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HomeMy WebLinkAbout124 E 7th St - Building Separa1fPermits are required for electrical ,^,ork,SEPA,Shqr~lirt~;ESA..utlJitie$: private ;:iridRuplic ,!'1lproyements. Thisperiliidiecomes null anci:~oid if WOrk or construction authorized is not commenced. wlfhin.1 $0 da~; if construction or work Is. suspen~!i'cfor"b'~'n~oried for a:'~eriod aflS~ ,~~ys;:i~~rJ!,1~y..ark as .~mmenc~~,~r ~t< r~q~~"2~ i~sP!ftl()ns have' not been requested Within 180 da~:frorrt tI;\~ last Inspectl~n.1 hereby certify that I have r~ad and exa~mineClthlsappllc~tr6rtana know the same to be'true and c9rr~ctiiAUpT()viSlansqf laws~n~fo.rdjnaricesgoveming'this type of work will tie cor'npliel1 with Whether specified herein or not. The grantinl)of apet{i11tiooes not. presume to give authority to violate' or cancel the provisions' 'of-any state or local' law regulating construction or the . performance. of c.(;>nstructlon.' . > ,;j. "'. .pfgoature of Owner (if oWfier,ls.builder) ~.~-<;~_~)_;~j~;~r.~4%.:t~.:~-~tii' ,~H_ ;,: :fj'.:,':- "-,,':_"'- ~'--, "''i'1fr''~~~~7j ;~3~~~~~1~~'k~.,# ,- BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. .. IT IS UNLA WFUL 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 YES I NO FOUNDATION: FOOTINGS . I I . WALLS .. FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN , . I I PLUMBING ,. ., UNDER FLOOR / SLAB ROUGH-IN '''<" WATER LINE GAS LINE ..' ,. . BACK FLOW/WATER .. .. , .', AIR SEAL . .. WALLS ,. CEILING . I . FRAMING JOISTS! GIRDERS SHEAR WALL . WALLS / ROOF / CEILING DRYWALL T-BAR , .. INSULATION SLAB ,', WALL / FLOOR / CEILING MECHANICAL '. HEAT PUMP -;:;;c WOOD STOVE / PELLET / CmMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE / METER SEWER CONNECTION . SANITARY STORM c: : PLANNING DEPT. SEPARATE PERMIT #'s , SEPA: P ARKlNGILIGHTING . ESA: <;t LANDSCAPING --c- SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TOOCCUPANCYIUSE -c. RESIDENTIAL DATE YES NO COMMERCIAL DATE A,CCEPTED YES NO .. ELECTRICAL. LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W./ PW/ CONSTRUCTION -~ W. ENGINEERING , 417-4807 PW / ENGINEERIN , . . FIRE 417-4653 FIRE DEPT. . PLANNING DEPT. 417-4750 PLANNING DEPT. ..- , BUILDING 417-4815 9//710:3 . BUILDING T:\PLANNING\FORMS\1102.15 [412002] ,~~ FOR OFFICIAL USE ONLY: Date Rec.: "I-'2'1-<::::J:5 Permit #: 4 I 9 BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Date Approved: Date Issued: Applicant or Agent: -3 n ~O(!) F / ~ ) t... L. L- Owner: S-f..o...V\ f!.. uhl ~ Address: I ~ '{ E "7 .,Ll-. City: fJ J4 Phone: ~ S-';< - 9S- ~ 7 Phone: Zip: Architect/Engineer: Contractor ])o~/d. r 54-reA:' { 'fr State License #: Address: ~ 5""'1 fkl/'Ao... 'V\ Lei, City: ;J If PROJECT ADDRESS: ,I.;z ~/ E rh. Phone: Exp: Phone: ~S-.2- ?S-S- 7 Zip: ZONING: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: I Block: Subdivision: Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: o Residential 0 New Constr. .er-Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: o Stove o Garage o Deck o Other SIZEN ALUATION: 211J. 0 SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ ~~OO. 0 ~ COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage Construction Type: = TOTAL Sq.Ft. % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlW etland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. 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 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 of application, 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 Uniform 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..1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,no City's, d t t ust btain such permits prior to work. T:\FORMS\APPS\Buildingpennit. wpd Applicant: Date: y-;< "1- 0 .s - 1 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date 5- /q-D3 / Time Received by Rv (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. 'I~2 -9~5:/ Type of Inspection (circle appropriate one): Permit No. '7/9" Sewer Foundation Framing Chimney Plumbing ~ Sewer Excav. Other Re roof INSPECTION NOT~ Inspected: Date .::> {-:it) I (J? Time~ Remarks: I ?~ E: -, -1-4- ~.. b R~'(S(I\':J By Jc) ----..--. ..,4 ~~ );.l~ ~ ~lc ~h (;~:~i1bY:x3: I ~ RESTORATION REQUiRED...... YES . NO FX-pos~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DA TEl ,. :".' ~ ,'1('. '!', ',(" ./':,': ',~ ",;. .A "-. ~"..' ~~~ ,'~;. ~.. .~~". ". ..' ..CITY OF PQ~T~GELES DEPARTMENT OF COMMtJNrn!DEVELOPMENT - BUll.DINGDMSION , , ~~l EAST 5TH STREE}.'.~()J:tT ANGELES.WA 9!l3~2 . 50.00 Plan Check Fee 9/15/03 Valuation 3/14/04 .00 '0 Application Number pr9Perty..~ess ASSESSORPARCBLNUMBER: AppliCation. description SUbdivision. Name.. . property Zoning . . . AppliCation valuation . 03-00000138 Date 9/15/03 124 E 7TH ST 06-30-00-0-2-3115-0000- FIREPLACE/ INSERTS/FREESTANDING 2700 owner Contractor . RUBLE 'STANLEY/BETTY 240.4 PINE CIR CLARIONIA 50525 PELLET. ,HEAT CO.'''' 230.C..E. 1ST PORT ANGELES' (360) 457-4i460 WA 98362 Permit Additional desc Permit Fee . . Issue Date . . Expiration Date' MECHANICAL PERMIT Qty Unit Charge Per 1.00 50.POOO ECH ME-WOOD STOVE Extension 50.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 ':00 .00 'PlanCheck Total ,.00-- .00, .00 .00 Grand Total 50..00 50.00 .00 .00 Separate Permits are required forelectrlcal work. SEPA; ShOreline. ESA,tutilitles; private and public improvements~. \6M~(~C'.". .. Slgllatu~'of COntractor or Authorized Agent.. T:\JoLANNlNG\FORMs\1'102:1S"[412002] BUILDING PERMIT INSPECTION RECORD .... I CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER; INSULATE OR. CONCEAL ANY WORK BPf:ORE INSPECTED AND ACCEn'ED. POST PERMIT IN A,CO~~..IClJOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED ,,' . COMMENTS" , " -I YES NO . , .'. " FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPl) SEPARATE PERMIT: # ROUGH-IN I '. PLUMBING , " .. - UNDER FLOOR I SLAB ROUGH-IN , WATER LINE GAS LINE BACK FLOW I WATER " . .. AIR SEAL WALLS CEILING I I FRAMING JOISTS I GIRDERS SHEAR WALL WALLS I ROOF I CEILING DRYWALL '. T-BAR INSULATION . SLAB WALL I FLOOR I CEILING I MECHANICAL - . HEAT PUMP WOOD STOVE I PELLET I CHIMNEY HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE I METER SEWER CONNECTION SANITARY . STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKINGILIGHTlNG ESA: LAND~~~PING_" SHORELINE: -.' ..H.... ,.....' '. ., ;FlNM.ilNSPECgONS REQUIRED PRIOR TO OCCUP~cyrosE ,;' .' ., .,:,.' ';,.,' REsiDENTIAL "'. DATf'f/ YES NO C6MJ.lERClAL DATE. .... ACctmo , ,"It'; - .'~-"\r YES NO ELEC11UCAL. LIGHT DEPT. 417....73'< ,. ,ELECTRICAL '. ..; '.,i-:\' , , LlGl:Q' D~PT, " '. . . .. CONSTRUCTION R. W.I PWI CONSTRUCTION. R. W. n ENGINEERING 417-4807 PW I ENGINEElUNG . '\ . .. FlRp 417-46S3 FIRE DEPT. . .. "... .;., . , PLANNING DEPT. ' ,. 41747so' ., ., ..' ., PLANNING DEPT. , , BUILDING .. 417-481S -~-Ib.-(!)2. -.tL BUILDING- .. ... T:\PLANNING\FORMS\II02.1S [412002] PREPARED 9/16/03, 12:25:00 CITY OF PORT ANGELES ADDRESS CONTRACTOR : OWNER PARCEL . . : APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 4 9/16/0~ 124 E 7TH ST PELLET HEAT CO. RUBLE STANLEY/BETTY 06-30-00-0-2-3115-0000- 03-00000138 FIREPLACE/ INSERTS/FREESTANDING SUBDIV: PHONE PHONE (360) 457-4460 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 9/16/03 JLL MECHANICAL FINAL ~ pellet stove insert stan 452-5632 -------------------- --- ------------ COMMENTS AND NOTES -------------------------------------- .. ,w, _ ../ ~ o/V v'~~ ~ \)~ ~~ -~ ~ vYV'i ~\ y' {} 't\0 CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ]21 EAST 5TIt STREET. PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 8/21/2002 PERMIT NO 7790 OWNER/APPLICANT PROPERTY LOCATION GLENN SIMKINS 124 7TH ST E 124 E 7TH Lot: 4 Port Angeles, WA 98360 Block: 231 Long Legal 360~000-0000 Subdivision: TPA T: S: Parcel No: 063000023115000 CONTRACTOR ARCHITECT ANGELES ELECTRIC N/A 524 E. 1ST ST. PORT ANGELES, WA 98362-0000 , 98360-0000 360/452-9264 360/000-0000 PROJECT INFO '~ Project Type: RES. MISC. Project Value: $0.00 Occupancy Type: Construction Type: SERVICE CHANGE Occupancy Group: Zoning Use: ~ Electrical Heat: ! Baseboard 0 KW Riser I Underground Service Furnace 0 KW Overhead Service Voltage: 240,120 Heat Pump 0 KW Temp Service Phase: ~ 1 i 3 Fan Wall 0 KW Service Size: 200 '~ Feeder Size: 0 ~' PROJECT NOTES NO ADDED LOAD CHANGE SERVICE. RECEIPT # 9549 FEES ASSESSMENT Service: $64.90 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $64.90 AMOUNT PAID: $64.90 BALANCE DUE $0.00 ('OMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MI]qlMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVEI~ INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH ROUGH-r~ / COWR SERVICE I GENERAL COMMENTS: Application Number . . . . . 23-00000038 Date 1/12/23 Application pin number . . . 126732 Property Address . . . . . . 124 E 7TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-3115-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Corrections ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FIRST UNITED METHODIST CHURCH ANGELES ELECTRIC 110 E SEVENTH ST 524 E. 1ST ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-9264 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee . . .00 Issue Date . . . . 1/12/23 Valuation . . . . 0 Expiration Date . . 7/11/23 Qty Unit Charge Per Extension BASE FEE 75.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 1 - 2 SINGLE-FAMILY ETECTRI CAL P E RM I T APPL I CAITO-N. Public Worlss arrd Iitilities Dcglartrnctrt :i2l E. 5Lli Stlcci. Polt z\ngi:lcs, \,\iA 98162 36().r117.4135 lrvr,vq',cirygfpa,us lelectricalpr"r'rrri[srZi.cityolpn,r-rs ential ! Duplex /ARU Building Square footage Email Mailing Address E7 -Stzor Phone 'oo 3 * Project Address: Name Name Anqeles Electric, lnc. Mailing Address:524 E. First Street. Port Anqele WA 98362 License ANGELE146ORS Expiration Date 21412024 Email;ksimpson@olv mpus.net Phone;360-452-9264 I!@ Service/Feeder 200 Amp. Service/Feeder 20 1 *400 Amp. Service/Feeder 401 -600 AmP. Service/Feeder 60 1 -1 000 AmP, Service/Feeder over 1000 Amp. Branch Circuit W Service Feeder Branch Circuit WO Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 AmP. Temp. ServiceiFeeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601 -1 000 Amp. Portal to Portal HourlY Signal CircuiULimited Energy ' 1&2 DU. Manufactured Home Connection Renewable Eleb. Energy: SKVA System or less $5 for each additional) Unit.Charge $t zo.oo $146.00 $2o5.oo $262.00 $szs.oo $5.00 $63.00 $5.00 $75.00 $93.00 $110.00 $'14e.oo $168,00 $e6.00 $64.00 $'120.00 $102.00 $56.00 :: $,1.20JQ ,$'40:o0j ,, $74:.90, , g1i1r0i0O QUanlity Total (Quantity x Unit Charge) :7 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ry $,-- ,,...,;-,.-..-. ' ;^ ' ..':'. . !i ,iQ;:--+t-++-' ' U;, ,;, owner as defined by RCW.19.2 8.261: (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 propeity is for sale, rent or lease. Permit expires after six months of last inspection' After reading the above am making the electrical 468,of Port An statement, I herebY certifY installation or alteration in geles Municipal Code, and Ken Simpson that I am the owner of the above named properly or a licensed electrical contractor. I compliance with the electrical laws, N.E,C,, RCW. Chapter 19.28, WAC. Chapter 296- Utility cifications and PAMC 14.05.050 regarding Electrical Permit Applications Print Name Sign Electrical Contractor / Administrator)Date lt [Electrical permitApplications may be submitted to City Hall or electricalpermits@cityofpa,us] PREPARED 1/11/23,14:23:28 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000038 124 E 7TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 75.00 TOTAL DUE 75.00 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 5/11/2023 23-38 TAP OWNER CONTRACTOR Angeles Electric PROJECT ADDRESS 124 E 7th St Application Number . . . . . 22-00001261 Date 10/10/22 Application pin number . . . 002479 Property Address . . . . . . 124 E 7TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-3115-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc T-stat heat pump system ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FIRST UNITED METHODIST CHURCH DAVE'S HTG & COOLING SRVC INC 110 E SEVENTH ST PO BOX 413 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-0939 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 56.00 Plan Check Fee . . .00 Issue Date . . . . 10/10/22 Valuation . . . . 0 Expiration Date . . 4/08/23 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 Application Number . . . . . 22-00001261 Date 10/10/22 Application pin number . . . 002479 Property Address . . . . . . 124 E 7TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-3115-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc T-stat heat pump system ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DARREN M NEALIS AND JACQUELINE DAVE'S HTG & COOLING SRVC INC 504 CUSHING ST SW PO BOX 413 OLYMPIA WA 98502 PORT ANGELES WA 98362 (360) 452-0939 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 56.00 Plan Check Fee . . .00 Issue Date . . . . 10/10/22 Valuation . . . . 0 Expiration Date . . 4/08/23 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 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4 735 I www.cityofpa.us I electricalpermits@cityofpa.us Project Address: 124 East 7th Street Project Description: Installation of ducted heat pump system ~ Single-Family Residential D Duplex/ ARU Building Square footage: _1_7_9_0 _ OWNER INFORMATION Name: First United Methodist Church Mailing Address: 110 East 7th Street Email: _ Phone: 360-452-8971 ELECTRICAL CONTRACTOR INFORMATION Name: Dave's Heating & Cooling Service, Inc. Mailing Address: PO Box 413, Port Angeles, WA 98362 Email: davesheating@wavecable.com License: DAVESHC9912C Expiration Date: _5/_2_02_3 _ Phone: 360-452-0939 PROJECT DETAILS Item Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Signal CircuiULimited Energy - 1&2 DU. Manufactured Home Connection Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) First 1300 Square Feet ~~ffl~JZ !tiitm" Each Additional 500 square feet" Each Outbuilding / Detached Garage Each Swimming Pool / Hot Tub Unit Charge Quantity $120.00 $146.00 $205.00 $262.00 $373.00 $5.00 $63.00 $5.00 $75.00 $93.00 $110.00 $149.00 $168.00 $96.00 $64.00 $120.00 $102.00 $56.00 $120.00 $40.00 $74.00 $110.00 1 IQta.l (Quantity x Unit Charge) $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ 56.00 $ _ $ _ $ _ $ TOTAL $ 56.00 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 ove nam property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electr'ca laws, N ... , RCW. apter 19.28, WAC. Chapter 296- 468, The ity of Port Angeles Municipal Code, and Util~y Specifications a d P C 14.0 . 5 egard g Electrical Pe it Applications. o s 30ad- ¥ tM, h Date Print Name Signature D Owner R' Electrical Contrac dministrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4 711] E l e c tric a l In fo rm a tio n F o rm Public Works & Utilities Department (360) 417-4700 City Electrical Inspector (360) 417-4735 Please complete and return to Public Works & Utilities Department Applicant Information P roje c t A dd res s : 124 East 7th Street O w n e r: First United Methodist Church S tre e t A d d re s s 110 East 7th Street C ity I S ta te I Zip : Port An eles WA 98362 P h o n e N u m b e r: 360 452-8971 C e ll P h o n e : Services C e ll P h o n e : 00 Existing ~ Single-family residence D Commercial D Overhead service D Underground service □New D Multi-family residence; # of units D Subdivision D General service □Other: P ro je c t In fo rm a tio n D e ta il e d d es c rip tio n o f w o rk : (O il to G a s C o n v e rs io n , G a s to E le c tric , N e w H e a t P u m p , e tc .) Low voltage thermostate wire fo r thermostat as part of a ducted heat pum p. M a in D is co n n e ct S ize A m p s : 35 S e le ct V o ltag e : 00120/240 1 ph □120/240 3ph D120/208 3ph LI80 3W 3ph 0277/480 3ph C h e c k all tha t ap p ly : S u p p o rt in g Standard residential loads (Lighting, refrigerator, dishwasher, washer) D A/C (_ton) D Range/Oven D Hot Tub D Clothes Dryer Ix] Heating D Pumps ( __ Hp) D Water Heater D Elevator ( __ Hp) D Other _ Load Increase (kW) Load Decrease (kW) P le ase p ro v id e a co p y o f th e fo ll o w in g : *Detailed plot plan (.dwg or .dxf format mandatory for subdivisions). *Electrical one-line drawing showing the service entrance panel and location. *Connected load data. Date: 10/5/2022 MAIL OR DELIVER COMPLETED FORM TO: 321 E 5 STREET; PORT ANGELES, WA 98362 FAX TO: 360-417-4711 ws _ WF _ Revised 1-09-11 PREPARED 10/06/22, 8:01:04 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001261 124 E 7TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 56.00 TOTAL DUE 56.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: T-stat Furnace / Heat pump NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 11/21/2022 22-1261 TAP OWNER CONTRACTOR Dave’s Heating PROJECT ADDRESS 124 E 7th St Application Number . . . . . 22-00001429 Date 11/15/22 Application pin number . . . 095505 Property Address . . . . . . 124 E 7TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-3115-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Furnace / Heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FIRST UNITED METHODIST CHURCH EXTRA MILE TECH & ELECT., LLC 110 E SEVENTH ST 418 N. RACE ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457-5222 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 79.00 Plan Check Fee . . .00 Issue Date . . . . 11/15/22 Valuation . . . . 0 Expiration Date . . 5/14/23 Qty Unit Charge Per Extension 1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.00 1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 79.00 79.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 79.00 79.00 .00 .00 MULTI-FA MILY/ COMMERCIAL ELE CTRICAL PERMIT APPL ICATION Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:--------------------------------------­ Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _ OWNER INFORMATION Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRICAL CONTRACTOR INFORMATION Name: License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS llim! Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Sign / Outline Lighting Signal Circuit/Limited Energy -Multi-Family Signal Circuit/Limited Energy/First 1500 sf -Commercial (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) Unit Charge Quantity $132.00 $160.00 $225.00 $288.00 $410.00 $5.00 $74.00 $5.00 $86.00 $102.00 $121.00 $164.00 $185.00 $96.00 $88.00 $88.00 $96.00 $113.00 $56.00 Total (Quantity x Unit Charge) $ ____ _ $ ____ _$ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ _____ 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- 46B, 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] lJ CD PREPARED 11/14/22, 7:31:41 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001429 124 E 7TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 79.00 TOTAL DUE 79.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: DHP NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 11/22/2022 22-1429 TAP OWNER CONTRACTOR Extra Mile Electric PROJECT ADDRESS 124 E 7th St