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Home My WebLink About3011 S Laurel St - BuildingPREPARED 4/12/10 8 12 38 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/12/10 ADDRESS 3011 S LAUREL ST TENANT NBR RONALD LEROY /NORA ROGERS CONTRACTOR ALL WEATHER HTG COOLING INC OWNER RONALD LEROY /NORA J ROGERS PARCEL 06 30 15 2 2 9070 0000 APPL NUMBER 10 00000282 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 452 9813 PHONE (360) 457 4837 ME99 01 4/12/10 JLL MECHANICAL FINAL TIME 01 00 �l April 8 2010 8 15 48 AM 1pangrle JENNY (ALL WEATHER HEATING) 452 9813 MECHANICAL FINAL HEAT PUMP AFTERNOON COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner RONALD LEROY /NORA J ROGERS 3011 S LAUREL ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983626912 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00000290 909340 3011 S LAUREL ST 06 30 15 2 2 9070 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor ELECTRICAL ALTER RESIDENTIAL TSTAT HP USING EXISTING LINE /L 162818 56 00 3/25/10 Valuation 9/21/10 Qty Unit Charge Per 1 00 56 0000 ECH EL LVT THERMOSTAT DATE ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 Plan Check Fee Charged Paid Credited Permit Fee Total 56 00 56 00 00 Plan Check Total 00 00 00 Grand Total 56 00 56 00 00 Date 4/12/10 RESULTS 00 0 Extension 56 00 Due 00 00 00 INSPECTOR. 9A-v N/3G, Signature of owner or Electrical Contractor X Date J R CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 10 00000282 Date 3/24/10 Application pin number 529746 Property Address 3011 S LAUREL ST ASSESSOR PARCEL NUMBER 06 30 15 2 2 9070 0000 Tenant nbr name RONALD LEROY /NORA ROGERS Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 8393 Application desc HEAT PUMP INSTALLATION Owner Contractor RONALD LEROY /NORA J ROGERS 3011 S LAUREL ST PORT ANGELES WA 983626912 (360) 457 4837 Permit MECHANICAL PERMIT Additional desc HEAT PUMP Permit pin number 162719 Permit Fee 64 80 Plan Check Fee 00 Issue Date 3/24/10 Valuation 0 Expiration Date 9/20/10 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 8000 EA ME FURN /HP /FAU OR 5 TON 14 80 Fee summary Charged Paid Credited Due Permit Fee Total 64 80 64 80 00 00 Plan Check Total 00 00 00 00 Grand Total 64 80 64 80 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 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 I T:Forms/Building Division/Building Permit regulating construction or the performance of construction. D to Print Name Signature of Contractor or Authorized Agent A Owne if owner is builder) ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 1 L t- (2_ /0 FOUNDATION. Footings Stemwall 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 Foundation Drainage Downspouts Piers Post Holes (Pole Bidgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) I Gas Line I Back Flow Water AIR SEAL. Walls I Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab I I Wall Floor Ceiling 1 I MECHANICAL. Heat Pump Furnace FAU Ducts I Rough -In Gas Line Wood Stove Pellet! Chimney I Commercial Hood Ducts I MANUFACTURED HOMES Footing Slab I Blocking Hold Downs Skirting I Inspection Type 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 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By y -I2.- 10 o N Q r 1 Owner In matlonP Name: Mailln. .dress: llllik� /Mb._ City State: VA Zip; r Phone. _rWv-Y 're Fax: License #1 Exp Unit Charge 119.90 $145.50 204.60 262.20 372.50 2.60 73.50 2.60 92.70 $110.30 $148.70 $167,90 95.90 88,20 95,90 5 63.90 63.90 5119.90 102.30 110.30 35.20 73.50 110.30 56,00 zg Z E0 /E0 39wd Check Date :.31. City of Port Angeles Permit Application Building DivlsionlElectrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417.4735 Fax: (360) 417.4711 Date: 5125110 X 1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair' Plan Review_y,Ee„Requi(gd, =Complete. Electrical Plan Review Information Sheet Job Address: 11 ill�' l.Lt.l.0 Building Square P 1 11, I o Footage; e o r �p O e ri tlpn f bo e d g. a t l)1 *I' 4' I&k'J Dell �14 1n u n o 100 vote c o tt aI formatlp atioat ling tSA Sit 'AI L•� Fax; 'Ps►3:� W w r Dill Name: Malting Address:. City: ft Phone: License I Exp re State; Total (0tv Multiplied by Uhl! Charnel ServicelFeeder 200 Amp. Service /Feeder 201.400 Amp. Service/Feeder 401 -600 Amp. Service /Feeder 601 1000 Amp. Servlce/Feeder over 1000 Amp. Branch Circuit Wl Service Feeder Branch Circuit W/0 Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201 -400 Amp. Temp. Service/Feeder 401.600 Amp. Temp. Service /Feeder 601-1000 Amp. Ponalto Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy- Commercial. Additional 1500 $5.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub 5U3 Thermostat u.eat Total Credit Card S o! Nei' 4: rA, iroN fir 16,M1111 L....wrua h• Owner as defined by RCW.19.28.261 (1) Owner will occupy the structure for two years after this electr ical permit Is finalized. (2) Owner is required to hire an electrical contractor It above said property Is for sale, rent or lease. Ponnit 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 296.466, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administrator Gash 9NI1v3H a3H1v3M 71V LLTSZ9.O9ET SS OT OTOZ /EZ /E0 'S O Applicant P11 J\ Oi)c Y ei OEh(V t (I i Inc‘ Phone Property Owner !W� t Phcmi 1, t -4 S 1 Property Owner's Address J j t) h� Q TiS 3f'c Contractor AA\ ak"Cr ttWck k (..�.�C l 1Y"iGi Phone X513 Contractor's Address S Y�Y1E �2 License Pr\\ t1C J Expires Dl 1 O E -mail 0,00.- Ot tin Ct PROJECT ADDRESS 3 SL Musi Parcel Number Cla D 6 1O1 Ot O ProiectTyge Brief Description: XResidentlal a Multi- family a Commercial a industrial Check all that apply New Construction o Addition o Remodel o Repair a Demolition a Re -roof e Heat System a Heat pump a wood burning stove a gas fireplace o pellet stove a other a Other Moor Areas Existing (sq. ft.) 1posed (sq. ft.) Basement 1 Floor 2 Floor 3` Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATIONS O 5 1S t Total footprint of structures sq. ft. 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 Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? I have read and co pieced this application and know it to be true and correct. I am authorized to apply for this permit and understand that it ism respo ibility to determine what permits are required. and to obtain permits prior to o ng on rojects Date d Print Name 7l th hi. Signature I l� 'r:For /euud' g Dlvisioriialdg Permit.doc Z0 /Z0 39Cd BUILDING PERMIT CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417-4711 i R 1 r av at oi" a House a garage a other a tear off re -roof a lay over one layer 9NI1v3H 83H1V3M 11C APPLICATION Print in ink ft. Occupancy group Occupant load Construction type For City Use Only Date Received g -2 to Permit 2 J_- Date Approved Lot Zoning per sq. ft. of bedrooms of full baths of half baths J //TSZ5b09E1 Z5 0Z O1OZ /EZ /E0 e- . . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: o READY FOR INSPECTION license Number: o WILL CALL FOR INSPECTION Phone: In tailed By: o ner/Business: o ner/Business Address: Q ):eMPORARY SERVICE ~EERMANENT SERVICE ~NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) PERMIT NO. <3?.2/ @/~IDENTIAL o ;COMMERCIAL o BASEBOARD KW o FURNACE KW -/....l2 o FAN/WALL KW o 'HEAT PUMP KW ~ o ISIGN DeLlslDescriPtion: ~ jNO CAPACITY: I 0 O.K. NOT O.K. ACTION REQUIRED 0 CHANGE TRANSFORMER j , D IN""~ '",""CEPOl' o Ditch Inspection O.K. I ~ rough-in/cover O.K. I)Il O.K. to connect service I 1fA- ~ rinal O.K. Sile Address; Jc DATE I z. - ;l/ -f? z.. Phone: Sq. Ft. o ~RHEAD SERVICE BlJNDERGROUN~~E VOLTAGE: /20 EVSmGLE PHAS~ o THREE PHA~ SERVICE SIZE AMPS j[; ~ r- ~ SERVICE SIZE DATE ENGR. o CHANGE SERVICE WIRE o OTHER J~ New Meters Permit/Receipt No. c:Jf,,;;1. :s No ify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered befbre inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or bn the Building Permit. PHONE 457-0411, EXT. 224. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 710 ~ Electrical Inspector WH}iTE - File by a.ddress OLYM Ie PRINTERS INC YELLOW - file by number PINK - Top: Eng, Bottom, Customer Permit Fee GREEN - Top: Meter Dept., Bottom: City Hall . ELECTRICAL WORK PERMIT APPLICATION ~Iectrical Contractor Installation description t Job wired by DOwner D Commercial pesidential Electrical contractor name License number Dale Expires ~teredJAdditioD 7Jm/t/UtYS A&F 771tJ&VL~S7Ctf ,:;;- o New Purchaser's mailing address 77/zmadl t/- /?O, ~/ . City State ZIP IPb~ 4.j!;, . /# W~ 9J>.3~ Z- Telephone number FAX number I :1>&S"-/Z12- <lS-:2 - 7)-yJ> Premises o~~ame d':Sif.KS Address of inspection v 30/( .5', (" /'Xr/t,rL City /,"- Phone number to schedule inspection: VS-7-W3? Owner as defined hy ReW /9.28.261:(1) Owner will occupy the structure for two years after this electrical permit is jinafii:ed. (2) Owner is required to hire an electrical contractor if above said properly is for sale, rell' or lease. D Cash D Check # 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 in5tal- D Credit Card Visa Mastercard Discover lation or alteration in compliance with the elcctrical la,",:,5, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, Thc City of Port Angeles Municipal Code, and Card # - - - Utility Specifications_ ---------------- VSignat~7contractor or electrical administrator Expiration Date ( $nsp~.~?C) \. X ./ . l/ ' Date: ~-;7-cJb of card \. EI&ctrical Load 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 o Overhead Service o Temp Service 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 Approved fly Dale Approved By Dale Approved By FINAL DITCH FEEDER Dale Approved fly Dale Appro.'ed By Dale Appro,.ed By Inspcction Date Area, Building or Equipment Inspected Action Taken Electrical Inspector ~ .....~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ,21 EAST 5TH STREET. PORT ANGELES. W A 9R,62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description subdivision Name Property Use Property Zoning . Application valuation 06-00000486 Date 275526 3011 S LAUREL ST 06-30-15-2-2-9070-0000- ELECTRICAL ONLY 5/12/06 RS7 RESDNTL SINGLE FAMILY o Owner Contractor ROGERS, RONALD 3011 S LAUREL. ST PORT ANGELES (360) 457-4837 WA 983626912 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-STAT WTR HT 77263 THORNES REFRIGERATION 48.10 plan Check 5/11/06 valuation 11/07/06 Fee .00' o ; Qty 1. 00 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 . . . . . 23-00000659 Date 7/31/23 Application pin number . . . 834713 Property Address . . . . . . 3011 S LAUREL ST ASSESSOR PARCEL NUMBER: 06-30-15-2-2-9070-0000- 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 ------------------------ ------------------------ RONALD LEROY/NORA J ROGERS BLACK DIAMOND ELECTRICAL CONTR 3011 S LAUREL ST 502 BLACK DIAMOND RD PORT ANGELES WA 983626912 PORT ANGELES WA 98363 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 7/31/23 Valuation . . . . 0 Expiration Date . . 1/27/24 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 PREPARED 6/22/23,14:40:17 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000659 3011 S LAUREL ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 63.00 TOTAL DUE 63.00 Please present reciept to the cashier with full payment 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 11/21/2023 23-659 TAP OWNER CONTRACTOR Black diamond Electric PROJECT ADDRESS 3011 S Laurel St Application Number . . . . . 23-00000324 Date 4/04/23 Application pin number . . . 385628 Property Address . . . . . . 3011 S LAUREL ST ASSESSOR PARCEL NUMBER: 06-30-15-2-2-9070-0000- 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 ------------------------ ------------------------ RONALD LEROY/NORA J ROGERS ALL WEATHER HTG & COOLING INC 3011 S LAUREL ST 302 KEMP ST PORT ANGELES WA 983626912 PORT ANGELES WA 98362 (360) 452-9813 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 56.00 Plan Check Fee . . .00 Issue Date . . . . 4/04/23 Valuation . . . . 0 Expiration Date . . 10/01/23 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) Pe r m i t # : New Construction Only [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] PREPARED 4/03/23,14:01:22 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000324 3011 S LAUREL ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 56.00 TOTAL DUE 56.00 Please present reciept to the cashier with full payment