HomeMy WebLinkAbout728 E 9th St - Building FROM FAX NO. Sep. 24 2009 2:43PM P1
CITY OF]PORT ANGELES PERMIT APPLICATIOleI
DEC
Building Division/Electrical Inspections 201
321 East Fifth Street—P.O.Box 1150/Port Angeles Washlagtan,98362 EIEC��l �
Ph:(360)4174735 Fax: (360)417-4711 �
Date: 2 _1&2 Single Family Dwelling
*Plan Review May Be Required,Please Complete Electrical Plan Review Infortmation Sheet
Job Address,
Sullding 5gc,ere Footage: �
DRsaiption of above
l ru.
Owner melafom+ tlon Contractor
Na : m Noma �.V I C
Cfky: �J
Mailing-ft Mb e '�-a elo *o
$�; k I,p �d 36 Char ^t Sbft Zp
1. 1% 11
llcenge tk l Exp _ t iC 89 l EK err t 2k`e—%P
bin Unit cham 9c Uhl ft MuWled by Un k 0=0
8erv&c eeder 200 Arnp, $120.00 $
SeMm Feeder 201400 Amp. $146.00 $. -- .-
ServiselFeeder 401.600 Amp $245.00 $
Sen4celFeeft 601-1000 Arrp. $2$2.00 S
SwoWFeWer over 1000 Amp. $373.00
Branch Circuit WI Service Feeder $ 5A0
Branch Cirad W10 Service Feeder $ 63,00
Each Additional Branch Cimuit $ $.00
Branch Circuits 14 $ 75.00 $
Temp.Servlcel Feeder 200 Amp. $ 93.00 $-
Term.ServicelP e*201400Amp, S1!0.00 $
Temp,Servimfwdor401-War $149.00 $
... ... .....
Temp.SeMm Feeder 601-1 Amp. $188.00 E
Portal to Penal Houdy $ 96.00 $
Signal Ctrm M Limited Energy-1&2 Family Dwelling $ 64.00 --
Manufactured.dome Connection $124,00 $
Renewable F.Wrl al E&W- System or Less $102.00 $
ThemmW $ 58.00 $
Note:$5.00 for each addiMW T4W
NEW C0111912U00H ONLY-*
First 1300 Square Pt. $120.00 $
Each Addi6onal500 Square Ft.or Portion of $ 40.00 $
Each Oulbuildl+g or Detached Garage $ 74.00 - S
Each Swlmrning Pod or Hot Tub $110.00
Total
owner as debeci by RCK19.28.261:(1)Owner M occupy the strudure for two years afar tfds electrical permit is Ito hKL(2)Qwner is required
to hire an electrical contractor N above said property Is for sale,rent or lease.Permite*hs after six mordhs of last linspertion.
After reading the above sWoment,-I hereby oe ft that I am the owner of the above named property or a licensed efecbW contractor,I am molding
the elooWOW ineta}Won or alteration in compfk=with the eleeftat tears,N,E.C,,RCW,Chapter 1928,WAC.Chapter 29&-46B,The Cfyr of Part
Angeles Municipal Code,and tltirdy Spedfic Ws and PAMC 14.05.050 regarding Elect ical Permit Applk�fi=
Slgnatuns of own ,el l contactor or elechlcal eldrntnFatratort Q qeh ❑ t
atro+rmax
ELECTRICAL PERMIT
CITY OF PORT ANGELES c7
360-417-4735
Application Number 14-00000001 pate 1/03/14 "y
Application pin number . . . 074159
Property Address , , , , . 728 E 9TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER; 06 30-00-0-2-8510-0000-
Application type description ELECTRICAL ONLY on your excise tax form
subdivision Name . , , . . . to the City of Port Angeles
Property Use
Property Zoning . . , . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . 0
Application desc
4 circuits
Owner Contractor
FEDERAL NATIONAL .MORTGAGE ASSN ELECTRIC SERVICE
3900 WISCONSIN AVE 82 DRAPER RD
WASHINGTON DC 20036 PORT ANGELES WA 9836.2
(360) 452-6424
Permit . . . . . . .8LECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee 75.00 Plan Check, Fee 00
Issue Date . . , . 1/03/14 'Valuation , , , , 0
Expiration Date 7/02/14
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 o0 .00
Grand Total 75,00 75.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL o
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
C`AEXCI IANGEISUILDING
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:121 EAST 5TH STREET. PORT ANGELES. WA 98:\62
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00001109 Date .11/14/05
442186
728 E 9TH ST
06-30-00-0-2-8510-0000-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
HUFFMAN MICHELLE/COLINW
728 E 9TH ST
PORT ANGELES WA 98362
SHAMP ELECTRICAL CONTRACTING
PO BOX 383
PORT ANGELES WA 98362
(360) 452-1689
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
SHAMP/ 200A PANEL
65086
SHAMP ELECTRICAL
78.70
11/14/05
5/13/06
CONTRACTING
Plan Check Fee
Valuation
.00
o
Qty
1. 00
Uni t Charge Pe:(.
78.7000 ECH EL-RM-0-200 1ST SRV FEEDER
Extension
78.70
~
\j\)
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 78.70 78.70 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 78.70 78.70 .00 .00
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COMMENTS/ACTJON NEEDED
ELECfRlCAL PERMIT INSPECfION.RECORD
CALL 4 J 7-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER.
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPI DAft T ACCIP'TD COMMDl'l'l
. 1 YIS 1 NO
nITI'1-I
VOl TnU.IN I l,;UVhK
'folK VII :t<. /i ~ /..yp5"'" JI.cf)
1 Jl-/b-.tP~1 .kAt".J1
GENERAL COMMENTS:
.....1I0US I4IN1
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST ,TH STREET, PORT ANGELES, W A 98362
Application Number
Property Addr~ss
ASSESSOR PARCEL NUMBER I
Application description
SUbdivision Name
Property Zoning . . .
Application valuation .'.
03-00000957 Date 9/29/03
728 E 9TH ST
06-30-00-0-2-8510~0000-
RE-ROOF
2000
Owner
.'
Contractor
HUFFMAN MICHELLE/COLINW
728 E 9TH ST
PORT ANGELES WA 98362
OWNER
Permit .. . .
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR OFF, FELT, COMP
92.75 Plan Check Fee
9/29/03 Valuation
3/28/04
.00
2000
Qty Unit Charge Per
Extension
47.00
45.75
BASE FEE
15.00 3.0500 HND BL-501-2K (3.05 PER C)
Other Fees
STATE SURCHARGE
4.50
'-.J
~
~
-----~-------------------------------------_._----------------..-------------
Fee summary Charged. Paid . Credited Due
----------------- ---...----- ------..--- ---------- ---------...
Permit Fee Total 92.75 92.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.~0 4.50 .00 .00
Grand Total 97.25 97.25 .00 .00
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SeparateP,ermits are required for electrical work, SEPA, Shoreline, 5SA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 clays, 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 frolT1 the last
inspection. I hereby certify that I have read .and examined this, application and know the same to be true and correct. All provisionsof
laws and ordinances governing this type of work Will be complied witl'! 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 floca' law regulating construction or the' performance of
c:onstrucUon. .' . '. L 1 rJL q - Z:'l..() '3
Signature of Contractor or Authorized Agent. Date Signature of Owner (if owner is. builder) Date
T;\PLANI'IING\FORMS\1 102.15 {412002)
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BUILDING PERMIT 'INSPECTION 'RECORD
.~.. /r~:;,/i
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"', .', '-'-"-" . - . - .
CALL 417-4815 FOR BUILDING INSPECTIOl'lS:'PtEASE PROVIDE A MINIMUM 24'HOURNOTICE. IT ISUNLAWFU~ TOcq~R,
IN$ULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A'CONSPICUOUSLOCATlON.'
.'-' " < < '::' ",- ,',. -, , , "'" '--'~' -:- ~,,;~:t",' :-:;;:t::;-;',~',:-' , ' , " _,,"< ' ,
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
,-, "'-, -, '; ,', ;~: "';'--,:} ':':'"~
..... "', ," ~.
INSPECTION TYPE DATE , ACCEI'TED "',; COMMENTS: .C' .
0 YES I NO ",.-",'1. , 'I:",{ ;
.
FOUNDATION:
FOOTINGS "" 0
.
WALLS d
FOUNDATION DRAINAGE " '
SEPARAn PERMIT: # 0
ELECTRICAL (LIGHT DEPT) ~
ROUGH-IN : -
PLUMBING ,
-
UNDER FLOOR / SLAB ... "
ROUGH-IN 'j
WATER LINE
GAS LINE
BACK FLOW;/ WATER > :.' '~', , .
, :. .~". .'
AIR SEAL ;\:"
WALLS " , ,
""
CEILING , .,',
FRAMING ,P", d J '. , " :'"
.. ,
JOISTS / GIRDERS ," I'
SHEAR WALL 'C'" / -
WALLS / ROOF / CEILING ~
DRYWALL ,
T.BAR "
INSULA nON -
SLAB I
WALL / FLOOR / CEILING I -
. - .
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET I CHIMNEY I
HOOD/ DUCTS .' ,
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5: ,
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM '.'
.
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING , SHORELINE: .
" ;.0 '.' .' .m .,' ',,"' ,FINAL;I!'!lSI'ECTIOI'(Il;REQVI6~,I!RIO~:rQ.()CCl!rANGYIllSE .,';i: ,,~'j: ,'.>.,?SrJ', ;iT' ::/ d,;
, ,. REsIDENTIAL' ,;:T ii': 'c; ';.,.~,' ." DATE ",c f. "vitS'; NO cOMJ\.fEliCIACr:pr''1 ;:~ - DATE';' NACC,EPTED
..' b:''";''i:H:!},-~t ~~. "-..: ~ c'~'(YEs . NO
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ELECTRICAL..LIGHT DEPT. 417-4735.- , ELECT~C;;Au':~'!L: ' I ,,'
,.,....". , ,i. '" ..'i" "'0,; " ,pq!fT, gJ>.I:"',a."
CONSTRUCTION. R.W. ,
CONSTRUCTION R. W./ PW/
ENGINEERING 417.4807 " PW / ENGINEERING
FIRE'" , ;, ;' FIRE DEPT.' "
417-4653 -
PLANNING DEPT. 417-4750 , I'K":) . :,' I;,. " PLANNlNO;D~f'f;::,;i;j,;i (e,; li;i 1~i ......., ,';,' '., .';';
BUILDING '" " ~. .417-4815.. iD.",:Z"'J_o3._ lrLl-..o ,_BUILDlNG_. .. ; ".
'v_........,...-... , ""
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T:\PLANNING\FORMS\1102.15 [412002]
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PREPARED 10/27/03, 12:20:32
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
6
10/27/03
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
728 E 9TH ST
SUBDIV:
PHONE
PHONE :
HUFFMAN MICHELLE/COLINW
06-30-00-0-2-8510-0000-
03-00000957 RE-ROOF
PERMIT: SNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--------------------~---- ---------------------------------------------------------------------
BL99 01 10/27/03 L BUILDING FINAL
-------------------------- ----------- COMMENTS AND NOTES --------------------------------------
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
,121 EAST 5TH STREET. PORT ANGELES. WA 9H]('2
ELECTRICAL PERMIT
Issued: 5/10/99
Permit No:
6632
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
728 9TH ST E
Lot:
Block:
Sub:
Parc No:
Port Angeles,
360/000-0000
T:
WA 98360
Long Legal:
S:
CONTRACTOR-----------------------------DESIGNER---------------------------------
ANGELES ELECTRIC
524 E. FIRST ST.
PORT ANGELES, WA 98362
360/452-9264
,
000/000-0000
PROJECT INFO---------------~----------------------------------------------------
Prj Type: RES. MISC. prj Value: $0.00
Occ Type: Cnstr Type: RAISE MAST
Occ Grp: Occ Load: Land Use:
Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
o
o
o
o
Service Type
Riser
X Overhead Service
Underground Service
Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
120,240
X-1 -3
200 AMPS
o AMPS
PROJECT NOTES-------------------------------------------------------------------
RAISE MAST SO SERVICE WIRES CLEAR DECK BY 10FT.
PROJECT FEES ASSESSMENT---------------------------------------------------------
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Misc RAISE MAST $32.25
TOTAL FEE:
Amount Paid:
$32.25
$32.25
-------------~-------------------
---------------------------------
TOTAL FEE:
$32.25
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINJMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPKCTION TYPE DATE ACCEPTED COMMENTS
YES NO
IHlllryH_IN I CUVlOK
SERVICE n,lJlfiq
I T .
GENERAL COMMENTS:
PW-IJ02.1)(4I96]
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11/08/2005 12:27 FAX
~ 002/002
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7vAVS NOll
8',60
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ELECTRICAL WORK PERMIT APPLICATION
Job wired by
(:J Electrical Contracto.... 0 Owner
Insrallation dcscr;pnon /
o Commercial l2i Residential
Date E)(pirC$
ONe'"
Cl Altered/Addition
.5
Purchaser ma.iling Ilddr~ss
ro,D, Mx' 5i.3
qi(~ b ~
-tn r~f\(),rt"" nlJ ;;1.[)11r>""P r'V\e\
I Y ',~ I\!" 1;"\ .::u10 n WI p---p" 111''\
\
.,.
Sto.tt: ZIP
~1
~
~
C "'''
Address DC inspection
7 a..:'iI F- '" -Ih.....St..
C~y
iw-t- ~("S) I,) P,
P nc number .~chedulf InlipcdlDn:
'1~.';I,b..:J..
Own~>r aj. defined by RCW/9.28.26J:(l) Owner wi1/ occupy the SIHlClli~I(ir two
ymrs afte,. this electrical permit is jina/iud. (2) Owner ;.s rf!qurrt:d to hire em dltc/ri('rll
colt/rac/m' !f af>n\le. sa.id properlY L~ p,1' Mle., rent or lea.fl!.
After rcadi11g the above statement, I hereby ccmty that' am the owner of the above
namt:d 'PTtrpcrty aT a llcensed electrical ccnlnclor. l Il.In making lhe eleclrical lnslal-
JuLion Or alteration in compliance with the el~clrical la""'s, N.E.C., RCW. Ch"pter
19,28, WAC. Chap[er 296-46B, The Cit)' of Pon An~cles Mu.nicipal Code, and
Utility Specitications.
Sienaturc of owner! electrical contrllctor or electrical adminilitr8ror
o C",h 0 Check #
JSYCredit Card VISa
Mastercard
Discover
Card# _.O-\L:t-D.e.....__-____-____
x
Date:
Expiration Date
of card
,
Electrical Load Additions and or subtractions
Cl NO LOAD CHANGES
o ea..board _ KW.
o Furnace KW
o Heat Pump _ Tol'\_ LAA
Cl Fan.Wall KW
Jlr
a Overhead Service
o Temp Service
o Underground Service
Service Information
Voltage
Pha.. Cl 1 Cl ,.
Service Siz.e:
Feeder Size;
~
r
~
S..<\ME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN THERMOSTAT SERVICE
/I/;~/~ ~
L>.I11e AIIJ'lrtlV'e!llly lhle A/,(lrnved. By / D4t~1 "'~pr~"~~ 81
\ FINAL DITCH FEEDER
'. /1 ~/ J~L; "feD
J D ApPIV"IlIiY/ '- DlIl~ ^~\lI'(He'" 5) "./ th~~ ....'PP""Vdlily
Insp~ction . Area, Building or Equipmemt Inspccicd Electrical
, Action 'rakcn
Da~~ ./ . lmpect~or
n~/'I1IIS liP,-- 1ll fJ ~ ~W)
~,. , ~
,
JI_n_&;.,r $7/'/0tM L'L' A. , A _-I. /1./~
( btWull!c) /!A ..n L.jl fk. AA' ~- ,~ J'
'-
A10 /1 - <J - 05
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
350- 417 -4735
Application Number . . , . .
16- 00000100 Date
1/22/16
Application pin number . . ,
405500
DITCH
Property Address . . . . . .
725, E 9TH ST
ASSESSOR PARCEL NUMBER;
06- 30- 00- 0- 2- B.510 -Og00-
Application type description
ELECTRICAL ONLY
Subdivieicn Name . . . , . .
Property Use
FINAL
Property Zoning . . . . , . .
R37 RESDNTL SINGLE FAMILY
Application Valuation .
0
Application desc
Ductless heat pump and heaters
-------------------------------------------------
--- ----------- -------
- - - - -.
Owner
Contractor
JUSTIN WILSON
BOTERO & SON ELECTRICAL
725 EAST 9TH STREET
940 TAMARACK WAY
PORT ANGELS WA 98362
PORT ANGELES WA
98362
.( 0) 452 -4766
-------------- ---------------- --------
Permit , . , , . , ELECTRICAL
- - - - -- -------------------------------
ALTER, RESIDENTIAL
Additional desc , ,
J
Permit Fee 88.00
Plan Check Fee
.00
Issue Date 1/2.2/16
Valuation
0
Expiration Date 7/20/16
Qty Unit Charge Per
Extension
5100 5,0000 ECH -EL -ECH ADDNT BRANCH CIRCUIT
25.00
1,00 63.0000 ECH EL.R_ BRANCH CIR WO/ $ER FEED
63.00
Fee summary Charged
Paid Credited Due
Permit Fee Total 88,40
88100 .00
.00
Plan Check Total 00
,00 .QO
00
Grand Total 88.00
88,00 .00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
FI
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL FXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:TEXCHANGEWILDING
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date:
& 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 1 7 & Cr %1-- q. )V)
Building Square Footage:
Description of above
C C' '1 e. J e cti_+-
Owner Information
Contractor Information
Name:
Name: �+b aSZ(� ✓C? - -1.�
Mailing Address:.
Mailing Address:
City: State; Zip:.
City: State, Zip:
Phone: Fax:
Phone: Fax:
License # I Exp.
License # I Exo.
Item Unit Charge city Total Qy Multiplied by Unit Charge)
Service/Feeder 200 Amp. $ 120.00 $
Service/Feeder 201 -400 Amp. $ 146.00 $
Service/Feeder 401 -600 Amp $ 205.00 $
ServicelFeeder 601 -1000 Amp, $ 262.00 $
Service/Feeder over 1000 Amp, $ 373.00 $
Branch Circuit WI Service Feeder $ 50 $
Branch Circuit WIO 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, ServicelFeoder 601 -1000 Amp . $168,00 $
Portal to Portal Hourly $ 96,00 $
Signal Circuit] Limited Energy -1 & 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
NEW CONSTRUCTION ONLY:
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 $
$ otal
Owner as defined by 119.28.261: (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, KE.C„ RCW. Chapter 19.28, WAC. Chapter 296 -4613, 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: ❑ Cash ❑ Check
r° P- Credit Card 9 Cs'l
X Dated: 01ID112012
d
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . . , . . 16- 00000008 Date 1/05/16
Application pin number . . . 592856
Property Address , , . , 726 F 9TH ST
ASSESSOR PARCEL KYMBER; 06-30-00-0-2- 8510 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning , . . . , . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . 0
Application desc
Ductless heat pump
Owner Contractor
------- ----------- - - -- -- ------------------ - - - - --
JUSTIN WILSON ALL WEATHER HTG & COOLING INC
728 EAST 9TH STREET 302 KEMP ST
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452 -9813
Permit . . , . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc , .
Permit Fee 56.00 Plan Check Fee Go
Issue Date 1/05/16 Valuation , , , , 0
Expiration Date 7/03/16
Qty Unit Charge Per Extension
1.00 56.0000 ECB 'FL- 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
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 FRONT LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GMXCIIANGEIBUILDING -
a
01/04/2016 01:12 13604525177 ALL WEATHER HEATING PAGE 03!04
CITY OF PORT ANGELES
PERMIT APPLICATION RECOVED
Building AiviAon /Electrical inspections ,SAN r)-
3x1 East Fifth Street —P.O. ,Box 1150 / Port Angeles Waalaington, 9$362 ��
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: 114/16
x 1 & 2 Single Family Dwelling INSPECTIONS
* Plan Review May Be Required, Please Compltle Electrical Plan Review Information Sheet
Job Address; 728 A t ah_2 ...
Building Square Footage; 1533
Description of above JRsf f du chess heeL1pum sWem
Owner Information
Name: Justin wllson
Mailing Address: 728 E. th 5t
City:'g60=06�� state, WA zlp; 99362
Fhono: —. Fax;
License # / Exp.
Item
Unit Charge
ServlcelFeeder 200 Amp,
$120,00
Service /Feeder 201 -400 Amp,
$146.00
Service/Feeder 404 -600 Amp
$ 205,00
Service/Feeder 601 -1000 Amp,
$ 262.00
ServicelFeeder over 1000 Amp.
$ 373,00
Branch Circuit W1 Service Feeder
$ 5100
5farrch Circuit WIO Service Feeder
$ 63.00
Each Additional Branch Circuit
g 5,00
Branch Circuits 1 -4
$ 75.00
Tamp, Servico/ Feeder 200 Amp,
$ 93.00
Temp, ServicelFeeder201400 Amp,
$110,00
Temp, Service /Feedor401,600 Amp,
$149,00
Temp, Servi*Feeder 601 -1000 Amp .
$ 168,00
Portal to Portal Hourly
$ 96,00
Signal Circuit/ Limited Energy -1 8, 2 Family Dwelling
$ 64,00
Manufactured Home Connoction
$ 9.20.00
Renewable Electrical Energy - 5KVA System or Less
$ 102.00
Thermostat
$ 56,00
Note: $5.00 for each additional T•Stat
CON UCTION O L
Flmt 1300 Square Ft,
$120,00
Each Additional 500 Square Ft, or Porlion of
$ 40,00
Each Outbuilding or Detached Garaga
$ 74.00
Each Swimming Pool or Hot Tub
$11 D.00
0j posr,�
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Contractor Information
Narne; All WeRhcr Hcstin & Coolin
Mailing Address:
Clty' Part Anticicn State :WA Zip, 98362
Phona,452 -9S13 Fax; 452 -5177
License # 1 Exp, Ar,r.WCFtC1501�Ij 9116
I Tot Qty Multlnlied by Upit Charagl
$_Se.co
$_56.00 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 contrector, I am making
the electrical installation or alteration in compliance with the electrical laws, MEL,, RCW. Chapter 19,28, WAC, Chapter 296 -4613, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Apolications.
Signature of owner, electrical contractor or electrical administrator: C] cash 17
l7 CrodttCard#
paled; �,I /A•!16
Chock
01101!2012
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