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Home My WebLink About1027 Grant Ave - Building ~ ~ORT A..\o A...J",O~~ i1~<'", "-~ ~ '''\.ti;~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000597 Date .615298 1027 GRANT AVE 06-30-14-5-6-0118-0000- MECHANICAL APPL. PERMIT 7/09/04 RS9 RESDNTL SINGLE FAMILY 1250 F ( NAL1:-V '77-7/04 Owner Contractor SAUER CURTIS L 1027 GRANT ST PORT ANGELES WA 983622726 KATHOL CONSTRUCTION 312 BIGLOW RD PORT ANGELES PORT ANGELES WA 98362 (360) 417-5594 Permit MECHANICAL PERMIT Additional desc INSTALL CHIMNEY LINER Permit Fee 57.65 Plan Check Fee .00 Issue Date 7/09/04 Valuation 0 Expiration Date 1/06/05 Qty Unit Charge Per Extension BASE FEE 47.00 1. 00 10.6500 ECH ME-OTHER APPL. N/R 10.65 Fee summary Charged Paid Credi ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 57.65 57.65 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.65 57.65 .00 .00 - C:t ~ '-3 ~ ~ 4 t 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 giy_e-~uthority to violate or cancel the provisions of any state or local law regulating construction or the performance of construc!i~C/'. f k""> ?--::; G U .....9 onzed Agent Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [11/]4/2003J BUILDING PERMIT INSPECTION RECORD CALL 4] 7-48]5 FOR BUILDING INSPECTIONS. CALL 4]7-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A M]NIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL :: ft, n1 rt ~ -!7V",,- ? -1)-1 - otf f?tI HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 '7 -1-7-() ;..J -J,L BUILDING T:\PLANNING\FORMS\1102.15 [11/]4/2003] I:,n f\T:r'T0T AT T TOr. ""'-TT 'T. rl....JI'\.- Vl.l'l\....l..L\.L U.:lL UnLJ. BUILDING PERMIT - APPLICATION Dale Rec.: Permit #: Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Date Approved: Date Issued: Applicant or Agent: CuM- t- COt'\'I\O~ ~lAe.r Phone: :3'-0 -I.{S7 -l-(lq() Owner: tu.f"" \ C},v\of\OR... '5 alAe r Phone: ~o - LfS7--'71 qQ Address: to;}..? (Ol(a~r aue City:j:>or1- a~,oJ~..s ,WA- zip:~~3bd- Architect/Engineer: Phone: Contractor =FY-a.V\ ~ \.cpt'fAo \ State License #: Exp: Phone}60 - ~J7-~5Y'I Address: 31~ 6\~douJ ~. city:9or-\- U""1-e\~ ,wA- Zip:.qg36d-. PROJECT ADDRESS:-1 CJ ~ / GJ u-a.... 1- a. \Je.. ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit CardType VISA TYPE OF WORK: D Residential D New Constr. D Re-roof D Stove D Multi-family D Addition D Move D Garage D Commercial D Remodel D Demolition D Deck D Repair D Sign }it Other BRIEF DESCRIPTION OF THE PROJECT: ~ \ar"(M~" t City: MC # Exp. Date: SIZEN ALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ (lI\euJ) LlJClOd~+OOe... t~ ~\N\lI\el.J. ~ \\ \I\er- COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESAlWetland(s): DYes D No SEPA Checklist required? DYes D No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with cunent fee schedules. Contact the Pennit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building pennit application and construction plans are submitted. All other permit fees are due at the time of pennit issuance. EXPIRATION OF Pl;AN REVIEW: Ifno permit is issued within 180 days of the date of application, the applkation 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 107.4 of the Unifonn Building Code, cunent edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the sa understand that it is my responsibility to determine what permits are required ot t o b true and correct. I am authorized to apply for this permit and ity' , and t I must obtain such permits prior to work. Date: .J22/0'D/O J l I T:\FORMS\APPS\Buildingpenni \. wpd 3: >-3 '" ~~~8EJ n'O n >< ; H", '"<I '0 'O",ZZO >-3t<J '- t<nt<J>-3", ><'0 Ul H t<J",",t<J )> 0 10 >'I Zt< )>Ul 0", ,~ iji. nUl ''It<J >-3 0 ~ tJj 0 '0 t<J. ",. 0 n", "' ",,, ~' 0t<J >-3'- " 3:10 '" - ':; 'OCo ~~~~6 ~.:::: t<t<Jo " t<JUl I I G t-3 tv Glo ,0 Dlta ow~::x::.....] t<J"'" ,,,. oo::UO t<- OO~ 0' t<Gl t<J OHn ~ UlH O"'"!iln '" "" 0 ~" "' H I.OlJlt-3Zt-3 W .< t<JH~ ", HUl en UlZ 0'1(1) 1-3 ~ CUl 3: I ::0 <: "'" t<'O tIjot'ic::tI:I (D >-3 '" nH n ; :I:H >-3 ~':' H 0 H H 0 Z n :s: "'0>'1 no o t:zj t<Jt<J )>0 ::> n UlUl t<o ::> :~ cn , o '~ t<"' )> ~ !~ >-3H '0 H Ul'O '0 n n '->-3 t< 0 :~ nH H 3: ,~ 00 HZ 3: 3:Z '" ZUl Ol n 3: Ol Ul'O Z :~ Ol "' '0", >-3 ","H Z 3: t<Jn Ul ~ !~ >-3 H n>-3 Ul >-3 >-3H ~ t~ 00 "'" ,< ",Z 0 H '" ,~ ",>-3 Z o t~ OH 0 (~ "''OUl Gln >-3 t~ sslii Ol~ t<J ",Ol Ul ZZO >-3 Olt<JH <: <: Ol Ul Ul w '" 0 "'" H " , en en '" "'" 0'0 )>)> >-3Gl t<JOl " '- '" " '- 0 "'"w CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16438 8-7 1-,>- Port Angeles. Washlngton___.___...u...___u.........___.___.______.___u......._____.. 19...:c.~ 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 d6 electrical work as listed below. Address ...!..~..~.7..J!Ld?"',,,..::..r....(t:,~.....u______u___.u___ Occupancy...,..~d'.~..........u..un.n.uu ::%1 . . ~:7=~~.~:~f!o~~~:(;;::~'4!:::::::::::z~2~;::::::::::::::.........~~:::::::::=::::::::::::::::::::::::::::::::::::::: /5 1~)o/'pV6 Light OutletBm.h__m._........~~........-..-.-... Service, volts m:..-"3mn..;.n.....n.-n..... Receptacle OUtletsmn__.~.~...........m. No. wIres nn.n~:n..n......n"!.IIfr1~......... Drver. KW..n..__..L...._.__n.______.______n__ SIze wires.....~1~q~~._......__. ~. - /D 4 Range, KW m..I~:m.mm.uuummm... Main lnse uu!,z'f.t1.uu.uuuu....... Water Heater: Enclosure ....~S..n......m.__m__ KW....uuuyuummummuuu.um Heat: KW.....u//...ullflmumm..m... .. . Type of wIring: Entrance Cable n.m_...........m.. Motors: size, volts and phase: / &<'A.r-' ........nn..nr__n__n....n___...n_____.nn_..._.... Rigid Conduit ......._....................... Metallic Tubing ..n_....___....nm...___ Current transformers: No. & Size_....................n_......_........ / L?,;.AZ.JI u;....,........u./.u................................ Ser. NO..nn...n.................___...n_.......... Ser. No. ...___.............00_...........0000....__.. Type of WIring: Armored Cable ............._.____...._._.... Non-Metallic .................__.__n....h... Knob & Tube.................................. Rigid C()ndult .....u..............,......... Metallic Tubing ........................... Raceway ....._...~......__....__._.__._ y CIrc~ :~'i t~i~~.~r:~~:~~~~::::~~~~~~::~~~~~:::~~~: Heat ____.4._................_.........._...... :;! Range ........:.._.....________.....__............. Water Heater ..2.-...mn_............. Motor .........00__...00...00.._....00........._... Dryer ......:"d...____...___.._n_...._____.........._ Furnace n._......................_m..........._.... Ser. No....._.___............._......_......___...... Total Loadm...n......n__._.mn... Set. NO...____n....._..._m_......_....m....ou. Total ...?.._f.._.n..h............. "- Remarks: ..nn_.u.uu.un.;;.'1...~:~a~~n.._.~!.'~_~-::nuu.u..u.....uuuu.nn__unnunnun__unnn______.n.u......__.u .;~~;~.;~~..m...---n......m...m.;~:~~:.;~::;~~.............h....h....nn..m........~..ml;-...)7u.~...h.....m...nn...--........ $...'""i;.29.h................. No............................. By ....9/..rt:.:n/l/!!.&.!,,::..L.?~.~... , . / . 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 ELECTRICAL PERMIT N? 16438 Address........_.........._.............................._....................................................................................Date_.__...._______.______........_._...._......_......._ Owner 00_................................__.....__._....____....._.__._......_....._.__...._................._..__00_.....__._. Tenant......n_nnn_nn.__n.....__....nn___nnn...___..nnn_.___ WirIng Contractor ....___...__._........................_____..._._....___.........................._...___......__....._......_.._.._..__.. 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. . ( 1M \ Olympic Pri.~ters, Inc. .tAoI~ r-,..~ 1.\"-~"'; ~t'~.t'''' ....... I ELECTRICAL WORK PERMIT APPLICATION \ )b7Electrical Contractor Installation description Job wired by DOwner o Commercial ~esidential ~trical contra~name License number Date Expires ~1t.r.d/AdditioD / i/tJ,r.//L<s' 6'nt' qt:/l1n707 771ciU//Z.*1S7U+ tJj" o New / Purchaser's mailing address / Pc, 80/ 991 771~7o# 0 j-h.,). I Ci~1- Stale ZIP )/~. A--- /.J7u''7 b' j..t>"5 W/Y 91'3(.2- M /l17t.. / FA;y.?b2 -7)1./8 Telephone number {)2r 5~S- -/2/2- Premises owner's name U.41110 VUdo~ Address of inspection /CZ, 0/Z/->wr Ava- City ?t:TLr /Ju'JlfL 1-"5 . Phone number to schedule i~'pection: 't'S?- ~O Owner as defined by RCW./9.28.26/:(l) Owner will occupy the structure for two years after this electrical permit ;s finalized. (2) Owner is required /0 hire all electrical contractor if ahove said property is for sale, rent or lease. D Cash D Check # After rcading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- D Credit Card Visa Mastercard Discover lotion 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 Card # - - - Utility Specifications. ---------------- - s;gnaO~~n'n'to' n, .1.,'d,.1 .dmlnis'n'o, Expiration Date X ~/.~ Date:;;"-Z-of." of card ($osp:;;; ~fe/" Electrical' /ad Additions and or subtractions Service Information o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton o Fan-Wall KW LAR CJ Overhead Service o Temp S~rvice o Underground Service Voltage PhaseD 1 03 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT SERVICE Dale Approvcd By Dale Approved By Dalc Approved By FINAL DITCH FEEDER Datc Approvcd By Dale Approved By Dale Approved Hy Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector .~'~ J~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION >21 EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation 06-00000488 Date 424808 1027 GRANT AVE 06-30-14-5-6-0118-0000- ELECTRICAL ONLY 5/12/06 RS9 RESDNTL SINGLE FAMILY o Owner Contractor Me COY, DAVID 1027 GRANT ST PORT ANGELES (360) 457-8550 WA 983622726 THORNES REFRIGERATION PO BOX 991 PORT ANGELES WA 98362 (360) 461-0158 Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL THORNES/ T-S!AT WTR HT 77289 THORNES REFRIGERATION 48.10 plan Check Fee 5/11/06 valuation 11/07/06 .00 o Qty 1. 00 I Unit Charge Per 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 48.10 48.10 .00 .00 COMMENTS/ACTION NEEDED Application Number . . . . . 22-00000570 Date 5/18/22 Application pin number . . . 963270 Property Address . . . . . . 1027 GRANT AVE ASSESSOR PARCEL NUMBER: 06-30-14-5-6-0118-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KENNETH / TERESA DUBUC BLACK DIAMOND ELECTRICAL CONTR 7192 LITTLE RIVER RD 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 461-5713 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 5/18/22 Valuation . . . . 0 Expiration Date . . 11/14/22 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 11/7/2023 22-570 TAP OWNER CONTRACTOR Black Diamond Electric PROJECT ADDRESS 1027 Grant Ave Application Number . . . . . 23-00000143 Date 2/13/23 Application pin number . . . 571132 Property Address . . . . . . 1027 GRANT AVE ASSESSOR PARCEL NUMBER: 06-30-14-5-6-0118-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Out building ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KENNETH / TERESA DUBUC EXTRA MILE TECH & ELECT., LLC 7192 LITTLE RIVER RD 418 N. RACE ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 461-5713 (360) 457-5222 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 74.00 Plan Check Fee . . .00 Issue Date . . . . 2/13/23 Valuation . . . . 0 Expiration Date . . 8/12/23 Qty Unit Charge Per Extension 1.00 74.0000 ECH EL-R-OUTBD/DTCH GAR IN/SEP 74.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 74.00 74.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 74.00 74.00 .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 PREPARED 2/10/23, 7:40:40 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000143 1027 GRANT AVE FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 74.00 TOTAL DUE 74.00 Please present reciept to the cashier with full payment