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Home My WebLink About812 W 4TH ST - Building (4) EL EOM%PERMIT a� Com' ANGELES X433:5 Application Numb-sr 19-00000974 Date 6/26/19 Application;pin'number 139012 REPORT STATS SALES 7AX- Property Address . . 812 W 4TH ST Ori our GXC%Se tax form PARCEV NUMBER: 06-30-©0-0-1-0205-0000- Application type description ELECTRICAL ONLY t0 the Citi/of Port Angeles Subdivision Name Property Use (Loc$don Code 0502) `;. Property Zoning . .. . RS7 RRSbNTL SINGLE PA14TLY Application valuation',. 0 --_ -- - - - - ----------------------------- Application desc Kitchen and bathroom Update" Ownerr. Contr*ctor Iris Finch Heston ]I+ASTtAN BLSCTRIC 812 W 4TH $T 23 ROBRA PORT ANG91,tS WA 9$563.2107 PORT-frATARW` WA 98362 (360) 460-7229 {360). 583' 587`4 ---------------- ,--------------- - .Permit --- -- -- ` .Permit ELECTRICAL ALTER cRESID TX1►lr Additional desc 1-4 CIRCUITS Permit Fee 85.00 Plan Cho 85.00 .00 Issue Date . 6/2619 Valuation 0 Expiration Date 12/23/19` 4ty Unit Charge Per Extension BASS F8Z 75.00 2.00 5.0000 BCH ET+-ECH ADDNT BRJWM CIRCUIT' - 10:00 Pee summary 'Charged~ Paid credited Due �r - ' ---------- Pert Fee Total 85.00' 85.00 .00 00 Plan: kieck Total 00 ': .00 00 .00 Grasii Total 85.001. 85.00 p0 .00 INSPECTION TYPE DATE: RESULTS. INSPECTOR WCH SERVICE77 R: ROUGH-IN 3 COMMEIVS� PERMIT MLL EXP 1Ak$0*1W0i0 SrfA M LAST MPBCn0N Signature Df ovvaer°or Electrical Cud —¢ Date: \ M r � '� �' � i ��. &` c S �" ,. .�. � _ 1 i _. 'c:.., _ i.'d< - _ _ .... i Ik r 4 '.' _. v 7 `d �' 2 SINGLE-FAMILY �cf ELECTRICAL PERMIT APPLICAT10- N JUN 21 Public Works and utilities Department. � '3211 E. 5th Street, Purl Angeles, WA 98362 RE-c&IVE`D � 60.417.47)5 1 www.c:ityofpt.us I+electrica.lpermits(xicityofpa.us dt� Project Address: t�~ Project Description:2. Single-Family Residential ❑ Duplex/ARU Building Square footage' - OWNER i ' ' • Name: mail'. Mailing Address: Phalle: • •. O ` p Name: �✓��9r•.1 'u�Gr2'tG S� rj License- Mailing Address: F'4 G s9 c3 SSG l� tZ Expiration Date: Email: #J4 r Phone: 5445 -5SZr—SW I/ PROJECT bO DETAILS a,� .�. d �J`j.�, (��' ''�r'''�j��r g�yypp. himac 11n Char LO ServiceJFeeder20tlAmp,,' ServiretFeeder' 02-4QQArnp. $146.00 Service/Feeder 409..600,Amp• ;5205,00 _ $: Service/Feeder,§9.1-1QCPAmp. $202.QC? — Service/Feeder.over100QAmp. $37, 3.P0, _` Branch Circuit-WI Sen+ice Feeder $ ,QO" $ Branch Circuit W/O Service f=eeder $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. $'1'10:00 $ Temp.ServIoetFeedl r {01'-6W Arnp: $ Temp. Servioe/Feeder 001-1000Arne. $ .., - Portal to Portal Hourly Signal Circuit(Umited Eneigy--UZDU: = $64;00 . $ Manufactured Horne Connection $!2¢.tI :.S.- �:---- Renewable Elec.Energy:5KVA' e11?G/,le s 1(? •laQ �� , .� Thermostat{Note:$5 for each additi >rl C1Q 4 + $ u TOTAL $ Owner as defined by RCW.f 9.28.261:(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 far sale,rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I sm 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 2W 468.The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications, Date Print Name Signature(E] OwnerX Electrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hail or electricalpermits@cityofpa.us or faxed to 360.'417.4711] Z0 39Vd SAS '10313 NVASV IV EEESZSV096 95:Tl L00Z/£Z/90 ` Electrical Survey For City of Port Angeles Weatherization Program Insulation Installer: Electrical Contractor: We have surveyed the wiring ' at the above location and have found the following in regards to the requirements of WAC 296-46B-304 (see below): Attics: Yes No / ) Active knob &tube wiring / ) Junction boxes covered Flying Splices ( \ 15 Sfuses orbreakers ooknob &tube circuits ( ) Wiring iugood condition Wiring and circuit protection adequate to meet the load �w�4�� z �� "�r �'�/�� Walls: ' Yes No / \ 15 Sfuses mrbreakers on knob &tube circuits Wiring iogood condition Wiring az��o�rcu�pz�i��t�mo 1wmoextthe load --` ---�--- ]Blenbioa}Work Pc«fozozed: Notes: 081 Knob-and-tube wiring. Article 3Q4NEC does not prohibit the installation of loose or rolled thermal insulating material in spaces containing existing knob-and-tube wiring provided that all the following conditions are met: (1)The wiring must be surveyed by an appropriately licensed electrical contractor who must certify in writing to the department that the wiring is in gond condition with no evidence of impmperovonounnnt protection,conductor insulation failure or deterioration,and with no improper connections or splices.The electrical inspector must inspect all repairs,alterations,or extensions to the electrical system. (2)The insulation must meet Class I specifications as identified in the Uniform Building Code,with a flame spread factor of twenty-five or less as tested using ASTM E84-81 a.Foam insulation may not be used with knob'and-tubewiring. (3)All knob-and-tube circuits must have overcurrent protection in compliance with NEC Table 310.16,60 degree centigrade,Column C.Overcurrent protection must be either circuit breakers or Type S fuses. co — ELECTRICAL INSPECTION riirrl�—Vqq��Zll� WIRING REPORT 417-4735 PERDATE: j`2 -i� INSPE OWMER CONTRACTOR ADDRESS nn APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . CORRECTIONS NEEDED: CSP Gj 155)1 WiN7hU.- 4661dr2- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS -- 00 NOT REMOVE-- ELECTRICAL INSPECTION WIRING REPORT 417-4735 11TIJ PERMIT OWN r CONTRACTOR vt I'S ADDRESS "2- IA -- APPROVED NOT APPROVED 0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . I . 0. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . 0 0 . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . 13 0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . ... CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN iS DAYS - DO NOT REMOVE- Y EL PERMIT GTT' `" ANGELES - . 35 A�pltcation Number . 19-00000206 ` Date , '2/07/19 Apli�aeion pin number 22504$" REPOftT`STATE SALES TAX - Pro�Y�►ddreee 119 oRCAs AVE our excise tax form ASSiSi�dVPARCEL NUMBER. 06-30-20-5-0-2464-0.000 on y Application type description ELECTRICAL ONLY to the City;of Port Angeles PProperty's*. . . . . . . . (Location Code 0502) Property,Zoning . . . . . RS7 RESDNTL SIN4LE-1AMILY Application valuation . . . .. 0 - - - ------------------------ --------------- ---- Application desC' service 'dhainge Opener,: Contractor N --- ----- - -----' 7- ----------------- - THM`NUNO LY AND iG FANG ZH BLACK DtaAMOND ELECTRICAL CONTR 1839 W 15TH :502 BLACK DIAMOND RD - PORT ANGELES WA 99963 PORTANGELES WA 98363 (360) 5'165-1035 '_-`----------------------- Permit ELECTRICAL ALTER-i17ESIDENTIAL Additional desc . Permit Fee - 120.00 Plan Cheek Fee 00' Issue Date 2/07✓19 Valuation . . 0 Expiration Date '8f06/19 Qty Unit Charge Per Extension 1.00 120.0600 ECH EL-0-200 SRV PEEDUR 120.00 - - '--------------- Fee summary Charged Paid Credited Due -- ------ - ---------- -- ------ -- ---------- Permit Fee Total 120:00 120_,00 .00 .00- Plan Check Total 00 .00 _.00 .00 Grand Tctal 120.0.0 120.00 00 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE .RC�U -1`N FaCAL PERMIT WILL ExpmEsa oym*OM moot LARD`IIJs3I'wmN Signature of owner or Iectricat Contractor X t Date: �; i { i ;i i :� a , _ Y,�. ,. _ , , �x , � ., �_ � s 1 - 2 SINGLE-FAMILY CD ELECTRICAL PERMIT APPLICATION RECEIVED Public Works and Utilities Department FEB ` b 1019 321 E. 5th Street, Port Angeles, WA 98362 F 360.417.47351 www.cityofpa.us I electricalpermits@cityofpa.us Project Address: Project Description: Single-Family Residential ❑ Duplex/ARU Building Square footage: OWNER INFORMATION Name: Email: Mailing Address: Phone: 3 (e0 ` 2-0 7-7 9 8f ELECTRICAL CONTRACTOR • - • Name: IT 7-- License: Mailing Address: Expiration Date: Email: Phone: 36 0 Lf6l,PFS--? PROJECT Item Unit Charae Quantity Total(Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ Temp.Service/Feeder 200 Amp. $93.00 $ Temp.Service/Feeder 201-400 Amp. $110.00 $ Temp.Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal Circuit/Limited Energy-1&2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Renewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat(Note: $5 for each additional) $56.00 $ First 1300 Square Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding/Detached Garage $74.00 $ Each Swimming Pool/Hot Tub $110.00 $ TOTAL $ Owner as defined by RCW 19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the a named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance wi e e i laws, N.E.C., RCW.Chapter 19.28,WAC.Chapter 296- 466,The City of Port Angel nicipal Code, Utility Spe icatio PAMC 14.05.050 regarding Electrical Permit Applications. -2 - 4 , 17 It Date Print Name 1Si ature Owner ❑ Electrical Contractor/Administrator) P[Electrical Permit Applications may be submitted to City H epermi cityofpa.us or faxed to 360.417.4711] ELECTRICAL INSPECTION WIRING REPORT 417-4735 DATE: PERMIT 4 INSP C 0 ,, A b OWNEFI CONTRACTOR C� ADDRESS APPROVED OT APPR ED 0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . 0. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . 0 0. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . 0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . .l.'Cl CORRECTIONS NEEDED: t, t-z NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 16 DAYS - 00 NOT REMOVE- t NORM ApgliCa' i n fir, 19-00000520 Dete 4112/19 ��i ,�I�► .i AgpTi tion �r 745640 il�A "*~#Ask Propat [ 6�C# : 917 MADELINE ST AssESSOR PtL` t 06-40-P-17-6-0-22070` t�fla Application t descripttOn $L$ CRL .ONLY Subdivision Same . .. Property tdse Property Zoning RS9 RSSDNTL SIRMB. FAMILY AWl io_n valuation o -- - - - - - ---------------------------------------------------- --- - - -------------- --------- -------- App lidat'm'-deacy New hod'4,. Owner Contractor , -------____.___. .•_------ ----------- JOEL ----.-JOEL C;AIH? L ELLIOTT UPPER LEFT 11tacilac LIQ P O SOS'251' ,.1306 ROOK UB' SEQUTM WA '983$2 'PORT AMMLES WA 98362 (360)`.4611-2145 (360) 461-7720 ------- ------------------- Permit ---- ---------- Permit , . ELECTRICAL MSW RESiDRNTIAL Additional desc . Permit Fee . 2#0.00 Plan Check ee .00 Ieatttt►.Date :. a/x2/19 Valuation 0 ; E 3,= Date 10/09/19 Qty %#,t Charge Per: Extension 1.00 120:0000"8CH EL-R-SQFT,FIRST 1300 120.00 3.00 40.0000 RCH SL-R-SQFT ADDitIONAL 500 120.00 -- - -- - --- --------- ---- ---- -- -- - ---- --------------- Fee Wary - -Charged !Patti+-- -Credited Due -- - ----------- --- - - - ----------- - 24fl 00 240:00 .00 .00 Fhan CSeL`JC"`PotAl`- 060 _ .00, .00 . .00 Grand Total 248.60 240.00 .00 .00 ARI kilo ON �. r ^ ^ tu '/ELECTRICAL PERMIT APPLICATION �L E/kE� 8pp - . . _. ,` Public Works and lTt.Utilities Department 321 B. 5th Street, Port Angeles, WA 98362 � 360.4174735 / p/nw.cKrofpu.ua | oiechion|pennito6Dcityo9no.uo \PIN Project Description: El Single-FamilyRet-i*dential El Duplex/ARU Building Square footage: OWNER INFORMATION Name: 0+ Email: Mailing Address- Phone: ELECTRICA��PqNTRACTOR INFORMATION PROJECT DETAILS Item Unit Charge Quantity J2W(Quantity x Unit ChaFg-e) Service/Feeder 2V8Amp. $120.00 *_______-_ Service/Feeder 201400Amp. $146.00 $_____ Service/Feeder 4V1'000Amp. $205.00 _-___-- $____------ Service/Feeder 00140OOAmp. $262D0 $____-----' Service/Feeder over 1UOOAmp. *373.00 *____----_ Branch Circuit NKService Feeder $5.00 *____------ Branch Circuit W/O Service Feeder $63.00 $____----_ Each Additional Branch Circuit $5.00 ___---- $____-__-_ Branch Circuits 14 $75.00 *_____---_ Temp.8enime/Foeder2ODAmp. $9100 $___________ Temp.Service/Feeder 2O1-4ODAmp. $110.00 $ Temp. Service/Feeder 4O1'GO0Amp. u149.00 $______--_ Temp. Service/Feeder 881-1O0UAmp. *188.00 $_____---_ Portal hoPortal Hourly $96.00 ____--- $_---------- Signal Circuit/Limited Energy-1&2DU. x6*.00 $___--____ Manufactured Home Connection $120.00 $-________ Renewable Elec, Energy:5HVASystem orless $102.00 $____------ Thermostat(Note:$5for each additional) $58.00 $ Fing1300SquoeFeet $120.00 � * 2,0 Each Additional 5OOsquare feet" $40.00 �=�_ $__70----- EochOutbuilding/Detached Goragm $74.00 $ Each Swimming Pool/Hot Tub $110.00 $ TOTAL $ Owner aadefined hynCW1V.28.361:(1)Owner will occupy the stmmthis ?calpermitisfinmlized.(2)[wmeria required to hire an electrical contractor if above said property is for safe, 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. �;ie I Print Name -64iifftlIre4gj�pvvner E] Electrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711] ELECTRICAL INSPECTION A /w�! c� q WIRING REPORT 417-4735 DATE: PERMIT# INSPECTOR Z V OWNER CONTRACTOR pyvg ADDRESS 1 Aj APPROVED NOT APPROVE ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: ^�L.L lfQl9 r'�MiE►y� 6�L�t1�� G-ai-1�,�C�'b1Zs �6"LL 60.=_jtym, 199 Foy- goulal lt6mca64 toAL Z�I( •�{LF3 b 16 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE— AZ Ix ,,,i°1� t 1 1 r I p p O r 1 1 1 ria^•I {R"t ISA I 1 t 1 • - 1 1 t, In y 1 e 0 00911-H . h 1 1 1 1 ) 1 A p p p 3 1 II1 Otl Y•t I 1 -N ( 1 1 p H w cv p{xl 1 1 o r 1 1 s ` 1 v [v t I p rt r{ Q LS Y.! R � � rte' 0-1 15 Wi 0 Q V Ot t y1 1 f�CCjYjj *1 / 1 3.F' j 1J rill p 14 J pp +` i E'iCh W W t t2o tat ' ; . tl 1 5 f ,1 fi"l ✓$ S, 9 1Y i W x �, � - i � �.� ` , r 1 - 2SINGLE-FAMILY EECEIVEDCD ELECTRICAL PERMIT APPLICATION 'SAY 7 7 20�� Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 ' www.cityofpa.us ' electricalpermits cityofpa.us Project Address: 252.1 COW/1&6 Aqc. P.A - V►/A [o 362_ cc Project Description: ANblkJz A MT14kMM IM 6KIST/A)(. 6AkA&,6- RCl + FA�IIILIGI�T Single-Family Residential ❑ Duplex/ARU Building Square footage: A Ig Name: TAS`! 000iL&P_Ab4A5 Email: Mailing Address: 26-2k COLUM&r> AJC- P A-WA- %3�,2 Phone: 5W 460-2Z70 Name: License: Mailing Address: Expiration Date: Email: Phone: - # Item Unit Charae Quantity Total(Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ Temp. Service/Feeder 200 Amp. $93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal Circuit/Limited Energy-1&2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Renewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat(Note: $5 for each additional) $56.00 $ First 1300 Square Feet $120.00 $ Each Additional 500 square feet' $40.00 $ Each Outbuilding/Detached Garage $74.00 $ Each Swimming Pool/Hot Tub $110.00 $ TOTAL $ 7S°O 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 law N. CW. hapter WAC.Chapter 296- 466,The City of Port Angeles Municipal Code, and Utility Specifications and P C 1 al ermit Applications. Date ZO 'rip�t NaFe oo Sig Own /Administrator) [Electrical Permit pplications may b� ur submitted to Ci II or eperm s@cit f a.us or faxed to 3 .41 711] ELECTRICAL INSPECTION WIRING REPORT 417-4735 SI, DATE: PERMIT# INSPECTO§ lr'3 OWNn CONTRACTOR ADDRESS APPROVED NOT APPR [3 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . 0 0. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . 0 0. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . 0 0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . .�_W- CORRECTIONS NEEDED:-1. N t,6?&=jZ V.V.5t(0-t-" Arj:!C NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 16 DAYS - 00 NOT REMOVE- WIM MRI Am - t t }ELECTRICAL PERMIT h Q'T'Y OF PORT ANGELES f -41' fi35 Z - tA - 4; 19-00000805 Date 5/29/19swpoo �� TAX a .:• 434115 rty A 215 1/2 W 12TH ST ©i7 C eXG156 ta7C•ffXil7 ASSESSOR PARCEL' 06.30-000-3-4582-0000- your ;v Application type descripo m ELECTRICAL -QNLY to the City Of Port At AQS SubdivisionName . . . (Locado i Code OW2) Property Use . . . . . Property Zoning . RS7 RESDIM sIIaza FAMILY Application valuation . 0 ------ ----------------- Appiicaation desc. R+jtire and service Owner. Contractor - ---- ---------------- DAVID B SQUIRES/JAMIE A BRIGGS SIMPSON ,ELBCTRIC 484 OCEAN COVE LN 243036 W MY``101 PORT ANGELES WA 98363 PORT;ANOXAS WA 98363 (408) 834-5878' (360);`457-9270 ----------------- ------------------- _ Permit ELBC* QAL;ALTZR RESIDENTIAL Additional desc . Permit Fee . 220.00 Plan Check Fee .00 Issue Date . . 5/29/19 Valuation 0 Expiration Date 11/25/19 Qty Unit Charge Per - Wxtension 20.00 5.0000 BCH EL-BRANCH CIRCUIT W/FMMBR 100.00 1.00 120.0000 BCH EL-0-200 SRV FEEDER 120.00 Fee summary Charged Paid Credited Due --- PermitFee Total 220.00 220.00 .00 - .00 Plan Check Total .00 .00 00 00 Grand Total 220.00 220.00_ .00 .00 ]Nspi6 ONTYPE DATE: RESULTS: IlMECTOR: DITCH SERVICE ROUGH-IN a IMI' N- : PERMrt wiLL EXPIRE SIX(,6)MDmms FROM LAST INSPECTION Sw1 or ElDate: t 4 1 - 2.SINGLE FAM_ ILY, ELECTRICAL , , E, PERMIT APPLICATI REEV6 1'11H]c \N'Orks and I_ 1.ihtie� 7".60 4 17-J 7 ofpa�lls ProioctAddrocc: 2151/2 W 12th St Port Anoeies Project Description:200 amp Service and wire house n Single-Fatuity Residential 0 Duplex/ARU Building Square footage: OWNER INFORMATION Name. David B Squies/Jamie A Briggs Email: Mailing Address: 484 Ocean Cove Ln Port Angeles,WA 98363 Phone:408-834-5878 ELECTRICAL CONTRACTOR INFORMATION Name: Simpson Electric LLC License: SIMPSEL973RQ Mailing Address* P,O. Box 1086 Port Angeles,Wa 98362 Expiration Date: 12111/2019 Email: disimpson51ogmail.corn Phone-, 360457-9270 PROJECT DETAILS ttgm Unit Charae 2WUM Int(Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 1 $ 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 20 $ 100.00 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. Service/Feeder2014100Amp. $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 CircuigUmited Energy-1&2 DU. $64 00 $ Manufactured Home Connection $120.00 $ Renewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat(Note:$5 for each additional) $56.00 $ First 1300 Square Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding I Detached Garage $74.00 $ Each Swimming Pool I Hot Tub $110.00 $ TOTAL $ 220.00 Owner as defined by ROW.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. 5/28/2019 Andrew P Simpson Date Print Name Signature(rl Owner;ff Electrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or electrical pern1ts4?cityofpa.us or faxed to 360.417.4711 01 ,,pa"4% e, ELECTRICAL INSPECTION WIRING REPORT S; 417-4735 -7- D;:/ PERMIT INSPECTOR OWNE!R CONTRACTOR ,S) &,- AbDREfS9 APPROVED NOT APPROVED 0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . [3 0. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . 0 0. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . 0 0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . ... CORRECTIONS NEEDED: 1 Lv--A IIT W4 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE- ELECTRICAL INSPECTION WIRING REPORT 417-4735 - DATE: PERMIT# INSPECT OWN CONTRACTOR -51^,% ADDRESS APPROVED NOT APPROVED D . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . D E.J. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ D. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . ❑. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . . ❑ j CORRECTIONS NEED NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS -DO NOT REMOVE ---