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HomeMy WebLinkAbout1011 Eckard Ave - Building FROM FAX NO. Apr. 24 2009 1:54PM P1 CITY OF PORT ANGELES PERNIIT APPLICATION Building Division/Electrical Inspections f 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 JUL Ph:(360)417-A735 Fax:(360)4174711 I �I�AL Cate: '3't Single Family Dwelling INSPECTIONS Plan Review May Be uired Please Complete Electrical Plan Review Information Sheet Job Address: LO ''c-C.a-0-r4 Building Square Footage: 1?o 0 Descripllon of abm �0 k OMt4aawrdni re rg A,I dP d f b r aon d �ak ��+ - c- %e f—V(r= MeftAOft s t Aly: City: ^* S iripc � Phwre Phone' ^(ov ax "^ i• �'-_ UQMM#I EX ,, License ti 3 nr—O 11111 ate 31y Total(Qtr iMultioliad by Ugh Cherie) ServicelFeeder 200 Amp. $120.00 $- SendoelFeeder201400 Amp. $146.00 S SWcelFeeder 401.600 Amp $205.00 $ Ser deelFeeder601-1000 Amp.. $262.00 $ ServiwfFeWar over 1000 Amp• $373.00 6rardi Cimuft W1 Service Feeder $ 5.00 --_-.- $ Branch Crmk W10 Service Feeder $ BUD Each Additiorml Branch Circuit $ 5.00 $ Branch Circuits 14 $ 75.00 $ Tear.Service)Feeder 200 Amp. $ 93.00 $ Tamp.Servicefeeder 201400 Amp. $110.00 Temp.ServiceFe401 $149.00 Temp.Sevice oeda;601ViA4. $168.00 $ Portal to Portal Hourly $ 96.00 Signal C.urxtitl llmited Enesgy-1&2 Family Dwelling $ 600 Manufaclured.11ame Connec0on $120.00 Renewable l=xtcal 00i y-50A 5ystam or toss $102.00 $ Thermostat $ 56.00 $ Nom$5.00 for each adds&W T-SW NEW CoNsay-U1t'k!i First 13M Square FL $124.00 $ Each Additional 500 Square FL orPor6w of $ 40.00 $ Each OumulldN or DeWOW Garage $ 74.04 Each Swimming Pool or Hot-rub $110.00 ; � .dd Total Owner as defined by RCWA 9.28.281:(1)Ovmar vAH occupy the*t0 me fa NP years after this electrical pem*Is finalized.(2)Owner is required to hire an efeciftal contractor I above saki property is for sale,rent or lease.Penn*e)#Ms oW six months of last irtspeotion. After reading the above sfatensent,.I hereby omty That I am the owner of me above named pmp"or a licensed electrical contractor.I am making the elecWcai installation or alteraffcut in compliance with the electrical hys,N.E.C..RCW.Chapter 1928,WAC.Chapter 296468,The City of Port Angeles Municipal Code,and U61 ty Spedfledons and PAMC 14.05.054 regarding pectrW Permit Applications. signature of own ,el I rorttractor or eleWcal administrator: ❑ Cnh o Cl Credit Cwd I L Home: wrotrmrx ELECTRICAL PERMIT CITY OF PORT ANGELES l 360-417-4735 CM Application Number 13-00000862 Date 8/01/13 Application pin number 204426 Property Address , , . 1011 ECKARD AVE ASSESSOR PARCEL NUMBER: 06-30-14-5-4-0640-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise flax farm Subdivision Name , . . . . . Property Use to the City of Port Angeles Property Zoning . , , . , , . UNKNOWN (Location Code 0502) Application valuation , , , . 0 Application deec 1 circuit ductless heat pump Owner Contractor HOLGER AND BIRTE BOUARZIN ELECTRIC SERVICE 7 HUTCHINS 'ST 82 DRAPER RD TUSON AZ 85712 PORT ANGELES WA 98362 (360) 452-6424 ___-_-°------------------------------------------------------------- Permit . . . . , . ELECTRICAL ALTER RESIDENTIAL Additional desc ..�., Permit Fee 63.00 Plan Check Fee 00 sr, Issue Date . . . . 8/01/13 Valuation , 0 Expiration Date .1/28/14 Qty Unit Charge Per Extension --------1--.0-D- 63.0000 ECH EL-R- BRANCH-CIR-WO/ SER FEED 63.00 . -------------- 1 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 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:IEXCHANGEIBUILDING RECEIVED VJ C7� CITY OF PORT ANGELES PERMIT APPLICATION 'JUL 16 2013 Building Division/Electrical Inspections ELECTRICAL 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington, 98362 INSPECTIONS Pia: (360)417-4735 Fax: (360)41.7-471.1. Date: 7-1(—,—Ij —1 &2 Single Family ravelling 'Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address r' 1 C Building Square Footage: Description of above D 12 S W 1TLh A-,j..0 D C-N Owner Information Contractor laformation Name� o sma z l 9 Name: n C- Mailinq Address: Mailing Address: City; State: Zip: City: State: Zip: Phone: Fax: Phone: Fax: License#1 Exp, License#/Exp Item Unit Charge y Total(Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp, $146.00 $ Service/Feeder 401-600 Amp $205.00 $ Service/Feeder 60 1-1000 Amp. $262,00 $ Service/Feeder over 1000 Amp $373.00 $ Branch Crcuit WI Service Feeder $ 5.00 $ Branch Circuit WIO 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.ServicelFeeder 601-1000 Amp, $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit)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-Stat 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 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 296-463,The City of Port Angeles lvlunicipal Code,and Utility Specifications and PAMC 14.06.050 regarding Electrical Permit Applications. Signature of owner, le t i al contractor or electrical administrator: ❑ cash , I check ❑ Credit Card# X Dated: 7 is f 01I0112042 '���`� ELECTRICAL PERMIT V� CITY OF PORT ANGELES 360-417-4735 Application Number . . . . , 13-00000763 Date 7/17/13 Application pin number , , . 134856 \ �{ Property Address , , , . , , 1011 ECKARD AVE REPORT SALES TAX ASSESSOR PARCEL NUMBER; D6-30-14-5-4-0640-0000 Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name Property Use to the City of Port Angeles , Property Zoning . . . , , , . UNKNOWN (Location Code 0502) Application valuation , . , . 0 Application desc 1 circuit add switch and can light Owner Contractor HOLGER AND HIRTE SOJARZIN BLACK DIAMOND ELECTRICAL CONTR 7 HUTCHINS ST 502 BLACK DIAMOND RD TUSON AZ 85712 PORT ANGELES WA 98363 (360) 565-1035 ------------------------- -_-__--------------------_---- _--_ . _--------- Permit . . ELECTRICAL ALTER RESIDENTIAL Additional desc , Permit Pee 63.00 Plan Check Fee �V Issue Date 7/17/13 Valuation . , . . 0 Expiration Date 1/13/14 Qty Unit Charge Per Extension y� 1,00 63.0060 ECH FL-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 DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN f j FINAL COMNMNTS: PERMIT WILL EXPIRE S IX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X _ Date: G:IEXCHANGEIBIIILDING " CI'T'Y OF PORT ANGELES PERMIT APPLICATION � ��� K Building Division/Electrical Inspections 321 East Fifth Street—P.O.Box 11501 Port Angeles Washington, 95362 (11 ICT _.. 9 2 Ph: (360) 417-4735 Fax: (360)417-4711 [ r1;�C�"RICAL Date; z7 —/-? M&2 Single Family Dwelling IMPEC`NONO *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: O Building Square Footage: Description of above Owner Infomation t7 _ '1 Contractor Information Name: rv _y (�^�Z K Name: ?PC Mailing Address: Mailing Address: a +rt City: State: Zip: City: kA State:—A- Zip: fdrTss _ Phone: Fax: Phone: Fax: License#1 Exp, License#1 Exp. Item Unit Charge ty Total(Qty Multiplied by Unit Charge ServicelFeeder 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 W1 Service Feeder $ 5.00 $ Branch Circuit W10 Service Feeder $ 63,00 $ Each Additional Branch Circuit $ 5,00 $ Branch Circuits 1-4 $ 75,00 $ 7 Temp.Service/Feeder 200 Amp. $ 93.00 $ Temp,Service/Feeder 201400 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 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy-5KVA System or Loss $102.00 $ Thermostat $ 56,00 $ Note:$5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $12000 $ Each Additional 500 Square Ft.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.19.29.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized,(2)Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW. Chapter 19,28,WAC. Chapter 296-46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature w r,a ctrical contractor or electrical administrator: 0 Cash Check 171 CreditCard#X hated; 0110112612 ELECTRICAL PERMIT t1a CITY OF PORT ANGELES 360-417-4735 Application Number . , , . 13-00001165 Date 10/09/13 Application pin number . . . 839585 �..._ Property Address . . . . . 1011 ECKARD AVE REPORT SALES TAX ASSESSOR PARCEL NUMBER : 06-30-14-5-4-0640-0000- Application type description ELECTRICFiL ONLY on your excise tax form Subdivision Name . . . . to the City of Port Angeles Property Use . , , . . , . . Property Zoning . . . . . . . UNKNOWN (Location Code 0502) Application valuation . , . . 0 Application desc Bathroom remodel Owner Contractor HOLDER AND-BIRTE BOJARZIN BLACK DIAMOND ELECTRICAL CONTR 7 HUTCHINS ST 502 BLACK DIAMOND RD TUSON AZ $5712 PORT ANGELES WA 9B363 (360) 565-1035 ----------------------------------°_--___---------------_----_ -------------- tee_ Permit ELECTRICAL ALTER RESIDENTIAL Additional desc 1-4 CIRCUITS Permit Fee 75,00 Plan Check Fee .00 Issue Date 10/09/13 Valuation 0 Expirat.ion Date 4/07/14 Qty Unit Charge Per Extension BASE FEE 75.00 +t , -------------------------- g- -�---------------- _--_- ------------_--_°_--_- /l'\ 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 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN Who � FINAL t 1-311 COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANG"UILDING LZZ I and' PJUNOg ::0 i jiLujo,j fuiplIng CITY OF PORT ANGELES l DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 13- 00000227 Date 3/07/13 Application pin number 700681 Property Address 1011 ECKARD AVE ASSESSOR PARCEL NUMBER: 06-30-14-5-4- 0640 -0000- Application type description RE -ROOF Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 6780 Application desc TEAR OFF INSTALL COMP Owner Contractor LEE, JAMES A LARRY'S ROOFING 11217 S IROQUOIS DR 352 AVIS ST. PHOENIX AZ 85044 PORT ANGELES WA 98362 (360) 452 -2215 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF /INSTALL COMP Permit Fee 165.75 Plan Check Fee .00 Issue Date 3/07/13 Valuation 6780 Expiration Date 9/03/13 Qty Unit Charge Per Extension BASE FEE 95.75 5.00 14.0000 THOU BL- 2001 -25K (14 PER K) 70.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 165.75 165.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 170.25 170.25 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 ex ed this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will b co plied with whether s pecified herein or not. The granting of a permit does not presume to give authority to x tance l pr io of any state or local law regulating construction or the performance of 3 7- 3 7-t3 construction. -1� Lm v 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 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 I Date Accepted By I Comments FOUNDATION: 417 -4653 Footings I I Stemwall I I I Foundation Drainage Downspouts I I I Piers I I I Post Holes (Pole Bldgs.) I I PLUMBING: Under Floor Slab I I Rough -In I I Water Line (Meter to Bldg) I I Gas Line I I Back Flow Water I I I FINAL Date Accepted by AIR SEAL: Walls I I I Ceiling I I I FRAMING: Joists Girders Under Floor I I Shear Wall Hold Downs I I Walls Roof Ceiling I I Drywall (Interior Braced Panel Only) I I T -Bar I I I INSULATION: Slab I I Wall Floor Ceiling I I MECHANICAL: Heat Pump Furnace FAU Ducts I I Rouqh -In I I Gas Line I I Wood Stove Pellet Chimney I I Commercial Hood Ducts I I FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab I I Blocking Hold Downs I I I Skirting I I I PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting I I ESA: Landscaping I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 4 Construction R.W. PW I Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 tN J V I T:Forms /Building Division /Building Permit THE C ITY OF R, t 4GELES W A S H I N G T O N, U. S. 321 East S' Street Port Angeles, WA 98362 P: 360- 417 -4817 F: 360 417 -4711 permits@cityofpa.us For City Use Permit# V -�Z� Date Received: 3- 1_� Date Approved S (3 Building Permit Application Project Address: 10 E Sc, cc Main Contact: Phone OVI) E- Mail. Property Name %W'g D A Phone Owner Mailing Address Email City State Zip n n Contractor Name J-5mm s, Phone Mailing Address Email City State Zip(, 3 L Contractor License Expiration: Project Value: Zoning: Tax Parcel Lot J Type of Residential Commercial Industrial Public Permit Demolition Fire Repair Reroof (tear off /lay over) D4 For the following, fill out both pages of permit application: New Construction Remodel Addition -Tenant Improvement Mechanical Plumbing Other Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes No f1 i 1 t Project 1(vmoue, e, 1..4i f 0 1 K� 11 �o ��r om Description I u-mr Shy na des I I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit. I understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects. I understand that the plan review fee is not refundable after plan review has occurred. I understand that I will forfeit the review fee if I cancel or wit raw the application before the permit is issued. I understand that if the permit is not issued within 180 d s of receipt, the application will be considered abandoned and the fees forfeit. Date Print Name Signa r Area D Iscription (SQ FT) Basement First Floor Second Floor Covered Deck /Piorch /Entry Deck Garage Carport Other (describe) Area Totals Area Descriptions (SQ FT) Existing Structu l e (s) Proposed Additi l on Tenant Improvement? Other work (describe) Area Totals Residential Structures For Office Use Existing Proposed value Commercial Structures Existing Proposed Value Lot/Site Coverage Calculations For Office Use Footprint (SQ FT) of all Structures: Lot Size: Lot Coverage SQ FT Site coverage (all impervious Site Coverage structures) Mechanical Fixtures Indicate now many of each type of fixture to be installed or relocated as part of this project. Air Handler j Size: I I Haz /Non -Haz Piping of Outlets: I I Appliance Vent Heater (Suspended, Floor, Recessed wall) Boiler /Compressor Size: Heating /Cooling appliance repair /alteration Evaporative Cooler (attached, not Pellet Stove /Wood- burning /Gas portable) i Fireplace /Gas Stove /Gas Cook Stove /Misc. Fuel Gas Piping i of Outlets: Ventilation Fan, single duct Furnace /Heat Pump/ Size: Ventilation System Forced Air Unit Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps, Fuel gas piping of Outlets: Water Heater i Medical gas piping of Outlets: Water Line Vent piping Sewer Line Industrial waste pretreatment interceptor Other (describe): T: \BUILDING \APPLICATION FORMS \BUILDING PERMIT 081212.DOCX Jk I f 4 i�... r 9; III J rN, so I f 4 i�... r 9; III J rN, PREPARED 4/01/13, 11:43:06 INSPECTION HISTORY REPORT PAGE I PROGRAM BP521L 0/00/00 THRU 0/00/00 CITY OF PORT ANGELES APPLICATION PROPERTY ADDRESS APPLICATION ASSESSOR PARCEL NUMBER ALTERNATE ID STRUCTR PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR 13 00000227 1011 ECKARD AVE 06-30-14-5-4- 0640 -0000- 000 000 BNOP 00 BUILDING PERMIT NO PR FEE BL99 0001 BLDG FINAL 3/13/13 APPROVED PB REQ COMM: March 7, 2013 10:23:13 AM pbarthol. REQ COMM: Tom 452-2215 RES COMM: March 13, 2013 4:50:27 PM pbarthol. ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number 15- 00000594 Date 5/26/16 Application pin number 692858 Property Address , . . 1011 ECCARD AVE ASSESSOR PARCEL NUMBEP2: 06-30-14-5-4- 0640 -0000- Application type description ELECTRICAL ONLY Subdivision.Name . . . . . . Property Use property Zoning . . . . . . . UNKNOWN_ Application valuation . . . . 0 Application desc Sub panel ----------------------------------------------- ---- ------------------- - - - - -- Owner Contractor RESULTS: HOLDER AND BIRTE BOJARZIN SIMPSON ELECTRIC 7 HUTCHINS ST 243036 W HWY 101 TUSON AZ 85712 PORT ANGELES WA 96363 (360) d57 -9270 __ - -. .-------------------------------------^---'w-------------------- Pexmit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional deoc . . COMMENTS: Permit Fee 120.00 Plan Check Fee 00 Issue Date 5/28/15 Valuation . . . . p Expiration Date 11/24/15 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL -0 -200 SRV FEEDER 120.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Crodited Due Permit Fee Total 120.00 120.00 QO .00 Plan Check Total .00 .00 .00 .00 . Grand Total 120.00 129.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) iN'SPECTIONTYPE 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:IEXCHANGEli3UILDWG o CITY OF PORT .ANGELES PERMIT APPLICATION Building Division/Electrical lnspectiom5 321 East Fifth Street —P.O. Dogs 1x501 port Angeles Washington, 98362 Ph: (360) 417 -4735 :Fax: (360) 41.7 -4711 uate:- * Plan Review May Be Job Address; Building Square F00fag0: _ oescdoan of above -! 2C 1 & 2 Single Fancily Dwelling owner Inform ion r Name: Malling Adds' City: state:l.t)A -. -Zip; Phone: _FAX: Lieanse # 1 Exp., - _ ltenn Unit Cha e semcelFeeder 200 Amp. $120.00 Service /Feeder 201.400 Amp. $146.00 Servloo/Feeder 401.600 Amp $ 205.00 Servicefeeder 601.1000 Amp. $ 262.00 $ 373.00 5arvloafFeeder over 1000 Amp. Branch Circuit wl Service Feeder $ 5.00 Branch Circuit W/O Service Feeder � 63,00 Each Additional Branch Cimult Branch Gircob 1-4 $ 75.00 $ 93,00 Tomp. Service/ Feeder 200 Amp, Temp, Servloe/Feeder 20140 Amp. $110.00 Temp. Service /Feeder 401 -600 Amp. $149.00 Temp, ServlcelFeoder 601 -1000 Amp , $168100 Portal to Portal Hourly $ 96,00 Signal Circull! Limited Energy -1 a 2 Family Ovvelling $ 64,00 Manufactured Home connection $120.00 Renewable ElecMcal Energy - 5KVA System or Less $102.00 Thermostat $ 56.00 Nate- $5.00 for each additionek T-Stat rJ.�.ONSS u� �Ipr�ou�Y; First 1300 Square Ft. $120.00 Each Addiknal 500 Square Ft. or Portion of S 40,00 Each Outbuilding or t ?efached Garage $ 74.00 Each Swimm'bg Pool or Hot Tub $110.00 an Review information Sheet colntractorinforlmaiion L�C'1 C._ �- C Name;r�5© ——,� Msllln A! ddress: — �� Statm: zip; Phone:!f5 ? U Fox; Lioensd #I Exp._ "Y_i 1'otat Muhl LOW by Unit Cha_ e - $�1 O�,yD $ ;70Total Owner as da5ned by ROW 19,28.261: (1) Owner will occupy the structure for two years after this electroal 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 inspectlo.n. After reading the above statement, I hereby certify that I am the owner of the abav* flamed property or a licensed electrical � nntractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW, Chapter 19.28, WAC. Chapter 29+ 1;-468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permft Applioatlons. z e of miter, electrical ntractor or electrical administrator.' ❑ cagh ❑ checx Cr®dltCArd# bated; `5-'0 01101012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number 15- 00000413 Date 4/22/15 Application pin number . . , 017476 Property Address , . . . 1011 ECKARD AVE ASSESSOR PARCEL NUMEER: 06-30-14-5-4- 0640 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property zoning , . . . , , UNKNOWN Application valuation , , 0 - -- ------------------------------------------------------------------------ Application desc Bath / Bed remodel and sub panel Owned' Contractor HOLGER AND BIRTF BOJARZIN OWNER 7 HUTCE{INS ST TUSON AZ 55712 Permit . . , . , . ELECTRICAL ALTER RFSIDBNTIAL RESULTS: AddStional desc , . DITCH Permit Yee 145,00 Plan Check Fee 00 issue Date 4/22/15 Valuation 0 Expiration Date 10/19/15 Qty Unit Charge Per Extension 5.00 5,0000 ECH EL- BRANCH CIRCUIT W /FFFDER 25,00 1.00 120,0000 ECH EL -0 -200 SRV FEEDER .120.00 Fee summary Charged Paid Credited Due "Permit Fee Total 145,00 145.00 .00 .00 Plan Check Total 09 .00 .00 .00 Grand Total 145.00 145,00 .00 .00 REPORT SALES TAB' on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE y ROUGH -IN FINAL COMMENTS: ly41V PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION_ v Signature of owner or Electrical Contractor X Date: GAEXCHANGEIBUILMNG i ELECTRICAL INSPECTION WIRING REPORT 417-4735 RKS APPROVED NOT APPROVED ...... DITCH.. . ......... ....... 0 --.-.ROUGH IN/COVER ............... 0 7. (..... SERVICE .......... ........ (3 ...... ...... .. FINAL .................. -0 CORRECTIONS NEEDED: MLlAq ll wr a NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 16 DAYS �#Toll. ' re-11 A s"14. LTJ [611FAAM DAT CONT A'�-TE�R' ADDRESS C-) APPROVED NOT APPROVED ...... DITCH.. . ......... ....... 0 --.-.ROUGH IN/COVER ............... 0 7. (..... SERVICE .......... ........ (3 ...... ...... .. FINAL .................. -0 CORRECTIONS NEEDED: MLlAq ll wr a NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 16 DAYS �#Toll. ' re-11 A s"14. LTJ [611FAAM 01 V 0 R 7,4 41.01 ELECTRICAL INSPECTION WIRING REPORT F R?KS 417-4735 DATE: INSPECTOR- 0 vwv Pic, L-K,*-Yz CONTRACTOR AUDW-SS 11) 1 APPROVED NOT APPROVED .............. ......DITCH ............. ...... 0 ROUGH IN/COVER ............... 11 0. ............. SERVICE .................. . 1:1 4. El ......... -.- ....... FINAL .................... 0 CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — CITY OF PORT ANGELES PERMIT APPLICA'T'ION Building Division /Electrical Inspections 321 East Fifth Street -- P.O. Box 1150 / Port Angeles Washington, 98362 Ph. (360) 417 -4735 Fax: (360) 417 -4711 Date, r /L/ /�- _ f & 2 Single Family Dwelling RECEIVED APR 2 1 2015 ELECTRICAL INSPECTIONS * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address:.... /® /r G ojt/Z Building Square Footage: Descriotion of above lbs. -lam hf- 7"'t 7. Owner Infor atiQQn� r Name: �Mw ` c . Mailing Address: 1.0 1( City; State: Zip: °Y4:16 $-- Phone: - _5 Fax License # 1 Exp, Item 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 W1 Service Feeder $ 5,00 Branch Circuit W10 Service Feeder $ 63.00 Each Additional Branch Circuit $ 5.00 Branch Circuits 1 -4 $ 75,00 Temp Service/ Feeder 200 Amp, $ 93.00 Temp ServicelFooder 201 -400 Amp, $110.00 Temp. ServioelFeeder401 -600 Amp $149.00 Temp, SorvicelFeeder601 -1000 Amp . $168.00 Pcrtal to Portal Hourly $ 96.00 Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64.00 Manufactured Nome Connection $120,00 Renewable Electrical Energy - 5KVA System or Less $10200 Thermostat $ 56.00 Note: $5.00 for each additional T -Stat NEW CONSTRUCTION ONLY; First 1300 Square Ft. $120.00 Each Additional 500 Square Ft, or Portlon of $ 40.00 Each Outbuilding or Detached Garage $ 74.00 Each Swlmming Pcol or Hot Tub $110.00 Contractor Information Name: Mailing Address, City: t61:- Zip: Phone; Fax License # 1 Ex� gty Total {Qty Multiplied by Unit „Charge) _... $��� $ $ $ $ $otal Owner as defined by RCW,19. H61: (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 S ec1ications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, el '31 ntra or or electrical administrator: © Cash ❑ Check } C edit Card # x Dated: ? 0110112012