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Home My WebLink About221 W 15th St - Buildingi °Fp °RT ELECTRICAL INSPECTION WIRING REPORT G L r Ssc``� 417 -4735 DATE: llb PER i IT # INSPECTOR /o �, OWNER e a),;, H ►.l CONTRACTOR ADDRESS 22l 1 s ❑ .1 DITCH ❑ ROUGH IN /COVER ❑ SERVICE ❑ FINAL CORRECTIONS NEEDED- DlJTL1,,- n5 J'iAV NOT APPROVED NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 2 circuits for front porch ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 10 00000379 Date 4/19/10 476165 221 W 15TH ST 06 30 00 0 4 2180 0000 ELECTjRICAL ONLY RS7 RESDNTL SINGLE FAMILY 1 0 Owner I Contractor CHRISTOPHER HAHN DATE RESULTS OLYMPIC ELECTRIC CO INC 221 W 15TH ST SERVICE 4230 TUMWATER + PORT ANGELES WA 98362 PORT ANGELES WA 98363 FINAL (360) 681 3333 2 `b (360) 457 5303 i�ZGQ 1C1 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 163964 Permit Fee 76 10 Plan Check Fee 00 Issue Date 4/19/10 Valuation 0 Expiration Date 10116110 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 73 50 1 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 2 60 Fee summary Charged Pi id Credited Due Permit Fee Total 76 10 76 10 00 00 Plan Check Total 00 00 00 00 Grand Total 76 10 7 10 00 00 INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE + ROUGH IN FINAL 2 `b COMMENTS Signature of owner or Electrical Contractor Date 0 a W PREPARED 3/10/10 9 21 38 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 221 W 15TH ST SUBDIV TENANT NBR CHRIS HAHN CONTRACTOR ARLAND ELSTROM PHONE (360) 457 0382 OWNER CHRISTOPHER HAHN PHONE (360) 681 3333 PARCEL 06 30 00 0 4 2180 0000 APPL NUMBER 09 00001326 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 2/22/10 JLL BLDG FRAMING 2/22/10 AP February 22 2010 8 21 52 AM 1pangrle ARLAND 808 4814 FRAMING THE PERMIT IS ON THE PORCH February 22 2010 4 52 14 PM jlierly BL99 01 3/10/10 BLDG FINAL TIME O1 00 .1 Alo March 9 2010 2 05 01 PM 1pangrle Vj CHRIS 681 3333 BLDG FINAL PORCH REMODEL AFTERNOON COMMENTS D NOTES Coo p P � L� PAGE 7 DATE 3/10/10 PREPARED 2/22/10 8 24 41 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/22/10 ADDRESS 221 W 15TH ST SUBDIV TENANT NBR CHRIS HAHN CONTRACTOR ARLAND ELSTROM PHONE (360) 457 0382 OWNER CHRISTOPHER HAHN PHONE (360) 681 3333 PARCEL 06 30 00 0 4 2180 0000 APPL NUMBER 09 00001326 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTTAT• REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 2/22/10 L BLDG FRAMING ( February 22 2010 8 21 52 AM 1pangrle ARLAND 808 4814 FRAMING THE PERMIT IS ON THE PORCH COMMENTS AND NOTES CITY OF PORT ANGELES (W>i,,`�� DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation 09 00001326 Date 12/15/09 835624 1511, 1 ST 0630;� 0 0000 6j(,, 30 O OO y Z 1 $O CHRIS HAHN RES REMODEL CENTRAL BUSINESS DISTRICT 1 3400 Application desc ENCLOSE THE EXISTING SOUTH PORCH Owner Contractor CHRISTOPHER HAHN ARLAND ELSTROM 221 W 15TH ST 124 N POINT RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 417 3716 1 (360) 457 0382 Structure Information 000 000 ENCLOSE THE EXISTING SOUTH PORCH Permit BUILDING PERMIT RESIDENTIAL Additional desc ENCLOSE SOUTH PORCH Permit pin number 158444 Permit Fee 123 75 Plan Check Fee 80 44 Issue Date 12/15/09 Valuation 3400 Expiration Date 6/13/10 i Qty Unit Charge I Per j Extension BASE FEE 95 75 2 00 14 0000 THOU BL- 2001j25K (14 PER K) 28 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited I Due Permit Fee Total 123 75 123 75 00 00 Plan Check Total 80 44 80 44 00 {^ 00 Other Fee Total 4 50 4 50 00 00 /� / Grand Total 208 69 208 69 00 00 1 � 3 -Ia_Jo 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, ifconstruction or work is suspended or abandoned fora 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 cons tion. Name Si T:Forms/Building Di Asion/Building Permit Agent Signature of Owner (if owner is builder) 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION. Landscaping Footings Construction R.W PW / Engineering 417 -4831 Stemwall Fire 417 -4653 Foundation Drainage / Downspouts Planning 417 -4750 Piers Building 417 -4815 Post Holes (Pole Bldgs ) PLUMBING FINAL Date Accepted by 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 Onl T -Bar INSULATION. Slab Wall / Floor / Ceiling MECHANICAL. FINAL Date Accepted by Heat Pump / Furnace / FAU / Ducts Rough-in Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts MANUFACTURED HOMES Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. ESA. SHORELINE. Parkin / Lighting Accepted By Electrical 417 -4735 Landscaping Construction R.W PW / Engineering 417 -4831 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W PW / Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T.Forms /Building Division /Building Permit 1 V l' v 1 V , 7) M V) A P BUILDING PERMIT APPLICATION Print in ink ""- CITY OF PORT ANGELES For City Use Only Attn Building Permit Technician Date Receivd I:Z- LS 321 E. Fifth 'St. Port Angeles WA 98362 Permit # —f (360) -417 -4815 fax (360) 417 -4711 Date ADDroved 19-14F Applicant I( T f4i E, 14 Property Owner �- Property Ow er's Address 72( Contractor _� C Contractor s Addre s 2.4 � Pol I .icense # ILL AN C * PROJECT ADDRESS Parcel Number Project Type & Brief Description. Check all that apply • New Construction • Addition &Remodel • Repair • Demolition - 15�-t Phone1� -31( Phone C69t t --3-3 Celj A0,�_Lt$Jl�_ Phone v-fi A�n_g__e�l �s� 4f�PIr `'l_831 ,sires --:z 1 ,z 1 f E mail Lot' Zonin tial ❑ Multi - family o. Commercial ❑ Industrial • Re -roof ❑ .House ❑ garage ❑ other ❑ tear off & re -roof ❑ lay over one layer • Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet.stove ❑ other • Other I Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement @ $ 15' Floor 2nd Floor 3`d Floor Garage Carport Covered PorchL Deck Shed Other per sq ft. = $ TOTAL VALUATION $ Total footprint of structures sq ft. T Lot size. sq ft. = Lot coverage Site Coverage = the amount -of impervious surface on, a parcel including. structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage % Max. - height of proposed structures Willa lawn sprinkler system be-installed? Will a fire sprinkler system be installed? i have read and completed this application and kno that it s my�r�e�s�onsibiiityto determine hat permits Date_W =i Frnt Name T Forms /Building Division /Bldg Permit.dnc. ft. Occupancy group # of bedrooms Occupant.load. # of full baths Construction type # of -half baths it. to be true and correct. lam authorized to apply for this permit. and understand re required, arid to obtain permits prior to work. o r_4__ Xts. ASignatur - 231 921 Q % 319 1401 3'5 309 aaax 1409' 1502 232 224 228 222 221 E217 li J IN 221 216 zaa z11 226 IV207' 1415 263 220 { {° ��M1'��? Jfj� 2 V1 1421- "/212 of 231 227 221' � 6 IN 0 z19 f 91120, 2007, t, E2015 122 125 0,49 0 / fl,03 m <13 9 E 1423' 106 1 Clallam County Assessor & Treasurer ; Property Details - 60395 CHRISTOPHER HAH M: i s:. Property Search Results > 60395 Property Account Property ID 60395 Geographic ID 06300004218( Type Real Tax Area. 0010 PA 121 Open Space- N Historic Property* N Multi - Family Redevelopment: N Location Address. Neighborhood Neighborhood CD Owner Name Mailing Address. NMI RISTOPHER HAHN for Year 2009 - 2010 Legal Description LT15 BL 421 TPA 10000 Agent Code 4 PORT ST CNTY H2 L Land Use Code 11 O DFL N Remodel Property- N 221 W FIFTEENTH ST PORT ANGELES Cycle 5 Res 10955130 CHRISTOPHER HAHN 221 W 15TH ST PORT ANGELES WA 98362 Taxes and Assessments Due Property Tax Information as of 12/1 Amount Due if Paid on. M Statement Year ID Taxing Jurisdiction 2009 603952008 ST SCH STATE SCHOOL 2009 603952008 CC -GEN COUNTY 2009 603952008 PORT PORT 2009 603952008 PORT ANG PORT ANGELES 2009 603952008 SD #121 SCHOOL DISTRICT #121 2009 603952008 NTH OLY LIB NORTH OLYMPIC LIBRARY 2009 603952008 HOSP #2 HOSPITAL #2 2009 603952008 CITY STORMWATER CITY STORMWATER — I. 2009 603952008 WEED—CONTROL WEED CONTROL 2009 603952008 TOTAL. I 2008 603952007 ST SCH STATE SCHOOL 2008 603952007 CC -GEN COUNTY 2008 603952007 PORT PORT 2008 603952007 PORT ANG PORT ANGELES 2008 603952007 SD #121 SCHOOL DIS RICT #121 2008 603952007 NTH OLY LIB NORTH OLYMPIC LIBRARY $2789 2008 603952007 HOSP #2 HOSPITAL #2 $953 2008 603952007 CITY—STORMWATER CITY STORMWATER $36 00 2008 603952007 WEED CONTROL WEED CONTROL $082 Mapsco Map ID- Owner ID- 28388 % Ownership 100 0000000000% Exemptions. First Second Half Half Base Base Due Due $18677 $18676 $9452 $9451 $1339 $1339 $20733 $20731 $23097 $23098 $2746 $2747 $38.76 $38,77 $3600 $3600 $081 $082 $836.01 $836.01 $19834 $19833 $9597 $9595 $1402 $1402 $20667 $20666 $231 34 $231 32 $2788 $953 $3600 $081 Page 1 of 6 z� i �3 11 Base Penalty Interest Paid $000 $0 00 $37353 $000 $000 $18903 $000 $0 00 $2678 $000 $0 00 $41464 $0 00 $000 $461 95 $000 $0 00 $5493 $000 $000 $7753 $0 00 $000 $72.00 $000 $000 $1 63 $0.00 $0.00 $1672.02 $000 $0 00 $39667 $000 $000 $191 92 $000 $000 $2804 $0 00 $000 $41333 $0 00 $0 00 $46266 $000 $0 00 $5577 $000 $0 00 $19 06 $0 00 $000 $72.00 $000 $000 $1 63 Amount Due $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 http / /vpn clallam net 8084 /propertyaccess /Property aspx ?cid =0 &year= 2009 &prop_id =6 12/15/2009 LI S L4 fJ V4 0 L/ 10 NJ' AIS 'Tr 10P tlondftt, ciTy of pORT ANGELES Ux t _i_The ls$g_ajqq of this permit based upon these pan a,- a, - 04 cations and other data ihalrh6t prevent the buitding-official. from thereafter requiring the correction of errors in said or from preventing -data, t -specifications and other when wh in building operations being carried on thereunder _vjojafion_Qt_all codes and ordinances of this jurisdiction. By ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number 09 00000419 Date 5/12/09 Application pin number 178402 Property Address 221 W115TH ST ASSESSOR PARCEL NUMBER 06 301 -00 0 4 2180 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS/ RESDNTL SINGLE FAMILY Application valuation 0 Application desc 200 amp service to house feeder to garage Owner Hahn Chris 221 W 15TH ST PORT ANGELES WA 983627725 Permit ELECTRICAL Additional desc 200 Permit pin number 145599 Permit Fee 187 50 Issue Date 5/12/09 Expiration Date 11/08/09 Qty Unit Charge Per Contractor OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES WA 98363 (360) 457 5303 'iS2 31#1% RESIDENTIAL Plan Check Fee Valuation 2 00 93 7500 ECH EL 0 200 SRV FEEDER SERVICE Fee summary Charged Paid Credited FINAL Z Permit Fee Total 187 50 187 50 00 Plan Check Total 00 00 00 Grand Total 187 50 187 50 00 00 0 Extension 187 50 Due 00 00 00 rA INSPECTION TYPE I DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL Z COMMENTS Signature of owner or Electrical Contractor X Date r 1 C� M N c 05/11/2009 07 42 FAX 360 452 3498 aXe9rh VED Co - PA CITY INSPECT IZO01 /003 City of Port AagWeo Permit Appacatlon Building DMeimdEleoI I I hrspeeliom 321 Eat iptb Sheet- P,O. Box figs Pert Angeles Washington, 981162 Ph: (960) 4174795 Fax: JXO) 4174711 Date: // / 21 & 2 Single Family Dwelling — Mul&Family or Commercial` Commercial Addition / Alteration / Remodel / " Plan Review May Be Required, Job Address: ZZ / Building Square Foo>alge: Desoptifon of above Owner Name; Mailing Address: 12/ l✓ 4S-4!L City: State: ,�flrL Zip: Phone' — Fax License # / Exe. Unit 9k age $ 93.75 $113,75 $160.00 $205.00 $291.25 $ 200 $ 57.50 $ zoo $ 72.50 $ 86.25 $116.25 $131,25 $ '75.00 $ 69.00 $ 75.00 $ 50.00 $ 50.00 $ 93.75 .$80.00 $ 86.25 $ 27.50 $ 57.50 $ 8625 $ 43.75 OWWras d~byRCW.19LZUV- I1J Owner edpa erecrrlcarl wnoacwrebore saidprvpertyisArssre, MAY 112009 UQHT:EPT Plan Review Information Sheet Contractor Information Name: Mailing Ad City: ��r /ter State: s/a- 2Ip: Phone. Fax v License # ! Exp. Total (Qtv Multiclied_by JI niihamel $-447 so ServicafFeeder 200 Amp. $ Servloe/Feeder 201400 Amp. $ ServlodFeeder 401.600 Amp, $ ServWFeeder 601 A 000 Amp. $ Service/Feeder over 1000 Amp. $ Branch Clroult W/ Service Feeder $ Branch Circuit W/O Service Feeder $ Each Addltional Brunch Clrcult $ Temp. Servtoe/ Feeder 200 Amp. $ Temp. Service/Feeder 201.400 Amp. $ Temp. Servioe/Feeder 401 -600 Amp. $ Temp. Servlce/Feeder601- 1000 Amp. $ Portal to Portal Hourly $ SlgnlOudIne Ughllrtg $1 Signal Circuit/ UmRed Energy Commercial $ Signal Circuit/ Umiled Energy 1 & 2 Famlly Dwelling $ Signal Circuit/ Limited Energy Multi- Family Dwelling $ Manufactured Home Connectlon $ Ranewable Electrical Energy WA System or less $ Flmt 1300 Square Ft $ Each Additional 500 Square Ft. or Portion of $ Each Outbulding or Detached Garage $ Each Swlmming Pool or Hot Tub $ Thermostat /JT7. Tofai 03e sae CtUM far bMYWs elEer ae"s ed cinlCe/pem It IS NM /zad 00WW1SfffqWffda7hffVJWV v laase. i • 1 Albnr reeding the above OWN. ant. I hereby go* that I am the owner of the above named property ors licensed slwW=l contractor. l am nuking the electrical Installsdon or alleratlon In compliance with the etactrieal l we, N.E.C. RCW. Chspbar 19,28, WAC. Chapter 286460, The My of Port Angeles Municipal Code, and utility SpeclNwtlons. signature of owner, deeblcal conbectm or slecWcaf odmtnlstr&Wr O Cash ❑ Check X Do " Credit Card 0 CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N° 15970 Port Angeles, Washington --,X_ _.._.... 2 ..... 1 ......................... 19.)..� 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 ..rf -- - -- /. Owner .- ..__� -!�! Wiring Contractor Light Outlets ............................... ... ...... Receptacle Outlets ........................ ....... Dryer, KW..-...... Range, KW -------- Water Heater: 6W - .1- . Heat: r. /V ........ Motors: size, volts and phase: Total Load ............................. Remarks: Permit Fee ------- By -------------------------- ... ------------- ---- -- - -- -------- Service, volts -. // . -a.... 1 Type of Wiring: 1.x__0..._...... t� No. wires ....................................... �� Size wires._"/,1...!�....._.. Main fuse ...� %.._ Ilk, .:......... Enclosure ......... Type of wiring: Entrance Cable Rigid Conduit ----------------- Metallic Tubing ........................... Current transformers: No. & Size ........ ............................... SecNo ---------------------------------------------- Ser. No. Ser. No. Ser. No. Tress. Receipt Armored Cable .............................. Non - Metallic ................................. Knob & Tube ... ............................... Rigid Conduit ......................... -.... Metallic Tubing ........................... Raceway....................... ....... __..._ Circuits, Light ................................... _.. Utility.............. ........................... .... Heat....._ ........ ........_.............._....... Range.............. ...... ......................... Water Heater ............................... Motor... ......................................... Furnace Total $------ -- ----------------------------- No.----- ------ ----------------- By --- ...... --- -_----------------- --- ------ NOTICE—Current must not be turned on�until Certificate 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. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION �i t tl cif Q. - 9- Vt A S*-,-c y r" LAJ - a. Q . ELECTRICAL PERMIT Address Owner N° 15970 Wiring Contractor -------------- rf. L..,.......... .........._.--- --- .......--- .... ----------- Ry .................. L- :.1._'L': ......------------- NOTICF,—Current must not be turned on until Certificate 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. .. nn.mnic Printers, Inc. Application Number . . . . . 25-00000072 Date 1/23/25 Application pin number . . . 443448 Property Address . . . . . . 221 W 15TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4-2180-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ALEXANDER N HAWLEY BLACK DIAMOND ELECTRICAL CONTR 221 W 15TH ST 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 95.10 Plan Check Fee . . .00 Issue Date . . . . 1/23/25 Valuation . . . . 0 Expiration Date . . 7/22/25 Qty Unit Charge Per Extension 1.00 95.1000 ECH EL-R- BRANCH CIR 1-4 95.10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95.10 95.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 95.10 95.10 .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: NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 1/31/25 25-72 OWNER CONTRACTOR Black Diamond Electric PROJECT ADDRESS 221 W 15th St