HomeMy WebLinkAbout2204 S Laurel St - Building North Peninsula Electric 928-9409 p.1
RECEIVig
MAR 2 6 2�13
CrrV OF PORT ANGELES PERMIT APPLICAMN ELECTRICAL
Building,UirMsiolnMectrlical Inspections iNspEcTiONS
321 East fifth Street—P.O.Box 11501 Port Angeles Washington,98362 z�7 r�q,
Ph: (360)417-4735 Fax- (360)417-4711
Dater—3La— 13 2 Single Family Dwelling
Plan Review May Be uire Jease�rrlplete Eipcbrical Pla, Review Inforrnation Sheet
c, . L1
Job Address— (i
Building Square Footage:
Descr pIllian of above
Owner Information Contract r Info 'on toe�n roa-
LiAlt Name:
MailiniqAdd?
Mailing m�ns- 9�'1 — z;' ti
City State. Zip: City.
PpDne, Fax Phone ax: L
Lows*#I Exp. License#I Exp. n-
Item Uni Total i Muftliolied bv Unit ChaEge)
Seivlce/FeedEw 200 Arnp. $120.00
5ervice/Feed8r 201-400 Amp. S 146.00
Servta)i 401-600 Amp $205.00
Se;vicP)Feeder 601-1000 Arrp. $262.00
Service/Feeder over 1050 Amp. $M-DO $ 0?
Branch Circuit W]Service i $ 5.00
Branch Circuit W10 SeMce Feeder $ 63.00 $
Each Adcfitiml Branch Circuit S 5.00 $—
3ranc!ri Orculs 1-4 $ 75,00
Temp.servicel Feeder 200 Amp. $ 93.00
Temp,ServkWFeedef 201.400 Arrp. $110,00
Terrp,Servii 401-800 Amp. $149.00
Temp.SerkelFeeder 601-I000 Amp. $168.00
Portal 10 Polai Hourly $ 96,00
Signal Circok`U rTAed Energy•1&2 Family Dwelling $ 64.00
lVamr'actured Home Connection $120.00
Renewable Eledi Energy-5KVA System or Less $102.00
Thermostat 56.00
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Fl, $120-00 $
Each Addilionai 500 Square R.or Portion of $ 40-00
Eaoh Outbuilding or Detached Garage $ 74.00
Each Swimming Pool er Hot Tub $110.00
dotal
Owner as deflned by RCW.19.287251:(1)Owner All occupy the st ucture for two years after this electrical}permit is finalized.(2)Owner is required
to hire an electrical oontractor if above said property 1s for sale,rent orlease.Permit expires after six rminths of last inspection.
Alter reading the above statement,I hereby certify that I am the owner of the above named property cra licensed electrical contractor,I am mai
the electrical installation or alteration in compliance with the electrical laws,i RCVV.Chapter 19.28,WAC.Chapter 296469,The City of Pod
Angeles Munidi Code,ar}d Utility Specifications and PANIC 14.05,050 regarding Electrical Perri Applicai
Sign;rture.of owner,electrical contractor or electrical admini 0 Cm* ❑ ChKk
--in—CredlCud4— C"d
t�Li Wed: 3 0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 13-00000282 Date 3/27/13
Application pin number 037482
Property Address . . 2204 S LAUREL ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER, 06-30-09-5-2-1700-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning , , . , , . . RS7 RFSDNTL SINGLE FAMILY (Location Code 0502)
Application valuation , , , . 0
-------------------------------------------------------------°_-.___..___--__-
Application desc
200 amp panel replace and 20 circuits
Owner Contractor
------------------------ ------------------------- �
LEONARD W FLOYD JR NORTH PENINSULA ELECTRIC 11�
2204 S LAUREL ST 761 FRESHWATER PARK RD
PORT ANGELES WA 983622526 PORT ANGELES WA 98363
(360) 452-8570 (360) 477-1764 qme
---------------------------------------------------------_- -- --_
Permit , . , , . . ELECTRICAL ALTER RFSTDFN71AL
Additional desc
Permit Fee 220.00 Plan Check Fee DO
Issue Date , , . . 3/27/13 Valuation . , , . 0
Expiration Date , , 9/23/13
Qty unit Charge Per Extension
20,90 5.0600 ECH EL-BRANCH CIRCUIT W/FEEDER 100.00
1.00 120,0000 ECH E1 -0-200 SRV FEEDER 120.00
Fee summary Charged Paid Credited Due
Permit Fee Total 220.00 220.00 .00 .00
Plan Check Total .DO .00 .00 .00
Grand Total 220,00 220.00 ,00 .00
INSPECTION TYPE DATE: RESUL'T'S: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL 1
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor Date:
G:IEXCHANGEIIIUILDING
PREPARED 11/15/10 8 38 20 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/15/10
ADDRESS 2204 S LAUREL ST SUBDIV
TENANT NBR LEONARD W FLOYD JR
CONTRACTOR AFFORDABLE SERVICES PHONE (360) 683 9619
OWNER LEONARD W FLOYD JR PHONE (360) 452 8570
PARCEL 06 30 09 5 2 1700 0000
APPL NUMBER 10 00001261 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 11/15/10 J L
ILA
BLDG FINAL
November 12 2010 1 22 43 PM 1pangrle
JANE 683 9619
BUILDING FINAL RE ROOFED THE HOUSE GARAGE
COMMENTS AND NOTES
CITY OF PORT ANGELES
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
Application desc
TEAR OFF RE ROOF THE HOUSE GARAGE
Owner
LEONARD W FLOYD JR
2204 S LAUREL ST
PORT ANGELES
(360) 452 8570
Structure Information 000 000
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00 14 0000 THOU
Other Fees
Fee summary
Permit Fee Total 109 75
Plan Check Total 00
Other Fee Total 4 50
Grand Total 114 25
10 00001261
221596
2204 S LAUREL ST
06 30 09 5 2 1700 0000
LEONARD W FLOYD JR
RE ROOF
RS7 RESDNTL SINGLE FAMILY
2994
Contractor
AFFORDABLE SERVICES
258663 HWY 101 WEST
WA 983622526 SEQUIM
(360) 683 9619
RE ROOF THE HOUSE GARAGE
BUILDING PERMIT NO PR FEE
RE ROOF THE HOUSE GARAGE
176396
109 75 Plan Check Fee
10/29/10 Valuation
4/27/11
BASE FEE
BL -2001 25K (14 PER K)
STATE SURCHARGE
Charged Paid Credited Due
109 75
00
4 50
114 25
00
00
00
00
Date 10/29/10
WA 98382
00
00
00
00
0 0
2994
Extension
95 75
14 00
4 50
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 kn the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specif d herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions o any stte loc- w regulating construction or the performance of
construction.
Z 9 I `'0 O.o k ul. i''YX
Date Print -Name Signature of Cols ac or Authorized Agent
T:Forms /Building Division /Building Permit
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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
PLANNING DEPT
Parking Lighting
Landscaping
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
Separate Permit #s
I
I 1v
I �l
Imo
(FINAL Date Accepted by
kA
FINAL Date Accepted by
SEPA.
ESA.
SHORELINE.
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 e LL<
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
Project Type Brief Description:
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof
Heat System
Other
BUILDING PERMIT APPLICATION Print in ink
Applicant ae /.'L le6erUIV S
Property owner F(
Property Owner's Address 7 11)Lj ,S
Contractor ,,,40 bit &ni
Contractor's Address 9 0(o
License Llf a 7)2, Expires 8/ J E -mail j
PROJECT ADDRESS 7 Zd-t .s Lai 1y-el 51
Parcel Number 2 O q5 ",t) Lot Zoning
Existing (sq. ft.) Proposed (sq. ft.)
Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage cyo
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 ft.
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
For City Use Only
Date Received 10 -V1-l6
Permit# le -12-L, I
Date Approved
Phone _,OC
k" fi
l Phone d 3 cve
kResidential Multi family Commercial Industrial
)House garage other
Heat pump wood burning stove gas fireplace pellet stove other
Occupancy group
Occupant load
Construction type
6tear off re -roof lay over one layer
per sq. ft.
TOTAL VALUATION 7 q q. 66
of bedrooms
of full baths
of half baths
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand
that it is my responsibility to determine what permits
Q_ VIA are required, and to obtain permits prior to working on
T 1i <pil
Date
T:Forms /Building
Print Name CR-
vision /Bldg Permit.doc
Signature
AFFORDABLE ROOFING L�1" 1
258663 Hwy 101 West
Sequim,WA
(360) 683 9619'. (360) 385 -2724 (360) 452 -0840
Name
Address
C'
O e Phone #1
Phone #2
State__I Ai Zip Code
T:.. ants' pe imete to protect landscaping
Remove old roofing and iaul to landfill
Install
Iris all
lasta+ll
7 ii
Install
lnstsll
Inl
Install
lnatall
In:1tai3
Install.
Seatte Locate Septic Drain Field Location
Pro Includes ui?i tg Permit
Cher to Sec= $uild>«ng. Permit
Descriptiort; Install y year l,sfmi i .high Wind Shingles, at 6 nails per shingle.
-W ith,Sen_tg.. rci. ililgae.Block System.
Plywood
Roofing Felt
`Pipe "Fla Ding
F)chaust
Mge Vents
Attic. Vents
Sun Tube
Skylights
t�(YJ
r
Payment in full upon-completion ofproject,
unless other arrangements o ted.,
We propose hereby -to. furnish material-and labor,
complete in accordance with the above specifications.
All material is guaranteed' to bees specified. My alteration or deviation from the above
specifications' involving extra casts will be esmuted only upon written order and wll
bccorpe an extra charge over and above Or tabulate. Alt agreements contingent upon
strikes, accidents, er delays beyond our Control. Owner to any tire, tornado and tithes
necessary insurance.
Acceptance of Proposal the above prices, specifications and conditions
are satisfactory and are he eby accepted. You are authorized to do the
work as specified. Payment will be made as outlined above.
DEPOSIT
4 4. 4 'ordable Roofing's Representative:
Customer's Signature of Acceptance:
See a ttaclred Wai pannly Statement
.t
Install
Install
Install
u Install
Curt In
Install
Install
r Obi
5Z
c� 914 flee.
Drip Edge Metal
Metal W- Valleys
Roof to Wall. plashing
Roof to Wall: Step Flashing
Chimney-Gaunter-Fleshing Kure
Chimney Step Flashing
Skylight I1nshing
SUBTOTAL. `7, (1)
SALES TAX Z. 51' 50
TOTAL. r 2,4‘
S> S�
No this proposal may be withdrawn by us if not
accepted within 30 days.
Brand 0 C
Color
10 Year Warranty
Lifetime Warranty
Date:
P)I(-A„ NA 4 ,0 6-4 et
lo- lZ —cc)
Date:
PROPOSAL
Year ‘q a
Workmanship
~
Installed By:
'>
CITY OF PORT ANGELES
LIGHT DEPARTMENT
I
i.
ELECTRICAL PERMIT
PERMIT NO. 3.:2 t'
9 - ? -1/
DATE
Site Address:
L.
o READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
OwnerfBusiness:
Phone:
Owner/Business Address:
Sq. Ft.
~Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
~emodel
tJ Service update/alter/repai r
~Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
o Underground
Voltage
01.0' 03.0'
Service size
o Temporary
Amps
Detai IslDescription:
.
~
W.S_ No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
)IJ Rough-in/cover O.K.
~to connect service
o Final O.K.
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
o Plan Review approved/pending
Site Address:
L
Permil/?;?;tt
New Meters Date:
- 7-1-f
Installer:
.
nt of City light by Street Address and Permit Number when ready for inspection. Work
mus,! not be cover d 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.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT &cJ ~
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
LImIT DEPARTMENT
ELECTRICAL PERMIT
N? 15784
-J'-dF-- /,;-
Port Angeles, Washlngton____m__.m_m___._____._________.mmm____._____., 19m_____
In aooordance with the City Ordinance to regulate the Installation, extension, or repair of elec-
trical equipment in, on, or about any building or otber structure In the City of Port Angeles, per-
mission is hereby granted to dei-electrical work as listed below.
Address ._r;'LJ.__9.m<l.._L____~,_,,_e.2___nmm_______n_____n_____ Occupancy____L1,,:(--e,,:mm__________mm_m_n
. v
~:::~-~:~~~~~~-:e~:=;:~;.1;:;.~:::::::::::8~:~sl~~~~~;::::::::::::::~::-~::::::::::=:::::::::::::::::::::::::::::::::::::::
Light Outlets..._...__......____._____..._____!.:__ Service, volts _.I-?'9,L,/!.L.O...__... Type at Wiring:
R ta Ie Outlets No. wIres _...:7.__:............m............ Armored Cable ...........-...-...----....--.
eccp c ..____......................... ....---.
D'ye,. KW __mm_n.________m__.________________ Size Wires____.(Lr1.1?!::_-:'.......__.
/ M A..
Main fUBe ....';.........~_..._..__;m_m......
Enclosure ..__b~_................__._.......
Non-Metallic .........___.....................
Knob & Tube..................__..._..........
Range, KW m_hhm_n..mmn_____.h_m
Water Heater:
RIgid Candult __........._________...._...m
Metalllc Tubing ___________...__....__...__
KW..-----------;7---.------------------------.
Heal: Kw...__/-.\5__._-I--'___1__"___"'__"'~
Motors: size, volts and phase:
Type of wiring:
Entrance Cable ......__m...m__..........
Raceway .....__._._...................._......._
Circuits, Light.._............._._..___...____........
Utility ......................._......_..............
Rigid Conduit ................
Metallic Tubing ......_........._....
Current transformers:
Heat _.....____....................__...._..........
Ser. No.........._...................................
Range .....................___......._.............
Water Heater ....._____..................._.
Motor _....b......._.............__._.............
No. & Size.............................._........
Ser. No. ..._..................................__.....
Dryer...__..........................._.._........._....
Ser. No. ................._.............._...__.._....
Furnace ___.....___..............'~_..................
Total Load.__........_.................
Ser. N o. :;;_.-._~..____._._...__....____._..._......
Total........____..__________.........._....
,"",Remarks: __mm__m__/-"b~--!o-"_',---,,--"'---Q=---m--n-----------.--mm--.-------mm--m__________m.___m__m__mmm__mm......._
.:~=_~~__~~~__-__~____-.._~-__~-_~.__.~--.-----::~_~.~:_~~_~.~_~~~.~.._-._.~_mm---mmm::~<~l~~L~:2l:~:::m-~
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con.
ce::..led 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?
15784
Address._____.____..__.____.._......__....._._..._......_.____.........____..._..........................__......____..____...____......._.....Date..._......_.._.._.._.........................._.........
Owner ..._....__.._n...__..........___.....................__......_.._............................._.........__.................. Tenant.......................d.............................___...........
Wiring Contractor___.___..._.____________....__.............................___.___.......__..._.____..._____.____....____..........__.__. By .____._........_.._............_.___......._._..........____..
(
I
/
NOTICE-Current must not be turned on until 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.
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
1
n
i
Application NuMber . , . . . 15- 00000462 Date 4/29/15
Application pin number , , . 901808
Property Address . . , . 2204 S LAUREL ST
ASSESSOR PARCEL NUMBER: 06-30-09-5-2- 1700 -OP00-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use
Property Zoning . , , . . . , RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Low voltage
---------------------------------------------------------n-------------------
Owner Contractor
----------- --- ---- - - - - -- ------------------------
RUTH ANNE PAGE PROTECT YOUR HOME
2204 S LAUREI, ST 3750 PRIORITY WAY SOUTH DRIVE
PORT ANGELES WA 983622526 4200
INDINAPOLIS IN 46240
(317) 810 -4720
Permit , , , . , , ELECTRICAL ALTER RESTDENTIAL
Additional desc , .
Permit Fee , . , , 64.00 Plan Check Fee DO
Issue Date , . , 4/29/15 valuation . , , , 0
Expiration Date . 10/26/15
Qty Unit Charge Per - Extension
1,00 64.0000 BCH 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
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTIONTYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGE\BUILDING
C1'1['Y OF Poin, ANGE LES PE"RM IT APPLICATION
Building Division/Elvetricil Inspections
321 East Fifth St"Cel VO, Box 1150 / F'm-1 Angeles WaOilnglon, 98362
Pb; (360) 417-4735 Fax. (360) 417-4711
Dale 4Y2912015
r- 1 & 2 Single Family Dwelling
APR 2 9 2015
* Plan ReiAew May Be Requited, Please Complele Electrical Plan Review Information Sb
JQ0 AddrM: _2204 S LAUREL ST
BoWiiq Gqi&e
Demriphzfl Cf abwm
Owner Information
NaMjy RUTH PAGE
�j�kV Adftj$; 2204 S LAUREL ST
Cipf POART ANGELES %IM: _LA_Zfp; 9sE62252
PhDrt:..L60�607759 __FOX:
U'en" 4 t Eiji. -
ILM
SeMcWndm 200 Agnp.
Servim)Feettr 201400 Amp.
Service #eeder 401-M Amp
80rACe1F"d&4 60 1 -low Amp,
Ur4icelFeed% rNjer 10W AiV,
Hramh UcW V SaMm Fe8du
Braoch ciroui! W riw Feedw
Ems Additional Bush Uctd
afanch Ckovits 14
Temp. SeMcd Ftdar 2W Amp,
Temp. $Wjv%fwder 2014M Amp,
Tamp. 401-6W Amp,
'Temp, Sepvice)Feedes 01.IM Amp,
pocial to Pow Haudy
Sigh Upi'sY UnRIM E -1 & I Family t)weling
W-anufadwed Wma Cowlm
RenewaW Eleckir,_,' Fii"y - 5KVA System (v Lm
Them*5101
Hotaa $5.00 for each addWan,-J T-Siot
NEW CONST
First 130D Squafeft
raO AdOonal 500 SWxe R or Pwlion d
ad oulwft 0 Detmkd Gamma
Each SvAmmiag Pool of Hol Tub
ELECTRICAL
(MSPEUIONS
Contractor Intomation
NaMer Protect Your Home
M"
(0r +.*; 3750
L N L6240
Z�P:
8G6-502-3559 217-564-2547
j CAp,'PRCTEYHMRS axp 12/10/2013
Wit Char
3_0
Tota I Qy W VftiAlled ar
$120.00
S 63M
$ 5.00
$ MOO
$ 0100
1116.04
S�
S 64,00
$120,00
S IWO
5 400
54-00 _ Tota I
0�m er as defined by RM19,28-261., (1) Govner 41 occupy the structure for two years after this efodriicM pefm4 is fmalized, (2) ovmer tequited
to hire an ejecoicai Contractor if above nid Property is for sale. rent or lease. Permjj expkes after six mcqtW of lost inspection,
After reading 010 above staternent, I hereby certify that I am 1110 owner of (lie above named prop" or a 11cerised PJecVicaf ocritfactor. I am making
the eleOtal WsWaWn or Aaralbn in comjA*ace wb the elecl0ral laws, N.E.0 , RCVV, Chapter 19.28, WAG, Chapter 296-468, The Ofly of Port
Angeles lAvilicipal Code, amid Utilly SpeCificaticm and PA MC 14,05,050 fegarding ElecArtal Perailt ApoicafiDns,
Signature of owners eNctrical contraator or electacal administrator; 0 Cab 0 rhetk
4/29/2015
Application Number . . . . . 22-00000581 Date 5/23/22
Application pin number . . . 932612
Property Address . . . . . . 2204 S LAUREL ST
ASSESSOR PARCEL NUMBER: 06-30-09-5-2-1700-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Furnace / Heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
RUTH ANNE PAGE CASCADE ELECTRIC & VAC INC
2204 S LAUREL ST PO BOX 369
PORT ANGELES WA 983622526 PORT HADLOCK WA 98339
(360) 379-5347
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee . . .00
Issue Date . . . . 5/23/22 Valuation . . . . 0
Expiration Date . . 11/19/22
Qty Unit Charge Per Extension
BASE FEE 75.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .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
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 INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Furnace / Heat pump.
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
5/23/2022 22-581 TAP
OWNER
CONTRACTOR
Cascade Electric & Vac
PROJECT ADDRESS
2204 S Laurel St
Application Number . . . . . 22-00000553 Date 5/09/22
Application pin number . . . 224942
Property Address . . . . . . 2204 S LAUREL ST
ASSESSOR PARCEL NUMBER: 06-30-09-5-2-1700-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump system
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
RUTH ANNE PAGE AIR FLO HEATING CO INC
2204 S LAUREL ST 221 W CEDAR ST
PORT ANGELES WA 983622526 SEQUIM WA 98382
(360) 681-3901
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 56.00 Plan Check Fee . . .00
Issue Date . . . . 5/09/22 Valuation . . . . 0
Expiration Date . . 11/05/22
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
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]