HomeMy WebLinkAbout1122 E St - Building RECEI
CITY OF P( PU ANGELES PERMYr APPLwAT'It N � � � 4
Building Dlylsion/FlecWcal Inspections
321 East Fula Street:—P-0.Box 11501 Fort Angeles Washington,98362 I, g
Ph: (360)417-4735 Fax. (360)417-4711
Date: 13 i'f8 2 Single Family Dwelling
"Plan Review May Be Require fleas Com late Eie trial Ian 1:ui w i formati n Sheet
Job Address: z
Building Square�wo e
Descap @on of a
Owner Inform ation Contractort rmatisrn
Norm: I.t,),!�'D� Name. Kg—
Mailing Address: kbilrag Address:
City: State: Zp: __ 41ty: State: AP...
Phone: Fax: Phone: Fax:
License#!Exp. Lic enaa#i Exp
Item Uni, t Chaim% �ti Tmfal I�trrtti lied Ea, unit Char s
SeNcelFeeder 200 Amp. $120.00 --- $--
Servicell=oader 201400 Amp. $146.00 _ $ —
ServicelFeeder401-600Amp $205.00
ServicelFeeder 601-1000 Amp $262.00 — $^-
ServicelFeeder over 1000 Amp. $373.00
Branch Circuit W/Service Feeder $ 5.00 $_
Branch Circuit W/O Service Feeder $ 63.00
Each Additional Branch Circuit $ 6.00 ---
Branch Circuits 14 $ 75.00
Temp-Service]Feeder 200 Amp. $ 9100 ---_ $- —
Temp.Service*oedar201-400 Amp. $110.00 —
Temp.Service]Feeder401-606Auip. $349-00 _ $
Temp.ServicelFeeder601-1400 Amp. $168.00 --- $_---
Portal to Portal Honey $ 96.00 --- $--
Signal Circuitl Limited Energy-1&2 Family Dvmll[ng $ 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 C0 TRVCT14N0NLY:
First 1300 Square F1. $120.00 $_
Each Additional 500 Square Ft.or Portion of $ 90.00 —Each Outbuilding or Detached Garage $ 74.00 --- $--�
Each SWmming Pool arHot Tub $410.00 —�— $1---
$ 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.Perna 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, t am making
the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-4613,The City of Port
Angeles Wnicipai Code,and UtilitySpecificaflons and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: 11 Cash 0 Chad_e
t�`CrtlflitCaPd#
'� pared: ��y i 3tro�
ELECTRICAL PERMIT ?
CITY OF PORT ANGELES -
360-417-4735
Application Number 13-00001052 Date 9117113
Application pin number . , , 001516 `
Property Address . , . 1 1122 E $T
ASSESSOR PARCEL NUMB$R: 06-30-99-0-3-5510-OODO- REPORT SALES TAX
Application type description ELECTRICAL ONLY on your excise tax form
Property Name . . . . to the City of Port Angeles
Pro ert Use
Property Zoning . , , . , . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation , . . . 0
Application desc
Pv system
------------------------------------------------------------------------'----
Owner Contractor
SCHN .B WARDER CR POWER TRIP ENERGY CORP.
1122 S E ST 2343 THOMAS ST
PORT ANGELES WA 98363 PORT TOWNSEND WA 98368
(360) 643-3080 .
------_-____ .--------------------------------------------------------------
Permit , . , . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc , .
Permit Fee 165.00 Plan Check Fee 00
Issue Date 9117113 Valuation 6
Expiration Date 3/16/14
Qty Unit Charge Per Extension
1,00 1,02.0o0o ECH EL,-RENEWABLE 5-KVA OR LESS 102,00
1.00 63..0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
Fee summary Charged . Paid Credited Due
Permit Fee total 165.00 165.00 Do 00
Plan Check Total .00 .00 .0o 00
Grand Total 165.00 165.00 .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:
GAEXCHANGLIBUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number , . . . . 13-00001052 Date 9%17/13
Application pin number . . , 001516
Property Address . . . . . . 1122 E ST �7
ASSESSOR PARCEL NUMBER: 06-30-99-0-3-5510-0040- REPORT'SALES TAX
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . .
Property Use
to the City of Port Angeles
s n
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code ®502)
Application valuation . , . . 0
Application desc
PV system
------------------------------------------------------- __-------------------
Owner Contractor
JOHN B WARDER JR POWER TRIP ENERGY CORP.
1122 S E ST 2393 THOMAS ST
PORT ANGELES WA 98363 PORT TOWNSEND WA 98368
{360) 693-3080
--------------------------------------------------------------------- -------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc , .
Permit Fee 165.00 Plan Check Fee 00
Issue Date . . . 9/17/13 valuation 0
Expiration Date . 3/16/19
Qty Unit Charge Per Extension
1.00 102.0000 EON EL-RENEWABLE 5-KVA OR LESS 102.00
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
•-----------------------------------------------------------------------------
Fee summary Charged Paid ICredit.ed Due
---------------- - ---------- ---------- ---- ----- ----------
Permit Fee Total 165.00 165.00 .00 .00
Plan Check Total .00 ,00 ,00 .00
Grand Total 165.00 165.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST IIdSkCTION
Signature of owner or.Electrical Contractor X Date:
G:IEXCHANGFIBUILDING
Power Trip r=prugy Corp
83 Denny Ave
Port Townsend. WA 98368
(360) 643-3080
w .powert-ipenErgg.com
iLic # POWERTE964JN
Project: Warder Residence
Date: 9-10-13
Client: John Warder
Address: 1122 South E. Street,Port Angeles, WA 98362
System Description: 3.4 kW Silicon Energy Grid tied PV System
Project photos and notes:
Solar Modules System DC Disconnect
3.4 KW PV Array Located on inverter.
Mounted on flat roof.
- 17 Silicon Energy 200 watt
modules,model SiE200
- 1 string of 17 modules
Inverter (Line)
Silicon Energy SIE3840 synchronous
inverter
Utility Grid Located on west side of home,
--city of Port Maas output: 3,840 watts
Angeles Operating voltage: 240 V AC
Utility Revenue Meter
Located on east side of house.
Meter#:EA20522 AC System Disconnect—
Account#:98451-107638 Visible Break Lockable
Located adjacent to
production meter
Line I Line 2
Main Service Panel Production Meter Load I Load 2
(Load) Located west side of
200 Amps remote from revenue
located on interior meter.
wall of house.
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CITY OF P ORT ANGELES
�i ECONOMIC DEVELOPMENT BUILDING DIVISION DEPARTMENT OF COMMUNITY ECONOMI
m
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 11- 00000240 Date 3/18/11
Application pin number 601680
Property Address 1122 E ST
ASSESSOR PARCEL NUMBER: 06- 30- 99 -0 -3 -5510 -0000- REPORT SALES TAX
Tenant nbr, name JOHN B WARDER JR on your state excise tax form
Application type description MECHANICAL APPL. PERMIT
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 3650
Application desc
INSTALL A HEAT PUMP
Owner Contractor
JOHN B WARDER JR ALPHA BUILDER CORPORATION
1122 S E ST 105 1/2 E. 1ST ST.
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 452 -3154
Permit MECHANICAL PERMIT
Additional desc INSTALL A HEAT PUMP
Permit pin number 182733
Permit Fee 64.80 Plan Check Fee .00
Issue Date 3/18/11 Valuation 0
Expiration Date 9/14/11
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80
Fee summary Charged Paid Credited Due 01-4)�/
Permit Fee Total 64.80 64.80 .00 .00 \1\ Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .00 .00
3./71
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�.cal law regulating construction or the performance of
cons ruction.
3 I
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 0
Building Inspections 417 -4815 Electrical Inspections 417 -4735
Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886
IT IS UNLAWFUL TO COVE:R, 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 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 by
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 Furnace FAU Ducts
Rough -In \A
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
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
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 3 Z3, 6 v J fQsZ C
T:Forms /Building Division /Building Permit
Linda Pangrle
From: Robert Kajfasz
Sent: Wednesday, September 14, 2011 11:49 AM
To: Linda Pangrle
Subject: RE: Heat pump inspection
3/23/11
From: Linda Pangrle
Sent: Wednesday, September 14, 2011 11:35 AM
To: Robert Kajfasz
Subject: Heat pump inspection
Hi Bob,
I am trying to final permit #11 -240 for John Warder at 1122 E St. Ken Tobias was the contractor.
This permit expires today, so I called Ken to see if the work was done and ready to be inspected. He said that you
already inspected and approved the heat pump. Please tell me the date that you did your final inspection, so I can
update HTE final this permit.
It will be really helpful if you and Joey enter your inspections and approvals in HTE, so I can tell when a permit is ready to
be "finaled Is that something you will do? It would be a good service to our customers.
Let me know when you inspected 1122 E St., and if you will be entering your inspections and approvals in HTE.
Thanks,
Linda
ti C i« BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
For City Use Only:
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362 Date Received Permit t W 0
i (360) 417 -4815 fax (360) 417 -4711
Date Approved
4
Applicant Cs Phone
Property Owner Q ti Way c. Phone y
Property Owner' Address e 4-4 t
Contractor G Phon-
Contractor's Ad ress l6 F A., 1 9 fr' Gic C.
License G t' Expires E-mail E -mail F 1
i
PROJECT ADDRESS 1 1 7, u u� 1.= P A
Parcel Number Lot Zoning
Project Type Brief Description: Residential Multi- family Commercial Industrial
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof House garage other tear off re -roof lay over one layer
Xjeat System Heat pump wood burning stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1 Floor r
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other 1
OTAL VALUATION 1 C C Q
Total footprint of structures sq. ft. Lot size ft. o cove .ge
Site Coverage the amount of impervious surfae- on a parcel, including struc r= paved driveways, side •-lks •atios,
and other impervious surfaces. (see PAMC 17.9'. .5 for exemptions) Site coverag-
Max. height of proposed structures ft. Occupancy gro p of bedr•oms
Will a lawn sprinkler system be installed? Occupant i.:d of f baths
Will a fire sprinkler system be installed? Construc on type alf baths
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 m responsibility to determine what permits are required, and to obtain permits prior to working on projects.
Dat me Print Name Signature s
T:Forms /Building Division /Building permit application v. R r 4//_ cc, lr �N
Clallam County Assessor Treasurer Property Details 70491 JOHN B WARDER JR Page 1 of 4
Ciallarn County Assessor Treasurer
Property Search Results 70491 JOHN B WARDER JR for Year 2011 2012
Property
Account
Property ID: 70491 Legal Description: LOT A SHORT PLAT
79 -6 -12 V8PG47
Geographic ID: 0630990355100000 Agent Code:
Type: Real
Tax Area 0010 PA 121 PORT ST CNTY H2 L VVMP Land Use Code 11
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi Family Redevelopment: N
Township, Section:
Range:
Location
Address: 1122 S E ST Mapsco:
PORT ANGELES, WA 98363
Neighborhood: Cycle 5 Res Map ID: 3
Neighborhood CD: 10955130
Owner
Name JOHN B WARDER JR Owner ID 123676
Mailing Address: 1122 SOUTH E ST Ownership: 100.0000000000%
PORT ANGELES, WA 98363
Exemptions:
Taxes and Assessment Details
Property Tax Information as of 03/18/2011
a
A
Amount Due if Paid on. 2. 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. t
i First Second
'Half `Half
Base Base
Year; Statement ID! Taxing Jurisdiction Amt. Amt. Penalty: Interest Base Paid; Amount Due rt o n�
2011 163279 1 ST SCH STATE SCHOOL $235.52 $235.52 $0.00 $0.00 $0.00 $471.04
2011 163279 CC -GEN COUNTY CLALLAM $130.02 $130.00 $0.00 $0.00 $0.00 $260.02 )\\-1
2011 163279 SD #121 SCHOOL DISTRICT #121 $307.87 $307.86 $0.00 $0.00 moo $615.73
'2011 163279 CITY PORT ANG CITY OF PORT ANGELES $300.15 $300.14 $0.00 $0.00 $0.00 $600.29.
2011 163279 PORT PORT OF PORT ANGELES $18.30 $18.30 $0.00 $0.00 $0.00 $36.60 11 le
2011 163279 NTH OLY LIB NORTH OLYMPIC LIBRARY $54.53 $54.52 $0.00 $0.00 $0.00 $109.05.
2011 163279 HOSP #2 HOSPITAL #2 $53.37 $53.37 $0.00 $0.00 $0.00 $106.74
2011 163279 WSMET PK DIST WILLIAM SHORE MET PARK DIST $16.23 $16.22 $0.00 $0.00 $0.00 $32.45'
2011 163279 CITY STORMWATER- CITYSTORMWATER $36.00 $36.00 $0.00 $0.00 $0.00 $72.00
2011 163279 WEED CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $0.00 $1.63
2011 163279 TOTAL: $1152.81 $1152.74 $0.00 $0.00 $0.00 $2305.55
2010 51583 ST SCH STATE SCHOOL $233.16 $233.16 $0.00 $0.00 $466.32 $0.00
2010 51583 CC -GEN COUNTY CLALLAM $124.07 $124.08 $0.00 $0.00 $248.15 $0.00:
.2010 51583 SD #121 SCHOOL DISTRICT #121 $302.00 $302.01 $0.00 $0.00 $604.01 $0.00:
2010 51583 CITY PORT ANG CITY OF PORT ANGELES $287.28 $287.29 $0.00 $0.00 $574.57 $0.00
2010 51583 PORT PORT OF PORT ANGELES $17.44 $17.44 $0.00 $0.00 $34.88 $0.001
2010 51583 NTH OLY LIB NORTH OLYMPIC LIBRARY $36.06 $36.05 $0.00 $0.00 $72.11 $0.00
12010 51583 HOSP #2 HOSPITAL #2 $50.90 $50.90 $0.00 $0.00 $101.80 $0.00
2010 51583 WSMET PK DIST WILLIAM SHORE MET PARK DIST $16.20 $16.19 $0.00 $0.00 $32.39 $0.00..
2010 51583 CITY STORMWATER CITY STORMWATER $36.00 $36,00 $0.00 $0.00 $72.00 $0.00
2010 51583 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.00
2010 51583 TOTAL: $1103.93 51103.93 50.00 $0.00 $2207.86 50.00
Values
Improvement Homesite Value: N/A
Improvement Non Homesite Value: N/A
Land Homesite Value: N/A
Land Non Homesite Value: N/A Ag Timber Use Value
Curr Use (HS): N/A N/A
Curr Use (NHS): N/A N/A
Market Value: N/A
Productivity Loss: N/A
Subtotal: N/A
Senior Appraised Value: N/A
Non Senior Appraised Value: N/A
Total Appraised Value: N/A
http: /websrv8. c lallam. net /propertyaccess /Property. aspx ?cid =0 &year =2011 &prop_id =70491 3/18/2011
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Ductless heat pump
Owner
JOHN B WARDER JR
1122 S E ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
1 00 73 5000
Fee summar'
Permit Fee Total
Plan Checl' Total
Grand Total
WA 98363
ELECTRICAL ALTER RESIDENTIAL
182308
73 50
3/22/11 Valuation
9/18/11
Per
E EL BRANCH CIRCUIT WO /FEEDER
Charged
73 50
00
73 50
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
11 00000246
791438
1122 E ST
06 30 99 0
ELECTRICAL
Paid
Signature of owner or Electrical Contractor X
G: \EXCHANGE \BUILDING
Contractor
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452 6424
73 50
00
73 50
REPORT SALES TAX
3
ONLY 10 0000 to the City of Port Angeles
(Location Code 0502)
Plan Check Fee
INSPECTION TYPE DATE.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Credited
00
00
00
3 /2,3 t 47
[2
Date 3/22/11
WA 98362
Due
RESULTS
Extension
73 50
00
00
00
0 0
0
INSPECTOR.
Date:
MAR -17 -2011 01 52P FROM ELECTRIC SERVICE 4526424
LU 1U PV 11/ I11iu 11 JT n4u vi by 1 'al uu 15 uvr u
J
Ownerinfonnetibn &r (1
Herne: a as..-
Mailing Ad Ir Z A.
city: );late. no: 4 x 3 L 2'
Plane o ex: 1
License N 1 Exp. I
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401 -600 Amp
$ervlcelFeeder 601 -1000 Amp.
.Service/Feeder over 1000 Amp.
Branch Circuit WI Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Smite/ Feeder 200 Amp.
Temp. ServiceJFeeder 201 -400 Amp.
Temp. ServiceiFeeder 401.600 Amp.
Temp. Service/Feeder 601-1000 Amp
Portal to Portal Hourly 38820
Slgn/Oulfine Lighting
Signal Circuit) limited Energy /First 1500 ei Commercial 95.90
Note: $1.00 for each addlioual 1500 id'
Signal Circuit/ Urr 14 Energy 116 2 Family Dwelling 63.90
Signal Circuit/ Limited Energy Multi-Family D (bl 63.90
Manufactured Home Connection' 119.90
Renewable Electrical Energy 6KVA System or Less $102.30
Thermostat 56.00
NEW CONSTRUCTION 0a;
First 130D Square Ft. 110.30
Each Additional 500 Square Ft. or Portion of 35.20
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub 110.30
x
Unit Charlie
3119.90
145.50
204.60
26220
372.60
2.60
73.60
S 2.60
92.70
S 110.30
3148.70
167.90
95.90
Mad:
3 4,
1 l 1
11 JUL,
TO 4174711
T11 7111
ECEIVE
MAR 21 2011
ELECTRICAL
INSPECTIONS
01/0112010
P 1/1
VV .1
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street P.O. Box 1150 /Port Angeles Washing h n, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date; 27 it
mil'& 2,Sirgle Family Dwelling. Multi- Family or Commercit 1 Commercial Addition Alteration Remodel Repair
Plan Review May Be Reqjired, Pleas CC mplete Electrical Plan Revi ,A Information Sheet
Job Address
Building Square Footage: 1
2 X'
Description efabove !di' C r., G f --LP/ 1.b
Contractor Intormati
Name:
Mailing A ''4—
City: state: e.. Zip:._a1t 3 11
Pnon- -b`fZ 1r Fax }gyp
License N I Exp. Li' c 137 n.,...
Total (Qty Multiplied by Unit Chan
.sue
71.5 Total
Owner as defined by RCW.19.28.261 (1) Owner will occupy the stnickee for to years after this electrical pemtit is finalized. (2) Owner is required
to-him an electrical oontrectci• if above said property Is for sale, rent or lease. mit expires after six months of lest inspection.
After reading the above statement, I hereby certify that i am the owner of the f ve named properly
or e licensed electrical contractor 'I am making
the electrical installation or alteratian in compiienoe with the electrical taws. N. RCW Chapter 19.28, WAG. Chapter 29646B, The City of Port
Angeles Municipal Code, anc Utility Spealicetions and PAMC 14.05.050 rega di tg Electrical Permit Applications.
Sign atureof9wer, electrt;„ ontractoror electrical administrator ash 0 cmd1
0 Credacarcrti
Site p..ddress:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
,;)3?r?
/O/s,/c:f'?
/
.
ELECTRICAL PERMIT
DATE
Inst411ed By:
~EADY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Ownj3r/Business:
Phone:
Own~r/Business Address:
Sq. Ft.
o Residential
Heat KW
D Baseboard 0 Furnace/Boiler
C Heatpump 0, Other
C Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
0, New Construction
OCRemodel
D .Service update/alter/repair
~ Add/aiter circuits
0, Auxiliary power
(list below)
o Special equipment
(list below)
0, Overhead
0, Underground
Voltage
0, 10 0,3.0
Service size
0, Temporary
Amps
Det'li Is/Description:
ell.s
f'YLO VEr.!.
.
W.S. No. Service
Caplilcity: 0 O.K. 0, Not O.K.
0, Dlitch inspection O.K.
~ ~ Rbugh.in/cover O.K.
o '.K. to connect service
~,F nal O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
0, Fire Department notified of inspection
o Plan Review approved/pending
.
PermitfReceipt No.
c937~
New Meters
~ 0
Notllfy the Department of City Light by Street Address and Permit Number when ready for inspection. Work
mu~, not be covered or electrically energized before inspection and O.K. for covering or service has been given
by t~e Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224.
_,I ( ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THiS PERMiT /6 !!:!?
I Inspector Amount paid
WHitE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
Site IAddress:
II J..;;L
e
lnstjlffer:
OLYM'I~c PRINTERS. INC.
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
.APPLICATION.AND. ELECTRICAL PERMIT
A
000225
PERMIT NUMBER
.!
TOTAL FEE
II f-!!--
/l/6-eL<l1 II (fJ 5
v-
f
oMe.
CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Add!ess
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner Installatio~ By. A~ ('Jf:; $1"G1:
Owner's /lddiess Installers Address ~::t: I;;~ I t-f-
DayPhOlle .' -'I'1~. 'V6vl:, 1-lXi'1 .<:;"'t.L.1,n,,tallersPhone. "fxL-!,~'(
Application is hereby made tor Permit to install Electrical Equipment as follows: o.d.J.." To' J'\ I C)LA.+ I p rJ
Wiring Method
USE'OF CIRCUIT
NUMBER
CIRCUITS
AMP
PEA
CIA
120V.
10
240V
10"OR
30
FEE
USE OF CIRCUIT
NUMeER
CIRCUITS
AMP
PEA
CIA
120V
10
240V
100R
30
FEE
LIGHT
LIGHT
CONV~NIENCE
CONV~NIENCE
APPLl~NCE
':2.
SIGN
50 VOL T8
OR LESS
MOTOR
It..lW
MOTOR
DISHV;~~~HER
DISPO$AL
AANG$
. .
MOTOR
FIRE ALARMS
BURGLAR ALARM
.
MISC.
OVEN
WATEF! HEATER
LAUN~RY
DAYE~I
FUAN ,CE
GAS. miL
FURN 'CE
ELECTRIC
~LECT~IC HEAT.
ELECTf11C HEAT
A.C. U~IT
FEEDE~
SEAVI<lE
4 . REINSTALLATION LIGHT FIXTURE #
S~B TOTAL FEE '.
ENERGY FEE
BASIC FEE
J {, ,00
7~ eN-.
.
TOTAL FEE
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER.
2...:0 AMP I
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
I SUB-TOTAL
f/" Or:'
.,,~~
A.W.G.
SIZE OF GROUND
SIZE OF ENTRANCE SWITCH
pate A~plicatfon made
'-J -^ 7 .
,19 -lrt' By
-. . - . _.
I certifyl that the work to be performed under this permit will be done by the installer and in conforman
...- . -
CONTAACT~R OWNER (OR UTHOAIZED AGENT)
Pe~mission is here.by glv,en to do the above described work, according to the conditions hereon and according to the approved plans and
specifiqations pertaining thereto, subject to compliance with the Ordinances"o! .th,e. Gity ~f Port Angeles. '\ ~
01 CT OF CITY LIGHT "'
,'~. ..
3~;7-r)
By
PLANS APP D
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.
,..
Date P~lrmit Issued
WA~NING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPldIPRINTERS, INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
3-:)..7-7s- -; O.K. FOR COVERING
J- :n.~S l'r 7YTi: Y O.K. TO CONNECT SERVICE
'J.:l..? - '6''5'- U FINAL O.K.
I
.
z
CI
II:
ct
::!!
~
:z:
.....
z
w
.....
.
.....
o
z
o
Q
..
Mar 05 14 08:39a Straits Electric
3604520741 p.1
RECEIVED
CITY OF PORT ANGELES PERMIT
APPLICATION
Building Division /Electrical Inspections
321 East Fifth Street —P.O. Box 11501 Port Angeles Wasbington, 98362 MAR 5 20%
Ph: (360) 417 -4735 Fax: (360) 417 -4711
., ,_
Date: ��
1 & 2 Single Family
� I ��
Dwelling PPS ECTION,�
Plan Review May Be Required, Please Pornplete
Electrical Plan Review Information Sheet
Job Address: 2 ;
Building Square Footage:
❑escriptton of above
owner Infare�alan I /t �a
�- �l t Lr
Contract In�fof a i
T 1 � Ej-e e./
Name: 1 :Yi
Name:
fs+l ail! rig Address: 11 Z, A_ 7'-
Mailing Address:
City; y7pk -- State: kMPZip: _ 994(e-F—
City. Slate: Zip:
Phone: Fax;
Phone: Fax:
License # 1 Exp.
License 91 Exp.
Item
Unit Charae
Total MY Nulltllpllea§. Unit Charciej
Service /Feeder 200 Amp.
$ 920.00
Service /Feeder 201400 Amp.
$146.00
$
Service /Feeder 401.600 Amp
$ 205.00
$
Service /Feeder 601 -1000 Amp.
$ 262.00
$
ServicelFeader over 1000 Amp,
$ 37100
$
Branch Circuit W/ Service Feeder
$ 5.00
S
Branch Circuit W10 Service Feeder
$ 63.00
5
Each Additional Branca Circuit
$ 5.00
$
Branch Circuits 1.4
$ 75,00
Temp, Service/ Feeder 200 Amp,
$ 93.00
Temp. Service/Feeder 201400 Amp.
$ 110.00
$
Temp. Service/Feeeer 401.600 Amp.
$ 149.00
Temp, ServicelFeeder 601 -1000 Amp .
$188,00
$
Portal to Portal Hourly
$ 96.00
$
Signal Ciicu!V 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 -S(at
NEW CONSTRUCTION ONLY:
First 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 Hct Tub
$110.00
$
$£_ Total
Owner as defined by RCW.19,2&261: (1) Owner will occupy the structure far two years after this electrical permit is finalized. �2) Owner is required
to hire an electrica! contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the abppve statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electriralirlstallbtibnror alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -468, The City of Port
Angeles OunicipAl Cod', ''and Liljlity Specifications and PAMC 14,05.050 regarding Electrical permit Applications,
Signature of ®w
Cal contractor or electrical administrator: ❑ cash ❑ Check
„ (� � El credit card #
r
0110112012
0.1 q0FlTjjV'
-�o
ELECTRICAL SPECr ON
WIRING REPORT
ORKS 417-4735
DATE PERMIT It PEC
I J_:77 --
-41 J) z57
04NIER/CON-rRACTOR
S 677— k i
ADDRESS
APPROVED NOT APPROVED
Ll ........ ........... DITCH .................... 0
0- ...... ....... ROUGH IN/COVER ......... ❑
EL ............. SERVICE ................... ❑
❑ ....... ........... . FINAL ........ ........
CORRECTIONS NEEDED: "'�QK*P tllk2 A-F
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1361
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . . . .
14- 00000257 Date
3/05/14
Application pin number . . .
693409
DITCH
Property Address . . . .
1122 E ST
ASSESSOR PARCEL NUMBER;
06-30-99-0-3- 5510-DODD-
Applieation type description
ELECTRICAL ONLY
Subdivision Name . . . , . .
Property Use
FINAL
Property Zoning . . , , . , .
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
0
Application desc
200 amp service
Owner
Contractor
JOHN B WARDER JR
STRAITS ELECTRIC
1122 S E ST
PO BOX 2914
PORT ANGELES WA 98363
PORT ANGELES
WA 98362
(360) 452 -9104
Permit , , . . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc . ,
Permit Fee 120.00
Plan Check. Fee
00
Issue Date . . . 3/05/14
Valuation . .
0
Expiration Date 9/01/14
Qty Unit Charge Per
Extension
1.00 120.0000 ECH 2L -0
-200 SRV FEEDER
120.OD
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
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
'Sh !
SERVICE
,� }
ROUGH -IN
FINAL
r
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTI -IS FROM LAST INSPHCTION
Signature of owner or Electrical Contractor X Date:
GAEXCIIANGEIBUILDING
Application Number . . . . . 23-00000571 Date 6/02/23
Application pin number . . . 569208
Property Address . . . . . . 1122 E ST
ASSESSOR PARCEL NUMBER: 06-30-99-0-3-5510-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ANN KATHLEEN ROGERS KIRSCH ELECTRIC INC.
1122 S E ST P. O. BOX 3396
PORT ANGELES WA 98363 SEQUIM WA 98382
(360) 683-6819
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee . . .00
Issue Date . . . . 6/02/23 Valuation . . . . 0
Expiration Date . . 11/29/23
Qty Unit Charge Per Extension
BASE FEE 75.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
PREPARED 5/31/23,14:27:26 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000571 1122 E ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 75.00
TOTAL DUE 75.00
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
6/21/2023 23-571 TAP
OWNER
CONTRACTOR
Kirsch Electric
PROJECT ADDRESS
1122 E St
'ffi!lr- G..ilr5EH#
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOT APPROVED
D]TCH
. ROUGH IN/COVER .
SERVICE
FINAL
APPROVED
r]...,
tr
tr
COHRECTIONS NEEDED:
A
tr
tr
tr
tr
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
/
PEBMIT #
ADORESS
' miker@olympicelectric.net
Subject:
Location:
Start:
End:
Show Time As:
Recurrence:
Meeting Status:
Organizer:
FW: lnspection
1122 E St
Thu 6/15/202312:00 AM
Sat 6/17 /2023 12:00 AM
Free
(none)
Not yet responded
Trent Peppard
,"n{l',k
-----Original Appointment----
From: Trent Peppard <Tpeppard@citvofpa.us>
Sent: Wednesday, June 14, 2023 1-1:36 AM
To: Trent Peppard; Ken Haman
Cc: Timothy Amiot
Subject: lnspection
When: Thursday, June 15, 2023 I2:OO AM to Saturday, June 17, 2023I2:OO AM (UTC-0S:00) Pacific Time (US & Canada).
where: 1'122 E st
((,2,^".
Call owner to set a sp
NOTICE: This email and any attachments may be subject to disclosure as a public record under the Public Records Act,
RCW Chapter 42.56
1
Applicat.ion Number
Applicat.ion pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application t!?e description
Subdivision Name
Propert.y Use
Property Zoning
AppI ication valuat.ion
23-00000571 Date 6/02/23
569208
II22 E ST
05-30-99-0-3-5510-0000-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Application desc
DHP
Omer ContracEor
ANN KATHLEEN ROGERS
1122 S E ST
PORT ANGELES wA 98363
KIRSCH ELECTRIC INC
P. O. BOX 3395
SEQUIM
(360) 683-6819
wA 98382
Permit
AddiLional desc
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
ELECTRICAL AI.TER RESIDENTIAI,
1-4 CIRCUITS
75.00 Plan Check Fee
6/02/23 valuat.ion
7r/29/23
Per
BASE FEE
00
0
Extension
75.00
Fee summary Charged Paid credi ted Due
Permit Fee Total
PIan check Total
Grand Total
75.00
.00
75.00
00
00
00
00
00
00
75 00
00
00
L1-2 s 1 - 2 SINGLE-FAMILY
ELECIRI CAL P E RM IT APPLI CAT1ON
Public \\'urks and i-lLiliLic:; Dcparinruit
321 E. 5th Stleet. Port Angi:les, v\',\ 98-'l(r2
l(r0..11 7 .4?35 | r.r,wlv.ciLvof pa.us I electricirlpcrrrriisrZr.cityotpa.us
1122 South E Street
1lq
3
*
ProjectAddress:
tlilDucfess lledq/ctm
Project Description:
fl Single-Family Residential E Duplex/ARU Building Square footage:
OWNER INFORMATION
Name Ann Rogers Email:akroqers03@vahoo.com
Phone:(317)41&9384Mailing Address:
ELECTRICAL CONTRACTOR INFORMATION
Name:Kirsch Electric License:KIRSCElO32JW
Expiration Date:
Phone: (360)68&6819
Address: P
Email:
PROJECT DETAILS
lens
Service/Feeder 200 Amp.
Servicer/Feeder 20 1 -400 Amp.
Service/Feeder 401€00 Amp.
SeMce/Feeder 601 -1 000 Amp.
Servicey'Feeder over'1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
Ternp. Service/Feeder 200 Amp.
Temp- Sewice I F eeder 201 -400 Amp.
Temp. SeMce/Feeder 401 -600 Amp.
Temp. Service/Feeder 601 -l 000 Amp.
Portal to Portal Houdy
Signal CircuiULimited Energy - 1&2 DU.
Manuf;actured Home Connectlon
Renewab'le Elec. Energy: SKVA System or less
Thermostat (Note: $5 for each additional)
FIsf, til00' SQttare' Fe€t
EadrAddidfiat 50Os+rare feef '
Eactr OutbulkJkrg f Eeta# Garage
Eadr Srimming Fbol t Hot Trb
Unii Chr"gg
$120,00
$146.00
$205.00
$262.00
$373,00
$5.00
$63.00
$s.00
$7s.00
$93.00
$110-oo
$14e.00
$168-00
$96.00
$64.00
S12o.oo
$102.00
$56.00
i+zo.so
$40.00
sr400
s110.00
quedi& Ichl (Quantity x Unit CharEe)
$
$
$
$
$
$
$
$
75.001$
s
$
s
s
$
$
$
$
$t
$
$
$-.-.-----..*
s 75.00
Owner as defined by RCW.1 9.28.261 : (1 ) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Omer 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 certifi/ 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 PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical PermitApplications.
5t31t23 r-gqiflrsc.h l,/r-)fu
Print Name Signature 1@'owner n Electrical Contractor / Administrator)
TOTAL
Date
[Electrical PermitApplications may be submifted to City Hall or electricalpermits@cityofpa.us]
PREPARED 5 / 3I / 23 , J-4 :27 :26
C]TY OF PORT ANGELES
PAYMENT DUE
PROGRAM BP82OL
APPLTCATION NUMBER
FEE DESCRTPTION
23-0 0000571 Lr22
A]VIOUNT
EST
DUE
ELECTRICAL ALTER RESTDENTIAL
TOTAL DUE
75.00
75.00
Pl-ease present reciept to the cashier with full payment
Application Number . . . . . 22-00001392 Date 11/07/22
Application pin number . . . 503248
Property Address . . . . . . 1122 E ST
ASSESSOR PARCEL NUMBER: 06-30-99-0-3-5510-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Hot tub
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ANN KATHLEEN ROGERS KIRSCH ELECTRIC INC.
1122 S E ST P. O. BOX 3396
PORT ANGELES WA 98363 SEQUIM WA 98382
(360) 683-6819
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee . . .00
Issue Date . . . . 11/07/22 Valuation . . . . 0
Expiration Date . . 5/06/23
Qty Unit Charge Per Extension
BASE FEE 75.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
PREPARED 11/04/22, 7:37:38 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001392 1122 E ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 75.00
TOTAL DUE 75.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Hot tub outlet
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
11/15/2022 22-1392 TAP
OWNER
CONTRACTOR
Kirsch Electric
PROJECT ADDRESS
1122 E St