HomeMy WebLinkAbout705 Estes Ct - BuildingApplication Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
EISENMANN LLOYD /CAROL
705 ESTES COURT
PORT ANGELES WA 98363
(360) 565 1116
T• \PLANNING\FORMS \1102.15 [11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
04 00000492
862112
705 ESTES CT
06 30 00 4 5 0210 0000
MECHANICAL PERMIT
RS9 RESDNTL SINGLE FAMILY
6204
Owner Contractor
Date 6/09/04
ALL WEATHER HEATING COOLING
302KEMP ST
PORT ANGELES WA
PORT ANGELES WA 98362
(360) 452 9813
Permit EL.;CTRICAL ALTER RESIDENTIAL
Additional desc SIIPSON ELECTRIC/ HEAT PUMP
Sub Contractor SIPIPSON ELECTRIC
Permit Fee 46 70 Plan Check Fee 00
Issue Date 6/09/04 Valuation 0
Expiration Date .2/06/04
Qty Unit Charge 'er Extension
1 00 46 7000 Eli EL -R OR RM 1 4 ALT CIRCUITS 46 70
Fee summary Charged Paid Credited Due
Permit Fee Total 46 70 46 70 00 00
Plan Check Total 00 00 00 00
Grand Total 46 70 46 70 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 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 thi 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.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
FOUNDATION
FOOTINGS
WALLS
FOUNDATION DRAINAGE /DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL /HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE PELLET CHIMNEY
HOOD/ DUCTS
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T-\PLANNING\FORMS \1102.15 [11/14/20031
BUILDING PERMIT INSPECTION RECORD
YES 1 NO
SEPA.
ESA. 9"� lt,Q
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
1 BUILDING
,'I
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~~
C~()FPORT ANGELES
DEPARTMEN'!' OF coJVIMpNiTY DEVELOPMENT - BUH..DINGDIVISION
321 EAST 5TH S:rREE'f,PORT ANGELES, W A 98362
04-00000492 Da~e
.862112
70S ESTES CT
06-~0-00-4-5-021U-0000~
,MECHANICAL PERMIT
ApplicatiTNumber . .
pin nUmber . . . . . .
property AtreSs . ..
ASSESSOR P CEL NUMBER;
Applicatio description
Subdivision Name
property Use
property zoning.
Application valuation
Owner
';',""S-;,';.; .
ALL WEATHER, HEATING & COOLING
302KEMPST. '
PORT ANGELES , WA
PORT"ANGELES
(360) 452-9813
._-~.-' " '
- ':F;,~/~.;:~'; -_--,~ -: - - - - ~ - - - - - - -- - - - - - - -...- ----.... - - - - - ~ - - - - - - -...;- - -- - - - ~ - -...... --.. -..... -... .-. - - - ---
"':~' Penuit . . . . MECHANICAL PERMIT
Additionaldesc HE2\T PUMP
Penuit Fee 61.70
Issue Data 6/03/04
Expiration Date 11/30/04
Plan Check Fee.
,'Valuation
~
~
~'
Qty , un! t Charge
100- FAU
1.00
14.7000 ECH
Permit Fee Total
Plan Check Totai
Grand.Total
61.70 ;00
.00 .00
61.70 .00
~
VI
~
V'
Fee summary Charged
Paid Credited
~
Separate Perml~$are r~quired forel~ctrical work, SEPA, ShorelhlE~,.E$A'1Jt!lities,private and publicimprovElmen!S~This J>erJl1!tbecoITl8s
null and voldif work or con,struction authorized isnotcommencedvvttl,l,inJ80'oays; if construction or work, Is~~spended,qrabaridoh8d
for a period of 18~ days afterthework as Commenced, or if required lils,PeetiOrishave not~eenrequestedWithlrt,;~~!LdayS*ornthelast
insp~ction. I her.~by cElrtifythat I have read and examined this applicatiQn'Cindkno\V the sarne tob.etruean~CorreCt~~lrprovisions of
laWS andordinanc'esgoverning this type of work will be CQmpliMwlthwhether specified herein or nol')he'gra,f1ll~g.9,t~pe~ro.it,.cfoes not
presume to give authority.to violate or cancel the proVJsions of any state or local law regulating constiUctiQnor,th~.per:fonTlal)ce of
cons tion.,' '. .' .
Date
SiQnature of OWner (if owner is builder)
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.il',,'"
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BUILDING PERMIT INSPEOTION RECORD
i
"'. ".' (" .
CALL 417-4815 FORBUILDING INSPECTIONS.CADL 417-4735 FORELECfRlCAL IN~PECTIONS:
PLEASE PIiOVIPEAMINIMPM24 HOUR NO'rICE. ITIS UNLAWFUL TO COVER, INSU/.AlE ORCO/VCEALANYJ"'/()RJ(llEFORE
INSPECTEJ)ANDA~CEPTED. }lOST PERMIT INA c::ONSPICUOUS LOCA11,ON. "
KEEPPERMfr'CARDiAND APPROVED PLANS ATI0B SITE' !
,''t'
, '.
. .INSPECTION TYPE ; .. ;"". DATE ACCEPTED COMMENTS "
I NO'{ i
. . .' YES . i .'
iF{)l!NDATION: .... '0 c
. ~.... '" "
"FpoTIf./GS,. .',; '\ .
\
W.ALLS ",'
'FOUNDATION " DR.A1NAGEIDOWN.SPOUTS '. ,
Eq:CTRI(:At , (UGHT DEPi') ,SEPARATE PERMIT: # , )"
I.
ROUGH:IN , ,'., I . r I.... , '" . ,
PLU~ING, .: . "'.
.
UNDER FLOOR/ SLAn .
.'
ROUGH~IN "
0
WATER LINE (METER TO aLDO) ,
GAS LINE '. ..
BAck F'LOw tw ATER '.' "
. , .'
AIR SEAL
WALLS . ,., I,
,
CEILING I ., . I I I.' ;".
.., ".
FRAMING .
JOISTS I GIRDERS
SHEAR W!J..l!HOLDDOWNS ,
"
W AL!-~I.ROOFl i;:ElL.ING ..
DRYWALL (IN'TERIOR BRACED PANEL ONt Y)
T-BAR .' '.. '. .' ,
INSULATION . . 'c
SLAB . " .'
WALL/FLOOR/eElL1NG .' . I .'.' I .
MECIfA!'iICAL .,
.
HEAT P-UMP I
GAS tiNE .
WOODSTOVEipELLET/C~Y ,
HOOD/ DUCTS .. . '. . .
PW UTILITIES I SITE WORK (Engi~ng Division) SEPARATE PERMIT #'5:
WATERLINE I METER c.
"
SEWER CONNECTION .
. .
SANITARY
STORM ""
pLANNING DEPT. SEPARATE PERMIT #'s ,
SEPA:
'PARKlNGlLIGHTING .. .. ESA:
., , .'
LANDSCAPING , '; .\,.: .\.' :..';':\0..'"' , " SHORELINE: ;.
, , '. ,) '\ FINAL Il'ISl',lro'TIONS.REQUlRED PRIOR TO OCCUPANCY/lJ.~E ".,." ',7:. 'f!,,~i ,; :1
, "\'-'
.. RESIDENTII\L ,: ',\.'t, , . "'DATE" YES NO ' COMMEItCIAL DAT&! .' ACCEPTED
" ..;.-
;.. ;;, YES'" :'NO
, ..... '/" . '.' ,.; ,
ELECrRlCAi. LIGHT DEn 417-4735 .' ;. " "'" .; 1""
ELECTRICAL I "
. .. LIGHT DEPT :,.,' ".
CONsTRUcnON R.W./ PW/ , CONSTRUCTION.R. W. :
ENGINEERING 417,:-4807 .. PW /EN~~G :', .. ,""
FIRE. 417-4653 ,: FIRE DEPT.' " ....' \ ..' I
" ,
PLA.NNIN.QJ?EPT' 417-4750 PLANNING DEPT. '.
BUILDING .... 417-4815 BUILDING ", "
T:\PJ,;ANNING\FORMS\1102.15 [1111412003] . , '.
----
I ----
I
FROM : RLL WEATHER HEATING & COOLING
FRX NO. : 360 452 5177
Jun.
03 2004 08:33AM Pi
01. .... - ~ ~
Permit .~
o.tc~:
DlIIo ....:
If
.~
~ 17Ie Building Pe""~t - Pre-applictJlW1I ."" be ftIJetI"UI co",pll!I~Jy.
~ PInIe type or prlnt'iD lak. If you bave allY questloll5, please caD 41'7~8t5
A\\ .. r . \1 \\ \'- ,^. r 0. PhODe: '7ln() - Lf~ 7-- ~ ~\3
AppliC8llt or As~t:j"\ . \ W Q ~~ ~ f( ~ ~~~ f\~ : 1JlClI ~ v\. J
.A A \ . Phone: ,zi,r, - ~{ot; . \ \ \ ~
'()wur: .L\o~ Co, r ,6..(0 G.,.o:;enmCl.(\("\ . - .
Addrcu: :'OS E.c;.~~_<. l'D0("~ City: ~N~ A{\~~~~ (~A Zip: q~3(.DL.
AtdU~oer:~ A:" .. . Phone: .
" . ~\\ \Jeo'~~" )Jf~~( ~~{)~LiCmlSC#:~Exp:~ Phone: ~toa'ldSt/1~}3
, :s~1.. y~ 4.. . City: ~,.. ~ ~ IR~ 'WA , . Zip:.Rj<";'oZ..
ZONING;.
. ,. ....~:;_r".~.., Block: . SUbdM8iOD:
:....'. 'LBcat, DzS(SDT.ION: Lot:
a,..u.ut. COCNTY rAJlCU. NtJMI\ER: Credit Cant BoWer NuDe:
CI+u:
BI1IbI&'~ ..~
Esp. Date:
Cndlt Card':
BUILDING PERMIT. APPLICATION
~
Me
\. ~'orwou: SlZE/VALUA110N:
a...~'"" ...._ _ f C Woodstovc Sf @ S ISF. IS S
al\lIa;~.' &:3 Nsw Ccmatt. D .--...0 . ~'e. ~ S
7"'" UAW_ 0 Move 0 Garage SF.,@$ ';;;N;'
o MuJD.fimily D ~- D DCIPOlitiOD C D~k Sf..~@'S' - . ISF."$
o .~~ ~ :::1 D Sip C TOTAL V~UATlON $ ("" ?~"I
IIUP,.~ON OJ'.TB&.PJlOBCf: ~ {\'(' \iP', K<:;,~.r'\~~r"'''' (\~ ~\.\I')\..J<;' : UQ '\ t-.<'~\ \
'1. . \-V W~.r~^') ~.... \-~~
CQMMIJI.~DIT1AL: Occupancy Gfoup: Occupant Load:
No. ofS1Dtiaa: _ Lot Si,r..c;,' . % Lot Coverase:
P.xiatiq Lot Coveta8e~ Isq. ft. ... Proposed Lot Coverage: -"
P~Gl1SEom..Y:
N_~' .
t!!9
wi
I
CoustrUction Type:
%.
. 'sq. it so TOTAL LOT COVERAGE:
APPROVALS: PLAN
BLDG.
DPW
J'IIII
'sq.ft
ESAlWGtIaud(I): D Yea D No SBPA Cbecldist required? C y~ C No Other: UUIII'*
,:.;:' 1. BtJItmNG JIiIMrir:AP.K;ICATlON SUBMlTl'AL: y...r tIJI,lbtIiI. flllII ..,. .... kJlllM...,a."......". .u9*tl,.,
m,.. 11Ic ~t~ DivWoa ClID pmYide you with more dctai1cd iDfmmation on the application 8!Id plan submittal requiremems. Your
~Jetcd application. site plan (for additious) and building construction plans are to be submitted to the Building DiviBiOll.
.' V ALUA'I1ON'OI' CONSTllUCl'lO~:." III CMeIt,..ftlualloD "Duat mUll be eatend by the app1icallt. tbia fipre will be teViewccI
a11d may be: reviac:d.by 1bc BuiJding Division to comply with curceut fee schedules. CODtact the Permit Coordiaator at 417-481 5 for assistance,
PlAN CDClU'BE: Your plu cbadt fee is due at the time tbc building pamit application aDd coaatluGtiOll piau arc .ubmittcd. AU olber
permit rea ~ due It the time of permit iasuaDcc:.
. .
~TJON OF JlLAN UVIEW: IfIU) penuit is issued within 180 da)'l of the date of appUc:auOJa. tbia .appUutioa..w apl.re. 'l'be
Buildiag Official call cxteDd the time for action by the applicant up to 180 days upon writtcu request by the applicant <see Section 107.4 of
the Uaifonn Buildiag Code, curre:at editioll). No application can be extendod more than once.
,. I It.., eertify dtmlltaN reml tmtl GiIIflinctltlau applicatiDJI and know the lame to be true and correct, Qrad 1 am tIUIItorlud ID tlpply for
this JH!nrUt. J undentanJ It Is not tile Ctty~ legal re.rponsJbiUfJ!.. to determine what permits are required; II remains tlte uppl'Clln.'s
rapDIJIibIIby........... - -"'.... reqWoJ and to obtoi _II;S ch. ..-
, . . AppliCUlt _ J J 10M lV\ Date: t.., / ~ /0 t-(
I T:\PORMS\AJlPS\BllihllallPC"llit ~ . 1 .
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
'Application valuation
8/18/04
Permit . . . .
Additional desc
Sub Contractor
Permit. Fee
Issue Date
Expiration Date
EL-HOT TUB
APS ELECTRIC
APS .ELECTRIC
48.10
8/18/04
2/15/05.
Plan Check Fee
Valuation
.00
o
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RS9 RESDNTL SINGLE FAMILY
o
owner
Contractor
EISENMANN, LLOYD/CAROL
705 ESTES COURT
PORT ANGELES WA 98363
( 36) 565-1116
APS ELECTRIC
546 BENSON RD.
PORT ANGELES
PORT ANGELES
(360) 452-6753
WA 98363
--------------------------------------------------------------------------
Qty Unit Charge Per
1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
48.10
Fee sunnnary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 48.10 48.10 .00 .00
Plan.. Check Total .00 .00 .00 .00
Grand Total 48.10 48.10 .00 .00
Separate Permits are required for electrical work, SEPA,Shoreline, ESA,utilities, private and public improvelllents.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 knowthe 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. .. . .
Date
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T:\PLANNING\FORMS\1102.15 [11114120031
I'
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BUILDING PERMIT INSPECTION RECORD
t
I
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE, OR COiyCEAL ANY WORKB.EFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATIPN. '
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS ,.(.,,,
I YES NO , .
FOUNDATION:
FOOTINGS, .
WALLS
FOUNDATION DRAlNAGEIboWN SPOUTS
ELECTRICAL (LIGlffDEPl) SEPARATE PERMIT: tI .
R'pUGH-IN I I
PLUl)IBING 0
.~. uNDER FLOOR / SLAB .
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER "
AIR SEAL
WALLS I ,0
CEILING I '.
FRAMING
JOISTS / GIRDERS
SHEAR WALUHOLD DOWNS
WALLS / ROOF / CEILING . . .
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR .
INSULATION I
SLAB
WALL/ FLOOR/ CEILING I .
MECHANICAL
HEAT PUMP
GAS LINE .
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS .
PW UTlLmES I SITE WORK (Engineering Division) SEPARATE PERMIT tI's:
WATERLINE /METER .
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATEPERMITtI's SEPA:
PARKINGILIGHTlNG ESA:
LANDSCAPING . SHORELINE:
FINAL INSPECTIONS REQU~D PRIOR TO OCCUPANcyroSE . .
. RESIDENTIAL DATE YES NO COMMERCIAL DATE. ACCEPTED
. . - <. ,.; '" ;YES NO'
vliX . .... '.'
ELECTRICAL - WGlff DEPT. 417-4735 t(J -;;t~( ELECTRICAL
WGHTDEPT' . .'
CONSTRUCTION R. W./ PW/ CONSTRUCTION': R. W. .
ENGINEERING 417-4807 PW / ENGINEERING .
FIRE 417-4653 , FIRE DEPT.
.. .,. "
PLANNING DEPT. 417-4750 PLANNING DEPT. .'
BUILDING ~-.~.: "',0" 4174815 BUILDING . .
. .
;r:\PLANNING\FORMS\II02.15 [11114f200~]
~' .... CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EASI 511t STREET. PORT ANGELES. WA 98362
ELECTRICAL PERMIT ISSUED: 7/24/2002 . PERMIT NO 7754
OWNER/APPLICANT PROPERTY LOCATION
RICK ANDERSON 705 ESTES COURT
618 S. PEABODY Lot: 21
Port Angeles, WA 98363 Block: [] Long Legal
360/452-4641 Subdivision: MILWAUKEE HEIGHTS
T: S: Parcel No: 063000450210000
CONTRACTOR ARCHITECT
SHAMP ELECTRICAL CONTRACTING IN(: N/A
P.O. BOX 383
Port Angeles, WA 98362-0000 , 98360-0000
360/452-1689 360/000-0000
PROJECT INFO
Project Type: RES.NEW Project Value: $0.00
Occupancy Type: Construction Type: HOUSE
Occupancy Group: Zoning Use:
Electrical Heat:
[] Baseboard 0 KW [] Riser [] Underground Service
[] Furnace 15 KW [] Overhead Service Voltage: 0
[] Heat Pump 0 KW [] TempService Phase: [] 1 []
[] Fan Wall 0 KW Service Size: 200
Feeder Size: 0
PROJECT NOTES
NEW RES. WI200 AMP. U/G SERVICE. 15 KW FURNACE.
RECEIPT# 9290
FEES ASSESSMENT Service: $135.20
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Misc Fee: $0.00
TOTAL FEE: $135.20
AMOUNT PAID: $135.20
BALANCE DUE $0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4 ! %4735 FOR ELECTRICAL I~SPECTIONS. PLEASE PROVIDE A M[NIMU3~ 24 HOUR NOTICE. ITIS UNLA t. VFUL TO COVER,
KEEP PERMIT CAR~ AND APPROVED PLANS AT JOB SITE
coVER /7 ~/, -
SERVICE ~/-a-'lS./~"&
/
GENERAL COMMENTS:
.... CITY OF PORT ANGELES
'~ PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TFI STREET. PORT AN(iEI,ES. WA 98362
ELECTRICAL PERMIT ISSUED: 6/03/2002 PERMIT NO 7689
OWNER/APPLICANT PROPERTY LOCATION
RICK ANDERSON 705 ESTES COURT
618 SO. PEABODY Lot: 21
Block:
Pod Angeles, WA 98362
Long
Legal
360/452-1232 Subdivision: MILWAUKEE HEIGHTS
T: S: Parcel No: 063000450210000
CONTRACTOR ARCHITECT
SHAMP ELECTRICAL CONTRACTING INC N/A
P.O. BOX 383
Port Angeles, WA 98362-0000 , 98360-0000
3601452-1689 360/000-0000
PROJECT INFO
Project Type: TEMPORARY SVC. Project Value: $0.00
Occupancy Type: RESIDENTIAL Construction Type:
Occupancy Group: Zoning Use:
Electrical Heat:
[] Baseboard 0 KW [] Riser [] Underground Service
[] Furnace 0 KW [] Overhead Service Voltage: 120,240
[] Heat Pump 0 KW [] TempService Phase: [] 1 []
[] Fan Wall 0 KW
Service
Size:
100
Feeder Size: 0
PROJECT NOTES
TEMP. SERVICE
RECEIPT#9152
FEES ASSESSMENT Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $45.50
Misc Fee: $0.00
TOTAL FEE: $45.50
AMOUNT PAID: $45.50
BALANCE DUE $0.00
(?OMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4 ! 7-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA gVFUL TO COt/ER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
DITCH
ROUGH-IN / COVER
GENERAL COMMENTS:
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BCIILUIIVI,~ I"t'l'~MII ISSUED: 6/05/2002 PERMIT NO: 13449
OWNER/APPLICANT PROPERTY LOCATION
705 ESTES COURT
RICK ANDERSON
618 SO. PEABODY Lot: 21
Port Angeles, WA 98362 Block: [] Long Legal
360/452-1232 Subdivision: MILWAUKEE HEIGHTS
T: S: Parcel No: 063000450210000
CONTRACTOR ARCHITECT
ANDERSON HOMES LLC N/A
618 S Peabody
Port Angeles, 98362-0000 , 98360-0000
360/452-4641 360/000-0000
PROJECT INFO
Project Value: $171,505.00 SFD Units: 1 Commercial: 0
Project Type: SFR NEW SFD SQ FT: 2,727 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 538 "'J
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
CONSTRUCT 2727 SQ. FT. SFR WITH 538 SQ. FT. ATTACHED GARAGE ~_
AND 218 SQ. FT. DECK, INCLUDES GAS FIRE PLACE AND ELECTRIC FURNACE
RECEIPT#9187 PLANS B-9
FEES ASSESSMENT
Building Permit: $1,396.95 Misc Fee 1: $0.00
Plan Check: $558.78 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $2,158.78
Plumbing: $124.00 AMOUNT PAID: $2,158.78
Mechanical: $74.55
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits am required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. ~.h~ granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or I~/Q.~law regul/atl~ ~c6ns~ruction or the performance of
construction. ' ~,,--~ ,~,,,, / y /
Signature of Contractor or Authorized Agent Date S[gntture of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE I YEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS ~.-m-~'~ /_.~'/
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
S.E^R WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL,FLOOR,CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHiMNEy
HOOD / DUCTS
PW UTILITIES ! SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORIM
PLANNING DEPT. SEPARATE PERIvlIT #'$ SEPA:
PARKING/LIGHTING BSA:
LANBSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELBCTI%ICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
T:\PLANNING\FORIvlS\1102.15 [4/2002]
' BUILDING PERMIT - APPLICATION Pe.~.~: 2~%7q~]
[)at(: Approved:
[)ate Issued:
The Building Permit Prc~applicatton must be filled out completely.
Ptease W~ or print in ink. If yeu have any questions, please call 417481 ~
Applicant or Agent:~ ~/Cu~5c~ ~ ~ ~ ~W. Phone:
Owner: ~/~ ~r,~, Phone: ~ '/~.~
Address: City: Zip:
ArchltecffEnglneer:' ' ~ve~,~K~ ~/~ ~cg/~: Phone: V~ ~-' ~q/(')
Contractor~t~Sc~ [4~Vff Lice~:~ce~,.~,w~Exp:/a/C~/o'; Phone: qEa-~g,~[
· ~ ~'. ~ , ~
LEGAL DESC~PTION: Lot: ~ [ Block: Subdivision: ~,6~ K6e Me./~5
CL~L~ CO~ P~CEL ~ER: Og~ qqO 21~redit C~rd Holder N~me:
Billing Addr~s: Ci~:
Credit Card ~: Exp. Date: ~SA MC
T~E OF WO~: ij~g~ S~EN~UA~ON:
~Residential ~NewCo~. a Re-roof a Woo~to3~ ~ZW SF.~$~/SF.=$ /~t
a Mulfi-fa~ly ~ Addition o Move a Gaage ~ g R ~ SF. ~ $ ~ 5 /SF. = $ ./ ~.,
~ Co~ercial ~ Remodel D Demolition o Deck ~ ~ t~ SF. ~ $ ~ E. /SF. = $ ~;
~ Repak 9 Sign D TOTAL VALUA~ON $ / 7 ~/ ~
B~EF DESC~TION OF TI~ PRO.CT: ' ~ _ - ~ - / ~'
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: __ Construction Type:.
No. of Stories:_~_ LotS=e: ~ % Lot Coverage: / 7 ~'-
/o %
Existing Lot Coverage: /sq. fi. + Proposed Lot Coverage: 2. ~-(--a Z-/sq. ft. = TOTAL LOT COVERAGE: 2-2- (~, c,7-4sq.ft
PLANNING USE ONLY: APPROVALS: PLAN.
Notes: BLDG.
DPW.
ESA/Wetland(s): c~ Yes c~ No SEPA Checklist rea/aired? ~ Yes t~ No Other: OTHER
BUILDING PERMIT APPLI CATION SUBiVII'I'I'AL: Your application and site plan must be filled out completely to be accepted for
review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your
completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division.
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 Budding Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CItECK FEE: Your plan check fee is due at thc time the building permit application and conslxuction plans are submitted. All other
permit fees arc due at thc time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this 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 I07.4 of
the Unifom~ Building Code, current edition). No application can be extended more than once.
I hereby certt/i, that I have read and examined this application and know the same to be trne and correct, and l am authorized to apply for
this permit I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant',~
respom'~bdiO' to determine what permits arc reqnired and to obtain such
Applicant: ~'~~ [)ate:
CITY OF PORT ANGELES-
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ,~ , ~- '-- Time Received by ~-' (phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Permit No.
Type of Inspection (circle appropriate one):
Sewer~ Fbundatiol~ Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES: ,,//~'
Inspected: Date Time. By
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel [~Asphalt []PCC []Other
[] Repaired by City Work Order #
[-] Repaired by Permittee [] COMPLETE
~--I No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~:~ -- ~ '- ~ ~--- Time Received by /~ j/x/'~ (phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Permit No.
Type of~c~rcle appropriate one):
Sewe~/ Fo~unda~ti~on_ P~aming Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date Time. By
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel I-]Asphalt I~PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE}
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
~ Time ~ " ,/ Received by ~ ~ ~ (phone, person)
Location of Work to be inspected , ,_,
Name of person requesting inspection : ;/,~, ,/, · ,
Address of person requesting inspection Phone No.~ - /'~;-
Type of Inspection (circle appropriate one): Permit No. ,,
~'~Sewer~7~ Foundation .~raming Chimney. Plumbing Final SewerExcav., Other ~.,~
I~SPECTION ~OTES:
Inspected: Date ~ - / 0 ~ 0'~ .Time By ~ L~
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt ~-]PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date -7 ~.~'--~ ~r Time Received by /~/ (phone, person)
Location of Work to be inspected '--~,~"- ~----~-<:~"~d::~-<~ ~
Name of person requesting inspection ~_/~ ~ i-~
Address of person requesting inspection Phone No.
Type of Inspection (~ate one): Permit No.
Sewer Foundatior~ I-ram~mg~ L,~imney Plumbing Final Sewer Excav. Other
INSPECTION NO~
Inspected: Date Time By
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC [~Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS ~/~
........... INSPECTION REPORT ...........
REQUEST:
Date "~ A ~. ~ ._(~)~__ Time Received by ~/' (phone, person)
Location of Work to be inspected ~-~ ~ ~.~ ~Lt
Name of person requesting inspection ~
Address of person requesting inspection Phone No. ~'~ OM
Type of Inspection (circle appropriate one): Permit No. ! ~ z'/47'c~
Sewer Foundation Framing Chimney ~ Final Sewer Excav. Other~j
INSPECTION NOTES: ~ '~// ~/l ~
Inspected: Date ?'~?~'-O~~' Time By
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved ~Gravel I~Asphalt [--~PCC [--~Other
[] Repaired by City Work Order #
[] Repaired by Permittee [-~ COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQU~E~;T~ ~
Date Time Received by (phone, person)
Location of Work to be inspected ~ , ~
Name of person requesting inspection
Address of person requesting inspection_ Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other_~(~J~
INSPECTION NOTES: ~. _~
Inspected: Date ..... ' ~ Time By ~'
Remarks:·
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
r-} Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date //-~ ~ /-//- (~)'<:~--~ Time Received by ~_ V (phone, person)
Name of person requesting inspection '~__,V~ Y~t
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing ~Sewer Excav. Other
r
INSPECTION NOTES:
Inspected: Date / ~?~ '-' Time By ~'~
Remarks: /'
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other
~-I Repaired by City Work Order #
~}Repaired by Permittee ~ COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
FROM R.P.S. ELECTRICRL CONTRRCTOR
FRX NO.
360 452 6753
Rug. 16 2004 10:07RM P1
,
ELECTRICAL PERMIT APPLICATION
H)" 'JP.'IC!.-'.!.. US!; ~-l!':!!.~'
U.~""l(c;._
~o;"'VI". __...
n,.icAfI!lr"vod._.....__
l),,(tC:su,<!"___.. __.__
"f fie ~lectriC3r Permit Application must be filled out completely.
Please type or reprint in ink.. If you have Clny Questions, please call (360) 417-4735
Fax number: (360) 4174711
04-731
)wne'orElec. Gontraclo,Agent: ~ ill ~ ~ ~l Q c)C Phone 1.f Fj'7 -b7S3 Fax: Lf S;;;: /--, 75~
''''pe~y ownec_..._.L I 0 ~__ b I ~ .f) _ n 11 Phone: 5 b5 III (n
..,_ss: 7 C c., ~5 t.e. c; r....n IJ r--r-_ CikPt"'I r-+ A f'vJ f.le c, __...,Zip: q '5?:~ '?
Jeotrical ContraGlocA .p.,,> . Eledr- I' /'0 I ('."'n+-~aA-,,/- 'ljoense#:Af'SEJ__crql:.;,;r~o' Phone: '-f 5:2 -I, 75 ~
D '
,ddr..s: 1(;4f'f;, &'nc,c,f) KO(uf _.. Cil}': ! GrT -A, Y'VrtlJ-e-5. Zip: QY56,5
~STALLATlON WIRED BY:
DOWNER
:redit Card Holder Name: A. P, s .
~~ ) e..,
f;/(;/"'. .
. .
. .
6'S.f-t_'5
Check s!! that apply: ~New
o ELECTRICAl. CONTRACTOR
!5 / c:. c.-10v j 6.-(,[ (
Cq fL -t- V':tt.f:tc!' 1":_-.
filling Address:
011
:r&dit Card Number:
on
,City:
expo Date:
Zip:
'-
:'- -,
V1SA:_ MC:
ROJECT ADDRESS:
'"
;05
Co \'+ .
- 1J,~=,c_~--_,____- ______
o Alteration/Addition
YPE OF WORK:
XReSidenlial 0 Multi-family
o Commercial 0 Mobile Home
Sq. Ft
umber of Circuits added or altered:
o Detached garage
I
)(Hot Tub 0 Swim Pool
o Septic Pump
o Low Voltage LI Telecom. 0 Sign
I Remote Meter
f-1 ~ -tr.J:J
~>>'lt
ESCRIPTlON OFlliE ELECTRICAL PROJECT:
.
.._.c.~
.,".
lectrical Heat load Additions and or Subtractions
Service Information
Baseboard
Furnace
Heat Pump
Fan-Wall
_KW
~
TON_LRA
~
o Overhead Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 1 0 3
Service Size;
Feeder Size:
iereby certify that f have read and examined this appfication and know that same to be /nJe and correct: and f am
Jthorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
-e required; it remains the applicants responsibility to determine what permits are required and to obtain such.
fr\ 1J.{ < \, \/ Credit Card Holder's Signature: -.~ 1A~ R. ~ Date: '8 -I b --;;)i;!J-/
D ~ ~ 1~\b '\ """~ 0< ,,= ""CS"~"'" D.",
J) V PERMIT FEE: $ 4g.} 0
ELECTRICA(PERMIT APPLICATION
;/Jtl 1)8}-I
" , ....
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
PERM'H o'{--73 I
~bU::;,,'NG
INSPECTOR
~f:t?
L,$T.e5 cF
APPROVED NOT APPROVED
o "''''',,'''''''''' DITCH """,,,,....,,,,, ~
o ..,......"", ROUGH IN/COVER".. " " ...... 0
o ",""""""'" SERVICE """"',"""" 0
o ",""""""",', FINAL, , , , , , , ' , , , , , , , , , , " ~
CORRECTIONS NEEDED: @ 6"C:-c/ ~~/,r ~,
,;' -,S
-
';0
~
"" "'-4'
""
L./3
n
NOTIFY INSPECTOR EN CORRECTIONS
ARE COMPLETED WI HIN 15 DAYS _
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) <452-1381
06/03/2004 22:05 4579270
SIMPSON ELECTRIC
PAGE 02
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00000172 Date 2/15/18
Application pin number . . . 514128
Property Address . . . . . . 705 ESTES CT
ASSESSOR PARCEL NUMBER: 06 -30 -00 -4 -5 -0210 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . . -
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump replacement
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
EISENMANN, LLOYD/CAROL ALL WEATHER HTG & COOLING INC
705 ESTES COURT 302 KEMP ST
PORT ANGELES WA 98363 PORT ANGELES WA 98362
( 36) 565-1116 (360) 452-9813
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 56.00 Plan Check Fee .00
Issue Date . . . . 2/15/18 Valuation . . . . 0
Expiration Date . . 8/14/18
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 56.00 56.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 56.00 56.00 .00 .00
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
DATE: RESULTS:
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR: I
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 4174735 Fax: (360) 417-4711
Date: 2/7/18
x I & 2 Single Family Dwelling
O� pOltr 41,
.tee
w`
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 705 Estes Court
Building Square Footage:
Description of above
I ilra fnr like
—amant
Owner Information
Contractor Information
Name:wci & .arnl isenman
Name: All Weather Heating & Cooling
Mailing Address: 705 Estes Court
Mailing Address: n2 xeron Street
City: PortAnaeles State: WA Zip: 98363
City: Port Angeles State:WA Zip: 98362
Phone: 360-565-1116 Fax:
Phone: 452-9813 Fax: 452-5177
License # / Exp.
License # / Exp. ALLWEHC150KU 9/18
Item
Unit Charoe
Qty Total (Qtv Multiplied by Unit Charnel
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 WI 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 Family Dwelling
$ 64.00
$
Manufactured Home Connection
$120.00
$
Renewable Electrical Energy - 5KVA System or Less
$102.00
$
Thermostat
$ 56.00
i $ 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
$
$ 56-00 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 296-466, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator:
❑ cash ❑ Check
❑ Credit Card #
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Dated: 2/7/18
0110112012