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HomeMy WebLinkAbout639 E Park Ave - Building 5'012T14. BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES T Attn: Building Permit Technician For City Use Only: Date Received 321 E. Fifth St., Port Angeles, WA 98362 e If P (360) 417 -4815 fax (360) 417 -4711 Permit Date Approved Applicant M, C__Ove_L Phone 43 ^gip J Property Owner +2 IC Phone L,f 2 Property Owner's Address Contractor kf ��1 A A Cam, Ct &'Phone /—(,,t SO Contractor's Address License Expires E -mail PROJECT ADDRESS I e grti-Tidi2A qZ�' Parcel Number Lot Zon'g Project Type Brief Description: Residential Multi family Commercial Industrial Check all that apply 'New Construction Addition Remodel J� Repair Qi Demolition Re -roof House garage other tear off re -roof lay over one layer Heat System Heat pump wood burning 4 fireplace pellet stove other Other Q Floor Areas Existing (sq. ft.) 0 ed s ft. Basement per sq. ft. 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other 'W.1 /t� 1 fO TOTAL VALUATION Total footprint of structures sq. ft. 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 L ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? _.Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths 1 have read and completed this application and know it to be true and correct. ,l am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working o projects Dated ew b Print Name 1 1 i 6/1 k� JC_ Signatu�� 6(t-‘\ T:Form• /Bui sing Division /Building permit application 'Cash Adjustment i Cashier info Payment Type Application /"5 'Y .Check I LP Receipt 00 l 4 0 P --c Fee Type Pp Amount Paii:1:4 /V. Refund Amount Adjustment zo kk i rz:LLAP C I .0 ,:t-- .PoSted Fee New Fee LAi Signature 1 .4;___( Oi-P.A _mli,-3 1-k7/ SEND TO: 7 7- lei 1) 0202-A ....4 (5 V' (=.64k Evaexj 3 1 /II gz. r 24" i 8" 12'3 TOPSOIL FOR LANDSCAPING FILTER FABRIC �I (TYPAR 3401) TOP OF WALL i 1 15 CONT. AT TOP III o.41. I I1 I_� V 1. t CLEAR I• n so I° 1 a /5 12' 0.C. VERTICAL I w CO I a /5 12" O.C. HORIZONTAL 11. 7 DRAINROCK IC I/5 cs)o I o s o.c 11 4 4 P RFOORATEED CONSTRUCTION JOINT r III °o a N i a ,i -1 ,m =I 11 7- —4-w- -.F i A V' I 1 1 1 N 15 TSOUS SIDES OF FOOTING TO BE 1 SHOWN POURED NEAT AGAINST —I V UNDISTURBED EARTH OR B FILLLED AND III I I ToP°NO BOTTOM X6111 COMPACTED BOTTOM OF FOOTING TO BE VIAS POURED NEAT AGAINST 6 OF O UNDISTURBED EARTH 42" 12 2' y o VARIES` TYPICAL RETAINING WALL SECTION 4p' NOT TO SCALE ,q R 2 '1' I SSIONA�-.G SCALE: TITLE: RETAINING WALL REPLACEMENT AT 639 EAST PARK AVENUE, PORT ANGELES SHEET NOTED DATE: RETAINING WALL 1/29/2010 2 JOB 0014 'CLIENT: MARILYN N HICKMAN E NOV I C 301 EAST 6TH ST. SUITE 1 PORT ANGELES, WA 98362 FILE: 2822 SW 169TH sr. ASSOCIATES WO: (3 417 —°501 014E -1 BURIEN, WA 98166 FAx (360 417 -0514 OF 2 INCORPORATED EMAIL: ZENOVICOZENO% C.NET I ----4 ____ri I I 6 EXISTING PARKING AREA i i I i i I I i i I I i i I ,101‘...._. DEMO EXISTING D i 1 1 CONSTRUCT APPROX. 52 I VIII OF CONCRETE RETAINING ALL I PER DETAIL, SHEET 2 �►I I I r I 1 WALL AT 1 EXISTING RETAINING WALL )110 II TO REMAIN I EXISTING RETAINING WALL I ------41 1E 4 TO REMAIN i EXISTING HOUSE i 1 III- 0 11111 III 1 Mu ,..,,of .4 ,r z CO) Scale: 1 20' Rem 0 20' 40' 60' S S iONgL 1 SCALE: ii TITLE: RETAINING WALL REPLACEMENT AT 639 EAST PARK AVENUE, PORT ANGELES SHEET NOTED DATE: SITE PLAN 1/25/2010 1 le J� 00 j CLIENT: ENOVIC 301 EAST 6TH Si. SUITE 1 MARILYN HICKMAN PORT ANGELES, WA 98362 282 SW 169TH ST. ASS OCIATES PHONE (60) FILE: FAX: cm:0 3 >:1051 -0501 a 014E -1 BURIEN, WA 98166 OF 2 INCORPORATED EMAIL: ZENOVICOZENOVX:.NET Clallam County Assessor Treasurer Property Details 64781 MARILYN JOAN CLA... Page 1 of 4 Clailam County Assessor Treasurer Property Search Results 64781 MARILYN JOAN CLARK HICKMAN for Year 2011 2012 Property Account Property ID: 64781 Legal Description: TX #1824 Geographic ID: 0630104301300000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: Location Address: 639 E PARK AVE Mapsco: PORT ANGELES, WA 98362 Neighborhood: Cycle 5 Res Map ID: 2 Neighborhood CD: 10955130 Owner Name: MARILYN JOAN CLARK HICKMAN Owner ID: 142976 Mailing Address: 639 E PARK AVE Ownership: 100.0000000000% PORT ANGELES, WA 98362 Exemptions: Taxes and Assessment Details Property Tax Information as of 03/04/2011 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. First Second 1 0 'Half Half Base .Base If Year'' Statement ID Taxing Jurisdiction Amt. ;Amt. Penalty! Interest Base Paid Amount Due 2011 158772 ST SCH STATE SCHOOL $181.79 $181.78 $0.00 $0.00 $0.00 $363.57 -.....1 2011 158772 CC -GEN COUNTY CLALLAM $100.36 5100.34 $0.00 $0.00 $0.00 $200.70 2011 158772 SD #121 SCHOOL DISTRICT #121 $237.62 $237.62 $0.00 50.00 50.00 5475.24 2011 158772 CITY PORT ANG CITY OF PORT ANGELES 5231.68 $231.65 $0.00 $0.00 $0.00 $463.33 /�c��(�•/'� 2011 158772 PORT PORT OF PORT ANGELES $14.13 $14.12 $0.00 $0.00 $0.00 $28.25 2011 158772 NTH OLY LIB NORTH OLYMPIC LIBRARY 542.09 542.08 $0.00 50.00 $0.00 $84.17 2011 158772 HOSP #2 HOSPITAL #2 $41.20 $41.19 $0.00 $0.00 $0.00 $82.39 2011 158772 WSMET PK DIST WILLIAM SHORE MET PARK DIST $12.52 $12.52 $0.00 $0.00 $0.00 525.04 9 151(6's- )\).....9..)."-- '2011 158772 CITY STORMWATER -CITY STORMWATER $36.00 536.00 $0.00 50.00 $0.00 $72.00 2011 158772 FIRE PATROL FIRE PATROL $8.70 $8.70 $0.00 $0.00 50.00 517.40 .2011 158772 WEED CONTROL WEED CONTROL $0.82 50.81 $0.00 50.00 $0.00 $1.63 2011 158772 FP Fee FIRE PATROL COUNTY FEE $0 25 $0.25 $0.00 $0.00 $0.00 $0.50' 2011 158772 TOTAL: 8907.16 $907.06 $0.00 $0.00 50.00 51814.22 2010 47068 ST SCH STATE SCHOOL $179.96 $179.97 50.00 $0.00 $359.93 $0.00 2010 47068 CC -GEN COUNTY CLALLAM $95.76 $95.78 $0.00 $0.00 $191.54 $0.00 2010 47068 SD #121 SCHOOL DISTRICT #121 $233.11 $233.10 $0.00 $0.00 $466.21 $0.00 .2010 47068 CITY PORT ANG CITY OF PORT ANGELES $221.73 $221.75 $0.00 50.00 $443.48 $0.00 2010 47068 PORT PORT OF PORT ANGELES 513.46 $13.46 $0.00 $0.00 526.92 $0.00 '2010 47068 NTH OLY LIB NORTH OLYMPIC LIBRARY $27.83 $27.83 $0.00 $0.00 $55.66 50.00 2010 47068 HOSP #2 HOSPITAL #2 $39.29 $39.29 $0.00 50.00 $78.58 50.00 2010 47068 WSMET PK DIST WILLIAM SHORE MET PARK DIST $12.50 512.50 50.00 50.00 525.00 $0.00 2010 47068 CITY_STORMWATER- CITY STORMWATER $36.00 $36.00 00.00 50.00 572.00 $0.00 2010 47068 FIRE PATROL FIRE PATROL $8.70 $8.70 50.00 50.00 $17.40 $0.00 2010 47068 WEED CONTROL WEED CONTROL $0.82 $0.81 $0.00 50.00 $1.63 $0.00 2010 47068 FP Fee FIRE PATROL COUNTY FEE 50.25 $0.25 50.00 $0.00 $0.50 50.00 2010 47068 TOTAL: 5869.41 5869.44 80.00 $0.00 51738.85 50.00 Values Improvement Homesite Value: N/A Improvement Non Homesite Value: N/A Land Homesite Value: N/A Land Non Homesite Value: N/A Ag Timber Use Value Curr Use (HS): N/A N/A Curr Use (NHS): N/A N/A Market Value: N/A Productivity Loss: N/A Subtotal: N/A Senior Appraised Value: N/A Non Senior Appraised Value: N/A Total Appraised Value: N/A Senior Exemption Loss: N/A Exemption Loss: N/A Taxable Value: N/A Taxing Jurisdiction http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =64781 3/4/2011 ern OF PORT ANGELES LtGHT DEPARTMENT ELECTRICAL PERMIT N~ 17857 Port Angeles, washlngton...___..L.=..::o.?.!2.___h___....______.___.___h...., 19.([3 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- mI:ssion is hereby granted to do electrical work as listed below. Ao;dress .h---fu;IZu___~~-J..g'um.uu.u..U...Uh___.______..___ Occupancy___u/.::Lg~..g,.uu.u..____.u___uu Owner Uh,,--------,---,uu---'''------'---''''Uh''''___Uh[;;)t. Tenant.h_...______....___UUh.U___U______Uh__.___U.......______........ Wiring Contractor .-.~d~umuUUUU__.h.___U_____ By...uh___.___....u.__h.u___u.._____u___..uu.h.._____.___.uu LI~ht outlets.........h.hf............_.._..... Service, volts .......mm...............h___...... Type at Wiring; Rel:eptacle outlets.....~.Q............... No. wires .m.....h.h..................h..... Armored Cable ....................m....... Dryer, KW............h..n......n......n.n..... SIze wlresh.............h.._.............._.. Ru:?ge, KW........................n........_. Main fuse ....................................... W~ter Heater: Enclosure .......................___....... KW.....h...h___.....___..h___....h. H~" KW...___h...___h...__.__..........hm...m.. Type of wiring: Entrance Cable .nUmh...m............. M<)tors: size, volts and phase: Rigid Conduit ..m__..h. MetalUc TubIng ....... Current transforDlers: No. & Slze......h.............h................ ................n..............h......................... ;:~:2~~~:::::::~:::::::.:::::: Sec. NO........................h.................... ....................0................0..................._ Ser. No. 0............................................ Ser. No. ..........0.................0................ Non.Metalllc ..................__............. Knob & Tube.............n................._ RIgid Coodnlt h.__.___.hh.__.____________. Metallic Tubing __._____m....m_________ Raceway ......................._......_......_ Circuits, Light.m.....h..mm.................... Utlllty.h...m______......___........___.________. Heat ......................................._...... Range ............................................. Water Heater .................h.m........ Motor ............................................. Dryer .....0........................0...............__ Furnace .........................__.........___....... Total Load.................h.......... Sec. No.................................h........... Total .....0......................__......... J2 . .t/ ' . Remarks: u.ud::?::;k:;~~.~m.--T4~c~_..R<u~4=,'--.e....U______.~.h....&..~~.1f_.--- .---..--------u----uL~.!f;;:g-:t...<2..h---Uh___<:::J:j.R.'e:_--.e~~~~~______.___u..uu.._U___...___h..___U___u..___...uuu..lu... ---.T----.h....------...h--------------h..----.---.---...___h..Uh..___________..U___Uh______..Uh."---"rh---uum___,___uu___h;..u..___m______u..___.. P~it Fee Treas. Receipt ~~ Ld II $""___,,,___u..___u...mh'___'''' No..___.....uu...___......... By u.L.u..___....t.___..___(D",...L~d_ K!':':::-,-!:,"",uu. i NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If 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~ 1 7 8 5 7 , I Address..................._...................................................................................................................Date..._.........._.._.._.........._......_................. O\rller ........0.........................._......_.._......_......_.._.....................................0..............0...... Tenant..........................................................h..__.... Wiring Contractorh..............................__._n...._.......h............................0...0................................... By..........h........................__........................ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. ceQJed due notice must be given ~e Inspector so that work may be inspected before concealment. ......-..~---- -- 1M Olympic Printers, Inc. III CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15137 /' ~! V . > y Port Angeles, Washington..mm__n....mm."mm__mmm.m.m____mm__, 19..000000 In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trlcal equipment in, on, or about any building or other structure in the City of Port Angeles, per- m;Ission is hereby granted to do electrical work as listed below. Address .nnn.__Gn.3...'lmEm.:i:",;2Ln..nnnn.m..n..........m Occupancy.nnn.n....ooonnn..m..n.nm.......... Owner ...n:.~?d__2__:?.&~..Lg.~nooo.....n.ooo.....ooon Tenant........____..n....n.......ooonooon..ooon.m.....n.__......mn.__ "tiring Co~tractor ..:Y,.,e.A:....1!(<;,--:~??':?':!!;:6~?......--. By.nooo.n....ooonn.....__...m'm__..ooonooo.m.n__........__.. Light Outlet.n....___.___....................___...... Service, volts h/!.t2/t!.t...0........ Type of Wiring: " <") . No. wires ....~_._.._...__......h....____U_._ Size wlres___..7.t(J.~!..<n____n . ;.r.e;o A I\'Ialn fuse m......hmm__...'_mmm....... S Enclosure ____~..m______...........m__mm_ Receptacle Outletsm_m_........._......._..... Diyer, KWlnmmn.......n.nnm.mnmnm. RoDge, KW nm.hmmnmnnm Water Heater: KW.ooomnnnn..n.h IJ~at: RW.___I::2___n/l/l..n.nn Type of wiring: Entrance Cable mm.mh_..m__m______ AJotors: size, volts and phase: Rigid Conduit ___.mm_m.......__........ Metallic Tubing h_m_mm___m__m.__ Current transformers: No. & Size.______......._____....h.__h..__h... Ser. NO..........__....._.h......_.h._____________ Ser. NO.____n.__________..........__.......h..____.. Ser. No.___________.________________..............___ Armored Cable mmm.mm_..m__m_. Non.Metallic mm__m.___mm..hm__... Knob & Tube_.___________.__.........h_.._... Rigid Conduit ...........__m...m___mh. Meta111c Tubing __..__..................m Raceway _._________________________......___...... Circuits, LighL.....__..__h__..._................... Utility..._h.__..._....................._......._u Heat Range ._....__............._.........._............ "'Yater Heater ___.............__..........m Motor _____________._____.._.__________.._________ Dryer._____._..____._____......._.______............... Furnace .........................__mmmm__.. Total Load__.________________________.. Ser. NO...____.______.__......_______.........._h.__ Total ___...._0._____________________________ llemarks: .ooo..nnooo.'::!"'12.,,_,.)o;.....mm~~.:looo...c:~.!.,;;&nn..lt..d.r:t...mmm...__mm..m.....m..m.m.. I . - ....nn_nn.un___nn.nnnun.nnnnnnnnnnnnnnuun.ununu.nn.uh_n_n_.nun_nnnU'Uhnhhh_nn_nn_.n.nn.nn'UUhn__.unhUh.. dtn_nnn__nnnuUUh_n_..uu..uu___n_nn____.nn..nnnn_nn_.nnn__'..n.___n._n.nu.unu~_________.~..n.__nnunu _ . Permit Fee Treas. Receipt . t I? )u . I~~n m--7.m..oooooo. $....................m....oo...m... NO..........................m By ooo'.O...m.....'..m,.....~.~~~...:.,.~~:~~ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con- c~aled due noUce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION .1C1() ..1 .- /d I-(v !JB ELECTRICAL PERMIT N? 15137 Oate called ft; IJ/!ctlO[:.m!-&..-1.lL:...m.m.m...mm_......nn.oo..nnh.hm.m...m.m........nm)...2'h?m~.=.2..r.......m. Preliminary inspdflo:fi?ajil~!f..7c~-;-j;pnn.......m....n...m.m........mhm....nm.mhn....h.nm........m.m.....................n..m.. l;nspectloncompleted____..___________..._____._____.____..________..____n_.....______.__..____...........____...___....._..______.___........_______._......_.________........._......._......_ \, ' 'total .Load m.n..nn.nn..........n..n........nn...nnn......h.n.n...n.mmn. nn... 1M 3-72 Olympic Printe:-s. Inc. AIN r , .. ,. ELECTWAL PERMIT CITY C PORT ANGELES 3604174735 �" aA Application Number . . 18-00001649 Date 10/30/18 Application pin number . . . 295493 REPORT STATE SALES TAX" Property Address . . . . 639 E PARR ATTR on your excise tax form ASSESSOR PARCEL NUMER: 06-3a-10-4-3-6136-00(10- Application. type description ELECTRICAL ONLY to the City of Port Angeles Subdivision.Name . (Location Code 0502)Property Use . . . . . . Property Zoning . . . . RS7 RESDNTL SINGLE RAMILY Application valuation . . 0 - - - - ------- Application desc Security System ---------------------------------------------------------------------------- Owner Contractor MARK AND TEANNAH SCHUMACHER SECURITY SERVICES NW 634 E.PARK AVE PO BOX 660 PORT ANGELES WA 98362 PORT TOWNSEND WA 98368 - (800) 859-3463 Permit . . . ,. . ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee . . 64.00 Plan Check Fee .00 Issue Date . . 10130/18 valuation 0 Expiration Date 4/28/19 Qty Unit-Charge Per Extension 1.00 64.0000 ECH EL-SINGLE CIR LIMITED RES 64.00 Feer 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 .90 .00 i INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN i� WIN FINAL I COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION I Signature of owner or Electrical Contractor X Date: I i ,. .. L ..' - :. _ _ .. }�.. - - - �.. 1 - f �.. ��� r - r .� I Yin � �* 10/22/2018 MON 14: 18 FAX 360 797 8482 Security ServiCes N W 2001 1 - 2 SINGLE-FAMILY -4 ELECTRICAL PERMIT APPLICATION Public; Works autcl IJlilitics Dk:pUrtmcnL 1 E. �1h Street. fort An;_eles. WA 118362 360. 417,=4735 www_cil 'ol"7a.us electrical crrnitsr�cit ul" a.us I 5 4 I P �_. Y P i, �C. Project Address: 639 E. Park Ave. Project Description: Install security,alarm system In Single-Family Residential ❑ Duplex/ARU Building Square footage: unknown OWNER INFORMATION Name: Mark Sahumacher Email: Mailing Address: 639 E. Park Ave. Phone: 820-906-1308 CONTRACTOR • Name: Security Services NW License: SECURSNOOOCJ Mailing Address: 250 Center Park Way _ Expiration Date: 03/06/20 Email:john@SSNWHQ.com Phone: 360-797-8460 PROJECT l&M JaW(Quare tty 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. $1138.00 $ Portal to Portal Hourly $96.00 $ Signal Circuit/Limited Energy-1&2 DU. $64.00 1 $ 64.00 Manufactured Home Connection $120,00 $ Renewable Elec. Energy: SKVA System or less $102.00 $ Thermostat(Note,$5 for each additional) $56.00 $ Y r ' t i •. f' ; j 'J i' ,hq �'f"'` ; M``�11.'A' 1.1 uy� d P4,4 I, b,;:j -Eggh uiigipg./D6tached<t3OMgo $7� $:.r.. '.f!rri .f�•�.� ��.a01E19WIA'!�.1iTl.r�15/,1't�t3�U�^}'�y, " ;`4 ,,qq.. ��r, 4;1^CI` � L. i AI, ;.�, r�:: •�.: 10, rr. ,et.it.;F .. �.Ila.�"��F,<'in3C.'FSik�F`aL�RO >��.♦'L'i$'1.:1� , TOTAL $ Owner ea defined by RCW,19.29,261:(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, runt or lease. Permit expires after sic 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 co with the electrlcal laws,N,E.C., RCW.Chapter 19.28,WAC.Chapter 296- 458,The City of Port Angeles Municipal Code.and dfility>IZ44 PAMC 14.05,050 regarding Electrical Permit Applications, 10/22/18 John Alden Date Print Name Signature(❑ Owner V Electrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or electrical permits@cityofpa.us or faxed to 360.417.4711 j Application Number . . . . . 25-00001288 Date 10/14/25 Application pin number . . . 628616 Property Address . . . . . . 639 E PARK AVE ASSESSOR PARCEL NUMBER: 06-30-10-4-3-0130-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Circuits for GFCI and DHP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MARK AND TEANNAH SCHUMACHER EXTRA MILE TECH & ELECT., LLC 639 E PARK AVE 418 N. RACE ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457-5222 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 125.10 Plan Check Fee . . .00 Issue Date . . . . 10/14/25 Valuation . . . . 0 Expiration Date . . 4/12/26 Qty Unit Charge Per Extension 1.00 125.1000 ECH EL-R- BRANCH CIR 1-4 125.10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 125.10 125.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 125.10 125.10 .00 .00 Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us EL1-2 SF 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Project Address: Project Description: □Single-Family Residential □ Duplex / ARU Building Square footage: OWNER INFORMATION Name: Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Name: License: Mailing Address: Expiration Date: Email: Phone: PROJECT DETAILS Unit Charge Quantity Total (Quantity x Unit Charge) $190.20 $ $216.20 $ $285.30 $ $380.40 $ $475.50 $ $5.30 $ $95.10 $ $5.30 $ $125.10 $ $95.10 $ $190.20 $ $285.30 $ $380.40 $ $95.10 $ $95.10 $ $190.20 $ $190.20 $ Item Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Signal Circuit/Limited Energy - 1&2 DU. Manufactured Home Connection Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5.30 for each additional)$95.10 $ First 1300 Square Feet $190.20 $ Each Additional 500 square feet``$47.55 $ Each Outbuilding / Detached Garage $95.10 $ Each Swimming Pool / Hot Tub $190.20 $ TOTAL $ Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (□Owner □Electrical Contractor / Administrator) Pe r m i t # : New Construction Only [Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711] ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: 1. Maximum over current device is 25 Amp. Replace 30-amp breaker. NEC 110.3 NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 10/20/25 25-1288 TAP OWNER CONTRACTOR Extra Mile Electric PROJECT ADDRESS 639 E Park Ave 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 10/23/25 25-1288 TAP OWNER CONTRACTOR Extra Mile Electric PROJECT ADDRESS 639 E Park Ave