HomeMy WebLinkAbout427 E 10th St - BuildingPREPARED 9/23/10 8 40 19 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/23/10
ADDRESS 427 E 10TH ST SUBDIV
TENANT NBR BRIAN AMY BORDE
CONTRACTOR COZI HOMES CONSTRUCTION INC PHONE (360) 452 9906
OWNER BRIAN AMY BORDE PHONE (360) 460 0579
PARCEL 06 30 00 0 2 8875 0000
APPL NUMBER 10 00000386 RES REPAIR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 9/07/10 JLL BLDG FOUNDATION FOOTING
9/07/10 AP September 7 2010 10 55 25 AM 1pangrle
LANCE 460 0037
FOOTING
September 7 2010 4 39 22 PM jlierly
ufr installed jll
BL99 01 9/23/10 J,L BLDG FINAL TIME 01 00
Al, September 22 2010 2 17 00 PM 1pangrle
1 KEN 460 0036
BUILDING FINAL FOUNDATION REPAIR
AFTERNOON
THE PERMIT IS BY THE ACCESS DOOR
COMMENTS AND NOTES
PREPARED 9/07/10 10 56 25 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/07/10
ADDRESS 427 E 10TH ST SUBDIV
TENANT NBR BRIAN AMY BORDE
CONTRACTOR COZI HOMES CONSTRUCTION INC PHONE (360) 452 9906
OWNER BRIAN AMY BORDE PHONE (360) 460 0579
PARCEL 06 30 00 0 2 8875 0000
APPL NUMBER 10 00000386 RES REPAIR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 9/07/10
BLDG FOUNDATION FOOTING
September 7 2010 10 55 25 AM 1pangrle
LANCE 460 0037
FOOTING
u 2J
me
COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 10 00000386 Date 4/20/10
Application pin number 462906
Property Address 427 E 10TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 2 8875 0000
Tenant nbr name BRIAN AMY BORDE
Application type description RES REPAIR
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 5875
Application desc
FOUNDATION REPAIR
Owner Contractor
BRIAN AMY BORDE
PO BOX 311
PORT ANGELES
(360) 460 0579
T:FormsBuilding Division/Building Permit
WA 983620051
COZI HOMES CONSTRUCTION INC
324 E 9TH ST
PORT ANGELES WA 98362
(360) 452 9906
Permit BUILDING PERMIT RESIDENTIAL
Additional desc FOUNDATION REPAIR
Permit pin number 164061
Permit Fee 151 75 Plan Check Fee 98 64
Issue Date 4/20/10 Valuation 5875
Expiration Date 10/17/10
Qty Unit Charge Per Extension
BASE FEE 95 75
4 00 14 0000 THOU BL -2001 25K (14 PER K) 56 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 151 75 151 75 00 00
Plan Check Total 98 64 98 64 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 254 89 254 89 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 give authority to violate or cancel the provisions of any
state or local law regulating construction or the performance of construction.
v'_ 10 .0", t
Date Print Name Signature of Contractor or Amt o rized Agent Signature of Owner Of owner is builder)
\c\
oc)\
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
FOUNDATION
Footings 4— 7-- 10
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 1 FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab 1
Blocking Hold Downs 1
Skirting
Accepted By Comments
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
n sr. iej
n e)10c
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By C
FA_
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653 0
Planning 417 -4750
Building 417 -4815 9'23 I0 3 LL
4
r
T:Forms /Building Division /Building Permit
Project Type Brief Des
Check all that apply
New Construction
Addition
Remodel
epair
Demolition
Re -roof
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
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
Property Owne,r /9 IVY r-Jje_..
Property Owner's Address Lf a" o
Contractor H" tryn -e5
Contractor's Address
License E*pirds
cription.
PROJECT ADDRESS LID 7 7
Parcel Number
Residential
Existing (sq. ft.) Proposed (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
Pho
Phon
Phone
E -mail
Multi- family Commercial
per sq ft.
For City Use Only
Date Received 4-19 -10
Permit #4- 3
D ate Approved
tJ(-;a nom
Lot Zoning
of bedrooms
of full baths
of half baths
0 0 3 C,
Industrial
x' 3rt 1 l CL. -1l r.a l Ctd.e- w i-1-1, 4- Y 1)1F
�e i �1- 1� L L rt v
o Lc
A t S v ce- tp 0s--
4_-e r—�ct 1 o
House o garage other tear off re -roof lay over one layer
Heat pump wood burning stove gas fireplace pellet stove other
TOTAL VALUATION l S
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
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects
Date t/—I 7'10 Print Name f l k) Signature /a
T Forms /Building Division /Bldg Pe :m t.doc
Apr 08 10 02:53p
Charles Burnell
Z
/3
-7 .1
rgruYNi
''L A e -1:7142s
5
4524094
,1
t J
(31-.34tt- j-,tv.um-t
d )e e e i.a_d 40. t-"
4414- k.C4110 l eeirk h 1 v
1/01" Q t Q;Y�o p� CC
*fir. k
p.3
v) CILE
GQ 7 1D G G�
C�
w
CITY OF PORT ANGELES Construct Plans
The- Issuance --of- this permit upon these plans, specifi-
cations and other data shall not prevent the building official
from thereafter requiring the correction of errors in said
plans, specifications and other data, or from preventing
building operations being carried on thereunder when in
violation of all codes and ordinances of this jurisdiction.
Zsao tP
Approval Date a S r ra By C
VIgt3?
Uts 1U UZ:b..ip
Charles Burnell
t
4524
a,'
o r•••••
r7 1
Apr 08 10 02:54p Charles Burnell
8 CP
fflirgiptI15
?4!* 0 C !Orem
?res5lee_itectkrea
iv% rcir\ alc ‘7.
.-?6$1-cLAK
i
bar
I ye ca ?e),5t jPe1r ,rcx+`113
dlat4 et 40)Am R e ,fcca--
conatAi33oL
de
1
e?.‘fx" 42 X id' ez Fier
4524094
P 5
Clallam County Assessor Treasurer Property Details 58750 BRIAN AMY BORDE Page 1 of 5
Clallam County Assessor Treasurer
Property Search Results 58750 BRIAN AMY BORDE for Year 2009 2010
Property
Account
Property ID*
Geographic ID
Type
Tax Area:
Open Space
Historic Property* N
Multi- Family Redevelopment: N
Location
Address: 427 E TENTH ST
PORT ANGELES
Neighborhood:
Neighborhood CD*
Owner
Name.
Mailing Address.
Taxes and Assessments Due
Property Tax Information as of 04/19/2010
Amount Due if Paid on:
Statement I
1 Year ID Taxing Jurisdiction
2010 41669 ST SCH STATE SCHOOL
2009587502008
1 2 60 6-5 8 75 6200 ti 520
2009 587502008
2009 587502008
2009 587502008
2009 587_502008
2009 587502008
2009 587502008
1
58750
0630000288750000
Real
0010 PA 121 PORT ST CNTY H2 L
N
Cycle 5 Res
10955130
2010 41669 CC -GEN COUNTY
2010 41669 PORT PORT
2010 41669 PORT ANG PORT ANGELES
2010 41669 SD #121 SCHOOL DISTRICT #121
2010 41669 NTH OLY LIB NORTH OLYMPIC LIBRARY
201_0 41669 HOSP #2 HOSPITAL #2
2010 41669 WSMET PK DIST WILLIAM SHORE MET PARK DIST
2010 41669 CITY STOR_M_WA_TER CITY STORMWATER
2010 41669 WEED CONTROL WEED CONTROL
2010 41669 TOTAL.
ST S CH STATE SCHOOL
CC GEN COUNTY
PORT PORT
PORT ANG PORT ANGELES
SD #121 SCHOOL DISTRICT #121
NTH OLY LIB NORTH OLYMPIC LIBRARY
HOSP #2 HOSPITAL
CITY STORMWATER CITY STORMWATER
Legal Description.
Agent Code.
Land Use Code 11
DFL N
Remodel Property N
Mapsco
Map ID
BRIAN AMY BORDE Owner ID*
PO BOX 311 Ownership
PORT ANGELES WA 98362 -0051
Exemptions
1 First
Half
I Base
Due
Second
Half
Base
Due
LOT 16 BL 288
14710
100 0000000000%
$134 64 $134 65 $0 00
$71 67 $71 64 $0 00
$10 07 $10 07 $0 00
$165 90 $165 90 $0 00
$174 40 $174 40 $0 00
$20 82 $20 82 $0 00
$29 40 $29 39 $0 00
$9 36 $9 35 $0 00
Base Amoi
Paid Due
$0 00 $0 00 $26!
$0 00 $0 00 $14.
$0 00 $0 00 $2(
$0 00 $0 00 $33
$0 00 $0 00 $341
$000 $000 $4
$0 00 $0 00 $51
Penalty I Interest
$0 00 $0 00 $1/
$36 00 $36 00 $0 00 $0 00 $000 $7'
$0 82 $0 81 $0 00 $0 00 $0 00
$653.08 $653.03 $0.00 $0.00 $0.00 $1301
$153.24 $153.23 $0 00 $0 00 $306 47
$77 55 $77 $0 00 $0 00 $155 10
$10 98 $10_99 $0 00 $0 00 $21 97
$1 1 76 10 $0 00 $0 00 $340.20 $l
$189 50 $189 50 $0 00 $0 00 $379 00
$22.53 $22.54 $0 00 $0 00 $45 07
$31 80 $31 81 $0 00 $0 00 $63 61
$36 00 $0 00 $0 00 $72.00
http. /vpn.clallam. net. 8084 propertyaccess /Property.aspx ?cid =0 &year= 2009 &prop_id =58 4/19/2010
PREPARED 9/28/06 9 31 26 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/28/06
ADDRESS 427 E 10TH ST SUBDIV
TENANT NBR AMY BORDE
CONTRACTOR REDI CONSTRUCTION PHONE (360) 452 4582
OWNER BORDE BRIAN AMY PHONE
PARCEL 06 30 00 0 2 8875 0000
APPL NUMBER 06 00000165 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 9/28/06 JLL BUILDING FINAL TIME 13 00
k mark 460 9491
09/27/2006 10 46 AM DYASUMUR
COMMENTS AND NOTES
OF ,ORT N ft elle WO
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 06 00000165 Date 2/15/06
Application pin number 501915
Property Address 427 E 10TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 2 8875 0000
Tenant name AMY BORDE
Application type description RE ROOF /NV. C:?.
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY 3/ZOC
Application valuation 8000
Ow ner
BORDE BRIAN AMY
PO BOX 311
PORT ANGELES
WA 98362
Contractor
REDI CONSTRUCTION
1032 E 4TH
PORT ANGELES
(360) 452 4582
WA 98362
Permit BUILDING PERMIT NO PR FEE
Additional desc
Permit pin number 71308
Permit Fee 179 75 Plan Check Fee 00
Issue Date 2/15/06 Valuation 8000
Expiration Date 8/14/06
Qty Unit Charge Per Extension
BASE FEE 95 75
6 00 14 0000 THOU BL 2001 25K (14 PER K) 84 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 179 75 179 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 184 25 184 25 00 00
Signature of Contractor or thorized Agent Date
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
Signature of Owner (if owner is builder)
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 give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
D
kt)
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 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 UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
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
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
I I I
I I I
I I
I I I
I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I
I I I
I I
I I I
I I I
I I I
I I I
I I I
1 I I
I I I
I I I
I I I
I I I
I I I
I I I
FINAL
FINAL
SEPA.
ESA.
SHORELINE:
DATE ACCEPTED BY.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I I I FIRE DEPT I
PLANNING DEPT 417 -4750 I I PLANNING DEPT I
BUILDING 417 -4815 I I I BUILDING I
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
ANGELES MILLWORK LUMBER CO INC
1601 S 'C' St. Port Angeles WA 98363
Bus. 457-8581 FAX 457-8896
angelesmillwork.com
-pe Ig 3(-2
P oetr )?-ti,kA
7T� /bci ghte-
i
L4-44.1.,t4A z zy tAt
CVD
Employee Owned and Operated
dr)
HARTNAGEL BUILDING SUPPLY INC
833 E Front St. Port Angeles WA 98362
Bus 452-8933 FAX 452-8943
hartnagels.com
Do 5 IA viA
Ock
E 00- r
cA4-1- z
FREE ESTIMATES FREE DELIVERY
ORTNGELES
W A S H I N G T O N U S A
PUBLIC WORKS UTILITIES DEPARTMENT
February 15, 2006
Redi Construction
P 0 Box 3179
Port Angeles, WA 98362
RE. Port Angeles Landfill Waste Disposal Application, WDA 06 -07, Roofing Demo
We have received your application for disposal ofbuilding demolition debris from the referenced
site. Based on the information submitted the debris appears to be acceptable for use in the
landfill. A copy of your approved application is attached. This approved application must be
shown to the landfill scale attendant at the time of disposal.
Please be advised that this disposal application is only for the materials and quantities listed in
the application. Materials not listed or in excess of the quantities noted may require separate
applications and approval.
Please call if you have questions.
Very truly yours,
Gary W Kenworthy, P.E.
City Engineer
Deputy Director of Engineering Services
G WK:tf
Encl. WDA 06 -07
Copy Ken Loghry
N:\PWKS\ENGINEER \WDAPPLIC \06 -07 WPD
FILE: Landfill Solid Waste Disposal Applications
321 EAST FIFTH STREET P 0 BOX 1 150 PORT ANGELES WA 98362 -0217
PHONE 360 -417 4805 FAX 360 -417 4542 TTY 360 -417 4645
E MAIL publicworks@cityofpa us
Application Number . . . . . 22-00000840 Date 7/11/22
Application pin number . . . 150080
Property Address . . . . . . 427 E 10TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-8875-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Service
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BRIAN / AMY BORDE BLACK DIAMOND ELECTRICAL CONTR
PO BOX 311 502 BLACK DIAMOND RD
PORT ANGELES WA 983620051 PORT ANGELES WA 98363
(360) 460-0579 (360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 120.00 Plan Check Fee . . .00
Issue Date . . . . 7/11/22 Valuation . . . . 0
Expiration Date . . 1/07/23
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .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 7/06/22,15:01:24 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00000840 427 E 10TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 120.00
TOTAL DUE 120.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Service
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
8/22/2022 22-840 TAP
OWNER
CONTRACTOR
Black Diamond Electric
PROJECT ADDRESS
427 E 10th St