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Home My WebLink About323 E Ahlvers Rd - Building c/ pORT ~G CITY OF PORT ANGELES l' ~+<~ ,. DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION " 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~ Application Number 03-00000659 Date 7/11/03 Property Address 323 E AHLVERS RD ASSESSOR PARCEL NUMBER: 06-30-15-5-7-0110-0000- Application description RES DETACHED GARAGE Subdivision Name Property Zoning . Application valuation 6000 Owner Contractor ------------------------ ------------------------ DUANE/LOIS BLANK OWNER 323 E. AHLVERS RD PORT )\NGELES WA 983623705 ------ Structure Information 576 SF DETACHED GARAGE ----- I I Construction Type TYPE V NON-RATED Occupancy Type GARAGES, ,CARPORTS, SHEDS Other struct info . NUMBER OF UNITS 1.00 I ---------------------------------------------------------------------------- Permit .BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee 148.75 Plan Check Fee 59.50 Issue Date 7/11/03 Valuation 6000 ,(jJ Expiration Date 1/08/04, , () Qty Unit Charge Per Extension BASE FEE 92.75 4.00 14.0000 THOU BL-2001-25K (14 PER K) 56.00 ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due \i l\) - ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 148.75 - 148.75 .00 .00 - Plan Check Total 59.50 59.50 .00 .00 -L. Other Fee Total 4.50 4.50 .00 .00 ~ ~ Grand Total 212.75 212.75 .00 .00 . ,\ " . "i- <... ~ ~. , Separate Permits are reqUired for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordmances 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. 2'. tJsl~~ { - ( l - 03 Signature of Contractor or Authorized Agent Date Slg e of Owner (if owner is builder) Date T \PLANNING\FORMS\l102 15 [4/2002] BillLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE I ACCEPTED COMMENTS YES I NO " 11 ~.ftOY1 S/Cf-.b !}-f Jd- FOUNDATION: I FOOTINGS ' "-'}S-03 I WALLS I FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # I ROUGH-IN I I I I PLUMBING UNDER FLOOR / SLAB l I ROUGH-IN WATER LINE GAS LINE , BACK FLOW / WATER AIR SEAL WALLS I I I I CEILING FRAMING I JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING '1-10 -()~ J.L . I DRYWALL T-BAR I INSULATION I SLAB I I I WALL / FLOOR / CEILING I MECHANICAL I HEA T PUMP I WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIvIsIOn) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA PARKING/LIGHTING I I I ESA- LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R W / PW/ CONSTRUCTION - R W ENGINEERING 417-4807 PW / ENGINEERJNG FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 . J..r BUILDING T \PLANNING\FORMS\1102 15 [4/2002] PREPARED 10/14/03, 12 04.47 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/14/03 ------------------------------------------------------------------------------------------------ ADDRESS 323 E AHLVERS RD SUBDIV CONTRACTOR PHONE OWNER DUANE/LOIS BLANK PHONE PARCEL 06-30-15-5-7-0110-0000- APPL NUMBER 03-00000659 RES DETACHED GARAGE ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BLM 01 7/25/03 JLL BUILDING FOUNDATION MONO SLAB 7/25/03 AP BL3 01 9/10/03 JLL BUILDING FRAMING 9/10/03 AP garage framlng, call ahead L01S Blank 452-7345 BL99 01 10/14/03 ~ BUILDING FINAL TIME 17 00 Garage Flnal -\ PH# 452-7345 -------------------------------------- COMMENTS AND NOTES ------------------------______________ PREPARED 9/10/03, 12-23,32 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/10/03 ------------------------------------------------------------------------------------------------ ADDRESS 323 E AHLVERS RD SUBDIV CONTRACTOR PHONE OWNER DUANE/LOIS BLANK PHONE PARCEL 06-30-15-5-7-0110-0000- APPL NUMBER 03-00000659 RES DETACHED GARAGE ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BLM 01 7/25/03 JLL BUILDING FOUNDATION MONO SLAB 7/25/03 AP BL3 01 9/10/03 ~ BUILDING FRAMING garage framlng, call ahead L01S Blank 452-7345 -------------------------------------- COMMENTS AND NOTES --------------------------------______ 6" / CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: / Date 07/0,.1 0'" Time q:os Received by C'q-~ ~~ person) " I v I /' ,; - Location of Work to be inspected 1-.0 ( ..s. I~ I c.c. tA.. / C Name of person requesting inspection -;3~~ <i'. .f:l11 J V..c. Y t Address of person requesting inspection Phone No. J../.JJ-- 7 3J./.S Type of Inspection (circle appropriate one): Permit No. -.6 LS-9 ........." { Sewer Foun~aton Framing Chimney Plumbing Final Sewer Excav. Other S",- r J \1C INSPECTION NOTES: rl c;y m Inspected: Date ')j4P ~ Time By - Remarks: ~~ RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other o Repaired by City Work Order # o Repaired by Permittee o COMPLETE D No Damage Found o INCOMPLETE (Continue on reverse side if necessary) C::TRI=I=T C::IIPI=RINTl=l\lnI=NT In4T~\ FOR OFFICIAL USE ONLY BUILDING PERMIT - APPLICATION Date Rec.. b ~ 27-6 '3 Penmt#: ~ Fill out COMPLETELY and in INK. Your application and site plan MUST B DateA.....~ led: COMPLETE to be accepted for review. If you have any questions, call DId (360) 417-4815 ate ssue . Applicant or Agent: / ~O " ~ ~ \ tLA Y Phone: Y <) Z - 7 3 <.( ,,- Owner: L(') 'Ie;;,: "\"" ULl.o. (\ () ~p.,( {(~ V Phone: <-.(5:::: 2- 7] <r\' Address: :~l~ E- Af) ~ ~<; -R,1J City: Dm f &~ aJ..{J_?: Zip: q~(;? ArchitectJEngineer: Phone: Contractor D l..O n~'I'"'"' State License #: _ Exp: Phone: Address: , City: , Zip: PROJECT ADDRESS: ~2~ -e- Ah\u-~c::: ~ ZONING: .R...#c::;_t~ LEGAL DESCRlI:'uON: LOt:7'1.c;q.,., tt.7 , 'f:J Block: II Subdivision: J-l',11 c"AO) < +-- CLALLAM COUNTY PARCEL NUMBER: II (~ ~ () J 5 S 70 II 0 _ Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC # . Exp. Date: TYPE OF WORK: SIZEN ALUATION: ~esidential ~New Constr. 0 Re-roof 0 Stove ,t;; Ib SF. @ $ /SF. = $ o Multi-family 0 Addition 0 Move m-Garage ~v ?Y_ SF. @ $ /SF. = $ o Commercial 0 Remodel 0 Demolition 0 Deck SF. @$ /SF. = $ d'::J-~ o R~pair 0 Sign 0 Other - - TOTAL VALUATION $_ <ol~bO __ ' B~EFDESCRlPTIONOF uuPROJECT: :;, y':)~; 3~~ A('\ ~\( '~,~c~_.~ _ - - '\ Ccf) I" ille..... C:u/ t6'\- l~~A' a:-\\-nch-eA \-c \-~u'<:'LJ) - . , COMMERCIALIRESIDENTIAL: Occupancy Group: ' '. Occupant Load: Construction Type: . , .1, /O/be> '{3, .$1!<e - fl] No. of Stories: _ Lot Size: 79,QQy 127' Existing Sq. Ft. 17 Ok, & Proposed Sq. Ft. JL{x2 Y =TOTAB-Sq.Ft.-9-~.s?~ Existing lot coverage ~ % & Proposed lot coverage ~% = Total lot coverage g...~I).j r; % APPROVALS: PLANNING USE ONLY. PLAN: . BLDG: DPWU: r .l.tU!.: ESA/Wetland(s): 0 Yes 0 No SEPA Che~khst required? 0 Yes 0 No Other: Ouu"R: .", . ",. · t '~"'t. \ U BUILDING PERMIT APPLICA nON SUB1VU 1 1 AL: The Building Division can provide you with infonnation on the application and plan subtmttal requirements if;you have questions. VALUATION OF CONST$CTION: 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: Ifno permit is issued within 180 days of the date ofapplication, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Unifonn BuIlding Code, current edition). No application can be extended more than once. I 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. '1 /) ,..Q /' IT \FORMS\APPS\BUlldmgpennit wpd "-#: ApplIcant: '~- e:.., ~,"'\ <l Date L. ....:;) '7 - 03 L/ I . , '(... . '" 1 ~ ,: ~ ,l..... , SLIE..flAN I DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION I . APPLICANT: L-o 1 <; + Uu...r.Ar.... 11 <tS ( ern r PHONE: Lf(Z.-73yj PROJECT/DEVELOPMENT ADDRESS: 3L-:~ E A \l '~t&-rs R('j{ fa See Page 4 for instruJ!l~.pt on completinff!P.e sit1-P/~' For more information, call 417-4815. vev:;. :::5> ee.. . - f' --- ..... --. ~ -------~~~~---~--"- 6DtI .. .. I I /'1 I I- ~ ) I ' l) l ~ / "- > .. .. - - --- / -l - 111\ /f rrJI\ J -" Y '/ , I-- . II i' ~ 'S .,. . " / ~ .A. ,-t. .. , - I - - / .. \ - . - -I I ~ \ L~ lr r---'-p1 IIiS e~ fJ/ ~ ~ ~ - / 1\ . " ; cl \ I t I I ~ "- , ~~ \." ~' ,').. I .\. ~ <b l~ I ,~ , , \c\. , , , ", \ot, \ , ,-. 1 .. , l~.. -- l - - - . d~ "'" V , ~l ~:'I- d:. "- \tf ...... / ",,/ .- , jtl ./ , a' I I V d.-. (' L-" - ':;tIJ1. - G4 , / T ).. '~ he- ~ , ~ -" 10' "" .......... \11 .do. ,:;;;;i" i"" 1'1.:.. ~ ( ,...... .. i.. ~ I .. i ..".. .~~ -- - I n _7' . G.1lt ... .... ~:J I ~ L- C n T ~, ..,..' ft 5 -, "-. " I I REPLAT OF PORTIONS H, MA'UIRE'S / _0' A OF LOTS 13 I'" ADO ITI ON . .. ..... ... ......,,_. ........ ... .. _iIIe ............. TO PORT ANGELES, CLALLAM COUNTY, WASHINGTON I .. ........ .. .... .... .. "-" ....~. 5 .~,.,... IS, TOW"'.H'~ 30 N.",.", I R.N., " Win W.M. I '1ft I~ ::::J! .... , I . ... 00 _- &: ... al ~..J : r HILLCREST , t DRIVE I i "" - _00 ! ... 00 '3:J :t '0_ ~J :, ...- ... 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"'':.::~006::.0~ ::0 _~"";....~....~~o:-;: .........,..... .. e.~"'..... c............. ""'. '"".... ....., ....... "'0 ......0 ...... ".Wl. ., """..Ill .... ."0 .....,.."'.... ...t' -.... "~, ..... ~.. ",., ""., ....,.-.on~ ........'. .....i"t...... .1lC.O.DI.... CP~""'1 ~1e...T'-I. ~.....:....1!:........ -. ..."~~.._,. ~ ....~ ... .~... _...~ Ys:.U-... ~t X1Ll.. ~ ...,. ~ .. '49. ... I .":..1:.:''' ...,,, ::...,.=..;......,::-:. r:: ~ ~A .......... 4.. I. ..'"'''''''''. .. .........., . '" ..,.. ~ ~ . 10 A. I luw UItl ~ , I , : I ~ , ,1 , t , .! 4 S <>, i -' I .... 1 . i .... - ! i {; CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .2\ EAST 5TH STREET. PORT ANGELES. W A 98:\62 ~ ,.-,.l:'l:'.......J..'-a\-..I..uJ..LJ.~:- .. 7/12/05 05-00000578 Date Application pln number 336470 Property Address 323 E AHLVERS RD ASSESSOR PARCEL NUMBER 06-30-15-5-7-0110-0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor ------------------------ ------------------------ DUANE/LOIS BLANK OWNER 323 E AHLVERS RD PORT ANGELES WA 983623705 ---------------------------------------------------------------------------- Permit ELECTRICAL NEW RESIDENTIAL Addltional desc OWNER WIRE GARAGE Permit pin number 54064 ~ Permit Fee 48 10 plan Check Fee ,00 Issue Date 7/12/05 Valuation 0 Expiration Date 1/08/06 Qty Unit Charge Per Extension W 1 00 48,1000 ECH EL-R-OUTBD/DTCH GAR SEP 48.10 ll) ---------------------------------------------------------------------------- GO Fee summary Charged Pald Credited Due ----------------- ---------- ---------- ______"L___ ---------- Permit Fee Total 48 10 48 10 ,00 00 Plan Check Total 00 00 00 00 ~ Grand Total 48 10 48 10 00 00 ... ~ 'C (' \. ~ (j\ - . : COMMENTS/ACTJON NEEDED - ELECfRlCAL PERMIT INSPECfJON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS, PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE I ACC.....~ COMMENTS YES I NO DITCH ROUGH-IN / COVER SERVICE FINAL I 7-ll.-os-1 kzL) I I I GENERAL COMMENTS: PW.lI02.1' (4'96] ~ << - 1 . ",- -~. ~ ~- "., ""...-.,," ..~ '.' ",- '"'_"""_""'_"'6"..,..""","."~.".."_1l ~ , .~,,, c" ,",,,.,, ,."c,.".. n.."',.,,,,,, ._",,, ". '........,...,,,,,,,,".,,,,,. ".. ' "'"'',"''' ,~,,_"",., "m,.." ~.,," .,_,_""_._...,,'~,._,,... ,'" _JlQl...,_, ",... ...." ill" ~ ~ "~'--"-"~'.... ,-- ~ ~ ~="'"''''''=..''' ,...., ..~u~.."'_..,=,..~_, ::::t ,~~ rn '~Jr ~ __,..1 l:u ..-, ~'-'.'-1" ..-...., ....__....'"............ ,........,....-....,.......... ..........-.... ~.. ~ I KEA ~\c;..\-\i ~ I..EF m \/:;)" ~ \',0" \. J I l _ I -~ i ~ ".s?\1Ati S~Gl~, .. , 1'2. 1511 FELT I , "" . .,." ,,,,. I F ~ '2.. HI E LEV Ai ION . ~ >--J r ,,,. ,,"",,"''''0.'. I '14'<\'-0" ~ I J~~ I , , """"'" ) ~ l ~..4 .. () 'I '" "OA, """ "". , 5/4 Xb fAS(\A " I -=- ...__.. .C-:..... _. , ' , \ .~.... ' .. " I' I (t':,'N'i:l S\\l\NG",) · . ""'/ I _ ~",,'rrW" I .,,'M I I ~, ,\ ! I I , I " I Ole '! l! x: Ir ( (ilN(..,lAI', JI I 01 ~ < " 'i "'" N " It'" 01 .. ','.. __ _.. '\'.. ,..... GPAIl( '01...... ',:,"""0...;,..'1<".,....," 1 I " , " '" " I , '," ' ,. c>J . II' 'j "q Hol>.\l,R,1!.Ar<. ':"';~: 12"1 ' " " ' I 1'1." I I , , , ! I ' I SECTION , 1 '/2.." :::. \' -0" I " ~ " II " & 10,07'2.. O'HD,DP', (,,'/81,\2 C;,\...,\'\\)",) ~ -",..."" ,~ ( - .-.. .." I()'I"H W1. __ '" 1'1 110'.., "I," .,,, , ^ ,'IOY,'. , H A RTNAr; E.L B LD r;, 5 U PP L '/ "1 APPROVED ey: ~RAWN ey R 1.0 NOTED REVIS~D :,"31-n _ __ J.....!:Q.O R- PLAW 24' ~ 24' GARAG E 'I; < I'. 0' . _ ..._ L~..~"O~"o," " , ,..",.IIl.,,, ",.. """",H "~. .1M '''''H~' a" - """,. ,,,IJ., ._..,;j;" ....,#.>,.~~~_~"J>.., ,,^" """~l.,, . - "n~."",,".., , " II ~..,~,,,,.,.w,.,,,,. h fo 1./ <1'0II'~~ ELECTRICAL WORK PERMIT APPLICATION ~ ,,- L= .,~..; t-~" )>l Owner Installation description Job wired by D Electrical Contractor o Commercial ~ Residential . Electrical contractor name License number Date Expires o New o Altered/Addition Purchaser's mailing address ,. City Stale ZIP 8\~c-~\"-~\ 9uM.. ho,",-,>c.... 'Telephone number FAX number lb ~(\A.c.....<2.. - Premises owner's na~ 'fS~ k ~ . U A.. f\ "'- r \ I,^- Address of inspection ~';l~ E'. A\ol \ \l'e..A.~ City '";:::> ~<:.-e..leS I 0'2'\ Phone number to SChe~Ule~~~n:""~S')....1 ~t.f5'" I.{sZ--9fZ-1 1tv.~4.<A- .5 Owner as defined by RCW/9.28.26/:(J) Owner will occupy the structure for two ~" -" ~-L-' ~T'''' years after this electrical permit is finalized. (2) Owner i.\" required to hire an electrical contractor if above said p~operty is for sale, rent or lease. D Cash D Check # After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. J am making the electrical insta\- D Credit Card Visa Mastercard Discover lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 29'6-46B, The City of Port Angeles Municipal Code, and Card # ---------------- Utility Specifications. SiJ!:nature of owner, electrical contractor or electrical administrator Expiration Date X0 ~ Date:l-'l-Os. of card ($"'4;;" ';:-:, Electrical Load Additions and or subtractions ~~ Service Information o NO LOAD CHANGES CJ Baseboard - KW Voltage f)... J./ 0 CJ Furnace - KW CJ Overhead Service Phase'~f 1 0 3 CJ Heat Pump _ Ton_LAR CJ Temp Service Service Size, ("" ,g, o Fan-Wall - KW )t'Underground Service Feeder Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 0\) (" ( ROUGH-IN ) ( ",~RMOS~:~"d By ) ( SERTICE ) )f\ 7-/{-0-( ~ ~ Dalc Approvc<.l By Dalc Appro;cd Uy ~ ANAL ) ( DITCH ) ( FEEDER ) 7-/1- D'; rf'.C'J) ?-~)~I:OS- ~y - Dalc Approvc<.lBy- Date Approved By J nspection Area, Building or Equipment Inspected Action Taken I Electrical pate / rZ'j' i/ft Ire:;- rL-- ~ cr- t I - > I' - 1 1 1 1 4W I, 1Ig/,,;< , I I - Application Number . . . . . 23-00000819 Date 8/02/23 Application pin number . . . 108833 Property Address . . . . . . 323 E AHLVERS RD ASSESSOR PARCEL NUMBER: 06-30-15-5-7-0110-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Hot tub, Service ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DUANE/LOIS BLANK OWNER 323 E AHLVERS RD PORT ANGELES WA 983623705 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 230.00 Plan Check Fee . . .00 Issue Date . . . . 8/02/23 Valuation . . . . 0 Expiration Date . . 1/29/24 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00 1.00 110.0000 ECH EL-SWIMMING POOL/HOT TUB 110.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 230.00 230.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 230.00 230.00 .00 .00 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Pub! ic \Yorks and ULili ties Department 32 l E. 5th Street. Port ;\ngeles. WJ\ 98362 300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _ OWNER JNFORMATtON Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRfCAL CONTRACTOR fNFORMATION Name: ___________________________ License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ Temp. Service/Feeder 200 Amp. $93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal CircuiULimited Energy - 1 &2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Ren ewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Sql;Jare Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool/ Hot Tub $110.00 $ TOTAL $ Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] '"'CJ CD PREPARED 7/31/23,14:01:02 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000819 323 E AHLVERS RD FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 230.00 TOTAL DUE 230.00 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 8/31/2023 23-819 TAP OWNER Peters CONTRACTOR PROJECT ADDRESS 323 E Ahlvers Rd