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Home My WebLink About1203 Caroline St - BuildingElectical Permit 1203 Caroline St 12-444 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00000444 Date 4/20/12 Application pin number . . . 325504 Property Address . . . . . . 1203 CAROLINE ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-3-0640-0000- 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 40 amp sub panel 3 circuits ---------------------------------------------------------------------------- Owner Contractor LEONARD NAND LINDA C RASMUSSE BOB'S ELECTRIC INC 1761 E 6TH 2293 DEER PARK RD. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457-6887 �! ��"'/ k3 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee 135.00 Plan Check Fee .00 Issue Date . . . . 4/19/12 Valuation . . . . 0 Expiration Date . . 10/16/12 Qty Unit Charge Per Extension 3.00 5.0000 ECH EL -BRANCH CIRCUIT W/FEEDER 15.00 1.00 120.0000 ECH EL -0-200 SRV FEEDER 120.00 Fee summary Charged Paid Credited Due Permit Fee Total 135.00 135.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 135.00 135.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ` ROUGH -IN FINAL COMMENTS: wwo-r �! ��"'/ k3 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING CITY OF P. ORT ANCIELES PERMIT APPLICATION Building Division/Electrical inspections 321 East Fifth Street — P.O. Box 1150 / Port Aageles Washington, 98362 Ph: (360) 4.174735 Fax: (360) 4174711. 18 2 Single Family Dwelling 0i valtrq,l, F` ED APIC ELECTRICAL � INSPECTIONS Plan Review May Be Requ�, Please Complete Electrical Plan Review Information Sheet Job Address: _ Building Square Footage: Description or above ' tilQ�r J� St'A ►-171 Owner Inf rrnatlon r Contractor Information Name: Namc: r Mailing Address: -,1 ��,� r 4rZ Mailing Addraaq: A City: -,9- State. I. 14M Zip: . &3izZ, .� City: -.,,o A. tate: Zip: Phone: y-crJ_Qo39—Fax: Phone, Fax: License 0l Exp. � License # / Exp., ,& 5C�— Item Unit Chame 2L Total (Otv Multiolied by Unfit Charnel - ServicdFeeder 200 Amp. $120.00 (_ $ '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 WI Service Feeder $ 5.00 _ $ 115 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 401600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp . $166.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit/ Limited Energy -1 8 2 Family Dwelling $ 64,00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy - SKVA System or Less $102.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T-Stat NEW CON TRUCTION 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 $ $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 em 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. Signature of owner, electrical contractor or electrical administrator: 0 Cash 0 Chack Credit card I L 424A94 of Dame: 01ro112912 doe'v? 4 S/S'd SiM:13d AiIO:Ol Zt,662SVO92 0I21103-13 S808:W08A 2T:80 2Z02 -8Z -Merl Electical Permit 1203 Caroline St 12-247 ELECTRICAL PERMIT CITY OF PORT ANGELES. 360-417-4735 Application Number . . . . . 12-00000247 Date 3/08/12 Application pin number . . . 623800 DITCH Property Address . . . 1203 CAROLINE ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -3 -0640 -0000 - Application type description ELECTRICAL ONLY , Subdivision Name 3 /2— 05 _t, > Property Use . . . . . . . . FINAL Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 � -_z,lArI ----------------------------------------------------------------------"------ Application desc 6 circuits kitchen remodel ---------------------------------------------------------------------------- Owner Contractor ------------------------ LEONARD N AND LINDA C RASMUSSE ------------------------ BOB'S ELECTRIC INC 1761 E 6TH 2293 DEER PARK RD. PORT ANGELES WA 98362 PORT ANGELES WA 98362 ---------------------------------------------------------------------------- (360) 457-6887 Z C�q 4 3 Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 88.00 Plan Check Fee .00 Issue Date . . . . 3/08/12 Valuation . . . . 0 Expiration Date 9/04/12 Qty Unit Charge Per Extension 5.00 5.0000 ECH EL -BRANCH CIRCUIT W/FEEDER 25.00 1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00 Fee summary Charged Paid Credited Due Permit Fee Total 88.00 88.00 .00 .00 Plan Check Total .00 .00 .00 .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: RESULTS: INSPECTOR: DITCH SERVICE , ROUGH -IN 3 /2— 05 _t, > T ,L,, 0VAy11^) FINAL COMMENTS: p � -_z,lArI PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING MAR -5-2012 14:42 FROM:BOBS ELECTRIC 3604529943 CITY OF PORT ANGELES PERNUT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street—P.O. Box 1150 / Port Angeles Waaihington, 9$362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: — 18 2 SingleFamily Dwelling TO:CITY PERMITS P.1/1 A?OR r4, or ELECTI3iCAL tom. INSPECTIONS Plan Review May Be Required, PleM Complete Slectrical Plan Review Information Sheet Job Address: { U (1-� Building Square Footage: Description of above )--.7 t 1T — I - Q Owner Info►matlon Contract Informatio , Name: --- Name: Mail ress: - -- Maill d 9: J Ci State: Zip; g9_6&Z' City: State; 7Jp: r— Pnoner( .. Fax: �/�� JalreAe - flee Lioanse I xp. License f! / Ezp. to Unit Charge 9tL Total (Qtv Multlplled by Unit Chame) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201.400 Amp. $146.00 $ Service/Feeder 401-600 Amp $ 205.00 $ ServicelFeeder601-1000 Amp. $ 262.00 $ ServicelFeeder over 1000 Amp. $ 373.00 $ Branch Circuit W/ Service Fcodor $ 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/FeWer 201.400 Amp. $110.00 $ Temp, Service/Feeder 401600 Amp. $149.00 $ Temp. Service/Feoder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $ 96.00 $—_.. .... --- Signal Circuit/ Limited Ehergy -1 fr 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120-00 $ Renewable Elacbleal Energy - 5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note: $5,00 for each additional T-Stat NEW C91NISTRUCTION ONLY: First 1300 Square FI. $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 $ -- $ Total Owner as defined by RCW.19.28,261; (1) Owner will occupy the structure for two years after this electrical permit is finalizod. (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. Atter reading the above statement, I hereby certify that I em the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the olectrical laws, N.E.C., RCW. Chapter 19.28, WAC, Chapter 296468. The City of Port Angoics Municipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: 0 caah ❑ chem �rlcmdlt card tl X . / Dow: ��~�/L— 01ro112a1i 41-Z- k17-cAA1 .40 ko PREPARED 3/10/08 11 03 50 INSPECTION TICKET PAGE 14 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/10/08 ADDRESS 1203 CAROLINE ST SUBDIV TENANT NBR MARTHA PARR CONTRACTOR BLACKPAW ROOFING PHONE (360) 531 1316 OWNER MARTHA S PARR PHONE (360) 457 5927 PARCEL 06 30 00 5 3 0640 0000 APPL NUMBER 08 00000240 RE ROOF - -- -- ------ --- -- PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 3/10/08 BLDG FINAL ti.. March 10 2008 8 57 54 AM 1pangrle JOSH 531 1316 BLDG FINAL RE ROOF COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY 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 08 00000240 Date 2/26/08 500240 1203 CAROLINE ST 06 30 00 5 3 0640 0000 MARTHA PARR RE ROOF RS7 RESDNTL SINGLE FAMILY 10525 Application desc TEAR OFF & RE ROOF W/30 YEAR ARCH Owner Contractor MARTHA S PARR BLACKPAW ROOFING 1203 CAROLINE ST PO BOX 40 PORT ANGELES WA 983624205 BRINNON WA 98320 (360) 457 5927 (360) 531 1316 Structure Information 000 000 TEAR OFF & RE ROOF Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF & RE ROOF Permit pin number 121657 Permit Fee 221 75 Plan Check Fee Issue Date 2/26/08 Valuation Expiration Date 8/24/08 Qty Unit Charge Per BASE FEE 9 00 14 0000 THOU BL -2001 25K (14 PER K) Other Fees STATE SURCHARGE Fee summary Charged Paid Credited Permit Fee Total 221 75 221 75 00 Plan Check Total 00 00 00 Other Fee Total 4 50 4 50 00 Grand Total 226 25 226 25 00 00 10525 Extension 95 75 126 00 4 50 Due 00 00 00 00 V l C, Ordo 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 wh r specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any St.- or al law r gula ing construction or the performance of construction. Date Print Name Signature of Contrac r Authoried gent ature of Own wner is builder) T.Forms/Building Division/Building Permit (10/01/07).wpd BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS v CALL 417-4807 FOR PUBLIC WORKS UTILITIES QQ PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. Z INSPECTION TYPEI DATE I ACCEPTED COMMENTS YES I NO FOUNDATION - FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB 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 FINAL DATE FINAL DATE PLANNING DEPT SEPARATE PERMIT k's SEPA. PARKING/LIGHTING I I LANDSCAPING I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES I NO COMMERCIAL DATE ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 I I FIRE DEPT PLANNING DEPT 417-4750I I I PLANNING DEPT BUILDING / 417-4815 I'�-��ii�� I �4w _ I BUILDING T Forms/Building Division/Building Permit (10/01/07).wpd ACCEPTED BY. ACCEPTED BY. ACCEPTED YES NO FOR OFFICIAL USE ONLY BUILDING PERMIT - APPLICATION Date Rec, Permit -- Fill out COMPLETELY and in INK- Your application and site plan MUST BE ns 40 COIN PI TEE to be accepted Luj, j eView Ii -you have arn, questions, =111 Date Approved: PEPA11TS (360) 4174815 FA7i(360)4174711 Date Issued. Applicant or Agent: � Phone 5400-~A(1-0%(01 Owner_ MPCN qAA Phone- 7j':jC)- 4s-?- sq -z-) �Address- City- PNa A4Ak7_U_T7S,1lti ZIP Architect/Engineer- Phone. Contractor State License phone. 19�_SSHSIG ::Address: 610- city. 9V_1AA0v1, WA zip PROJECT ADDRESS _MDIZI CAV-0tA VIC si-, ZONING LEGAL DESCRIPTION Lot: Block: Subdivision. CLAUAM COUNTY PARCEL NUIVMER. TYPE OF WORK. 0 . I SIZE/VALUATION }*-Residential 0 New Constr. -Re -roof 0 Stove SF @S /SF =S ID Multi -family 0 Addition 0 Move rl Garage SF /SF = S AD Commercial 0 Remodel D Demolition 11 Deck SF /SF =$ 0 Repair 13 sign 13 Other TOTAL VALUATION AW-Mli VE-SCRIPTIONTOF THE PROJECT X ---. M004-� TAST*e–f 7,0 LJ04,&Z_ P4U4-(t I V_�j y_A:2pA0Qr7 f" A-ST1.At -�'(TLuc L , jL3)N.�' 0AIMERCLALMSIDENTIAL. -Occupancy Group- Occupant Load: Construction Type: No. of Stones: — Lot Size: Existmg, Sq, & Proposed Sq. Ft. = TOTAL Sq. Ft. Total lot coverage % PLANNING USE ONLY APPROVALS. PIAN BLDG. DPVk7U ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other- ME. OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant This figure,"U be reviewed and maybe revised by the Building Division to coin I p y-vnth current fee schedules. Contact the Permit Coordinator at 417-4515 for assistance. .PLAN' CHECK FEE. IF a plan check fee is due it must be subrintted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXTIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI 053.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined thi application and the same to be true and correct. I am authorized to apply for this permit and Ir M' m a a, required qu understand thatif is myresponsibifflyto a imine at rinfis a re d�, rikr8quinla _n_ot the CiVs, and that I must obtain such permits prior to work. TAP01iciesXBL-1 102 13.wpd Applicant7 c Date: ~ Page 41 of. __` _pag*» ` mm�m� mm�m�o Proposal Submitted To: Job Name - Jnb# Address ~ |Job Lo bation Date , Dote ofPlans Phone # � i�a� __- _ Architect- � | We|- hereby submit specifications and estimates for-�_ ~ + - -±~.. ~ _-�- = � . __�� '� _ _' �� _ --- S S ' � ~ � ~' - - - - - - --^ -- - - - We propose hereby to furnish material and labor—completeinaccordancewith the above specifications for the s.um ol $ ` - _ -~- .^ '- � � -~ Dollars with payments to be made as follows Any alteration or deviation ifomabove apeoificmwn m"m"ing,omracosts will ue Respectfully executed only upon written. order. mmwm �cmn� an extra charge submitted ' above the estimate. All agreements contingent upon strikes, accidents, ondelays beyond our control. mote-mmpmpoaameybe withdrawn oyuo8not accepted within .'` days. 41 Z�] The above prices, specifications and conditions are satisfactory and are Signaturehereov accepted. You are authorized to do the work as specified. Payments will be made as outlined above. � - Date of ' ' �gnamre � '� e'.1 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST STH STREET, PORT ANGELES, WA 98362 1. W10 . - owoii uace 8/19/03 Property Address . . . . . . 1203CAROLINEST ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -3 -0640 -0000 - Application description . . . RE -ROOF Subdivision Name Property Zoning . . . . . . . Application valuation . . . . 1972 Owner Contractor ________________________ PARR MARTHA S RAINMASTER ROOFING 1203 CAROLINE ST 1205 S. O ST. PORT ANGELES NA 983624205 PORT ANGELES NA 98362 (360) 452-3213 _________________ Permit . . . . BUILDING PERMIT - NO PR FEE Additional desc . . TEAR OFF, TORCH DOWN Permit Fee . . . . 92.75 Plan Check Fee .00 Issue Date . . . . 8/19/03 Valuation . . . . 1972 Expiration Date . . 2/16/04 Qty Unit Charge Per Extension BASE FEE 47.00 -------15.00--------3.0500 HND BL -501-2K (3.05 PER C) 45.75 _____________________________ - Other Fees . . . . . . . . . STATE SURCHARGE 4.50 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 4.50 4.50 .00 .00 Grand Total 97.25 97.25 .00 .00 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 as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of constr tion. (Agent4'03 9 ) Si Batu n actor Authorized Date Signature of Owner (if owner is builder Date T:\PLANNING\FORMS\1102.15 (4/20021 G Uj CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ELECTRICAL PERMIT Issued: 1/16/97 Permit No: 5786 OWNER/APPLICANT------------------------PROPERTY LOCATION ------------------------ MARTHA PARR 1203 CAROLINE 1203 CAROLINE Lot: Port Angeles, WA 98362 Block: Long Legal: 360/000-0000 Sub: T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- ANGELES ELECTRIC 524 E. FIRST ST. PORT ANGELES, WA 98362 , 360/452-9264 000/000-0000 PROJECTINFO -------------------------------------------------------------------- Prj Type: RES. MISC. Additional Feeders: Prj Value: $0.00 Occ Type: Temp Service: Cnstr Type: SERVICE REPAIR Occ Grp: Occ Load: Land Use: Electrical Heat Service Type Baseboard KW: 0 Riser Voltage: 120,240 Furnace KW: 0 X Overhead Service Diameter: X-1 -3 Heat Pump KW: 0 Underground Service Service Size: 200 AMPS Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS PROJECT NOTES ----------------------------------- REPLACE BURNED UP 200 AMP PANEL AND METER BASE PROJECT FEES ASSESSMENT --------------------------------------------------------- Service: $55.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 TOTAL FEE: $55.00 Misc $0.00 Amount Paid: $55.00 ----------------------------- TOTAL FEE: -------------------------- $55.00 Balance Due: $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4I74735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MiNMJM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER INSULATE OR CONCEAL ANYWORIKBEFOREIT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE 1 ACCEPTED COMMENTS i YES I NO 1 DITCH ROUGH -IN / COVER SERVICE i FINAL i I GENERAL COMMENTS: 9 v I 0 rw-um.isl�al 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 Item Unit Charge Quantity Total (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 Circuit/Limited Energy - 1&2 DU.$64.00 $ Manufactured Home Connection $120.00 $ Renewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional)$56.00 $ First 1300 Square 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- 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)Permit #: New Construction Only [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] Electrical Information Form Public Works & Utilities Department (360) 417-4700 City Electrical Inspector (360) 417-4735 Please complete and return to Public Works & Utilities Department Applicant Information Project Address: Owner: Street Address City / State / Zip: Phone Number:Cell Phone: Contact Information Company Name: Contact Name: Phone Number:Cell Phone: Project Type Existing New Single-family residence Multi-family residence; # of units Commercial Subdivision Overhead service General service Underground service Other: Project Information Main Disconnect Size Select Voltage: 120/240 1ph 120/208 3ph 277/480 3ph Amps:_____________ 120/240 3ph 480 3W 3ph Check all that apply: Standard residential loads (Lighting, refrigerator, dishwasher, washer) A/C ( ___ ton) Range/Oven Hot Tub Clothes Dryer Heating Pumps (____Hp) Water Heater Elevator (____Hp) Other ________________________ Load Increase (kW)________________Load Decrease (kW)_______________ Supporting Documentation Please provide a copy of the following: *Detailed plot plan (.dwg or .dxf format mandatory for subdivisions). *Electrical one-line drawing showing the service entrance panel and location. *Connected load data. *Size and locked rotor amps of all motors over 50hp. Applicant's Signature: Date: MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360-417-4711 WS ____________ WF ____________ new information form.xls Revised 1-09-11 Electrical permit #:_________________Detailed description of work: (Oil to Gas Conversion, Gas to Electric, New Heat Pump, etc.) New Information Form per Trent 1203 Caroline Street Rachelle Brown & Justin Ellis 1102 West 12th Street Port Angeles, WA 98362 217-418-3875 All Weather Heating & Cooling Dustin Halverson 360-452-9813 x x Install like for like heat pump system x 5/23/22 ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: T-stat Tenant can move inventory, but service upgrade required before opening. NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 7/26/2022 22-642 TAP OWNER CONTRACTOR All Weather Heating PROJECT ADDRESS 1203 Caroline St Application Number . . . . . 22-00000642 Date 5/25/22 Application pin number . . . 137546 Property Address . . . . . . 1203 CAROLINE ST ASSESSOR PARCEL NUMBER: 06-30-00-5-3-0640-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc T-stat ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RACHELE N BROWN ALL WEATHER HTG & COOLING INC 1203 CAROLINE 302 KEMP ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (253) 249-9923 (360) 452-9813 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 56.00 Plan Check Fee . . .00 Issue Date . . . . 5/25/22 Valuation . . . . 0 Expiration Date . . 11/21/22 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL-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 Application Number . . . . . 22-00000671 Date 6/01/22 Application pin number . . . 424518 Property Address . . . . . . 1203 CAROLINE ST ASSESSOR PARCEL NUMBER: 06-30-00-5-3-0640-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RACHELE N BROWN BLACK DIAMOND ELECTRICAL CONTR 1203 CAROLINE 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (253) 249-9923 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 6/01/22 Valuation . . . . 0 Expiration Date . . 11/28/22 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .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 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 11/8/2023 22-671 TAP OWNER CONTRACTOR Black Diamond Electric PROJECT ADDRESS 1203 Caroline St