HomeMy WebLinkAbout1020 W 11th St - Building
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date i, 2-<7 -o,? Time I p/V\.. Received by 0'6,,>1 {'s E, (phone. person)
_ -It..
Location of Work to be inspected /D 2-D cU. ((-
Name of person requesting inspection f}eh 11 ,- 5 E.
Address of person requesting inspection ~ /' (J ~ ,j) t'1</- B Phone No. if t7 - 'f~'1
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Type of Inspection (circle appropriate one): Permit ~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Ot~ W~,--+"-r.
INSPECTION NOTES:
Inspected: Date /- 2-) - D g
Remarks: /<2,e ,t)c:... t, ~ J' 2 "
I
Time 2
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f? IV1. By () <'<1 V1 ~ 5 E...
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RESTORATION REQUIRED. . . . .. YES
NO X
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # 303i{ Z. - ( '" C,.
o COMPLETE
o INCOMPLETE
Application Number . . . . . 24-00001178 Date 10/31/24
Application pin number . . . 181962
Property Address . . . . . . 1020 W 11TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5320-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Bedroom addition
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Owner Contractor
------------------------ ------------------------
DALE D SHOFSTALL APS ELECTRIC
1020 W 11TH ST 546 BENSON RD.
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 461-0054 (360) 452-6753
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 95.10 Plan Check Fee . . .00
Issue Date . . . . 10/31/24 Valuation . . . . 0
Expiration Date . . 4/29/25
Qty Unit Charge Per Extension
1.00 95.1000 ECH EL-R- BRANCH CIR 1-4 95.10
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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
1-2 SINGLE.ILY
ELECTRI CAL PERM lT APPLI CATI ON
l-k*nwffi
ProjectAddress D o ru. i a pA 3
Project DescriPtion:
frSingle.FamilyResidential[Duplex/ARUBuildingSquarefootage:
Name:Email:NA
MailinQ Address lDi o hl , l(Phone
To
3
s
-
trF
Name:
Mailing Address:
Email
Item
Service/Feeder 200 AmP,
Service/Feeder 201 -400 AmP.
Service/Feeder 40 1 -600 AmP.
Service/Feeder 601-1 000 AmP.
Service/Feeder over 1 000 AmP.
Branch Circuit W Service Feeder
Branch Circuit WlO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 AmP.
Temp. Servic elF eeder 2A1400 AmP.
Temp. Service/Feeder 401€00 AmP.
Temp. Service/Feeder 601-1 000 Amp.
Portalto Portal HourlY
Signal CircuiUlimited Energy - 1&2DU,
Manufactured Home Connection
Renewable Elec. Energy: SKVA System or less
Thermostat (Note: $5.30 for each additional)
First 1300 Square Feet
Each Additional 500 square feef'
Each Outbuilding / Detached Garage
Each Swimming Pool/ Hot Tub
License: A0se z-gc I Ylir fi/
Expiration Date: tl - 15 - A o& 6
Pnone:
Unit Charge
$190.20
$190.20
$285.30
$380.40
$475.50
$5.30
$95.1 0
$47.55
$95.1 0
$95.1 0
$190.20
$285.30
$380.40
$95.10
$e5.10
$190.20
$190.20
$95.10
$190.20
$47.5s
$95.1 0
$190.20
Cluantity
TOTAL
Total (Quantity x Unit Gharge)
$-
$-
$-
$-
$-
$-
$-
$-
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$
$-
$
$
$-
$
$gs"i o
I
Owner as defined by RCW.19.2g.261 : (1 ) owner will occupy the structure for two years after this electrical permit is finalized. (2) Oruner is
required to hire an elect1cat contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection'
Afier reading the above statement, I hereby certiff that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliancewiththeelectricallaws, N.E.C., RCW Chapter19.28, WAC. Chapter296-
468, The City of PortAngeles Municipal Code, and Utility and PAMC 14.05.050 regarding Electrical PermitApplications.
o o ,l gr R OL R-
Date Print Signature (Gontractor / Admin istrator)
AA'r.t* i'q</
iulr 5<r n Faad l
[Electrical Permit Applications may be submitted to City Hall or
Owner
tus or faxed to 360.417.47111
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN / COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
11/6/2024 24-1178 TMC
OWNER
Contractor
APS Electrical Contractors
ADDRESS
1020 W 11th St
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN / COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
12/4/2024 24-1178 TMC
OWNER
Contractor
A.P.S. Electrical Contractor
ADDRESS
1020 W 11th St