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Home My WebLink About2239 W 16th St - Building � rY x� r1rJ_ l C)t E y OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections DEC 12 201 321.East Fifth Street-P.O.Soar 1150/Port Angeles Washington,98362 Ph:(360)4174735 Fax:(360)4174711 ELENICAL Date: -i' Y,&2 Single Family Dwelling 9 SPENIONS *Plan review May Be Raqulres,Please.Complete Ele tr'tcai Plan Review Information Sheet Job Address: j s Building Square Footage. - — Dasaiption of Owner Information Contractor information Name,.... t '1 -- ( re--f Name: F0!&A ir! CU- t F_j4eC+X4C&j Mailing Address-, Mailing Address:%18 -,X44 C S'T?- C1ty; ?r. State: + ,zip: �.��d�.� >ity:� M� State: Zip: 9$362- Phone: phana: _-_5=.2 _Fax: License#/Exp. ZeT T tt�m Unit C a e tJt 'Total(Q!y Multiplied by Unlit Charge) Sarv"IFeeder 200 Amp. $120.00 _ $� ServiceiFeader201400:Amp. $146.00 $ ServicelFeeder 401-600 Amp $205.00 $ ServicelFeeder 601-1000 Amp. $282.90 ServicelFeeder aver 1000 Amp. $373.04 $ Branch Circuit W1 Service Feeder $ 5.00 $ finch Circuit Wi O Service Feeder $ 63.00 $, ch Additional Branch Circuit $ 5.00 $ Branch Glrcuits 1.4 $ 76.00 _ $ Temp.Service/Feeder 200 Amp. $ 83.40 $� Temp,Service/Feader201-400 Amp. $110,00 $ Temp.Service/Feeder 401-600 Amp. $143.UO $ Temp.Servica/Feeder 601.1000 Amp. $168,00 Portal to Portal Hoorly $ 96.00 $� Sigrlal Circuit{United Energy-1&2 Family Dwelliag $ 64.00 Manufactured Nome Connection $120.00 $ Renewable 1lwc rcal Energy-6KVA System or Tress $102,00 "thermostat $ 56,00 Nate:$5,00 for each additional T-Stat NEW C®NSTRUCTI£3N ONLY; Fitst 1300 Square Ft. $120,00 $ Each Additional 500 Square Ft,or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 Each Swimming Pool or Flot Tub $110.00 6 $ 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 19.20,VVAC.Chapter 296.466,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.650 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: ❑ Cash 0 ched L7 CWdttCarrta X hated: -- -. ntrotryatz ELECTRICAL PERMIT t CITY OF PORT ANGELES 364-417-4735 Application Number . . . . . 13-00001443 Date 12/13/13 Application pin number . . 1 452986 Property Address . . . . . . 2239 W 16TH ST REPORT SALES TAX' ASSESSOR PARCEL NUMBER; 06-30-01-7-5-0060-00.00- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . Property Zoning . . . . . . RS9 RESDNTL SINGLE FAMILY (Location Cade 0502) Application valuation . . . . 0 l-- -Application doge .Hot tub Owner Contractor y GREEN, ORIANA EXTRA MILE TECH & ELECT. , LLC 2239 15TH ST. 418 N. RACE ST. PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 457-5222 _ __ _ --------------°_ permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 110.00 Plan Check Fee 04 Issue Date 12/13/13 Valuation 0 Expiration Date 6111114 Qty Unit Charge Per Extension 1.00 110.0000 ECH EL-SWIMMING POOL/HOT TUB 110,00 --------- ---------- ---- -----__- Fee 'summary Charged Paid Credited Due ---- ---- ------ ---------- Permit Fee Total 110.00 110.00 ,00 .00 Plan Check Total 00 .00 .00 .00 Grand Total 110.00 110.00 .00 '00 h INSPECTION TYPE DATE: RESULTS: INSPECTOR.: DI'T'CH SERVICE ROUGH-IN FINAL COMMENTS.: PERMIT WELL EXPIRE SIX(b)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGEISUILDING cJI'Ollr'4<~ .....l~l{<" ~. ~ -- "".- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA983620<j_1 0::;3 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . Application valuation 04-00001053 .375391 2239 W 16TH ST 06-30-00-1-0-7800-0000- RES NEW SFR Date 11/17/04 ~ ;??3tf tv/jp- RS9 RESDNTL SINGLE FAMILY 156428 OLYNPIC LAND DEVELOPMENT 259403 HWY 101 SEQUIM (360) 457-7222 Structure Information Construction Type Occupancy Type Other struct info INC. WANT ACTION CONSTRUCTION P. O. BOX 1425 SEQUIM (360) 681-3992 NEW 1388SF SFR W/ATT 450SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS INC. o~ . XavJ f)w :;;'!fC P;/~ Owner Contractor WA 98382 WA 98382 21. 80 V.N 1. 00 1. 00 9034.00 1974.00 1974.00 1. 00 Permit Additional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS W/M INCREASE 30.00 11/17/04 5/17/05 RES WATER SERV FROM 5/8 TO 3/4 plan Check Valuation Fee .00 156428 Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY vff0~ yr1.1-. Qty Unit Charge Per Extensi~n BASE FEE C 30.09 ----------~----~---~~--------------~---~-~--~~-------------------- -- - 45.00 11/17/04 5/17/05 plan Check Fee Valuation .00 156428 Qty Unit Charge Per Extension --------=~~~-------~=~~~~~-~=~---~=~~=-~~-~~=_:~~==------------~-~=~ permi t SANITARY SEWER HOOK UP Additional desc Permit Fee Issue Date Expiration Date 95.00 11/17/04 5/17/05 Plan Check Fee Valuation .00 156428 Qty Unit Charge Per Exten~in~ 1.00 95.0000 EA SAN SEWER HOOKUP C. 95.0~_ ~ --------------------------------------------------------------- ---------~ Special Notes and Corrunents Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-El Separate Permits arerequiredforetectricalwork, 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 give authority to violate or cancel the provisions of any state or local iaw regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Date Signature of Owner (if owner is builder) T:\PLANNfNG\FORl'vl.S\II02.1S [11114/2003] .....J c!I'ORr~ ~~<;. O~. ,,~ ~ "'<~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 04-00001053 pin number .375391 page 2 Date 11/17/04 special Notes and Comments When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association(NFPA) standards. The proposal will result in the construction of a single family residence in the RS-9 zone. Lot coveage and setbacks are good. No land use issues are noted. Electrical load calculations and elctrical permits are required. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. -------------------------- Other Fees . . . . . . . -~-~--;;~;;-;;;;;~-;;~~-;~~;-c=,45~- STATE SURCHARGE ~ PW WATER SYSTEM USE FEE <= 1025.0~ Fee summary Charged Paid Credi ted Due ----------------- ---------- ---------- ---------- ---------- Permi t Fee Total 170.00 170.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1944.50 1944.50 .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 a!terthe 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. Ail 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 law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [11/1412003] c(o /IN---.kr WO:ll-j3\3'Og-331 \(jS~~ (:SIL' , ( 10.1)(..,. . $I~ APPLICATION FOR WATERlL.:"-,--~.._- - ! { , %i!.l O~ City Water Division EF\ "T ' ,- tJli p':~f 11~~~PU Angeles. Washington I! -IT .20t2!:} I hereby apply for wfter to De furnished in accordance with rates and rules of the City for the following premises: 5p:J-llnn /-:J'-"T /'i!. 4S?- 7"2- Z- 2: Name of APPlicant:C/IYmpJ/'"/ Lt,lJd OBv' ~L)O: S-~ Address: ~ Z ~ w J // 1:1-< ~ ;o9"~..f"~..?f Renewal 0 t-jew servic~lk.:r: Lot (~ Add~!l';?7,P/C-//"'/~ IIPS/;t..{> -ff; 74 1/ F.. /) 'rJ5"7 .,8'1 Size/of ~ei'Vlt:e .. Meter i;r.'b;r Co.. il-J" Service Left On 0 s:rvice Left~gned (~a.fLf1. f dr,l-- Installed by Remarks: If}O~ -I-P/~f ./Jy hY"e3j>rmkl<r ,/1 f1PSR:e- me;, e,.. lar,,!,)' /??-e-';~J/'f-I;'e Pef'Yi11T-il.. Ci4-- 10'55 !?prln,;)-~lt1';.f!St='- N \lr~ i 2.2. 3'\"tl, i~ '11.1 I . I : ! I W lie -H, " ]:: E 1--17J' 4- .., 2. s CITY OF PORT ANGELES c DEPARTMENT OF PUBLIC WORKS -(/1-( i') . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date /v"'i{/~ Time Received by (phone, person) Location of Work to be inspected ~ '2 ~ q tv / ~ ~ Name of person requesting inspection (!J /1 .f)~ '" Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Oc;-/OSS' ---- Sewer--Foundation---Framing- ..Chimney~ Plumbing- -Final-- Sewer.Excav.-Other- .---.. ..------....-~--_.. INSPECTION NOTES: Inspected: Date ,I ;;-.-II/-/)1- Remarks: Time BY~ /?i]1.:;,IY\\\ A)JI)ros:::~,,- d . RESTORATION REQUIRED . . . . .. YES NO .1"-- ~' .,.. I"- l.'_ T! - cc~:~ I ool 401' ~ Q ~ . ~il~ l.v t I __J-- - \'2, L-\~ Cl <iL b' 0-\3 I'D-\.. - . (,0 SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel OAsphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . INSPECTION REPORT. . . . . . . . . . REQUEST: Date "" - I b " C>~ Time Received by RV (phone, person) Location of Work to be inspected 2. :z....:sq fA..) I ~ '11.-7 7)' I I Name of person requesting inspection ~u.sa,'^- ~ Address of person requesting inspection Phone No. "%~7-7Z:;> 2- Type of Inspection (circle appropriate one): Permit No. 0 'I-IOS"'3. Sewer Foundation Framing Chimney Plumbing CE!~~Sewer Excav. Other INSPECTION NOTES: Inspected: Date t,. - It:, - OS- Time Remarks: Reve / Po.M d r'I-(' dr,'..;"" u..JG\..Y _'S{~iAda,...-d - By RV <?.u. I VPr--f- 6e. {J /tv I T RESTORATION REQUiRED...... YES )( NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . INSPECTION REPORT. .... REQUEST: l I Date U.l _ OS Time Received by I~ (phone, person) Location of Work to be inspected -z-, Z ~cq In I ~ Ch Name of person requesting inspection V 0,1. 1 (111/\ jJ fJ.) I) - Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. ~- jtyS3 Sewer FoJndation Framing Chimney Plumbin~ewer Excav. Other woO k J~tfl f cLth - INSPECTION NOTES: l Inspected: Date (j /7 OS Time ~:Oo.PM By ~ if Remarks: i=;,,-.lZ..- 1...""" e-..r-""u-~A a~ e.",J. J\ >freer) wo.lkJ.....5 po..4-L.. I /VB T '-';'''f-v..''''", 1101- I,.., (.orre.c-f Lr>cc.Y-'~,,,, RESTORATION REQUIRED . . . . .. YES~ NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) ~TAI=I=T ~IIPI=AINTl:l\lnI:I\.IT IndTFl ~ , , ~~"3!~5/2004 11:09 350-581-7272 JARMUTH ELECTRIC PAGE 02 ~ V/ i. / ELECTRICAL WORK PERMIT APPLICATION ~ I \'! [B'ReQuest~tion '~Ieetrical Contractor q Owner D, ~ Cl Annual Permit Cl Alarm b Carnival Cl Commercial Cl Realdendal 0 Resldendal MaIot. Cl Sips 0 TberOlo.tal 0 Telecom, Job wlr~d by 0 Elktr...1 Contractor 0 Owner Elec.tric;al I:ontraclor name:! License number :h,..""".v~'C E/,,?-..{.,..1 (' SlfI?M(/fl~3 ErE/-{ Purchaser's mailina aadress : ~ W \A.hsl.. 1-..,. 1-.... S-t- CHf, t: ~ZJP ~~""- I IAlA- 9r<:7,k",L Telephoht number I FAX number c. Installation dCllcnption ! JK'tJO 5p; '# ~k< 2- .D...,)(' lop.... ,..J_ ...r- I (.-r-+ S'T J bereby certify tbat I am the dwner of the above named property or a licensed electrical contractor (or the timi's aumorized agen\) and am making the electrical installation or alteration in comP.1i8llcc with the electrical law, Chapter 19_28 RCW. o Cash 0 Check # o Credit Card @) Mastercard Discover Card# ___~-L&:..___-____ Il!drldlll c:oftfflttor or electric. I .dminlstntor Expiration Date of card D x O'te ~vodB~ SERVICE "3 Lf 05 /1z:,{) Olt' Appr:rved By Insulation Only CEIlJNG IOlulBticn Only THERMOSTAT Oal~ Awoved by 3/{ 10" Com h;.;p l1.te Approved y Oal' AppltlVld 8y ~~ ~';om 1:::P tt~ ~",'" By DITClI /Ia:J Approved By FEEDER D." APPftWod By ~ Eleetrlcal Loed Additions !I~d or 8ubtrllctlons Cl NO LOAD CHANGES " a Baseboard KIN o Furnace _ KIN D Heat Pump _ Ton _ UAR D Fan.Wall KIN Service Inform.non Cl Overhead Sarvlca o Tamp Service .,.a-Onderground Service Voltage Ph... Cl , IJ 3 Service Size: _ Feeder Size: In/ilpecticn Dale Area, Building or Equipment Inspected Action Taken Electrical Inspector 6u;&.D"'~" ~'r A-4,ao t:)A P/7U ,#f? #eJ) '.' ,..5d';Cp?cL - rl -V/?"'l- ,E'lVr9&- _iII#.II> <~~ ~t,.; - //Y f..f ~ >,4- ~ A 2. -- tJ~ /I ;'l /I/,-<- P - '-' /2/;?/dl...../- I . / ~ ELECTRICAL INSPEC~--_____/ WIRING REPORT 417-4735 INSPECTOR - /() 53 ~~ ADDRESS Z~31tJ /67"}. 5r APPROVED NOT APPROVED o . . . . . . . . . . . . . . . . . . . . DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . .. . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . .. . . . . . . SERVICE. . . . . . . . . . . . . . . . . ..0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: @ K/~'/ /J~ 1Zf""...uPr RU/Je.O NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 Application Number . . . . . 23-00000220 Date 3/07/23 Application pin number . . . 698780 Property Address . . . . . . 2239 W 16TH ST ASSESSOR PARCEL NUMBER: 06-30-01-7-5-0060-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat pump system ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JODY A SCHWEYEN ALL WEATHER HTG & COOLING INC P O BOX 37 302 KEMP ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-9813 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 56.00 Plan Check Fee . . .00 Issue Date . . . . 3/07/23 Valuation . . . . 0 Expiration Date . . 9/03/23 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)Permit #: New Construction Only [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] PREPARED 3/06/23, 8:07:37 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000220 2239 W 16TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 56.00 TOTAL DUE 56.00 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 7/10/2023 23-220 TAP OWNER CONTRACTOR All Weather Heating PROJECT ADDRESS 2239 W 16th St Application Number . . . . . 23-00000697 Date 7/31/23 Application pin number . . . 090295 Property Address . . . . . . 2239 W 16TH ST ASSESSOR PARCEL NUMBER: 06-30-01-7-5-0060-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Furnace / Heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JODY A SCHWEYEN BLACK DIAMOND ELECTRICAL CONTR P O BOX 37 502 BLACK DIAMOND RD PORT ANGELES WA 98362 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 7/03/23, 7:50:20 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000697 2239 W 16TH 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 12/07/2023 23-697 TAP OWNER CONTRACTOR Black Diamond Electric PROJECT ADDRESS 2239 W 16th St