HomeMy WebLinkAbout307 W 9th St - BuildingPREPARED 9/29/08 9 30 52 INSPECTION TICKET PAGE 9
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/29/08
ADDRESS 307 W 9TH ST SUBDIV
TENANT NBR SCOTT MOSELY
CONTRACTOR GARY S PLUMBING INC PHONE (360) 457 8249
OWNER SCOTT M MOSELEY PHONE (360) 452 1410
PARCEL 06 30 00 0 2 6588 0000
APPL NUMBER 08 00001215 PLUMBING REPAIR
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL6 01 9/24/08 PB PLUMBING WATER SUPPLY
9/24/08 DA September 24 2008 9 13 55 AM 1pangrle
BRIAN 460 0877
WATER LINE METER TO BLDG
REQUESTED AN INSPECTION AS EARLY AS POSSIBLE
September 24 2008 4 35 53 PM pbarthol
recall when water line connected to meter
PLUMBING WATER SUPPLY TIME 01 00
September 26 2008 3 40 24 PM 1pangrle
BRIAN 460 0877
WATER LINE METER TO BLDG
AFTERNOON
PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE
PLUMBING FINAL TIME 01 00
September 26 2008 3 41 31 PM 1pangrle
BRIAN 460 0877
PL6 02 2 /08
AFTERNOON
PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE
COMMENTS AND NOTES
PREPARED 9/24/08 10 42 01 INSPECTION TICKET PAGE 13
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/24/08
ADDRESS 307 W 9TH ST SUBDIV
TENANT NBR SCOTT MOSELY
CONTRACTOR GARY S PLUMBING INC PHONE (360) 457 8249
OWNER SCOTT M MOSELEY PHONE (360) 452 1410
PARCEL 06 30 00 0 2 6588 0000
APPL NUMBER 08 00001215 PLUMBING REPAIR
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL6 01 9/°4/08, JLL PLUMBING WATER SUPPLY
September 24 2008 9 13 55 AM 1pangrle
BRIAN 460 0877
WATER LINE METER TO BLDG
REQUESTED AN INSPECTION AS EARLY AS POSSIBLE
JDF
COMMENTS AND NOTES
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
REPLUMB WATER LINES
Owner
SCOTT M MOSELEY
307 W 9TH ST
PORT ANGELES
(360) 452 1410
WA 983627603
Permit PLUMBING PERMIT
Additional desc REPIPE WATER LINES
Permit pin number 135152
Permit Fee 57 00
Issue Date 9/23/08
Expiration Date 3/22/09
T Forms /Building Division /Building Permit (05 /13 /08).wpd
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
08 00001215
587365
307 W 9TH ST
06 30 00 0 2 6588 0000
SCOTT MOSELY
PLUMBING REPAIR
RS7 RESDNTL SINGLE FAMILY
8709
Contractor
GARY S PLUMBING INC
PO BOX 255
PORT ANGELES
(360) 457 8249
Valuation
Fee summary Charged Paid Credited Due
Date 9/23/08
WA 98362
Plan Check Fee 00
Permit Fee Total 57 00 57 00 00 00
Plan Check Total 00 00 00 00
Grand Total 57 00 57 00 00 00
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 7 0000 ECH PL EA INSTALL WATER PIPE 7 00
q-
a3-0 5 r I AA) Col /JS
Date Print Name Signature 6f Contractor or Authorized Agent
0
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 has 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 Owner (if owner is builder)
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES CALL 417 -4886 FOR BACKFLOW PREVENTION INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE I
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. `v
KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE,
INSPECTION TYPE DATE ACCEPTED COMMENTS 1
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
I PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
I WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
I SLAB
I WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
I FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
I BUILDING 417 -4815 I
me ino
9�z9 -a& I Pa
-7 A -11R1 PE7
YES NO
FINAL
PLANNING DEPT SEPARATE PERMIT It's SEPA
PARKING /LIGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
PLANNING DEPT
1 BUILDING
DATE ACCEPTED BY.
I FINAL DATE ACCEPTED BY.
DATE
ACCEPTED
YES 1 NO
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant or Agent 8c v A+ 0 5 2_k/
Property Owner AMS
Property Owner's Address 0 .ST C1
Contractor /Engineer GAry.S Q IvnAg
Contractor /Engineer'sA dress Pop x. P
License Expires
PROJECT ADDRESS
Parcel Number
Proiect Tvoe Brief Description. zesidential Commercial
Check all that apply
New Construction
Addition
egemodel
Alepair
Re -roof
Demolition
Heat System
Other
Floor Areas Existing (sq. ft.) proposed (sq. ft.)
Basement
1St Floor
2 Floor
3` Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures sq. ft. Lot size
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
Phone 9 5
Phone bl 9f3
PA-
Phone
E -mail
Lot
Zoning
P P Nei cmtO 'J.1 ,v1.5 N£k✓ 1 'i-AN 'I-443 i C-
r! kio n,4 +..J A-1///2.10 c-,
Heat pump wood- burning stove gas fireplace pellet stove other
Mia■t) iAJA- -kt.ie. J d'ViCS
Multi family Industrial
For City Use Only
Date Received q
Permit t`)$- 12ic
Date Approved
per sq. ft.
TOTAL VALUATION
sq. ft. Lot coverage
of bedrooms
of full baths
of half baths
I have read and completed this application and know it 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, and to obtain permits prior to working on
projects.
Date_ L)�bg 6J
Print Name r l ,0N Co( U jJ3 Signature
16o
0877
Application Number 08 00001254
Application pin number 096960
Property Address 307 W 9TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 2 6588 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Bathroom remodel
Owner Contractor
MOSELEY SCOTT M
307 W 9TH ST
PORT ANGELES
WA 983627603
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452 6424
Date 10 /01 /08
WA 98362
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 135624
Permit Fee 46 00 Plan Check Fee 00
Issue Date 10 /01 /08 Valuation 0
Expiration Date 3/30/09
Qty Unit Charge Per Extension
1 00 46 0000 ECH EL R OR RM 1 4 ALT CIRCUITS 46 00
Fee summary Charged Paid Credited Due
Permit Fee Total 46 00 46 00 00 00
Plan Check Total 00 00 00 00
Grand Total 46 00 46 00 00 00
I
INSPECTION ELECTRICAL
TYPE DATE RESULTS INSPECTOR
DITCH
SERVICE
ROUGH IN
FINAL
'COMMENTS
Ter
0B
Job wired by
Elera contractor name
Purchaser's mailing addres
City
Address of inspection
Inspection
Date
l 9
d�
Ddte Appr cd By
FINAL
ate
Appr ed By
Electrical Contractor
License number Date Expires
rv. E LtiC- rS
i 1 32s) pi
State ZIP
PLO
Telephone number FAX v FAX number
'Premises owner's na e
Ley
SEP3 02
c 36,
Date
7
RECEIVED
DITCH
Area, Building or Equipment Inspected
0
LI G IEF N,Witstallation description
Owner Commercial ¥Residential
New
City f754
Phone number to schedule inspectio
Owner as defined 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.
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 electrical laws, N.E.C. RCW Chapter
19.28, WAC. Chapter 296 46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
/Signature wner electrical contractor or electrical admin' trator Expiration Date
X A .t
Date q� I!
Cash
of card
Electrical Lo Additions and or subtractions
NO LOAD CHANGES
Baseboard KW
Furnace KW Overhead Service
Heat Pump Ton LAR Temp Service
Fan -Wall KW Underground Service
SAME DAY INSPECTION, CALL BEFORE 7.00 AM 360- 417 -4735
ROUGH -IN THERMOSTAT
Date Appr ad By
ECTRICAL WORK PERMIT APPLICATION
Check
Credit Caryl Visa
Card
Appr ed By
Date
7
Date
Altered /Addition
asterc t Discover
SERVICE
Action Taken
C Inspection fib
Service Information
Voltage
Phase 1 3
Service Size:
Feeder Size:
Approved By
FEEDER
Appr ed By J
Electrical
Inspector
t~
~""
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
ELECTRICAL PERMIT
Issued: 12/24/96
Permit No:
5777
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
SCOTT MOSELEY 307 9TH ST W
307 W. 9TH STREET Lot: 19
Port Angeles, WA 98362 Block: 265 Long Legal:
360/452-1410 Sub: TPA
T: S: Parc No:
CONTRACTOR-----------------------------DESIGNER---------------------------------
COLEMAN ELECTRIC
522 W. 16TH
PORT ANGELES, WA 98362
-360/452-7194
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: RES.REMODEL prj Value: $0.00
Occ Type: Cnstr Type: ADD CIRCUITS
Occ Grp: Occ Load: Land Use: RS7
Electrical Heat Service Type
Baseboard KW: 0 Riser Voltage: 120,240
Furnace KW: 0 Overhead Service Diameter: X-I -3
Heat Pump KW: 0 Underground Service Service Size: 200 AMPS
X Fan/Wall KW: 4 Temp Service Feeder Size: 0 AMPS
PROJECT NOTES--------------------------------------------------------___________
REMODEL BEDROOM AND BATH
ADDING 3. 5KW FAN HEAT I
,
i
I
PROJECT FEES ASSESSMENT--------------------------------------------_____________
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $40.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
$40.00
$40.00
,. ',',
=================================
TOTAL FEE:
$40.00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
".'" .'
ELECTRICAL PERMIT INSPECTION RECORD
, CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. 'IT IS UNLA. WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION ITPE
NO
DATE
COMMENTS
F
GENERAL COMMENTS:
PW-II02.lSI4'96]
FE'f2~NUM8ER
CIT.Y OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
8Cf3
PERMIT NUMBER
.
TOTAL FEE
6tf9---
Er
CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
Site Address
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
7h
Owner
Owner's Address
PERMITS WITH WRONGl}!SSES AR~CELLEZ/ (lJt
Installation By 'f /1'1 I" C L 2. C: / {-
Installers Address
Day Phone Installers Phone
Application is hereby made for Permit to install EleC?trical Equipment as follows:
/11 flU ~ AJIA.J (1(/(. ~ ~ tJ..vL fdL )/L..J
~v/b/4; *, k4r.--v Crll.j u/J.
r
~pl"p/L
v
kv#
O#L rvL
c
---------
Wiring Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT PER 100A - FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIeNCE MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWAS.HER FIRE ALARMS l
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and In conformance with the N.E.C. Electrical Code.
Date Application made
,19
By Jl>fHJ
.
Date Permit Issued
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, acgording to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the C ty of Port Angeles.
1(llr!f(~OR CI GHT
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned .on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158.
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD .Inspector's Report
^, ""'011"" Ol;lIMTI=R5:. INC::.
, .~~ 'V' ......,-..,r .
.i." I ,"
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
,
.
,
..
"
I
nK' O.K. FOR COVERING
, U.I\. lu....v."...Gl ~
.
z
Cl
a::
c(
::E
~
:I:
I-
Z
W
~.
I-
o
Z
o
o
.
.
.
CITY.' OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
,
.
N9 15552
Port Angeles. WlUlhlngton..m...,./.<2...=...3.9_......m.m......m..... 19.~.j--
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 electrical work as listed below.
Address .1.::!...2__/l!:::m.Z<<-.mm__m__.__m__m...m__mm__m Occupancy__~~m.mm-m--m--m
Owner __..~.~""::k....m--mm----m--m.--c TenanLm__..__m.____________.l___m__.____m__.__mmm:__m____
Wiring Contractor m~r./1.-!?.m~c.r<y...--..-.-- By...m__m__m__m...mr__m.__m______._.m____m.m____
Light Outlets............____..___.........._.._..... Service, volts ...___/,d..C;:/?..~t: Type of 'wIring:
Receptacle Outlets....________................... No. wires mm..}............................ Armored Cable ...____....mn............_
D,y"" KW ____h__m.m____.____m.h__h_______. Size wlres...._#-d...a/Z..__. Non.Metslllc .........--------..............-.
..,....~d: A Knob & Tube................h.............._
Main fuse _______.~....!.::r:__n___...
Enclosure ....n~.___h......_.n._._.......
Range, K\V ___._n_'.n..__.__.____...___________.__.
Water Heater:
KW..____________n.___________________n___
Ilea" Kw.....d/2.;...~n..______n_..
Type ot wtrlng:
Entrance Cable ............_.m..___.......
Motors: size, volts and phase:
Rigid Conduit ...................______
Meta1l1c Tubing ..__.............
Current transformers:
No. & Size__...........................
Ser. NO.n.n.n...........................un......,
Ser. No. n.nnnun................................
Ser. N 0................0000..00.......................
RIgid Conduit .............................._
Metallic Tubing ................--------.--
Raceway u............................._......_
CIrcuits. LIght.....................n................
Utility .n..................n......................
I-Ieat ......................................._......
Range .............................................
Water Heater ..................0000.........
Motor .............................................
Drrer ..........................n...................._
Furnace .........................,~.........._. ......
Remark:~ta:__:~~__:~__..__~m~,.;~~.::.Sk:.:__~=~"~.m.mm.__..m.~~~~:__~::~:::.:.:~:__-.:.:.:::.:::~::~::
Permit Fee
Treas. Receipt
NO..m______....._____........
By____m__....____..__.._____...._____.__.__......__........._____h__.
$_______......____000___.___.___._____.
NOTICE-Current must not be turned on until CertifIcate of Inspection haa been Issued. It work is to be eon.
cealed due noUce must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
.fl.~"c
ELECTRICAL PERMIT
N?
15552
3 a > w..f.!--ZL
::::s..:::::::::::&=:::=~::Q~~~.._.:~::::::::::::::::::::::::::::::::::::::::::::::::::::::::-:-'~~~a~.a.t~:::~::::::::::~::~.:~::::::::::~::::::~::::::~:::::::::
Wiring Contractor....................................... ..................................................................n...............By..............................................................
NOTICE-Current must not be turned on until CertUlcate of Inspection has been issued. If work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M .~ Olympic Printers, Inc.
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
2/6/2024 23-896 TAP
OWNER
CONTRACTOR
Discovery Bay Electric
PROJECT ADDRESS
307 W 9th St
Application Number . . . . . 23-00000896 Date 8/29/23
Application pin number . . . 669504
Property Address . . . . . . 307 W 9TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-6588-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Replace Knob & Tube / Service mast
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
MICHAEL AND BRIGID COUNTS DISCOVERY BAY ELECTRIC, INC.
307 W 9TH ST PO BOX 3531
PORT ANGELES WA 983627603 SEQUIM WA 98382
(360) 460-4206
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 120.00 Plan Check Fee . . .00
Issue Date . . . . 8/29/23 Valuation . . . . 0
Expiration Date . . 2/25/24
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .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