
Fee sununary Charged Paid credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.65 57.65 .00 .00
. plan Check Total .00 .00 .00 .00
Grand Total 57.65 57.65 .00 .00
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S¶te 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.
oA.J I- /LE
Signature of Owner (if owner is builder)
Date \
Date
Signature of Contractor or Authorized Agent
T:\PLANNING\FORMS\1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
CALL 417-48 I 5 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
INSPECTION TYPE DATE T ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR / 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
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEA T PUMP
GAS LINE L^ __-;[ 1,1
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLlNE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCVPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 4] 7-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION KW./ PW/ CONSTRUCTION - KW.
ENGINEERING 4] 7-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 4]7-4750 PLANNING DEPT.
BUILDING 417-4815 M ,7-1') if I.I BUILDING
T,IPLANNINGIFORMSII ] 02.15 [1] 114/2003]
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Application Number . . . . . 25-00000063 Date 1/22/25
Application pin number . . . 537323
Property Address . . . . . . 1916 W 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-9-0-0115-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Service and circuits
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
FLORENCE CAPLOW EXTRA MILE TECH & ELECT., LLC
503 WEST VERMONT AVE 418 N. RACE ST.
URBANA IL 61801 PORT ANGELES WA 98362
(360) 457-5222
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 211.40 Plan Check Fee . . .00
Issue Date . . . . 1/22/25 Valuation . . . . 0
Expiration Date . . 7/21/25
Qty Unit Charge Per Extension
4.00 5.3000 ECH EL-BRANCH CIRCUIT W/FEEDER 21.20
1.00 190.2000 ECH EL-0-200 SRV FEEDER 190.20
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 211.40 211.40 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 211.40 211.40 .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
Unit Charge Quantity Total (Quantity x Unit Charge)
$190.20 $
$190.20 $
$285.30 $
$380.40 $
$475.50 $
$5.30 $
$95.10 $
$47.55 $
$95.10 $
$95.10 $
$190.20 $
$285.30 $
$380.40 $
$95.10 $
$95.10 $
$190.20 $
$190.20 $
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuit/Limited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.30 for each additional)$95.10 $
First 1300 Square Feet $190.20 $
Each Additional 500 square feet``$47.55 $
Each Outbuilding / Detached Garage $95.10 $
Each Swimming Pool / Hot Tub $190.20 $
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)
Pe
r
m
i
t
#
:
New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
1. Permit required for all electrical work. Contractor shall confirm all work is install per NEC. PAMC 14.05
2. Recess lighting shall be installed per manufacturer’s instructions. Not rated for contact with insulation.
NEC 110.3B
3. Heaters shall be installed per manufacturer’s instructions. Wire shall be rated 90 degree and enter the
heater at the appropriate connection point. NEC 110.3B
4. Enclosed trim required for shower space. NEC 410.10
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
1/22/25 25-63 TAP
OWNER
CONTRACTOR
Extra Mile Electric
PROJECT ADDRESS
1916 W 4th St
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN / COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
01/24/2025 25-63 TMC
OWNER
Contractor
Extra Mile Tech & Electrical
ADDRESS
1916 W 4th St