HomeMy WebLinkAbout125 W 14th St - Building RECEIVED
CITY OF PORT ANGELES PERMIT APPLICATION SEP 2 7 2013
Building I?ivision/Electrical Inspections
321 East Fifth Street—P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711NrS �;�dON
()ate: 09126120013
---------------
_Mx 1 & 2 Single Family Dwelling Multi-Family or Commercial* D Commercial Addition /Alteration 1 Remodel 1 Repair*
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 125 W-1 4TH S7
------ ----------------------------------------------------------------------------------------------------
Building Square Footage:2000 -------- --------- - ---_
-----------------------
Description of above INTRUSION ALARM INSTALL
----------------------------------------------------------------------------------------------------------------
***ADT LLC***
Owner Information Contractor Information
Name:DAVID SCHWARTZ _ _ _ Name:ADT LLC
Mailing Address: 125 W 14TH ST f -f------ -_ _____ Mailing Address:11824 N CREEK_PKWY N, SUITE 0105
City: Port Angeles ----Stale:WA---Zip:98362-------- City:BOTHELL-------State:WA---Zip:98011-------
Phone:3037177522 Fax' ___ ____ Phone:706-774.9499 Fax:888-400.0383 __ ____
License 00/Exp.____________------- _ ___, License#1 Exp,ADTLLL*881D0 —- --_--
Item Unit Charge gly Total (Qty Multiplied by Unit Charge)
ServicelFeeder 200 Amp. $119.90 $-
ServicelFeeder 201.400 Amp. $145.50 ------
ServicelFeeder 401.600 Amp $204.60 ------
ServicelFeeder 601-1040 Amp. $262.20 ------
ServicelFeeder over 1000 Amp $372.50 ------
Branch Circuit Wl Service Feeder $ 2.60
Branch Circuit WIO Service Feeder $ 73.50
Each Additional Branch Circuit $ 2.64
Temp Service!Feeder 200 Amp. $ 92.70 ------
Temp. SeruicelFeeder201.400 Amp. $110.30 ------
Temp ServicelFeeder401.600 Amp. $148.70
Temp ServicelFeeder601-1000 Amp . $167.94
Portal to Portal Hourly $ 95.90
Sign/Outline Lighting $ 88.20
Signal Circuit!Limited Energy I First 1500 sf-Commercial $ 95.90
Note: $5.00 for each additional 1500 sf / I�
Signal Circuitl Limited Energy-1 &2 Family Dwelling $x"90
Signal Circuit!Limited Energy-MUlti-Family Dwelling 5 63 90 _--___ $_--__—_
Manufactured Home Connection $119 90 $
Renewable Electrical Energy-5KVA System or Less $102,30 ------
Thermostat $ 56.00
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $110.34 _—_-_-
Each Additional 500 Square R or Portion of $ 35.20 _--_—_
Each Outbuilding or Detached Garage $ 73.50 -_- $_—__
Each Swimming Pool or Hot Tub $110.30 - - - $_ �
$ /Tfltal
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 Cily 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
Jennifer nijolly signed by Jennifer Burgess L1 credit Card#4292102798618677 ex 12113 cuc 140
ON:cn=Jennifer Burgess,
o=NORTHWEST PERMIT, -
g ou=NORTHWEST PERMIT, bated: OTfe1f2fl10
—�mall=le
4ele:2�13,p9.2fi'12:19:53-0 T00'
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
e--
Application Number . . . . . 13-00001115 Date 9/30/13
Application pin number . . . 675330
Property Address . , . . , . 125 W 14TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER; 06-30-00-0-3-8775-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning . . . . . . . R,S7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
Application desc
Security system
Mgner Contractor
DAVID L SCHARTZ ADT LLC
125 W FOURTEENTH ST JIB24 N CREEK PARKWAY, N
PORT ANGELES WA 98362 STE 105 1
BOTHELL WA 98011 �+
{206} 719-0347
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc , ,
Permit Fee . . . . 69,00 Plan Check Fee .00
Issue Date 9/30/13 Valuation . . . 0
Expiration Date 3/29/14
Qty Unit Charge Per Extension
1100 54.0000 ECH EL-SINGLE CIR LIMITED RES 64.00
Fee summary Charged Paid Credited Due
Permit Fee Total 64.00 64.00 .00. ' .00
Plan Check Total 00 .00 .00 .00
Grand Total 64.00 64.00 00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN O
FINAL
COMMENTS:
PERMIT WILL EMPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number 12- 00001145 Date 9/05/12
Application pin number 903010 REPORT SALES TAX
Property Address 125 W 14TH ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3- 8775 -0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
200 amp panel replacement\
Owner Contractor
HOCHHALTER, DENNIS JEANINE BEST ELECTRIC
1628 W 6TH ST P.O. BOX 2445
PORT ANGELES WA 98362 SEQUIM
SEQUIM WA 98382
(460) 2248
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 120.00 Plan Check Fee .00 1
Issue Date 9/05/12 Valuation 0
Expiration Date 3/04/13
S I
Qty Unit Charge Per Extension v
1.00 120.0000 ECH EL -0 -200 SRV FEEDER 120.00
Special Notes and Comments
September 5, 2012 11:57:48 AM banders. OK
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
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE /6 �Z 'w
ROUGH -IN
FINAL c /-,J)2.-. AV
4.
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION,'
Signature of owner or Electrical Contractor X Date:
G.: \EXCHANGE \BUILDING
OF pOR7gHC� ELEC L C INSPECTEIOK
�i !N
U N
i it N0 REPORT
0. ORK4 40 417-4735
PERMIT N INSPECTOR
DATE
b
OWN
CONTRACTOR
ADDRESS
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
°j16 ?rzb t) t i> LJ() 2K 1 t./
J lei o F T2t,►.I
dip zi
NOTIFY INSPECT(/' WHEN CORRECTIONS
ARE COMPLETED WITHIN 95 D �',NS
DO NOT REMOVE f iIOVEE
4 �,tihr
CITY OF PORT ANGELES PERMIT APPLICATION c
Building Division /Electrical Inspections b 2O 4
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 ELECt /C --c--
Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECT/0
G9
Date: r 1 2 Single Family Dwelling
Plan Revie 6�lay� Req ired, PITS omp -t: Elec altew Information Sheet
Job Address: ��.•.•�5
Building Square Footage'
Description of above p .Q,. i(e,e fi iCt C 'en, 4
Owner rmation Contra a. +r In o ati
Name: ea/f %0'e V8/7 /3 k/ oci lal., 1 "i Name: s'e I T C J
Mailing Address: tilailin !�e
City: State: Zip: City: e ,»i State:L Zip: 3
Phone: Fax: Phone: 1 Fax:
License Exp. License Exp. r"A` 9 W" 4
Item Unit Charge QQt Total (Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp. $120.00 P. 0, 0 0
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 5
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 5
Signal Circuit/ Limited Energy 1 2 Family Dwelling 64.00
Manufactured Home Connection 120.00
Renewable Electrical Energy 5KVA System or Less 5102.00
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 5110.00
/AO, 00otal
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.
Signature .f owner, -lectrical contractor or electrical administrator: Cash Check
Credit Card Lam"
X f Dated: 9- 01/0112012
PREPARED 2/23/09 8 32 24 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/23/09
ADDRESS 125 W 14TH ST SUBDIV
TENANT NBA DENNIS /JEANINE HOCHHALTER
CONTRACTOR PENINSULA HEAT PHONE (360) 681 3333
OWNER DENNIS /JEANINE HOCHHALTER PHONE (360) 460 4701
PARCEL 06 30 00 0 3 8775 0000
APPL NUMBER 09 00000074 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 2/23/09 L FebruaIyA2 FINAL TIME 01 00
2009 A
i( February 23 2009 8 28 54 AM 1pangrle
DENNIS 461 4701
MECHANICAL FINAL HEAT PUMP
AFTERNOON
PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE
COMMENTS AND NOTES
r''
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Heat pump 2 ton with 10kw furnace
Owner
Hochhalter Dennis
125 West 14th Street
PORT ANGELES WA 983620390
94( x{701
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
141366
59 50
2/05/09
8/04/09
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
09 00000123
305811
125 W 14TH ST
06 30 00 0 3 8775 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
ELECTRICAL ALTER RESIDENTIAL
Plan Check Fee
Valuation
Charged Paid Credited
Qty Unit Charge Per
1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
1 00 2 0000 ECH EL -ECH ADDNT BRANCH CIRCUIT
59 50 59 50 00
00 00 00
59 50 59 50 00
Date 2/05/09
OLYMPIC ELECTRIC
4230 TUMWATER
PORT ANGELES WA 98363
(360) 457 5303 1 3tIR$
DATE RESULTS
00
0
Extension
57 50
2 00
Due
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
7
02/05/2009 07 35 FAX 360 452 3498 Olympic Electric Co
City of Port Angeles Permit Application
Building Division/Electrical Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph: (360) 417 -4135 Fax: (360) 4174711
Debt ,2// /0
2 Single Family Dwelling
Multi Family or Commercial'
Commercial Addition Alteration Remodel I Repair
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job.Address: F �/Cf
Building Square outage' ___41/4
Description of above .YCd„, 9P
o, 'cKw ,.ry 2r
Owner information Contractor Information
Name: pi/1/1.1 /�DP.,AAa />i// Name: /ir�i
Mailing Address: hZ 1e, /'/0 Mailing Addrasef 4'2 A
City D -/4 i State: ZIp: %PJ Clty: .4.- f�A, State: ,'9 L P: Vi"?...", Phone:_Y Phone; Ur 7 -fr�
License #1 Exp, license #1 Exp. '7
Unit Charoe 2( Total fQty Muitiglied by Unit.Chargej
93.75 Servioe/Feeder 200 Amp.
$113.75 Service/Feeder 201 -400 Amp.
$160.00 Service/Feeder Amp,
$205.00 SmytcelFeeder 601 -1000 Amp.
$291.25 Service/Feeder over 1000 Amp.
2.00 Branch Circuit WI Service Feeder
S 57.50 Branch Circuit W/O Service Feeder
2.00 2....-- Each Additional Branch Circuit
72.50 Temp. Service/ Feeder 200 Amp.
86.25 Temp. Service/Feeder 201-400 Amp.
$116.25 Temp. Service/Feeder 401-600 Amp.
$131.25 Temp. Service/Feeder601 -1000 Amp.
75.00 Portal to Portal Hourly
69,00 SignlOutlne Lighting
75.00 Signal Circuit/ Limited Energy Commercial
S 50.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling
50.00 Signal Circuit/ Limited Energy MuIB.Famly Dwelling
93.75 S Manufactured Connection
60.00 Renewable Electrical Energy 5KVA System or Less
S 86.25 First 1300 Square Ft
27.50 Each Additional 500 Square F4 or Portion of
57.50 Each Outbuilding or Detached Garage
86.25 Each Swimming Pool or Hot Tub
43.75 Thermostat
SY. /Jr Total
oawierasdeffaaedlry Is212sx:.(f)owrsertraa apy Mostar/Jiro lartwo yessafterthis elecbica l,permicisEaaurad.IVOavetis ,/aadmana4o
electrical contracmrllabova sold pnrpaftyls for sale rent of /asses
After reading the above statement, I horsey certify that I am the owner of the above named property or a licensed electrical contractor I am mating the electrical
Installation or alteration incompliance withete electrical laws, N.EC. RCW. Chapter 19.28, WAC. Chapter 206.46B, The City of Port Angeles Municipal Code, and
Utility Specircations.
Signature of owner, electrical contractor or electrical administrator
G-t ^66'1 (0
Data_ zZ. cr
RECEIVED
FEB 5 2009
UGHT DEPT
PA CITY INSPECT Z001/002
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
T stat
Owner
Hochhalter Denm s
1628 W 6 St
PORT ANGELES
(360) 460 4701
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
FINAL
COMMENTS
WA 98363
140640
43 75
1/22/09
7/21/09
s=116f
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
09 SMIN0076
633348
125 W 14TH ST
06 30 00 0 3 8775 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
ELECTRICAL ALTER RESIDENTIAL
Qty Unit Charge Per
1 00 43 7500 ECH EL LVT THERMOSTAT
Plan Check Fee
Valuation
Charged Paid Credited
PENINSULA HEAT
782 KITCHEN DICK RD
SEQUIM WA 98382
(360) 681 3333 68 w 6
43 75 43 75 00
00 00 00
43 75 43 75 00
DATE. RESULTS
Date 1/22/09
00
0
Extension
43 75
Due
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
Application Number 09 00000074
Application pin number 172856
Property Address 125 W 14TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 8775 0000
Tenant nbr name DENNIS /JEANINE HOCHHALTER
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 5253
Application desc
INSTALL HEAT PUMP
Owner Contractor
DENNIS /JEANINE HOCHHALTER
125 W 14TH ST
PORT ANGELES
(360) 460 4701
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
14 8000 EA
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 pres me giv; authority to violate or cancel the provisions of any
T:FormsBuilding DivisionBuilding Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
WA 98362
MECHANICAL PERMIT
INSTALL HEAT PUMP
140624
64 80 Plan Check Fee 00
1/22/09 Valuation 0
7/21/09
Per
64 80
00
64 80
BASE FEE
ME FURN /HP /FAU
Charged Paid
PENINSULA HEAT
782 KITCHEN DICK RD
SEQUIM WA 98382
(360) 681 3333
64 80
00
64 80
OR 5 TON
Credited Due
00
00
0 0
state or local law regul
a,
n construction or the erfojmance of cons sti t }on.
4 /Z-4 ai'41/e-
Date Print Name
Date 1/22/09
0 0
00
00
Extension
50 00
14 80
le,./1L./
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
Inspection Type
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
c0
D Z 23- I S LL
Date Accepted By
01/21/09 14 31 FAX 3606812086
re 4.71 0
City of Port Angeles Permit Application
Budding Division/Electrical Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph: (360) 4174735 Fax: (350) 4174711
Date: 1 /7i /D 9
�C 1 2 Single Family Dwelling
T Multi Family or Commercial`
Commercial Addition Alteration Remodel I Repair'
Owner In
Name:
Marlin
Pore: L D
License 1 Exp.
Unit Charge
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
8625
$116.25
$131.25
75.00
69.00
75.00
50.00
$50.00
93.75
80.00
86.25
27.50
57.50
86.25
43.75
Sig of owhar, or electrical administrator
aecbie5l
l.!/ l t
State: G t/i¢ Zip:
L 7U
Peninsula Heat
RECEIVED
JAN 2 2 2009
LIGHT DEPT
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: Z5 W W. .S t eef
Building Square Footage: i n/L.n o
Description of above U_ r> .EFT
M� L.IK� --t (PIP
Total 19,yt Multiplied by Unit Chprg�j
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401-600 Amp.
S Service/Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit WI Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201 -4O0 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1000 Amp.
Portal to Portal Hourly
Sign/Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy -1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi-Family Dwelling
Manufacteed Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square FL
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
3 Thermostat
.3 Total
Contracts formation f
Name: e /7 ir�Sr.t a. Pa, L1�7e
Maifmg d 7f frherl h /<d
City' tO P9g' vr' State: J.J/�P: 9 2'
Phone: L(� �r 3 3
License Exp p5,v //1/ /U r-/ tie
Owner as defined by RCN! 18.28. 261: (1) Owner will occupy the sbucene for two rears after this elacbicaipermft is finalized. (2) Owner is required to hire an
alectricel contractor Rebore said property is for sale, tent or lease.
a103
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed ele�ial contractor. lam making the electrical
installation or alteration in compliance with the electrical lass, N.E.C. RCW. Chapter 1928, WAC. Chapter 296169, The City of Port Angeles Municipal Coda, ii4
Utility Specifications.
c�
P‘o -char 1 04 --tom
01/21/09 14 31 FAX 3606812086
6 4oaram
cr,1411
0
t__ V
Applicant orA�9ent (0)%ar /y ibi�s�t�
Owner ifh 1z' 14 g /Aor
Owner's Address Ltz
Contractor/Engineer I h
Contractor /Engineer's Address 7g�
License PeivJ 10 ail/
Peninsula Heat
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
PROJECT ADDRESS 2-5 .57t
Parcel Number
Proiect rune Brief Descrintion. Resldent1al o Commercial
Check all that apply
o New Construction
a Addition
o Remodel
o Repair.
O Re -roof
o Demolition
a Sign
Heat System
o Other
Phone l —333
Phone 7 4 tj
Phone
Expires
Lot Zoning
t] Multifamily p Industrial
o wall mounted o projecting a freestanding o awning
1 1(
Total sign area so ft Maximum allowed sign area so. ft.
Heat pump o wood burning stove o gas fireplace o pellet stove o other
Floor Areas Existing (so. ft) dosed (sa. ft j
Basement
1" Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
per sq. ft.
For City Use Only
Date Received -21 -0i
Permit Oct tit
Date Approved
o other
TOTAL VALUATION 5.2 5 3 e
Total footprint of structures sq. ft. Lot size
Max. height of proposed structures ft. OcQupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
I have reap.and completed this application and know it to be true and correct. I any authorized to ap•ly
understand tha it is my responsibility to determine what permits. are required. and tain
projects. 4 fr'
Date 44 U 9 Print dame C. !4 ik det5
T:Forms/Bui!ding DivIsion/Bldg Permit Appl= 2006 Code.dac
sq. ft Lot coverage
of bedrooms
of full baths
of half baths
Il02
this permit and
r ty working )n
%!nom
Application Number 06 00001198
Application pin number 212372
Property Address 125 W 14TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 8775 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Owner Contractor
HOLHALTER DENNIS
125 W 14TH ST
PORT ANGELES
WA 983620390
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
ANGELES ELECTRIC
524' E 1ST ST.
PORT ANGELES
(360) 452 9264
Date 11/03/06
WA 98362
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc ANGELES/ METER REROUTE
Permit pin number 90167
Sub Contractor ANGELES ELECTRIC
Permit Fee 36 30 Plan Check Fee 00
Issue Date 11/03/06 Valuation 0
Expiration Date 5/02/07
Qty Unit Charge Per Extension
1 00 36 3000 ECH EL -R OR RM REPAIR METER /MAST 36 30
Fee summary Charged Paid Credited Due
Permit Fee Total 36 30 36 30 00 00
Plan Check Total 00 00 00 00
Grand Total 36 30 36 30 00 00
C OMMENTS /ACTION NEEDED
SINGLE F
1 1 Ch
00 0
6 30.4
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE 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 TYPE DATE ACCEPTED COMMENTS
YES 1 NO
DITCH
ROUGH -IN COVER
SERVICE
FINAL
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
1 1 1
1 1 1
1 1 1
leler-scr
1 1
1 1
1 1 1
1 1 1
1 /1 -3 -nb
PW.1102.1514/961
~esidential ~New Construction
I Heat KW 0 Remodel
o Baseboard 0 Furnace/Boiler 0 Service update/alter/repair
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
.
Site Address:
/Z'i' fJJ.
AtJ b H'LJ;
Vtf.-
I nstalled By:
OwnerlBusiness:
Owner/Business Address:
DetailslDescription:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
's
PERMIT NO. /7 3
&/30/il'l
I I
ELECTRICAL PERMIT
DATE
/ 1~ 711
(U LTYL IL
t(',
. 0 READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
~S7 -Irf'/t/
Sq. Ft.
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
~overhead
o Underground ;:; .'
Voltage /7fi> '2;1/0
:gr10' D3t
/Se'rvice size tJF:;l Amps
o Temporary
.{J'f,vJ
5'
/00
;:.V
4/1'1/ - ~~t
t51J/rl; ((. F J J"',,)'L (1:.,
I'
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough.in/cover O.K.
~ O.K. to connect service
ja Final O.K.
~
Site Address: /2 ~
Installer:
().J. / {(lJ
AJ\JGft~ (
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
D Plan Review approved/pending
Permit/Receipt No.
l7 )5
fL l L TiLi L.
New Meters
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
M ,(1-- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ;fjr::, ~
; Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
.
\
OLYMPIC PRINTERS. INC.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17783
'ff -/ c: F:4
port Angeles, Washlngton..mm...?__..m..m..i::.m.m.....__.mm.m.__...., 19__000000
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 ..__/d.:}i..~LYr..L.m.____.mm...__.__m____.__ Occupancymd.~m___..__.__mm____.__
~:7:~~.~;~:::~;rar.~f~~~~~:~~:____~~:~~~;:::::::::::::::......~~~~~::::::=::::::::::::::::::=:::::::::::::::::::
Light Outlets.__________________.___________________.
Receptacle Outlets__........................__...
Dryer, KW nn....................._..__............
Range, KW m.h__h__..h__m__.____
Water Heater:
KW..............n.............~n.........n...
'L"-/ ./.
Hea" KW...;.,i'.___!tL!.r/.~4<~,,'itA,. ~
Motors: size, volts and Ph~:
.,)~/;-,tcr.:.'I' #r:.45y.{~~
:&JI--''' . . f
.......................................................'-..
Total :Load..........___n..............
Service, volts .....mmn.............m..........
No. wires ........_n.............n.............
Size wires.................n................_..
Main fuse ....n..__.........n.__nn...........
Enclosure n..............__...........n..
Type of wiring:
Entrance Cable n"nnn..__...__m.
Rigid Coudult ___________________.________.__
Metallic Tubing __n......___n
Current transformers:
No. & Size......n......................
Ser. NO.............n............._..................
Ser. No. __..........nn__...........................
Ser. NO....nn.............n................n......
Ser. NO.__..........nn._.......n._..........n..
Type ot Wiring:
Armored Cable ...m___.....................
Non.Metallic .....................n........._
Knob & Tube...................._..........._
Rigid Conduit __.____________________________
MetalUc TUbing h_..m...................
Raceway ..............................._......_
Circuits, Llght.............m..n...................
Utility _____._____________.___.___.________________.
Heat .................................,....._......
Range nn...n.............n........_............
Water Heater .........m._m..............
Motor ................nn.__.n...................
Dryer ...........................n...........nnn.._
Furnace ............_............__..................,
Total ......n..............n....n.........
Remarks: ..m.q:-:!::.q:l2..----qy!~:&:!,~"_;.."'.__.P.__..,.~i.--:!!:.~~m..__mm__.000____000__.000__000000...__000.........__000..000
C/
.nnn.nhn__n.n.....nnnn.__nnnuu__n._nn.o..nn.u___n.nnnn.n_.nnn--un-uuhh_nn...._n__nu....__nn._nnn_n__o....nu.....nn.uo..n_
Permit Fee
.--h---nu.uu.n..n__nn__.nn________nu._______n.nh.._._uU......__u..n_h..-...nh-_.n..n.h..n__hh_...nuu..nn.__...__.nu._nnn...h_....n_nn
Treas. Receipt
NO......m........__..........
$..__..000..____..__...000___000.___.__
By ...000..--..000..__000.000.000.__......000.__..000000..__000.____.__..
NOTIC~Current must not be turned on until Certificate or 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~ 1 77 8 3
Address............_..........................................................................................................-................Date..._.........._.._.._.........._._...._.................
Owner .h..n.__.......h.n_nn........_.....__.._......_......_.._.....................n.........n...............__........ Tenant....hnn.......hn__.n........nn.........nn........nnn...
Wiring Contractor....................................... ....................................................._............._............._.By........................................._............_.......
NOTICE-Current must not. be turned on until Cert1flcate of Inspection has been issued. If work is to be COD-
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'!
16925
? - :2. 3 >9
Port Angeles, Washlngtonmm___.._____m______.._._._...mmm......_mm.., 19000"_,,
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.
~::;s__:::::~t~:::::::::::::::::::-m~::~:~:::__~~~~~:~:.~::::~:~::~~:~:::::::::::::::::::::::::::
Wiring Contractor mn~_~~nnm__n.nnnnn_hnnm_m By..nnm_..___.m_mmmm__m.nn__n______m..hn____..n
/.:2-0/;;; y.[/
serv:::., ;:::: ::::~::::1:::~~::::::::::::::::::::
'r/O
Size wlres....--............-..-------:.l....-..
{;;.~ tJ /"+.
Matn fuse __........_.____________......_........
S
Enclosure h_.....__...m___.........._._.....__
Light Outlets..............._h............._.._.....
Receptacle Outlets....____......._..__._...._....
Dryer, KW....nnh___n.....________.__.....___._.
Range, KW ____....__n...:..uu__.___.__._..._
Water Heater:
KW.nnnn....nn...n...m...m.. __... .m.
Heat: KW............._..............__..____.......h......
Motors: size, volts and phase:
::'1::/'
Type of wIring:
Entrance Cable ._........m_____m........
Rigid Conduit ........mm...........
MetalUc Tubing .h_.........._._..__
Current transformers:
No. & Size..__.....__..h_............_
Ser. No........__............__.___________...........
Ser. NO............______.h_..............._..._____
Ser. No._______..............._.___________........_.
Type of Wiring:
Armored Cable ............_m..............
Non-Metallic n..n.._..____.............___..
Knob & Tube......n............_..__......._
RIgid Conduit ....__.........................
MetalUc TubIng .....mm..........___...
Raceway ___.._................._........._..._
Circuits, Llghl............................-.........-
Utility ....m..........__...:......................
Heat ___.___............_.......:........_.._.._
Range ._.._................__.__.........._.._..__.
Water Heater ........_.__........._.........
Motor .._......_......____..........___._..........
Dryer _..........___............___.__............_.....
Furnace ..__......................_.______.._......_.
Total Load........................__.. 5er. ~o........~:..._....................--..-. i ~....--.--.............--.........
:::=~~~;;.;~:~::;y~~::::::::::::::::::::::::::::::::::~:::::::::::::::::
m_..n.nhmn~-mnmnm-mm--mnm-mmm--mm--mn-n--nh.m.mmm-m-..--..nnnmnm.m...n_..__._.n.mn~.n..mn
::~_=.~~..~::.__:...h_.mnm ::~.~.~:_.:~_~:~.~~m.... By fJf:d!lri4~.':nL~?!:~.~.
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 WH!ON READY FOR INSPECTION
Address
ELECTRICAL PERMIT
N?
16925
Owner ..........__......................_....___.........._......__._......._____............................._................. Tenant.........__.h...._..................__.___.__.._...h.._..........
Date..._......____.._.._.........._._...__.__.._......._
WirIngContractor._................................._......_...._....__._..............__.___.._.____.._._______...._....................By............._..._..__..............................-.......-
NOTICFr--Current must not be turned on untll CertIficate of Inspection has been issued. If work Is to be con.
cealed due noUce must be given the Inspector so that work may be inspected before concealment.
~\
1M Olympic Printers, Inc.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17694
r "
::J -/u r ..!
Port Angeles. Washlngtonm.f-"_.m..m..__.....mmmm.m........m...m. 19.00._...
In aocordance 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 ../_:'?._~_..~/__'t._r;;~:..........mm......._.,~.u................. Occupancy_oo_.,_,~!'coo~,;..L._.___.._.____..._......
. !. _j/~ ,': r'r/~
~::~~.~~~:~~~:.:~:~::~::t.I~~:r.:~~~~;~y(~~~~~;::::::::::::::~~...~~:::::::::=:::::::::::::::::::::::::::::::::::::::
/,iv.r) . ~
Light Outlets.....................h................... Service. volts ........mm......__n........h..... Type of Wiring:
-'
Receptacle Outlets....h.........................
No. wires .......~..............................
<:',-""/-', /
~. J;<!{J .
Size wires...................:.............._..
'';(.. .'z1 I~.l
Main fuse .....:....m......m.....nmh.....
S
Enclosure ..........__........... ..n..m..n..
Dryer, KW.....n..........__......__...............
Range, KW hn..........................
Water Heater:
KW....uumooumoo__ ____mUmm__ __m__,
Type of wiring:
Entrance Cable ........m.nmm..
Heat: KW......h.........................h........n....
Motors: size, volts and phase:
Rigid Conduit ..mmmm'"
MetalUc Tubing ....m......m...........
Current transformers:
No. & Size.............................n....n..
Ser. NO.............h............h..................
Ser. No. .h..........................................
Ser. No. ..............................h__.....h....
Armored Cable ............................_
Non.Metalllc ........__.__.__................_
Knob & Tube...................._............
Rigid Conduit .............._.________.......
Metallic Tubing _._........................
Raceway .................................._...._
Circuits, Light..........mm...hm...............
Utilit). .............................................
II eat .h.........................h.................
Range .............................................
Water Heater ...h....................._....
Motor .............................................
Dryer ..................................................
Furnace h........................_......_h.........
Total Load.n.......................... Ser. No. .........:..;c.............................. Total.......................................
r "" /? "'7
/ '''&' {:(".:z.~/'
Remarks : hdUU~...~__L~.u.L~~.h:.~:-:::dU:h.:.t.}L..un__~..t...~r:::.u__~.~_Q...-':.__:t::.m:.m__-c..__::t:..:__u__mn__umm____u..._.n__~~._
f '..../.
_;:;:;;;;~.-;~:mumuh--...h---.h----;~:~~.u~:~:;~~um-m-----.----.-mumu.....uu1u;Jr..........),?uuZ.-..---....?;....mu.
-r;t.r... I -........ .
_/ J. I /~ ,i'fl f.'~;../ ./1 :l:d-:i.."..,.,
$..u.u.um.mmmmm.m.m. NO......__m......m...._... By uuuuu..___..._m......mm__h.m.......mmu..ummu.
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
Address
N~ 1 7 6 9 4
.,
Owner ............h............n......._.........._.............._.._......................................h................... Tenant..................hn..................n.....nn....nn....n...
Date..._......_.._......_.........._......_......_.........
WiringContractor..................................._:....._.............._.....................:.......................................By.................................................:............
NOTIC~urrent must not be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed due notice must be given the Inspector 80 that work may be inspected before concealment.
\\
1M
Olympic Printers, Inc.
11-02-206 5,45P~
FRO~ ANGELES ELECTRIC INC 360 452 9265
P.l
.-.
Gl'
. "-;
~""...,
ELECTRICAL WORK PERMIT APPLICATION
/
Job wired by 0
ectric.al Contractor 0 Owner
lnstall!lotion dcscriplion
Q Commercial
Electrical contractor nClyne
ANGElrs'ITWRrc~ INC.
52\ [AST fiRST
PORT ANGELES. WA 98362
Date Expires
DNew
I.:IRe~til1l
~eredlAdditioD
City
State ZIP
~I/k~ ~
'.
Purchaser's mailing addNss
,
TclepllOnc number
FAX number
PrCmilOC$ owner's name ~
. &A-/1t5 L~
~dd"" of 7'15' IV. J~ ~
<:ity W:
rbunf' IloIunbcr tu schedule inspection:
pt; ~V7tJ /
OWr:C'f cs defi'led by RCJt'./9.28.26J:(fJ (ft.'neT wlll occupy the W'UclIlrt:' for two
years after lhiJ' ele-ctrirClI pemd is finalized. (2) Owner iI' re'lJlirl'd to hi;!; 0'1 c~leclri,:al
COfltraCtor ); abo>,;t! said prnperty is for .Yuk n:nl or lease.
After reading the above: statement, t hereby certify that I am the owner of the above
r'!i1'l'Icd propcny or a Iiccnsed electri~,..l cootfac\ol'. I 3m making the deculCClI inst<ll-
lalion or alteration in comptiance with the cleclrit;a\ laws. N,E.C.! RCW. Ch.:lptcr
19,28, WAC. Chapter 296-463. The City of Port Angelc$ Municipul Code. ilnd
Utility Specifications.
Sfgnsturc 0 wner. elec rica I conn ctor l)r dcdrical admiuistr (or
.'
o C~O Check #
Cl"6-cdit Card Visa
Card# ....____"_pV_-f!q;_-____
Masiercard
Discover
x
Date:
Expiration Date
of card
Inspection fee $0
$ '?~
~JI.i.~.e.lnform8tion
VOllaga_-::-~~~
Phase Cf1"1J 3 . . .
Serviee Size: ~
Feeder Size: ~
'~oad Addl"on~ or subtractions
O. LOAD CHANGES
o 8aseboard KW
o Fumace KW
CJ Heal Pump _ !on
D Fan_Wall KW
LAR
~d S."dee
Q T emo $Qrvice
CI Underground Service
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
/
ROUGH-IN
/
THERMO!>'TAT
SERVICE
--',
'- OJ.(!:
^rjlrO"cd 1::1)'
"'-- .DlI(~
/
^PlIt\WC:,s ~y
......... lJ~I~--"
"l'(ly","",dHy
I/h//:AL.W
'- Dc AslIlTOVWf'Y"'/
DITCH
FEEDER
"
DI(~
!..potOVW fl)' ..,/
IJale;
^Plltll~cd By
In:;pcction
Dale
Area. Building or Equipment Inspected
Al.:lIUD T..\ken
GIl:l.:lrlc;sl
.Inspcct()r
"
A ~
/-Itlf/
,
/1 '-1/loC;
/
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL qb�h� "'D
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION I
Signature of owner or Electrical Contractor X Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
�--
Application Number . . . . .
17-00001116 Date 8/15/17
Application pin number . . .
386068
Property Address . . . . . .
125 W 14TH ST
REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER:
06 -30 -00 -0 -3 -8775 -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
Spa circuit
----------------------------------------------------------------------------
Owner
Contractor
------------------------
DAVID
DAVID L SCHARTZ
------------------------
----------------------
ANGELES ELECTRIC
125 W FOURTEENTH ST
524 E. IST ST.
PORT ANGELES WA 98362
PORT ANGELES WA 98362
(360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 75.00
Plan Check Fee .00
Issue Date . . . . 8/15/17
Valuation . . . . 0
Expiration Date . . 2/11/18
Qty Unit Charge Per
Extension
BASE
FEE 75.00
----------------------------------------------------------------------------
Fee summary Charged
Paid Credited Due
---------------------------
Permit Fee Total 75.00
------------------------------
75.00 .00 .00
Pian Check Total .00
.00 .00 .00
Grand Total 75.00
75.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL qb�h� "'D
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION I
Signature of owner or Electrical Contractor X Date:
08/08/2017 12:47 FAX 360 452 9265 Angeles Electric
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Eleebicai Inspections
321 East Fifth Street — P.O. Boz 11501 Port Angeles Washington, 9$362
Ph: (360) 411-47315 Fax: (360) 4174711
Date: W7 —fl- b 2 Single Family Dwelling
[A0001/0001
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: f �'V • /
BuNng Square Footage:.
Description ofabove
Owner info tion/
Contractor Information
Nam fit
Nom; � j� 'j rove.
Maging�
Mailing Addnssa _s Y C�- r _ r:
City �---� . State p: � Z
City �C� to 71p:
Phone: Fax:
Phone ax: r G,S�""
License # I Exp.
Lkenee # r Fxp
717 7'5-2.7--
Item3a3
Unit Chorus
glx Total (Qty Muidoliad by Unit Chargd
SwvWFeeder 200 Amp.
$120.00
$
3ervicelFeeder 2014M Amp.
$146.00
$
Servic aTeeder 4 i -60a Amp
$ 205.00
$
Sw&etFeeder 6014000 Amp.
$ 262.00
$
SeMcelFeeder over 1000 Amp.
$ 373.00
$
Branch Circuit WI Service Feeder
$ 5.00
$
Branch Circuit W10 Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4
$ 75.00
$d"
Tetrir. Service! Feeder 200 Arte.
$ 93.00
$
Temp. ServioelFeeder 201400 Amp.
$110.00
$
Temp. SenrioelFeeder 401.600 Amp.
$149.00
$
Temp. ServicelFeeder 601-1000 Amp .
$166.00
$
Portal to Portal Hourly
$ 96.00
$
Signal Chttxritl Limited Energy -1 & 2 Family Dwelling
$ 64.00
$
Manufactured Home Connection
$120.00
$
Renewable Electrical Energy - 5KVA System or lass
$102.00
$
Thermostel
$ 56.00
$
Note: $5.00 for each additional T-Stat
NEW CONSTRLiC' M ONLY:
Firs11300 Square Ft
$120.00
$
Each Additional 500 Square Ft or Portion of
$ 40.00
$
Each Outbuilding or Detached Carpe
$ 74.00
$
Each Swimming Pool or Hot Tub
$110.00
$
$—;UW— Total
Owner as defaned by RCW.19.28.261: (1) Owner will occupy the structure for twa years after this electrical permit is finalized. (2) Chimer is required
to hire an electrical contractor if above said property is for sale, rent or (ease. Permit expires after sic 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 malting
the electrical installation or alteration in compliance with the electrical
laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296465, 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 eiictrical administrator: �O Cob D creat
QYCndrt curt # 0A1 �i d -J
X 0": 4class