HomeMy WebLinkAbout339 Vashon Ave - BuildingApplication Number 07 00000363
Application pin number 873708
Property Address 339 VASHON AVE
ASSESSOR PARCEL NUMBER 06 30 10 5 0 9050 0000
Tenant nbr name PETER HAGEN
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 6550
Owner Contractor
HAGON PETER J
339 VASHON AVE
PORT ANGELES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983626310
LARRY S ROOFING
352 AVIS ST
PORT ANGELES
PORT ANGELES
(360) 452 2215
Date 4/09/07
WA 98362
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR -OFF 30# FELT COMP
Permit pin number 99135
Permit Fee 165 75 Plan Check Fee 00
Issue Date 4/09/07 Valuation 6550
Expiration Date 10/06/07
Qty Unit Charge Per Extension
BASE FEE 95 75
5 00 14 0000 THOU BL 2001 25K (14 PER K) 70 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 165 75 165 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 170 25 170 25 00 00
T \Policies \1102 15 building pennit inspection record05 wpd [1/4/2005]
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 gov ing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to giv authority t violate or cancel he provisions of any state or local law regulating construction or the performance of
construction.
T
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
INSPECTION TYPE DATE
CALL 417 -4515 FOR BUILDING INSPECTIONS. CALL 417 -473'S FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL 4NI' WORE BEFORE
INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR /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
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT //'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
BUILDING PERMIT INSPECTION RECORD
YES
ACCEPTED COMMENTS
NO
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W /PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW /ENGINEERING
FIRE 417 -4653 I 1 1 1 FIRE DEPT
I PLANNING DEPT 417 -4750 I F I tl 1 PLANNING DEPT
BUILDING 417 -4815 I t J 11(1 t 1 1 -4 1 u 1 BUILDING
T \Policies \I 102 15 building permil inspection record05 wpd [1/4/2001
FINAL DATE ACCEPTED B
FINAL
SEPA.
ESA.
SHORELINE:
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE I ACCEPTED
1 YES 1 NO
l 1 1 1
1 1 1
I 1 I
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
00038il
FEE RECEIPT NUMBER
PERMIT NUMBER
".
'tOTAL'FEE'
jo: '00 i
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nee.
LEGAL OCCUPANCY
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- CONT.llC. NO.
, TIME TO COMPLETE .
N.D_.S,TORIES
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ELECTRICAL PERMIT ONLY
1/'0. <,11f\v1 .
CORRECT AD ESS IS RESPONSIBILITY OF APPLICANT
G 'ne.. re', ' b",d
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NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address
3~~
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O~ner
Owner's Address
,
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Installation By ~k~c:triL s.,,,,,\~e. ~ r,,<-.
IristallersAddress : _ loll \'Y\.-I- El",q 0.+ II}L
Installers Phone " . 1-t"'i''2-I-.\}'2 '4
W \ rc. n,- ,",\..1 y" l2..S\c\enc 't"
Day Phone'
Application is hereby made for Permit to install Electrical Equipment as follows:
fA? sei\/.'lL
Wiring Method
Y"QI'YI"'f
..-
NUMBER AMP 120V 24QV NUMBER AMP 120V 240V
USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR '0 30 CIRCUITS CIR 10 30
LIGHT 4 I'S- X SIGN
LIGHT I 50 VOLTS
OR LESS
CONVENIENCE' MOTOR
CONVENIENCE MOTOR
APPLIANCE 3 ;;20 )c MOTOR
DISHWASHER I "J{) X FIRE ALARMS
DISPOSAL I /5 :x BURGLAR ALARM
RANGE I .1)0 X MISC.
OVEN I <(t> )<:
WATER HEATER I l[) l'
LAUNDRY I 2,0 (\
DRYER I '7\) /\ REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE 2- 100 1\ ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT ) (') X. 1CJ (JiJ
TOTAL FEE
.
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT ')06 AMP' I PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE \ '2'iJO l\ VA A.W.G.
I ' I SUB. TOTAL SIZE OF GROUND l..f.. , .200
SIZE OF ENTRANCE SWITCH
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Date Application made
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I certify that the work to be performed under this permit will be done by the installer and in con
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CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby glven.to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. .
1 . ./DIRE9TOR Y~IT,Y LIGHT .
By ~~ t:~~.', -' , \
Date Permit Issued ~
.. I -- PLANS AP ROVED .....
1- r ~ - t ~ Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not'
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158.
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WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE - OrIginal CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC FAINTEAS, INC.
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REPORT OF INSPECTOR
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DATE OF VISIT MADE BY REMARKS
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O.K. FOR COVERING
rr " 17 - 3.;- IJfff.% ")O.K. TO CONNECT SERVICE
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FEE RECeiPT NUMBER
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TOTAL FEE
Site Address
Owner
Owner's Address
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A 000319
PERMIT NUMBER
F.fff~
gLl;: C" 5
3'tDCl
CO NT. lie. NO.
LEGAlOCCUPANCY
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TIME TO COMPLETE
NO. STOAIES
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8. ELECTRICAL PERMIT ONLY . NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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CORRECT DOR S5 IS RESPONSIBILITY OF APPLICANT ~ERMITS WITH WRONG ADD~SES ARE C.6:NCELLED) .. .
~>'I\ . e Installation By t:.kc. h.le.. serVile Ir."-
3~ 5' li- . ~ \1f \^ !J.<r,'} Rd ~(1i>I~nstallers Address L \ l 6 g. M;/- fJlt'<\ s q",t RJ
'J? '3. - 'i{58C, . Installers Phone 157-73 &'1
Day Phone
Application is hereby made for P
{\"III' C<'-
Wiring Method
USE OF CIRCUIT
LIGHT
LIGHT
CONVENIENCE
CONVENIENCE .
APPLIANCE .
DISHWASHE~
DISPOSAL
.' RANGE
OVEN
WATER HEATER
LAUNDRY
DRYER
FURNACE
GAS'- Oil
FURNACE
ELECTRIC
ELECTRIC HEAT
ELEC1RIC HEAT
A.C. UNIT
FEEDER
SERVICE
NUMBER
CIRCUITS
AMP
PER
CIR
ffi2 240V
100R
~30
V/.~
<..<... ~ H)
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IV"/~V/)
V'I~:':::
1// /'
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MOTOR
~RE ALARMS
'TrLAR ALARM
~S/,\
:Av.' ^
<//~..)) .
v /: '1_
REINSTAILA/l9N LIGHT FIXTURE'# -.
SUB T<l'l'AL FEE
ENERGY FEE
BASIC FEE
.
AMP
PER
CIR
240V
100R
30
NUMBER
CIRCUITS
120V -
10
FEE
USE OF CIRCUIT
FEE
SIGN
50 VOLTS
OR LESS
MOTOR
MOTOR
TOTAL FEE I.), CO
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
100
. AMP
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
-Ilk,
A.W.G.
I S'UB.TOTAl
SIZE OF GROUND ~ &: SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and In c~),mance W)jh the N.E.C. Electrical Code,
Date APP"c~tlo~ made , \ v""- ) 'I, ' 19 J5 By ~lt.r),J rilctt/
.- CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permlss!on i~ hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the ~ity of Port Angeles. "
By hi. ~I~ ~CITY',lIGHT . :'.
Date Permit Issued ~ ~
. r; _ /tf-8~ PLANSA P VED '.'
I WARNING I
__ ~OL YMPIC PRINT':..RS, INC.
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457.0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Duplicate PINK - Triplicate WHITE CARD - Inspector's Report
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 4174735 Fax: (360) 417 -4711
Date: 8.13 -14
❑ 1 & 2 Single Family Dwelling
AUG I a 20%
ELECTRICAL
INSPEVOINS
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 339 E. Vashan
Building Square Footage:
Description of above installing 4 clrcults far new downstalra kitchen
Owner Information
Contractor Information
Name: Sul venous
Name: 3edl Electrloc
Mailing Address: 339 E. yaahan
MaWng Address; 331 Fors Rd.
City: PortAngelea State: Wa zip: 9836132
City: Port Angeles State:
wa Zip: 98363
Phone: Fax:
Phone; 360. 460.0556 Fax:
License # 1 Exp,
License ! Exp, ledlee`957cz
Item
Unit Charge
9it Total (Qty Multiplied by 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
$
ServicelFeeder over 1000 Amp,
$ 373,00
$
Branch Circuit Wl Service Feeder
$ 5,00
$
Branch Circuit W10 Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1.4
$ 75.00
1
$ 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 Family Dwelling
$ 64.00
$
Manufactured Home Connection
$120.00
$
Renewable Electrical Energy - 5KVA System or Less
$102.00
$
Thermostat
$ 56.00
$
Note: $5.00 for each additional T -Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft,
$120.00
$
Each Additional 500 Square Ft, or Portion of
$ 40.00
$
Each Outbullding or Detached Garage
$ 74.00
$
Each Swimming Pool or Hot Tub
$110.00
$
$75.00 Total
Owner as defined by RCWA 9,28,261: (1) Owner will occupy the structure for two years after this electrical permit is finalized, (2) Owner #s required
to hire an electrical contractor if above sald 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,
Signature of owner, electrical contractor or electrical administrator:
x Dated: 8-13 -14
❑ Cash A Check
❑ Credlt Card #
01101012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 14- 00000964 Date 8/14/14
Application pin number . , , 309116
Property Address . , , , , , 339 VASHON AVE
ASSESSOR PARCEL NUMBER; 06-30-10-5-0- 9050 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name , . . . , .
Property Use
Property Zoning . , . , , , , RS7 RESDNTL SINGLE FAMILY
Application valuation . , . 0
Application desc
Downstdirs kitchen
Owner Contractor
LAWRENCE'C /SUSAN F HIRTZRL JEDI ELECTRIC
339 VASHON AVE 331 FORS RD,
PORT ANGELES WA 903626310 PORT ANGELES WA 98362
(360) 460 -0556
Permit . , . . . , ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee 75.00 Plan Check Fee 00
Issue Date , . , , 6/14/14 Valuation 0
Expiration Date . , 2/10/15
Qty Unit Charge Per Extension
BASE FEE 75,00
Fee summary Charged Paid Credited Due
Permit Fee Total 75,00 75,00 .00 OD
Plan Check Total 00 DO .00 00
Grand Total 75.00 75.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Cade 0502)
INSPECTION TYPE
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:IEXCIIANGSIBUILDING
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FIINAL7+�
CQN04El`I 1 S:
DATE: RESULTS:
Iq #r
,S' J. l / 'Ap
i
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
INSPECTOR:
Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . .
18-00000716 Date 5/10/18
Application pin number . . .
687924
Property Address . . . . . .
339 VASHON AVE
REPORT STATE SSS TAX
ASSESSOR PARCEL NUMBER:
06 -30 -10 -5 -0 -9050 -0000 -
tax farm
Application type description
ELECTRICAL ONLY
on your excise
Subdivision Name . . . . . .
to the City of Port Angeles
Property Use .__
(Location Code 0542)
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation
0
----------------------------------------------------------------------------
Application desc
Ductless heat pump
----------------------------------------------------------------------------
Owner
Contractor
------------------------
LAWRENCE C/SUSAN F HIRTZEL
------------------------
BLACK DIAMOND ELECTRICAL CONTR
339 VASHON AVE
502 BLACK DIAMOND RD
PORT ANGELES WA 983626310
PORT ANGELES WA 98363
(360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00
Plan Check Fee .00
Issue Date . . . . 5/10/18
Valuation . . . . 0
Expiration Date 11/06/18
Qty Unit Charge Per
Extension
1.00 63.0000 ECH EL -R-
BRANCH CIR WO/ SER FEED 63.00
----------------------------------------------------------------------------
Fee aumn*ry Charged
Paid Credited Due
_ --------- ----------
Permit Fee Total 63_.00
---------- ---------- ----------
63.00 .00 .00
Pian Check Total .00
.00 .00 .00
Grand Total 63.00
63.00 .00 .00
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FIINAL7+�
CQN04El`I 1 S:
DATE: RESULTS:
Iq #r
,S' J. l / 'Ap
i
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
INSPECTOR:
Date:
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department i .
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 ! www.cityo:Fpa.us ; eiectricalperrr,its@.cityofpa.us
Project Address:
Project Description:
Single -Family Residential
❑ Duplex/ARU Building Square footage:
Name: I JA -T d>u S Email:
Mailing Address: 33 `t E VAJ''�
Name: LU IL
Mailing Address:
Email:
Q
Phone: 2o6 - -7V-7- Y4 -*s-1
License: &A eAcC 97Y02
Expiration Date. -
Phone:
CD
3
Item
Unit Charae, 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
$ /7
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 t
owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in corn n
with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46 pThe City of Port gele Municipal Code, a it ecifications and PAMC 14.05.050 regarding Electrical Permit Applications.
�
Print Name
Lity
Signatures. Owner ❑
Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted
Hall or electricalpermits@cityofpa.us
or faxed to 360.417.4711]
INSPECTION TYPE
ELECTRICAL PERMIT
DITCH
SERVICE
- `'►
ROUGH -IN
CITY OF PORT ANGELES
FINAL
360-417-4735
t
Application Number . . . . .
18-00000716 Date 5/10/18
Application pin number . . .
687924
Property Address . . . . . .
339 VASHON AVE
REPORT STATE SAES TAX
ASSESSOR PARCEL NUMBER:
06-30-10-5-0-9050-4000-
tax form
type description
ELECTRICAL ONLY
on OUI' eXC/Se
y
Subdivision Name . . . . . .
to the City of Port Angeles
Property Use
(Location Coate 0502)
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
0
----------------------------------------------------------------------------
Application desc
Ductless heat pump
----------------------------------------------------------------------------
Owner
Contractor
------------------------
LAWRENCE C/SUSAN F HIRTZEL
------------------------
BLACK DIAMOND ELECTRICAL CONTR
339 VASHON AVE
502 BLACK DIAMOND RD
PORT ANGELES WA 983626310
PORT ANGELES WA 98363
(360) 565-1035
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Permit . . . . . . ELECTRICAL
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ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00
Plan Check Fee .00
Issue Date . . . . 5/10/18
Valuation . . . . 0
Expiration Date . . 11/06/18
Qty Unit Charge Per
Extension
1.00 63.0000 ECH EL-R-
BRANCH CIR WO/ SER FEED 63.00
�•
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Fee.aumml(ry Charged
Paid Credited Due
_-_------ ----------
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Permit Fee Total 63.00
63.00 .00 .00
Plan Check Total .00
.00 .00 .00
Grand 'Total 63.00
63.00 .00 .00
INSPECTION TYPE
DATE: RESULTS:
DITCH
SERVICE
- `'►
ROUGH -IN
FINAL
COMMENTS•
t
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
INSPECTOR:
Date:
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilitics Department "> =-.
323 E. 5th Street, Port Angeles, WA 98')a2
360.437.4735 www.ci,yofpa.us electricalpermitsCcityofpa.us'.,
Project Address:
Project Description:
TY -Single -Family Residential
VAsff lori
k�v�SJ
❑ Duplex/ARU Building Square footage:
Name: t/A-r-_JdU S Email:
Mailing Address: 33`7 C VA -J *tt,,*''
Name: WC
Mailing Address:
Email:
Phone.- 206 - 7Y7- YVr(
License: &,A ACC89Y02-
Expiration Date:
Phone:
Item Unit Charae 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 $ /1
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 $
6�
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 t owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in com n with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46 , The City of Portgele Municipal Code, a it ecifications and PAMC 14.05.050 regarding Electrical Permit Applications.
ate Print Name/% Signature. Owner F-1ElectricalContractor /Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
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