The URL can be used to link to this page

Home My WebLink About615 Thistle St - BuildingPREPARED 5/25/10 8 46 31 INSPECTION TICKET PAGE 13 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/25/10 ADDRESS 615 THISTLE ST TENANT NBR LEROY SPROAT CONTRACTOR DAVE S HTG COOLING SRVC INC OWNER LEROY SPROAT PARCEL 06 30 15 5 4 0575 0000 APPL NUMBER 10 00000524 MECHANICAL APPL PERMIT SUBDIV PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 5/25/10 -4 e MECHANICAL FINAL TIME 01 00 May 25 2010 8 40 16 AM 1pangrle JEANNIE 452 0939 MECHANICAL FINAL HEAT PUMP AFTERNOON COMMENTS AND NOTES PHONE (360) 452 0939 PHONE (360) 457 7387 vcL Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc EXTRA MILE HEAT PUMP Owner LEROY SPROAT PO BOX 934 PORT ANGELES (360) 457 7387 Qty Unit Charge Per 1 00 73 5000 ECH Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983620161 Permit ELECTRICAL Additional desc EXTRA MILE Permit pin number 166140 Sub Contractor EXTRA MILE Permit Fee 73 50 Issue Date 5/25/10 Expiration Date 11/21/10 73 50 00 73 50 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00000528 635472 615 THISTLE ST 06 30 15 5 4 0575 0000 ELECTRICAL ONLY 0 Contractor EXTRA MILE TECH ELECT LLC 418 N RACE ST PORT ANGELES WA 98362 (360) 457 0198 ALTER RESIDENTIAL HEAT PUMP TECH ELECT LLC Plan Check Fee Valuation EL BRANCH CIRCUIT WO /FEEDER Paid Credited 73 50 00 73 50 DATE 00 00 00 Date 5 /25/10 Due RESULTS 6 /11 5YA 4i7 Extension 73 50 00 00 00 00 0 Signature of owner or Electrical Contractor X Date INSPECTOR. /4 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 HEAT PUMP INSTALLATION Owner LEROY SPROAT PO BOX 934 PORT ANGELES (360) 457 7387 Qty Unit Charge 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total 14 8000 EA T:FormsBuilding Division/Building Permit WA 983620161 Per Charged 64 80 00 64 80 10 00000524 413716 615 THISTLE ST 06 30 15 5 4 0575 0000 LEROY SPROAT MECHANICAL APPL PERMIT 4185 Contractor Permit MECHANICAL PERMIT Additional desc HEAT PUMP INSTALLATION Permit pin number 166090 Permit Fee 64 80 Issue Date 5/24/10 Expiration Date 11/20/10 DAVE S HTG COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452 0939 Plan Check Fee Valuation BASE FEE ME FURN /HP /FAU OR 5 TON Paid Credited 64 80 00 64 80 00 00 00 Date 5/24/10 Extension 50 00 14 80 Due 00 00 00 00 0 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 per 't does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of con on. Date Print Name Signature of Contractor or Authorized Agent 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 Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts 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 Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. FINAL Date Accepted by 4 FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By T 3 May 24 10 08 32a PROJECT ADDRESS Parcel Number Dave s Heating Cooling BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant a v-e.`S j-(.eA-4- Phone (5 c 737 Property Owner L-e ro L4 SD tYc, Phone 45.773 7 Property Owner's Address U 0. 77-1 (s -f: r-e':".�h r=e. e., ,Oo ,--1 Al, 4,z,(__Q.. Contractor t a f 5 I( ri-,4-s L-,..-. Phone s ,2`. c� '7,3 y' Contractor's Address /o i c c 4 /9 3 inr4 ,t,.,,,,P s 4 License .DA V S H c el '7 I K c� Expires ,5 ll E -mail G, Project Tyne Brief Description: residential o Multi family o Commercial o Industrial Check all that apply o New Construction o Addition o Remodel o Repair o Demolition o Re -roof c House o garage o other o tear off re-roof lay over one layer 'Heat System iHeat pump o wood burning stove c gas fireplace pellet stove o other o Other u.c-Yte.s5 Floor Areas Existinu (sq. ft.) Pr (so. ft.) Basement per sq. ft. 1 Floor 2 Floor 3' Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION 4 1, I gs5 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 ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type 3604520939 p1 6;(5 Lot Zoning 1 have read and completed this application and know it to be true and correct I am authorized to apply for Mrs permit and understand that it is my respo�rsibility to determine what permits are required, and to obtain permits prior to working on projects. Date Print Name j: °-v-', Signature w T:Foms/Building DivisionB(dg Permit.doc For City Use Only Date Received q--2 (0 Permit# ie Date Approved of bedrooms of full baths of half baths Clallam County Assessor Treasurer Property Details 68042 LEROY SPROAT for Y Page 1 of 5 Clallam County Assessor Treasurer Property Search Resultm> 68042 LEROY SPROAT for Year 2010 2011 !Property Account Property ID Geographic ID Type. Tax Area. Open Space. Historic Property Multi-Family Redevelopment: Location Address: Neighborhood: Neighborhood CD Owner Name Mailing Address: Taxes and Assessments Due 2010 49776 12010 2010 49776 2010 49776 4877O 2010 4e7rO 2010 2 68042 0530155405750000 Real 0010 N N PA 121 PORT ST CNTY H2 L Land Use Code DFL Remodel Property' 615 THISTLE ST WA Cycle cyc|e4 Res 10952130 LEROY SPROAT po�XS� VV PORT ANGELES A 98362-0161 Prope�yTax |nhzrmoUonauofO5/24/201O Amount Due if Paid on. ��em= Statement Year ID Taxing p SCH G7E8 m1O4S770 GT��CHOL 2010 49776 CC-GEN COUNTY zn10 *e776 PORT PORT 2010 49776 PORT8NG POnTANGELEG SD #121 3C*OOLD�TRK�T#1u1 NTH OcYuo NORTH OLYMPIC UBRAmY 2010 HOSP #2 HOSPITAL #2 49776 12009 680422008 12009 680422008 12009 680422008 V1O 4877O o1O 4e7rO |�O1O 49776 12009 680422008 FIRE_PATROL FIRE PATROL WEED_CONTROL WEED CONTROL Legal Description. Agent Code Mapsco Map ID Owner 0 Own nship Exemptions: First Half Base Due $150 16 $150 15 �O $79 91 $r $11.23 $11.23 n1850o $185 00 W��PK0��uu��RE�B�� O� $10 43 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $19448$19450 $��2� $23.22 $32.78 $32.78 $80 *87O $0 82 $0 81 11 N N FP Fee FIRE PATROL COUNTY FEE $0.25 $025 2010 49776 TOTAL._ $733.00 $732.97 STGCM STATE SCHOOL $15O78 $156 79 oC'GsN COUNTY $79 35 $79 35 PORT PORT $11.24 *11.24 PORT� PORT ��74 74O4 oa NG SD #121 SCHOOL DISTRICT #121 $193 89 $1VV__ VO FOGARTY DOLANS SECOND ADD LOTS 3-7,26- 30 EX EASE BL 5 53883 100 0000000000% Second Half Base i Base l4mm Due Penalty Interest Paid Due $UOO $OVV $150 16 $150 $0 00 $0 00 $79e1 $0 00 $0 00 $1123 $11 .$0 00_ $V0O �8sO2 $185 $0 00 $0 00 $194u8 $194 $0 00 $0 00 $23.22 $23 $0 00 $0 00 $32.78 $32 $OVV $OU O $1O43 $10 $0 00 $0 00 $36 00 $36 $0 00 $0 00 $87O $8 $0 00 $0 00 $O82 $0 $0 00 $0 00 $0.25 $0 $0.00 $0.00 $733.00 $732 $0 00 $0 00 $31358 $0 $0 00 $0 00 $15O7O $U $0 00 $0 $22.48 $0 $0 00 $0 00 $�4ann $0 $0 00 $0 00 $387 79 $0 http.//vpn.clallam.net:8084/propertyaccess/Property.aspx?cid=0&year=2010&prop_id=68 5/24/2010 MAY -23 -2010 10 29 PM E JANSSEN 300 452 2982 x City of Port Angeles Permit Application Building Division /Electrical impaction 321 East Filth Street P.O. Box 1150 Pelt Angeles Washington, 99362 Ph: (360) 417.4735 Fax; (360) 417 -4711 •1 2 Single Family Dwelling Mult- Family or Commerelar Commeroiol Addition Alteration [Remodel 2epre Dale Plan Review May Se Required. Please Cginpl in Elec; lorl Plan Review information sheet Job Address: L. t :Wilding Square Footage. Description of above fv A Owner Information Name. 1.-e.444,/ geedr, f' Moiling Address _car,__._ S� 1ri City State: Zip: c e�L Phone: _Fax: Licence, a Exp Unit Charne S 119.90 S 10.50 S 7.04.60 5 262.20 S 37' .50 S ,_.60 S 7150 5 2.60 S 97_.70 5110.30 5 100.70 5 ■6'x.90 S 05.90 S 811.20 s 9 :1.90 5 63.90 5 63 90 S 119.90 5 102.30 S 110.30 5 35.20 S 73.50 5 10 S 50.00 Pty 0,,,,ttCC.ca.A T._._ Ql(4 i�Ca� 3t�wt� _yr r It .21 s Total Contractor Information Name: iKreill in (,S "r64.0 e E Lech K-t Mailing Address: 4 /p A,' GE Sr City r efet Scale __a Zip: (E.G Phone ieFax: V {Ci —,1J License Exp. x7i #-A? Z 121 r 7 Agl poll Total (Q(v Multiplied by Uglt.Chargg) Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401.60D Amp. Service /Feeder 601 -1000 Amp. Service /Feeder over 1000 Amp. Brandi Circuit W/ Service Feeder S -73770 Branch Circuit W/O Service Feeder S Each Additional Branch Circuit S Temp Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp ServirefFeeder401•300Amp. t emp WI/ice/Feeder 601 Amp. Portal to Portal Hourly Sign /Outline Lighting S Signal Circuit/ Limited Energy Commercial Aodleonei F,'0 sc cc Signal Circuit/ Limited Energy I 2 Family Dwelling Signet Circuit/ Limited Energy Multi- Family Dwelling S Manufactured Home Connection Renewable Electrical Energy 6KVA System or 1, c^ First 1300 Square Ft. Each Arfdilionel800 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat Signature of owner electrical Contractor or electrical administrator Cash L`.l Credit Cerd rY Owner as defined by ROW/9.26.281 (1) Owner will occupy the sit C tut o for two years alter this electrical permit is fine limn x'11 lwnn is required to hire an electrical contractor if a bove said property is for cafe, rent or loans. Permit expire' eller alx months of lest Inspection. Alter reeding 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. °.0 RCW. Chapter 19,28, WAC. Chapter298.460, The City of Port Angeles Municipal Code, and Utility Specifications P 01 C A 7�.J PREPARED 5/20/09 8 36 27 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/20/09 ADDRESS 615 THISTLE ST SUBDIV TENANT NBR LEROY SPROAT CONTRACTOR THURMAN SUPPLY PHONE (360) 457 8591 OWNER LEROY SPROAT PHONE (360) 460 4172 PARCEL 06 30 15 5 4 0575 0000 APPL NUMBER 09- 00000453 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 5/20/09 MECHANICAL FINAL TIME 01 00 May 19 2009 4 12 10 PM 1pangrle LEROY 457 7387 MECHANICAL FINAL WOOD STOVE F1F COMMENTS AND NOTES LEROY SPROAT PO BOX 934 PORT ANGELES (360) 460 4172 /S er g Date T:FormsBuilding DivisionBuilding Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00000453 Application pin number 302962 Property Address 615 THISTLE ST ASSESSOR PARCEL NUMBER 06 30 15 5 4 0575 0000 Tenant nbr name LEROY SPROAT Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning Application valuation 1500 Application desc INSTALL A WOOD BURNING STOVE Owner Contractor WA 983620161 THURMAN SUPPLY 1807 E FRONT ST PORT ANGELES (360) 457 8591 Fee summary Charged Paid Credited Due Date 5/15/09 WA 98362 Permit MECHANICAL PERMIT Additional desc WOOD BURNING STOVE Permit pin number 146167 Permit Fee 60 65 Plan Check Fee 00 Issue Date 5/15/09 Valuation 0 Expiration Date 11/11/09 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 10 6500 EA ME STOVE /FIREPLACE /MISC APP 10 65 Permit Fee Total 60 65 60 65 00 00 Plan Check Total 00 00 00 00 Grand Total 60 65 60 65 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'live authority 4o violate or cancel the provisions of any state or local law regulating construction or the performance of construction. //A/ J 1 C^ti Signature of Contractor or Xuthorized Agent 6 0gl ec iCk 0? Signaturcf-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 T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS 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 Inspection Type 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 Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 I zo-01 Applicant /'i9/.14 Property Owner e,, 4 Property Owner's Addresses r S 7 r Contractor Contractor's Address ,ec> License e Sec7 /4. Expires PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof X Heat System Other Floor Areas BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 'Residential Existing (sp. ft) Pposed (sq. ft.) Max. height of proposed structures ft Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type Phone Da AaX Phone 939 VII \I1■ Phone Multi family E -mail Lot Basement per sq ft. 1st Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other For City Use Only Date Received 1 5 09 Permit t9G I Date Approved 7 Z Zoning Commercial Industrial House garage other tear off re -roof lay over one layer Heat pump (wood- burning stove gas fireplace pellet stove other TOTAL VALUATION 6 0 Total footprint of structures sq ft. T Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage I have read and completed this application and know it to be true and correct. I am authorized to that it is my responsibility to determine what its are required a d to obtain permits prior to ^✓o Date —7J print Name Al ..1--_-1,4 eiiil/ Signature f T Forms /Building Division /Bldg Permit.doc of bedrooms of full baths of half baths apply for this permit and understand n projects patios PREPARED 6/13/07 13 06 33 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/13/07 ADDRESS 615 THISTLE ST SUBDIV TENANT NBR LEROY SPROAT CONTRACTOR D C ROWLAND SERVICES PHONE (360) 683 4338 OWNER SPROAT LEROY PHONE PARCEL 06 30 15 5 4 0575 0000 APPL NUMBER 07 00000638 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 6/13/07 3 JLL F BLDG FINAL 06/13/2007 08 24 AM LPANGRLE DAN 670 9878 BLDG FINAL RE ROOF COMMENTS AND NOTES PORTµ v v Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Owner Contractor SPROAT LEROY PO BOX 934 PORT ANGELES WA 983620161 07 00000638 957828 615 THISTLE ST 06 30 15 5 4 0575 0000 LEROY SPROAT RE ROOF 4863 Date 6/01/07 D C ROWLAND SERVICES PO BOX 1023 SEQUIM WA SEQUIM WA 98382 (360) 683 4338 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF HOUSE ROOF Permit pin number 103572 Permit Fee 137 75 Plan Check Fee 00 Issue Date 6/01/07 Valuation 4863 Expiration Date 11/28/07 Qty Unit Charge Per Extension BASE FEE 95 75 3 00 14 0000 THOU BL -2001 25K (14 PER K) 42 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 137 75 137 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 142 25 142 25 00 00 Signature of Contractor or Authorized Agent T \Policies \I102 15 building permit inspection record05 wpd [I/4/2005] -73 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 gi uthority to •'o at or cancel the provisions of any state or local law regulating construction or the performance of constructio --0 Date Signature of Owner (if owner is builder) Date MANUFACTURED HOMES CALL 41" -481 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA 6i FUL TO COVER INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED 4ND 4CCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD DATE ACCEPTED YES CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I I PLANNING DEPT 417 -4750 I I BUILDING 417 -4815 1042151n- I3 w I T \Policies \t 102 15 building permit inspection record05 wpd 11/4/2005] NO FINAL FINAL SEPA. ESA. SHORELINE: COMMENTS DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL DATE I ACCEPTED YES NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING I I I I I I I I I I I I T•\FORMS\B1dgPermitform.wpd Applicant: BUILDING PERMIT APPLICATION 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 Applicant or 62- Agent. 1) 4- 6- 44 :31. -0 err Phone: 36 a 6 y53 Owner Le- r S D r Phone: Address. 4/S A 1* 5 1 City f A Zip fe SD- Architect/Engineer 0 Phone: l-L (u! lv,..t k se,- Ea -7'3 3�' Contractor l�n i? u oD State License be 2,,w c R. 1.re. Lp Exp 6 is Phone: 67 v 9a 7c Address: PO go-- 10 z 3 City S f 11- Zip 3,E Z PROJECT ADDRESS 6/_.5 77 .51 J 4 ZONING LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. SIZE/VALUATION Residential New Constr Re -roof Stove SF /SF Multi- family Addition Move Garage SF /SF Commercial Remodel Demolition Deck SF /SF Repair Sign Other TOTAL VALUATION CIr( BRIEF DESCRIPTION OF THE PROJECT r% 7- el/, G 1t) "I COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type No of Stones: Lot Size: Existing Sq Ft. Proposed Sq Ft. TOTAL Sq Ft. Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other. 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 Buildmg Division to comply with current fee schedules. Contact the Permit 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 permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application nd know the same to be true and correct. l am authorized to apply for this permit and understand that my responsibi /ity to determine what permits are required not the City's, and that must obtain such permits prior to work. Date: FOR OFFICIAL ISE ONLY DateRec. n 0 n (—o7 Permit n (ZS_ Date Approved: HO 7 Date Issued: Qtr •-C) 1-0 APPROVALS PLAN BLDG DPWU FIRE. OTHER. . Site Address: Installed By: Owner/Business: Owner/Business Address: ffRESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN DetailslDescription: CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. 7'OS/ r ,// ~/9:S DATE o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS ;g SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) Phone: Sq. Ft. ~ OVERHEAD SERVICE o UNDERG~O~~SEBV~E VOLTAGE: @-V /2-1!E ~ SINGLE PHAst: o THREE PHASE SERVICE SIZE AMPS 1r~M' I E ( /!1~ ~ Il~ ~~ l~ ~-&:iCLdtfUv1 . ~j- A~ &/C.tJ/C[ < W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. o O.K. to connect service ~-p Final O.K. Site Address~ I ~ is fir ~ lJtsC0 Installer: Permit/Receipt NjO. {).r New Meters ..3 Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the BUi~ermit. PHONE 457-0411, EXT. 224. &<J . 1t21v? NO OCCUPANCY OR USE ESTAeLlSHED UNDER THIS PERMIT $ ~O - Electrical Inspector Permit Fee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer OLYMl'tC PAINTERS INC. GREEN - Top: Meter Dept., Bottom: City Hall ELECT"¢ L.PERMIT CITY+ 'Afi GELESCD 5 N Application Number 19-00000202 .-Date 2/06/19 Application pin'number 134452 REPORT STATE SALES TAX Property Address . . . . . 6i5 THISTLE ST _ our excise tax forn7 ASSESSOR PARCEL,NUMBER: D6-30-16-5-4-0575=0080 On y Application type description . ELECTRICAL ONLY t0 the City of PO/f Angeles. Subdivision Name Property Use Location Code 0502 Property Zoning Application valuation 0 ---------------------------------------------------------- -------- --------- Application`desc Service-and remodel Owner Contractor. -- - - - -- - ---- - ----------- ----- --- Marcia Rutledge EXTRA MILE TBCfi & .WACT. ULC 615 Thistle Street 418 N. DACE-3T_ PORT AIdBUIS RA 98362`. PORT ANGELES WA 98362 ` (805) 4I4-8754 (360) 457-5222 Permit .X 4tJCAL-ALTER RESIDENTIRi,- -------- ---------------- ---------- --- Additionj1 4esc "Permit`Fee 160.00 Plan dieck'Fee 00 Issue Hate 2/06/19 Valuation o Expiration Date $f0519 Qty Unit Charge Per Extension 8.00 5.0000 ECH, $L-WANCH CIRCUIT 4¢.,0.0 1.00 120.0000 Edit EL-0-200 SRV FEEDER 120.00 - ---------------------------- Fee summary Charged Paid -Credi.ted Due` - --- ---------- ---------- ---------- . Permit Pee Total 160:00 160.06 :00 OD Plan Cheek Total 01 .00 :'00 00 Grand'Total 160.00 160.00 00 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE .F , ROUGH-114. 1 FINAL CON 4EMM: Pumit;lNt i EXPIRE SIX(6)Moms Fxom LAs`t'tiaPticrio i r Sig�afureF}Wlt6r cn.Eoet:ricat C �ractor X Date: '. � i .. III .. .i .. i RECEIVED 1 - 2 SINGLE-FAMILY FEB - ZOt 3 ' ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department _. 321 E.5th Street, Port Angeles, WA 98362 T 360.417.47351 www.cityofpa.ust I electricalpermits@cityofpa.us a 1113 Project Address: ITA z' f , 5 4 f,, j ProIDescription: 10 C t �... i l Z w C't re C ngle-Family Residential Cl Duplex/ARU Binding Square footage: Name: .j: G,rc Mailing Address` I - `A /15 � l e Phone: YO S>7 Name: L-tr —1 c-4 tit, license: ,sxrk4sIr973 R re Mailing Address. l •�• -11-A 3 i A-$ PA 9 3 6 Z. Expiration Date Email: gf-X fp2.*M 4e-60- OT R K 1i. A/ET Phone: ;?G.0 -4461 - 1319 111� Unit Charge Chontilty IgM(Quitrift x Unit Change) ServicwfFeeder 200 Amp. $120.00 _.. ._._ $ t:zo. c f Service/Feeder 201400Amp. $146.00 $ Service/Feeder 401-600 Amp $205.00 $ Service/Feeder 601-1000 Amp. $28200 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/Service Feeder $5.00 $ 4 Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1.4 $75.00 $ Temp.Service/Feeder ice/Feeder 200 Amp. $9300 $ 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 OU_ $54.00 $ Manufactured Norrie Connection $120.00 $ Renewable Elec.Energy:5KVA System or We $102.00 $ Thermasfiat(Mote:$5 for each additional) $56.00 $ Fast 1300 Square Feet $120.00 $ Each Additional 500 square feef' $40.00 $ Each Oulbuddarg/Detached garage $74.00 $ Each Sxnrraning Pool i Hot Tub $110.00 $ TOTAL $ Owner as defined by RCW.19.28261:(1)Owner will occupy the structure for two years alter this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sate,rent or lease.Permit a*fres after six months of last Inspection. After reading the above statement,I hereby crertify that I am the owner of the above named property or a licensed electrical contractm I am making the elachkal installation or alteration in compliance with the electrical laws,N.E.C_,RCtl11 Chapter 19.28,WAC.Chapter 2W 466,The City offPortAngetes Munaapol Code,and Utility Spegfiiicstions and PAMgy C 14.05.050 larding Electrical Permit Applications. Date Print Name Signature(❑ Owner Electrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Han or electricalpermit @cityofpa us or faxed to 360.417.4711] ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 18-00000967 Date 6/28/18 Application pin number . . . 210969 Property Address . . . . . . 615 THISTLE ST ASSESSOR PARCEL NUMBER: 06 -30 -15 -5 -4 -0575 -0000 - Application type description ELECTRICAL ONLY Subdivision Name Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Septic pump station ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LEROY SPROAT BOB'S ELECTRIC INC PO BOX 934 2293 DEER PARK RD. PORT ANGELES WA 983620161 PORT ANGELES WA 98362 (360) 457-7387 (360) 457-688'1 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date . . . . 6/28/18 valuation 0 Expiration Date 12/25/18 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 INSPECTION TYPE DATE: RESULTS: DITCH SERVICE ' ROUGH -IN FINAL CONINIENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X AR REPORT STATE SALES TAX on your excise tax form - to the City of Port Angeles (Location Code 0542) INSPECTOR: Date: u 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION, Public Works and Utilities i)cpartmcnt 321 F. 5th Street. Port j\rgeles, %V'N 9$362 360.417.473 www.cityo'pa.us eicetrica1permitsta,,.cit�Iofpa.us Project Address: Project Description: OL Single -Family Residential ❑ Duplex ARU Building Square footage: Name: r! e Ak Sj/ roQ t - Mailing Address TII _t: 4- le sr .-e-e IJ) Name: Snb� , IAr rtt e <I-,ic . Mailing Address. I Email: Email Phone: kt.'r z.. Jul79. �D License: _ �t t.-.9 Expiration ate: Phone.,Vo— �,6o"4,>_ 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, KE C., RCW. Chapter 19.28, WAC. Chapter 296- 46B The City of Port Angeles Municipal Code, and Utility Specifrcati ns and PAMC 14.05.050 r arding Electrical Permit Applications. ,� Date Print Namd Signatur (❑ -bwner& Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa u=_" or faxed to 360.417.4711] 112M Unit Chard Quantttv JgW (C uanttty x Unit Charge) Servioe/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-6W Amp $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W1 Service Feeder $5.00 $ Branch Circuit W/0 Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.Q0 $ Temp. Service/Feeder 200 Amp. $9300 $ Temp ServicelFeeder 201-400 Amp. $110.00 $ Temp. Servioe/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 fee(' $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, KE C., RCW. Chapter 19.28, WAC. Chapter 296- 46B The City of Port Angeles Municipal Code, and Utility Specifrcati ns and PAMC 14.05.050 r arding Electrical Permit Applications. ,� Date Print Namd Signatur (❑ -bwner& Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa u=_" or faxed to 360.417.4711] ELECT"¢ L.PERMIT CITY+ 'Afi GELESCD 5 N Application Number 19-00000202 .-Date 2/06/19 Application pin'number 134452 REPORT STATE SALES TAX Property Address . . . . . 6i5 THISTLE ST _ our excise tax forn7 ASSESSOR PARCEL,NUMBER: D6-30-16-5-4-0575=0080 On y Application type description . ELECTRICAL ONLY t0 the City of PO/f Angeles. Subdivision Name Property Use Location Code 0502 Property Zoning Application valuation 0 ---------------------------------------------------------- -------- --------- Application`desc Service-and remodel Owner Contractor. -- - - - -- - ---- - ----------- ----- --- Marcia Rutledge EXTRA MILE TBCfi & .WACT. ULC 615 Thistle Street 418 N. DACE-3T_ PORT AIdBUIS RA 98362`. PORT ANGELES WA 98362 ` (805) 4I4-8754 (360) 457-5222 Permit .X 4tJCAL-ALTER RESIDENTIRi,- -------- ---------------- ---------- --- Additionj1 4esc "Permit`Fee 160.00 Plan dieck'Fee 00 Issue Hate 2/06/19 Valuation o Expiration Date $f0519 Qty Unit Charge Per Extension 8.00 5.0000 ECH, $L-WANCH CIRCUIT 4¢.,0.0 1.00 120.0000 Edit EL-0-200 SRV FEEDER 120.00 - ---------------------------- Fee summary Charged Paid -Credi.ted Due` - --- ---------- ---------- ---------- . Permit Pee Total 160:00 160.06 :00 OD Plan Cheek Total 01 .00 :'00 00 Grand'Total 160.00 160.00 00 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE .F , ROUGH-114. 1 FINAL CON 4EMM: Pumit;lNt i EXPIRE SIX(6)Moms Fxom LAs`t'tiaPticrio i r Sig�afureF}Wlt6r cn.Eoet:ricat C �ractor X Date: '. � i .. III .. .i .. i RECEIVED 1 - 2 SINGLE-FAMILY FEB - ZOt 3 ' ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department _. 321 E.5th Street, Port Angeles, WA 98362 T 360.417.47351 www.cityofpa.ust I electricalpermits@cityofpa.us a 1113 Project Address: ITA z' f , 5 4 f,, j ProIDescription: 10 C t �... i l Z w C't re C ngle-Family Residential Cl Duplex/ARU Binding Square footage: Name: .j: G,rc Mailing Address` I - `A /15 � l e Phone: YO S>7 Name: L-tr —1 c-4 tit, license: ,sxrk4sIr973 R re Mailing Address. l •�• -11-A 3 i A-$ PA 9 3 6 Z. Expiration Date Email: gf-X fp2.*M 4e-60- OT R K 1i. A/ET Phone: ;?G.0 -4461 - 1319 111� Unit Charge Chontilty IgM(Quitrift x Unit Change) ServicwfFeeder 200 Amp. $120.00 _.. ._._ $ t:zo. c f Service/Feeder 201400Amp. $146.00 $ Service/Feeder 401-600 Amp $205.00 $ Service/Feeder 601-1000 Amp. $28200 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/Service Feeder $5.00 $ 4 Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1.4 $75.00 $ Temp.Service/Feeder ice/Feeder 200 Amp. $9300 $ 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 OU_ $54.00 $ Manufactured Norrie Connection $120.00 $ Renewable Elec.Energy:5KVA System or We $102.00 $ Thermasfiat(Mote:$5 for each additional) $56.00 $ Fast 1300 Square Feet $120.00 $ Each Additional 500 square feef' $40.00 $ Each Oulbuddarg/Detached garage $74.00 $ Each Sxnrraning Pool i Hot Tub $110.00 $ TOTAL $ Owner as defined by RCW.19.28261:(1)Owner will occupy the structure for two years alter this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sate,rent or lease.Permit a*fres after six months of last Inspection. After reading the above statement,I hereby crertify that I am the owner of the above named property or a licensed electrical contractm I am making the elachkal installation or alteration in compliance with the electrical laws,N.E.C_,RCtl11 Chapter 19.28,WAC.Chapter 2W 466,The City offPortAngetes Munaapol Code,and Utility Spegfiiicstions and PAMgy C 14.05.050 larding Electrical Permit Applications. Date Print Name Signature(❑ Owner Electrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Han or electricalpermit @cityofpa us or faxed to 360.417.4711] Application Number . . . . . 24-00001271 Date 12/20/24 Application pin number . . . 076194 Property Address . . . . . . 615 THISTLE ST ASSESSOR PARCEL NUMBER: 06-30-15-5-4-0575-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc DHP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CATHERINE M SYNOWIEC EXTRA MILE TECH & ELECT., LLC ANDREW N KESSLER 418 N. RACE ST. 6707 ALONZO AVE NW PORT ANGELES WA 98362 SEATTLE WA 98117 (360) 457-5222 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 95.10 Plan Check Fee . . .00 Issue Date . . . . 12/20/24 Valuation . . . . 0 Expiration Date . . 6/18/25 Qty Unit Charge Per Extension 1.00 95.1000 ECH EL-R- BRANCH CIR 1-4 95.10 .00 190.2000 ECH EL-0-200 SRV FEEDER .00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95.10 95.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 95.10 95.10 .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 $ $190.20 $ $285.30 $ $380.40 $ $475.50 $ $5.30 $ $95.10 $ $47.55 $ $95.10 $ $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 NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 12/20/2024 24-1271 TAP OWNER CONTRACTOR Extra Mile Electric PROJECT ADDRESS 615 Thistle St