HomeMy WebLinkAbout1014 Georgiana St - Building ELECTRICAL PERMIT i
CITY OF PORT ANGELES a
360-417-4735
Application Number . . . . . 12-00000700 Date 6/06/12
Application pin number . . . 434000
Property Address . . . . . . 1014 GEORGIANA ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-8-1-0325-0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . COMMERCIAL OFFICE
Application valuation . . . . 0
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Application desc
200 amp service change and circuit to garage
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Owner 4 Contractor
------------------------ ------------------------
JACK L HUSTON ELECTRIC SERVICE \�
1014 GEORGIANA ST 82 DRAPER RD
PORT ANGELES WA 983623918 PORT ANGELES WA 98362
(360) 452-3517 (360) 452-6424 �ti�
---- -
------ ------- - -- ---------- ----------------- �
Permit ELECTRICAL ALTER RESIDENTIAL------ - ---- - ----- ' +_
Additional desc .
Permit Fee . . . . 125.00 Plan Check Fee .00
Issue Date . . . . 6/06/12 Valuation . . . . 0
Expiration Date 12/03/12
Qty Unit Charge Per Extension
1.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 5.00
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
Special Notes and Comments
June 6, 2012 1:42:49 PM tamiot.
12ft min clear from grade to service conductors.
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 125.00 125.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 125.00 125.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN `l
FINAL
Y!,,
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDING
JAN-16-2004 04:25P FROM:ELECTRIC SERVICE 4526424 TO:4174711 P.1
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CITY OF PORT ANGELES PERMIT APPLICATION P, t 6 ._1
Building Division/Electrical Inspections
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington 8362 [ �..
Ph:(360)4174735 Fax:(360)417-4711
Date: 1 L— _�8,2 Single Family 'ailing
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Plan Review May Be Required,Plea a Cornoete Electficpl Plan Review I o; ation Sheet
Job Address: l D l L` O.- CA.C-U—
Building Square Footage: +-
Description of above
lam'�•-�-
Owner Informatlon kG ntractor Information
Name: §me:
Mailing 9ddress: t -�---� ping/
City: y lar State._wt) Zip: � r° ;C�ty:ne:tY State: Zip: e7
Phone: Fax: P o -_457.-tnY1 ti Fax: 3--pLicense 91 Exp. Gl ansa#I Exp. ,lo, Q-GT
Iter h Charue Qt t Total(Qtv Muhlolled by Unit Charael
ServicelFeeder 200 Amp. $120.00 !T $ 12-0---0 0
Servlce/Feader 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 WI Service Feeder $ 5.00 $�
Branch Circuit W/O Service Feeder $ 63.00 S
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 14 $ 75.00 $
Temp.Service/Feeder 200 Amp. $ 93.00 $
Temp.ServicelFeeder 2011400 Amp. $110.00 $
Temp.ServicelFeeder 401-600 Amp. $149.00 I $
Temp.Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $ 96.00 $
Signal CirculU Limited Energy-18 2 Family Dwelling $ 64.00 I $
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 i
NEW CONSTRUCTION ONLY:
First 1300 Square FL $120.00 $
Each Additional 500 Square FL or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 ly $
Each Swimming Pool or Hot Tub $110.00 $�
$ 12�L Total
Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two y s 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.Penni cplms after six months of last inspection.
After reading the above statement I hereby cerllfy that 1 am the owner of the above, ,mad property or a licensed electrical contractor.I am making
the electrical installation or alteration in compliance with the electrical laws,N.E.C., j W.Chapter 19.28,WAC.Chapter 296469,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding f ctrical Permit Applications.
Signature of o olectri co ctor or electrical administrator: ❑ c+.n ❑ Haar
❑ credit Card a
X Daw: s t 01101012
i
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 12-00000680 Date 6/03/12
Application pin number . . . . 407480
Property Address . . . . . . 1014 GEORGIANA ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-8-1-0325-0000- onour excise tax form
Application type description ELECTRICAL ONLY Y
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . COMMERCIAL OFFICE
Application valuation . . . . 0
Owner Contractor
JACK L HUSTON ELECTRIC SERVICE
1014 GEORGIANA ST 82 DRAPER RD
PORT ANGELES WA 983623918 PORT ANGELES WA 98362
(360) 452-3517 (360) 452-6424 (�j
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Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . EL/SVC CIRCUITS r
Permit Fee . . . . 68.00 Plan Check Fee .00
Issue Date . . . 6/03/12 Valuation . . . . 0 ,
Expiration Date 11/30/12
Qty Unit Charge Per Extension ^
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00 (v �
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
-------------------------------
Fee summary Charged Paid Credited Due O
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 68.00 68.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 68.00 68.00 .00 .00 _
V
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:\EXCHANGE\BUILDING t•
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 12-00000680 Date 6/03/12
Application pin number . . . 407480
Property Address . . . . . . 1014 GEORGIANA ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-8-1-0325-0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . COMMERCIAL OFFICE
Application valuation . . . . 0
Owner Contractor
JACK L HUSTON ELECTRIC SERVICE
1014 GEORGIANA ST 82 DRAPER RD
PORT ANGELES WA 983623918 PORT ANGELES WA 98362
(360) 452-3517 (360) 452-6424
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . EL/SVC CIRCUITS
Permit Fee . . . . 68.00 Plan Check Fee .00
Issue Date . . . . 6/03/12 Valuation . . . . 0
Expiration Date 11/30/12
Qty Unit Charge Per Extension
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 68.00 68.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 68.00 68.00 .00 .00
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:\EXCFIANGE\BUILDING 5 A
JAN-11-2004 09:48A FROM:ELECTRIC SERVICE 4526424 TO:4174711 P. 1/1
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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, 62
Ph:(360)41.7-4735 Fax: (360)417-4711
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Date: 5 3 _ &2 Single Family Do 1,ling
i
•Plan Review May By Required,Please Complete Electrical Plan Review Info ation Sheet
Job Address:
Building Square Footage:
Description of above r
Owner Information � � i tractor Information�4 C `-2
e:
Name: n Address' `
MaiUn Add - r e u r 5 L--b A State: � Zip: 8'3 m L
City: h State`_!�Zip:�.{-1t-�-�
/u ax:
Phone: e#I Ex
Fax:— asp C►;-a r t ,', d;n
License#/Exp.
h Charge Total tow MUBIDIIed by Unit off el
item $
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201400 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 WI Service Feeder $ 5.00 $ o e
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. $ 93,00g 110.00 $
Temp.Service/Feeder 201-400 Amp. $149.00 $
Temp.Service/Feeder 401.600 Amp. $16800 $
Temp.Service/Feeder 601-1000 Amp. $ 9600 $
Portal to Portal Hourly $
Signal Circuit/United Energy-1&2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy-5KVA System or Less $156.00 $
Thermostat
00
Note:$5.00 for each additional T-Slat
NEW CONSTRUCTION ONLY: $
$120.00
First 1300 Square Ft. $
Each Additional 500 Square Fl.or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $110.00 : Total
Owner as defined by RCW.19.28.261:(1)Owner will occupy the Structure for two yj 3j; 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.Permi pires after six months of last inspection.
r.
am rijaking
After reading the above statement,i hereby tartly that„the electrical laws,N E C abovem the omer of the n IN.Chapmed ter 19.28,licensed
WAC.Chapter 296-460,,ThelCity of Port
the electrical installation or alteration in compliance wit
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding I ctrical Permit Applications. -
Signature of owner,alectrical contractor or electrical administrator: ❑ ll ❑ ch'd`
❑ credit caro#
Dated; 5
n� r ! ovo+rto�z
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CITY OF PORT ANGELES
(ii
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES,WA 98362
Application Number 11 00000163 Date 2/22/11
Application pin number 422082
Property Address 1014 GEORGIANA ST
ASSESSOR PARCEL NUMBER 06 30 00 8 1 0325 0000 REPORT SALES TAX
Tenant nbr name JACK L HUSTON on your state excise tax form
Application type description PLUMBING PERMIT
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning COMMERCIAL OFFICE
Application valuation 4200
Application desc
MOVING TOILET SHOWER & VANITY
Owner Contractor
JACK L HUSTON ANGELES PLUMBING INC
1014 GEORGIANA ST PO BOX 1151
PORT ANGELES WA 983623918 PORT ANGELES WA 98362
(360) 452 3517 (360) 452 8525
Permit PLUMBING PERMIT
Additional desc MOVING TOILET SHOWER & VANITY
Permit pin number 181727
Permit Fee 93 00 Plan Check Fee 00
Issue Date 2/22/11 Valuation 0
Expiration Date 8/21/11
Qty Unit Charge Per Extension
BASE FEE 50 00
3 00 7 0000 EA PL-PLUMBING TRAP 21 00
1 00 7 0000 EA PL-WATER LINE 7 00
1 00 15 0000 EA PL-SEWER LINE 15 00
Fee summary Charged Paid Credited Due
Permit Fee Total 93 00 93 00 00 00
Plan Check Total 00 00 00 00
Grand Total 93 00 93 00 00 00 In
X11
� Z
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.
14&Z40WjDate Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T Forms/Building Division/Building Permit
t
BUILDING PERMIT INSPECTION RECORD
W
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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
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 FINAL Date Accepted b
AIR SEAL.
Walls P
Ceiling r
FRAMING +
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall Interior Braced Panel Only)
T-Bar
O
INSULATION-
Slab
Wall/Floor/Ceiling
MECHANICAL.
Heat Pum /Furnace/FAU/Ducts 5
Rough-in
Gas Line r
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT Separate Permit#s SEPA.
Parkin /Lighting ESA.
Landscaping SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction R.W PW /Engineering 417-4831 c
Fire 417-4653
Planning 417-4750
Building 417-4815 0
T:Forms/Building Division/Building Permit
PREPARED 2/25/11 8 42 30 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/25/11
ADDRESS 1014 GEORGIANA ST SUBDIV
TENANT NBR JACK L HUSTON
CONTRACTOR ANGELES PLUMBING INC PHONE (360) 452 8525
OWNER JACK L HUSTON PHONE (360) 452 3517
PARCEL 06 30 00 8 1 0325 0000
APPL NUMBER 11 00000163 PLUMBING PERMIT
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL99 01 2/25/11 �LL PLUMBING FINAL TIME O1 00
February 24 2011 1 26 08 PM 1pangrle
,Tvr DALE (ANGELES PLUMBING 460 2850)
PLUMBING FINAL
AFTERNOON
PLEASE CALL DALE 10 MINUTES BEFORE YOU GET THERE
COMMENTS AND NOTES
02/22/2011 09 37 3604528583 ANGELESPLUMBING PAGE 02/02
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
For City Use Only
,J; y Attn.Building Permft Technician Date Received -22-1
' 321 E.Fifth St. Port Angeles,WA 98362
(360)417-4815 fax(360)417-4711 Pem-dt# I
Date Approved
Applicant or Agent ANGELES PLUMBING,. INC. Phone 452-8525
Property Owner MARK HOUSTON Phone 4-52-3517
Property Owners Address 1014 Georgi.ana
Contractor/Engineer ANGELES PLUMBINri, INC. Phone 452-8525
Contractor/Engineer's Address P 0 sox 1151, Port Angeles, WA 98362
License# ANGELP1077KP E OreS 5-1572012
PROJECT ADDRESS 101% Geor-giana
Parcel Number Lot Zoning
Project Type 8 Brief Desc6offan: iaden>tfa/ o CommerCFaf o Mkrlb mffy o Indlus r al
Check all that appy
u New Construction
o Addition _
j(Remade( Moving toilet, shower & vanitX. Not adding .a_y new fixtures
o Repair
❑Re-roof
❑Demolition r
o Heat System ❑Heat pump ❑wood-burning stove ❑gas frneplace o pellet stove ❑other
o Other
Flnor Areas it!sa 1L) Promised/sg
Basement $ per sq,ft._$
1"t Floor
2"°Floor
3n°Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUA77ON $ 4,200 00
Total footprint of structures sq.ft. -0' Lot size sq.ft. = Lot voverage %
Max. height of proposed structures ft. Occupancy group #of bedrooms
Will a lawn sprinkler system be installed? Oempant bad #of full baths
VVII a fire sprinkler system be installed? construction type #f of half baths
I have read and completed this application and know It to be frr a and corre, t am auffimiied to apply for this permit and
understand that it is my responsibility to deftrm ne what perrrlfts are required, and to obtain permits prior to mrfcing on
P�leds./
Date Z�zz/// Print Name DALE 3RUNTZ sigla,m
T:Forms/Bulldirig DivisioNBldg Permit Appl-2006 Code.doc
Clallam County Assessor& Treasurer - Property Details 62562 JACK L HUSTON for Page 1 of 4
Clallam County Assessor & Treasurer
Property Search Results> 62562 JACK L HUSTON for Year 2011 2012
Property
Account
Property ID- 62562 _ Legal Description. HART&COOKES
SUBDIVISION LOT 6
BL 3
Geographic ID- 0630008103250000 Agent Code:
Type Real
Tax Area. 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space N DFL N
Historic Property- N Remodel Property- N
Multi-Family Redevelopment: N
Township. Section.
Range.
Location
Address. 1014 GEORGIANA ST Mapsco
PORT ANGELES WA 98362 ,(
Neighborhood Cycle 5 Comm Map ID- 2 ,/✓\Y_�
Neighborhood CD- 20953140
Owner
Name JACK L HUSTON Owner ID 31960 �Jv'
Mailing Address: 1014 GEORGIANA ST %Ownership 100 0000000000%
PORT ANGELES WA 98362 3918
Exemptions. SNR/DSBL
Taxes and Assessment Details
Property Tax Information as of 02/22/2011
Amount Due if Paid on ". NOTE. If you plan to submit payment on a future date make sure you enter the date and
click RECALCULATE to obtain the correct total amount due
First Second
Half Half
Base Base
Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid Amount Due
2011 156891 ST SCH STATE SCHOOL $1504 $1503 $000 $000 $0.00 $30.07
2011 156891 CC-GEN COUNTY CLALLAM $8.31 $8.30 $000 $000 $0.00 $16.61
2011 156891 SD#121 SCHOOL DISTRICT#121 $000 $000 $000 $000 $000 $000
2011 156891 CITY PORT ANG CITY OF PORT ANGELES $1641 $1640 $000 $0.00 $000 $32.81
2011 156891 PORT PORT OF PORT ANGELES $1 17 $1 17 $000 $000 $000 $2.34
2011 156891 NTH OLY LIB NORTH OLYMPIC LIBRARY $348 $348 $000 $000 $000 $6 96
2011 156891 HOSP#2 HOSPITAL#2 $341 $3.41 $000 $000 $000 $6.82
2011 156891 WSMET PK DIST WILLIAM SHORE MET PARK DIST $1 04 $1 03 $000 $000 $000 $2.07
2011 156891 CITY-STORMWATER CITY STORMWATER $36.00 $3600 $000 $000 $000 $72.00
2011 156891 WEED-CONTROL WEED CONTROL $0.82 $0.81 $000 $000 $000 $1 63
2011 156891 TOTAL. $85.68 $85.63 $0.00 $0.00 $0.00 $171.31
2010 45169 ST SCH STATE SCHOOL $1488 $14.89 $000 $000 $2977 $000
2010 45169 CC-GEN COUNTY CLALLAM $793 $792 $000 $000 $1585 $000
2010 45169 SD#121 SCHOOL DISTRICT#121 $000 $000 $000 $000 $000 $000
2010 45169 CITY PORT ANG CITY OF PORT ANGELES $1596 $15.95 $0.00 $000 $3191 $000
2010 45169 PORT PORT OF PORT ANGELES $1 12 $1 11 $000 $000 $2.23 $000
2010 45169 NTH OLY LIB NORTH OLYMPIC LIBRARY $2.30 $2.30 $000 $000 $460 $000
2010 45169 HOSP#2 HOSPITAL#2 $3.25 $3.25 $000 $000 $6.50 $000
2010 45169 WSMET PK DIST WILLIAM SHORE MET PARK DIST $1 04 $1 03 $000 $000 $2.07 $000
2010 45169 CITY STORMWATER CITY STORMWATER $36.00 $3600 $000 $000 $72.00 $000
http.//websrv8 clallam.net/propertyaccess/Property aspx?cid=0&year=2011&prop_id=62562 2/22/2011
Application Number 08 00001449 Date 11/17/08
Application pin number 704170
Property Address 1014 GEORGIANA ST
ASSESSOR PARCEL NUMBER 06 30 00 8 1 0325 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning COMMERCIAL OFFICE
Application valuation 0
Application desc
Laundry room
Owner Contractor
HUSTON JACK L ANGELES ELECTRIC
1014 GEORGIANA ST 524 E 1ST ST
PORT ANGELES WA 983623918 PORT ANGELES WA 98362
(360) 452 9264
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 3 1
Permit pin number 137984
Permit Fee 46 00 Plan Check Fee 00
Issue Date 11/17/08 Valuation 0
Expiration Date 5/16/09
Qty Unit Charge Per Extension
1 00 46 0000 ECH EL R OR RM 1 4 ALT CIRCUITS 46 00 h
Fee summary Charged Paid Credited Due
Permit Fee Total 46 00 46 00 00 00
Plan Check Total 00 00 00 00
Grand Total 46 00 46 00 00 00
INSPECTION ELECTRICAL
TYPE, DATE RESULTS INSPECTOR
DITCH
SERVICE
ROUGH - IN
�1
FINAL
COMMENTS :
11/14/2008 14 38 FAX 360 452 9265 Angeles Electric Q 00(El/0001
ELECTRICAL WORK PERMITAPPLICATION
Installation description /
Job wired by L)Electrical Contractor L3 Owner L) Commercial ®'Residential
Electri I contractor name License number Date Expires
I ❑New ❑Altered/Addition
Purchaser's g ad ss `
T- -S II aSk�-
City State ZIP
PA, wash, f>--C4 �-- �-
Telephone number FAX number
Premises owner's name
Address of'inspection
10 /4
City Q A
Phone number to schedule inspection:
a
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. ❑Cash ❑Check#
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 instal- 3 6redit Card Visa Mastercard Discover
lation 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 Card# ________________
Utility Specifications.
Signature of o ner electrical contractor or electrical admin' trator Expiration Date 4f --�o of card Insp ctio
X Date. 1 $
Electrical Load AddRio Service Information
❑ NO LOAD CHANGES
❑ Baseboard _KW Voltage
❑ Furnace _KW ❑ Overhead Service Phase❑ 1 ❑3
❑ Heat Pump _Ton_LAR ❑ Temp Service Service Size:
❑Fan-Wall _KW ❑ Underground Service Feeder Size:
SAME DAY INSPECTION, CAL. , BEFORE 7:00 AM 360417-4735
aAppr—d
THERMOSTAT Fwe
VICE
Dnte Approved By Approved By
DUCH E R
Dete Approved By Appfoved By
Inspection Area,Building or Equipment Inspected Action Taken Electrical
Date Inspector
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" CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 08 00001439 Date 11/13/08
Application pin number 165134
Property Address 1014 GEORGIANA ST
ASSESSOR PARCEL NUMBER 06 30 00 8 1 0325 0000
Tenant nbr name JACK L HUSTON
Application type description PLUMBING REPAIR
Subdivision Name
Property Use
Property Zoning COMMERCIAL OFFICE
Application valuation 1250
Application desc
MOVE WASHER/DRYER & INSTALL VENT FAN
Owner Contractor
JACK L HUSTON ANGELES PLUMBING INC
1014 GEORGIANA ST P O BOX 1151
PORT ANGELES WA 983623918 PORT ANGELES WA 98363
(360) 452 3517 (360) 452 8525
Permit MECHANICAL PERMIT
Additional desc INSTALL VENT FAN
Permit pin number 137869
Permit Fee 57 25 Plan Check Fee 00
Issue Date 11/13/08 Valuation 0
Expiration Date 5/12/09
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 7 2500 ECH ME VENT FAN 7 25
Permit PLUMBING PERMIT
Additional desc MOVE WASHER & DRYER
Permit pin number 137851
Permit Fee 79 00 Plan Check Fee 00 l
Issue Date 11/13/08 Valuation 1250 ! \
Expiration Date 5/12/09
Qty Unit Charge Per Extension ,1✓V)� (`[11V j�
BASE FEE 50 00
1 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 7 00
1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 \
1 00 15 0000 ECH PL- EA BLDG SEWER 15 00
Fee summary Charged Paid Credited Due
Permit Fee Total 136 25 136 25 00 00
Plan Check Total 00 00 00 00
Grand Total 136 25 136 25 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 rovisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit does n t pre ume to give authority to violate or cancel the provisions of any
state or local law regulating construction or the performance of construction.
3 -000 /MM-7le"' wo
Date Print Name Signature of Contractor or Autho ed Agent Signature of Owner(if owner is builder)
T:FonnsBuilding Division/Building Pennit
Q
BUILDING PERMIT INSPECTION RECORD
S
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— W
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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION.
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING
Under Floor/Slab
Rough-in I _ L.Li
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted b
AIR SEAL. Q
Walls
Ceiling LLLr
T
FRAMING
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall Interior Braced Panel Only)
T-Bar Q
INSULATION
Slab
Wall/Floor/Ceiling
r,
MECHANICAL. P
Heat Pum /Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b , ^
MANUFACTURED HOMES
Footing/Slab
,Blocking&Hold Downs
Skirting
PLANNING DEPT Separate Permit#s SEPA.
Parkin /Lighting ESA.
Landscaping SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735 C
Construction R.W PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit L
tb
o�poRBUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES For City Ll Only
Attn: Building Permit Technician Date Received_ ��—_13-0S
321 E. Fifth St. Port Angeles, WA 98362 Permit# 0%—Irl 3 q
(360)417-4815 fax(360)417-4711 Date Approved
Applicant or Agent 4N66W t?Lm-,3 iN6 Phone 3160- X15 2-9525
Property Owner JAU,3Ta►i, YhA2� Phone
Property Owner's Address l o tGF_oz,6 i AN A
Contractor/Engineer No6eLF-5 ?La Mrs i ri6 Phone 3Loy - L152-j35 Z_5-
Contractor/Engineer's Address
License# Expires E-mail
PROJECT ADDRESS A,,,\E_ 0,5 0I'>3OtE_
Parcel Number Lot Zoning
Proiect Type&Brief Description: Y-Residential ❑ Commercial ❑Multi-family ❑Industrial
Check all that apply �,Ox-kW Pf'
❑ New Construction L c)c4octr-J6 WAt>M,-J6 rv\ac.4*-1F_ tMoVi tJ6 &MrOY l�
❑Additione Soon 4r
Remodel4_Me- A W i (�
Repair
❑ Re-roof
❑ Demolition
❑ Heat System ❑ Heat pump ❑wood-burning stove ❑gas fireplace ❑pellet stove ❑other
❑ Other
Floor Areas Existinq(sq. ft.) Proposed(sq. ft.)
Basement @ $ per sq. ft. _$
151 Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
IZSb"n�
TOTAL VALUATION $
Total footprint of structures sq. ft. T Lot size sq. ft. = Lot coverage %
Max. height of proposed structures ft. Occupancy group #of bedrooms
Will a lawn sprinkler system be installed? Occupant load #of full baths
Will a fire sprinkler system be installed? Construction type #of half baths
l 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 pri to orking on
projects.
Date 11112-16-9 Print Name /'M
llkk` 5111vA Signatures
�oFP�rµ CITY OF PORT ANGELES
C� DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DMSION
321 EAST 5TH STREET PORT ANGELES,WA 98362
Application Number 07 00000068 Date 1/23/07
Application pin number 365140
Property Address 1014 GEORGIANA ST
ASSESSOR PARCEL NUMBER 06 30 00 8 1 0325 0000
Tenant nbr name MARK HOUSTON
Application type description RE ROOF O
Subdivision Name �)
Property Use I
Property Zoning COMMERCIAL OFFICE
Application valuation 1466
Owner Contractor
HUSTON JACK L N W CONTRACTING SERVICES
1014 GEORGIANA ST 1405 GEORGIANA ST
PORT ANGELES WA 983623918 PORT ANGELES WA 98362
(360) ,460 3855
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR-OFF FELT COMP
Permit pin number 93823
Permit Fee 80 50 Plan Check Fee 00
Issue Date 1/23/07 Valuation 1466
Expiration Date 7/22/07
Qty Unit Charge Per Extension
BASE FEE 50 00
10 00 3 0500 HND BL-501 2K (3 05 PER C) 30 50
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 80 50 80 50 00 00 0
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 85 00 85 00 00 00
�0
4
rY^ \
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 orwork 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. 0-7
Signature of Con or or Authorized Agent Date Signature of Owner(if owner is builder) Date
T•\Policies\1102_15 building permit inspection record05 wpd[1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORK§UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAN FUL TO COVER,INSULATE OR CONCEAL,ANY WORKBEFORE
INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENT'S
YES NO
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 FINAL DATE ACCEPTED BY.
BACK FLOW/WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WAL11HOLD DOWNS
WALLS/ROOF/CEILING
DRYWALL(CNTEMOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL/FLOOR/CEILING
MECHANICAL
ROUGH-IN
HEAT PUMP/FURNACE/DUCTS
GAS LINE FINAL DATE ACCENTED BY.
WOOD STOVE/PELLET/CHIMNEY
MANUFACTURED HOMES
FOOTING/SLAB
BLOCKING&HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT#'s SEPA.
PARKING/LIGHTING ESA.
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGHT DEPT 417.4735 ELECTRICLIGHT DEPT
CONSTRUCTION RW /PW/ CONSTRUCTION R.W
ENGINEERING 41711807 PW/ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT ti
BUILDING 417-4815 BUILDING
-jap ,-111911
T•U'olicies11102 15 building permit inspection Tecord05.wpd[1/4/2005]
v�0'� �yty, FOR OFFICIAL USE ONLY
BUILDING PERMIT - APPLICATION Date Rec. / —A 3—Q7
Permit#• A 17 -
Fill out COMPLETELY and in INK.Your application and site plan MUST BE Date Approved: -a7
COMPLETE to be accepted for review If you have any questions,call Date Issued.
PERMITS (360)417-4815 FAX(360)417-4711
Applicant or Agent:N W COh�► QCh�i s�r V 1 C.e S Phone: 3(06 4t'60 — 315-37
Owner- MarkPhone-
Address. W14 62.0 rc(a.KQ 5� City. Port �V'sf-(eS Zip H 36 2
Architect/Engineer Phone:
Contractorl`(+��au�►'aC�l''L�i S �'UtCPS State License#- VW 0NWg413-P Exp Phone:_g60-3'gS-.S7
Address: City. Zip
PROJECT ADDRESS ZONING
LEGAL DESCRIPTION Lot: Block: Subdivision.
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK. r�11 SIZE/VALUATION IS-01
S-01 61
ElResidential ElNew Constr X Re-roof 1] Stove T a' SF @$ /SF =$
❑ Multi-family 1:1Addition ❑ Move❑ Garage SF @$ /SF =$
❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF @$ /SF =$
❑ Repair ❑ Sign ❑ Other TOTAL VALUATION $
BRIEF DESCRIPTION OF THE PROJECT rn revr�o
COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type:
No of Stories._ Lot Size: Existmg Sq.Ft. &Proposed Sq Ft. =TOTAL Sq Ft.
Total lot coverage
PLANNING USE ONLY APPROVALS
PLAN
BLDG
DPWU
FIRE.
ESA/Wetland(s) ❑Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other 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 Building 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
Buildmg 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 Buildmg/Residential Code,2003) No application can be extended more than once.
1 hereby certify that I have read and examined this application and know the same 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 not the City's, and that I
must obtain such permits prior to work.
Date:
T•\FOxMS\Bldgpermitform.wpd Applicant'
2Z 0
Contracting. Servtv.es, :; M Estimate 1
p r erytCes Date
l ? �1nI >ree?
rr� riY 1/21/2007 28 I
1 � Y Wa 98362
Port
Name/Address
Mark Houston
1014 Georgiana St.
Port Angeles Wa.98362
Project
Description Qty Cost Total
tear off,per square 5 6600 330 OOT
dump 3 layers,2.6 square/ton per trip 2 181.50 363 OOT
15p felt/per roll/4 sq per roll 1.5 25.29333 37.94T
15p felt apphcation/per roll/increases.50 per 1 inch of rise 1.5 27.50 41.25T
roof installation/sq. 5.5 60.50 332.75T
pabco premium 30 yr comp/sq. 4 55 615 222.46T
pabco gg-20 yr 3b/sq. 2 4400 88 OOT
1 1/4 roofing nails/per box 1 43.99 43.99T
tacker bullets/per box 1 660 6 60T
Sales Tax 8.30% 12168
Total $1,58767
Phone#
360-460-3855
t
S
u.,r
ELECTRICAL PERMIT
CITY OF PORT ANGELES
3604174735 = _
I
i
Application Number 19-00000017 Date 1/04/19
Application pin number . . 380893 REPORT STATE SALES TAX
Property Address . . `. 1014 GEORGIANA ST
ASSESSOR PARCEL NUMBER: 06-30-00-8-1-0325-0000- on your excise tax form
Application type description ELECTRICAL ONLY to the City of Port Angeles
i
Subdivision Name . . .
Property Use (Location Code 0502)
Property Zoning . . . COMMERCIAL OFFICE.
Application valuation . o
---------------------------------------------------- --------------------
Application desc
Ductless heat pump
Owner Contractor
DAVID W AND KRISTAN R-WOREY BLACK DIAMOND,ELECTRICAL' CONTR
1014 GEORGIANA ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983623918 PORT ANGELES WA 98363
(360) 565-1035
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . 63.00 Plan Check Fee .00
Issue Date . . 1/04/19 Valuation 0
Expiration Date 7/03/19
Qty Unit Charge Per Extension
1.00 ` 63.0000 BCH 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
INSPECTION TYPE DA'Z'E: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT W[LL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:.
1 - 2 SINGLE-FAMILY CD
• ELECTRICAL PERMIT APPLICATIORECfIVEP 3
Public Works and Utilities Department
�
321 E. 5th Street, Port Angeles, WA 98362 .IAN 0 ai4 �
360.417.4735 www.cityofpa.us ' electricalpermits@cityofpa.us
Project Address: /491,y
Pr .ect Description: tUC-I1� s
Single-Family Residential ❑ Duplex/ARU Building Square footage:
O • INFORMATION 6
Name: Yyl &-E c_,. Email:
Mailing Address: 1011'? Phone: -77r-7,01K
ELECTRICAL O. INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
U&M 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 $
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 thea ve named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance wi eel tri I laws,N.E.C., RCW.Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles icipal ode,and Utility Speci io PAMC 14.05.050 regarding Electrical Permit Applications.
Date Pnnt Name /tyHa
re( Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted tol or epermits@cityofpa.us or faxed to 360.417.4711]
ELEM CAL PERMIT
CITY OF PO RT ANGELES � 1
360-417-4735
Application Number . . 18-00001947 Date 1/02/19
Application_pin number 770285 _n
RRTTb SptE fAx
Property Address . . : . . . 1014 GEORGIANA ST on your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-8-1-0325-0000
Application type description ELECTRICAL .ONLY to the City of Port Angeles
Subdivision Name (Location Code 0502)
Property Use . . . . . . .
Property Zoning COMMERCIAL OFFICE
Application valuation . . . . 0
Owner Contractor
---------------------- --- -------------
DAVID MABREY RICHART !FAMILY INC
1014 GEORGIANA ST 14600 NE 20TH AVE
PORT ANGELES WA 983623918, . VANCOUVER WA 98686
(360) 775.7014 (360) 574-5859.
----------- ---------- --------------------------------- -- -----
Permit. .. . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4+1 CIR
Permit Fee . . 80.00 PlanCheckFee .00
Issue Date 1/02/19 Valuation. -'. 0
Expiration Date i" 7/01/19
Qty UnitCharge Per Extension
BASE FEE 80.00
--- ^ ------------ ---------------------------
Fee summary, Charged Paid Credited Due
------- ---- ---------- ---------- ----
Permit '�eitai 80.00 80 00 ;00 .00
t. Plan Che mal .00 .00 „00 .00
Grand Tota 80.00 80.00 .00 .00
t
>` INSPECTION TYPE DATE RESULTS: INSPECTOR:
DITCH
SERVICE '
ROUGH-IN ! �• !
FINAL
COWENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
w
��;
`- ::
Wit;.
Rd"GII VEl D
'0
1 - 2 SINGLE-FAMILY I M
C 28
3
ELECTRICAL PERMIT APPLICATION UL
F,ubhc Worksand LJ11110cs L-kilarin-lell" ELECTRICAL
INVECSI ONS
12 1 F.. -Ili Sirolet. PoriAnil-clen, Vvl'.'t 98_i'02
601 I77 J.7
NOW NJ
Project Address: V l T-
Project Description: , E-1�4 bmt
N,Single-Family Residential 0 Duplex/ARU Building Square footage:
Name:
Email:
Mailing Address: 10/y 1lt,:ZkJ22 I MWI Phone:.I&V -72 -101�
Name: License: _
Mailing Address. 1%!t0a2 lLtc " I-�VA,-11.d L14kw-.Or,�Wxpiration Date: 10112.40_q
Email: r V le&VT- amol Phone:
Unit Charge Quantity TgW(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00
Service/Feeder 201-400 Amp. $146.00
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp. $262.00
Service/Feeder over 10.00 Amp. $373.00 $
Branch Circuit W1 Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 V5,00 $
Temp.Service/Feeder 20.0 Amp. $93.00 $
Temp.Service/Feeder 201-400 Amp. $110.00
Temp.Service/Feeder 401-600 Amp. $149000.
Temp.Service/Feeder 601-1000 Amp.
1168,00
Portal to Portal Hourly $96.00
Signal CircuiVLimited Energy-182 DU. $64.00 $
Manufactured Home Connection 4120.00 $
Renewable Elec.Energy:5KVA System or less. $102.00.
Thermostat(Note:$5 for each additional). $56,00,
First 1300 6 f. t
:
Eacii�kd
are 0 00
:7 71 :7 77
6.1
E4466uthoudirl" 6hed garage_qmge..
P
Each S OWN
wimm n otTub $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 d PANIC 14.05.050 regarding Electrical Parmit Applications.
QZ2b-1 atli-A 91&4 b4jtd- OAn
Date Print Name Sigriatuh<'(E] Owner �5,Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360,417.4711)