HomeMy WebLinkAbout522 S Race St - BuildingApplication Number 07 00000140 Date 2/09/07
Application pin number 484480
Property Address 522 S RACE ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 9490 0000
Tenant nbr name JOHN RIGG
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning RESIDENTIAL MEDIUM DENSTY
Application valuation 2500
Owner
RIGG JOHN /LINDA
331 DOE RUN
SEQUIM
(360) 461 1911
WA 98382
Qty Unit Charge Per
Permit MECHANICAL PERMIT
Additional desc FAN
Permit pin number 94979
Permit Fee 57 25
Issue Date 2/09/07
Expiration Date 8/08/07
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Contractor
OWNER
Permit BUILDING PERMIT RESIDENTIAL
Additional desc FIRE DAMAGE REPAIR
Permit pin number 94961
Permit Fee 109 75 Plan Check Fee 00
Issue Date 2/09/07 Valuation 2500
Expiration Date 8/08/07
BASE FEE
1 00 14 0000 THOU BL -2001 25K (14 PER K)
Plan Check Fee 00
Valuation
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 7 2500 ECH ME VENT FAN 7 25
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 167 00 167 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 171 50 171 50 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 this type of work will be complied with whether s ecified erei r not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state oocal la, egul ting construction or the performance of
construction.
Extension
95 75
14 00
0
4 2 7
Signature of Contractor or Authorized Agent Date gnature f ownerlitev6er is builder) Date
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
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
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
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
ROUGH-TN
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
BUILDING PERMIT INSPECTION RECORD
YES NO
FINAL
FINAL
SEPA.
ESA.
SHORELINE:
DATE ACCEPTED BY.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTIONRW PW/ I CONSTRUCTION KW
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I I I FIRE DEPT
I PLANNING DEPT 417 -4750 I 4' I I I PLANNING DEPT
I BUILDING 417 -4815 I ri X P I l'' t 1 -'2.13.-- i v I BUILDING
T•\Policies \1102 15 building permit inspection record05.wpd [1/4/20057
pORT.
�N
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning RESIDENTIAL MEDIUM DENSTY
Application valuation 1900
Contractor
OWNER
Owner
RIGG JOHN /LINDA
331 DOE RUN
SEQUIM
(360) 461 1911
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
14 00
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 98382
3 0500 HND
Signature of Contractor or Authorized Agent Date
T' \Policies \1102_15 building permit inspection record05.wpd [1/4/20051
06 00000765
459510
522 S RACE ST
06 30 00 0 1 9490 0000
SIDING
Date 7/17/06
BUILDING PERMIT NO PR FEE
VINYL SIDING
82560
92 70 Plan Check Fee 00
7/17/06 Valuation 1900
1/13/07
Per
BASE FEE
BL 501 2K
(3 05 PER C)
STATE SURCHARGE
Charged Paid Credited
92 70 92 70 00
00 00 00
4 50 4 50 00
97 20 97 20 00
Due
Extension
50 00
42 70
4 50
00
00
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 l- hereby certify -that I -have- read and examined -this- application- and -know the_same_to_be_ true _and_corr_ect._All _pr -ovisions of
laws and ordinances governing this type of work will be complied with whether s •ecified herebn or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or loca law lregl lating construction or the performance of
construction.
7 -17- �Xo
naturdof Owner owner is builder) Date
p
cc
ELECTRICAL LIGHT DEPT
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
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
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
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 FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
BUILDING PERMIT INSPECTION RECORD
YES NO
FINAL
FINAL
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING /LIGHTING I I I ESA.
LANDSCAPING I I I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
DATE ACCEPTED BY.
DATE ACCEPTED BY.
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
I FIRE 417 -4653 I I FIRE DEPT I I I
PLANNING DEPT 417 -4750 I k I L I I PLANNING DEPT I I I
BUILDING 417 -4815 I t X ��pp 2% 1�-!J`I 1 J T 10 I BUILDING I I I
T \Policies \l 102_15 building permit inspection record05 wpd [1/4/2005]
ELECTRICAL WORK PERMIT APPLICATIO~f
r.
-.
Job wired by
OI'Electrical Contractor 0 Owner
Installation description
Q Commercial ~Residential
Electrical contractor name
S, fJ T lEI cC in '( IN.,,)
PUT?l,l;jser's mailing address
U 6 }7l n
City ,
arrAIL I.<>
Telephone numf>'er
-'1
License number Date Expires
,-, 5je.~TF-:<t"Or :i-1M
o New
r:J Altered/Addition
Al/.-rJ
Z; Orc".'fS
".
State ZIP
'V.\ &jf3t;)
FAX number
'5',)" -t /.1]
y'
Premises owner's name
~~IV R.' cLj
Address of inspectio7
S-..22- .s I<~ '-<- SI'
City fJ,r f- 4r I..,r "v'l. qf3 t.;J...
Phone number to schedule inspection:
[)n0/'J
~
.s71'i1 (?-S YY\, ~ F
FA-,'l CA~\iS
Rt.r~ +-
TIAl\
C-t ar ...u.....cT'\
Dh' lb
F~i?1i .
Owner as defined by RCW /9.28.261:(1) Owner wm occupy (he 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.
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 instal-
lation 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.
Signature of owner, electrical contractor or electrical administrator
o Cash 0 Check #
o Credit Card
Card #
Visa
Mastercard
Discover
x
Date: t.. -20 -06
Expiration Date
of card
o
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
o Fan-Wall KW
o Overhead Service
o Temp Service
o Underground Service
Voltage
PhaseDtD3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
, ROUGH-IN " /' THERMOSTAT SERVICE
-;4i- b i!2 By
"- Date Approved By Dale Approved By
~FINAL , FEEDER
.I~n DITCH
5.D~:Y-06
ppr ved By Date Approved By "- Date Approved By
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
A"'D ..../ / 1.../
-~
, I' , .~
CITY OF PORT ANGELES
PUBLIC WORKS BUILDING DI¥ISION
321EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUEO: 3/18/2002 PERMIT NO: 13290
OWNER/APPLICANT PROPERTY LOCATION
GUY LUND 522 RACE S
522 S. RACE Lot: 17,18
Port Angeles, WA 98362 Block: 194 [] Long Legal
360/452-3046 Subdivision: TPA
T: S: Parcel No:
CONTRACTOR ARCHITECT
owner N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $1,000.00 SFD Units: 0 Commercial: 0
Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use: RS7
PROJECT NOTES
overlay 2 layers max
FEES ASSESSMENT
Building Permit: $38.75 Misc Fee 1: $0.00
Plan Check: $0.00 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: $43.25
Plumbing: $0.00 AMOUNT PAID: $43.25
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a pedod of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. '['~h/e granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local la, regulating c/~truction or/~ performance of
Signature of Contractor or Authorized Agent Date Signature of/~'wne~if owner is build'b, Date
/
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MIN1MUM 24 HOUR NOTICE. ITI$ UNLAWFUL TO COVER,
INSU£/ITE OR CONCE/IL /1NY WORK BEFORE INSPECTED/IND/iCCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
FOUNDATION:
FOOTI~IGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERNHT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-iN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
MECHANICAL
HEAT PUMP
WOODSTOVE / PELLET/CHIMNEY / INSERT
HOOD/DUCTS
PW UTILITIES / SITE WORK ( Engineering Divislon) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE pERIV[IT#'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTPdCAL - LIGHT DEPT, 417.4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION -
ENGINEERING 417.4807 PW / ENGINEERING
F1RE 417.4653 FIILE DEPT.
BUILDING 417'4815 /// f/~ ~'~ I ~'~'~'- BUILDING
C:~PPL. WPD
d'O.'~.
J~~~
D!
"'r ;;?
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
J2\ EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00000358. Date
795982
522 S RACE ST
06-30-00-0-1-9490-0000-
ELECTRICAL ONLY
4/20/06
RESIDENTIAL MEDIUM DEN STY
o
Owner
Contractor
GUY & FRANCES LUND
810 E 4TH ST
PORT ANGELES
WA 983622810
S & J ELECTRIC
PO BOX 2233
PORT ANGELES
(360) 461-9380
WA 98362
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
S&J/ BATH CIR.
75002
S & J ELECTRIC
48.10 Plan Check Fee
Valuation
.00
o
()\
<1v
)J
10/17/06
Qty Unit Charge Per
1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
48.10
Fee summary 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
~
J
,
C1"
.'\
COMMENTS/ACTION NEEDED
ELECfRICAL PERMIT INSPECfION RECORD
CALL 4174735 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
DATE
COMMENTS
NO
/J1hrt:.L 6f7:J-/
GENERAL COMMENTS:
PW.lI02.J' [4'96)
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. 1.5 ge?
3hokR
# /
DATE
Site Address:
Sc2
o READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o UndergrounJ;l.
~o age ~ ~
10 03
Service size::?ef20 Amps
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
DetallslDescription:
dOG ry ~
/lJD L~ Jl/riclu!
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
~ O.K. to connect service
1: Final O.K.
-1r
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for Installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
Site Address:
.
Notify the De artment of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 4~411, EXT.158 or EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ J D !2::2
Inspebtov- Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector. Bottom: City Hali
OLYMF'IC PRINTERS. INC.
Application Number . . . . . 23-00000941 Date 9/06/23
Application pin number . . . 080692
Property Address . . . . . . 522 S RACE ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-9490-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RESIDENTIAL MEDIUM DENSTY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
EMILY AND PAUL JOHNSTON EXTRA MILE TECH & ELECT., LLC
522 S RACE ST 418 N. RACE ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 457-5222
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 68.00 Plan Check Fee . . .00
Issue Date . . . . 9/06/23 Valuation . . . . 0
Expiration Date . . 3/04/24
Qty Unit Charge Per Extension
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 68.00 68.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 68.00 68.00 .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
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
9/12/2023 23-941 TAP
OWNER
CONTRACTOR
Extra Mile Electric
PROJECT ADDRESS
522 S Race St