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Home My WebLink About1729 E 4th St - Building r— 1 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 �J� Application Number 11- 00001450 Date 12/29/11 Application pin number 861400 Property Address 1729 E 4TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -5 -5- 0150 -0000- on our excise tax form Application type description ELECTRICAL ONLY y Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 1 circuit hot tub Owner Contractor HURD DAVID .L SHAMP ELECTRICAL CONTRACTING 40....... 2009 W 15TH ST PO BOX 383 N PORT ANGELES WA 983635130 PORT ANGELES WA 98362 V (360) 452 -1689 q Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee .73.50 Plan Check Fee .00 Issue Date 12/29/11 Valuation 0 Expiration Date 6/26/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 Fee summary Charged Paid Credited Due Permit Fee Total 73.50 73.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 73.50 73.50 .00 .00 1�{�. ..Q, ,i INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN -3- Z /V/ iavCX_ FINAL 13 —63-- /66 AILZ: COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of•owner or Electrical Contractor X Date: o G: \EXCHANGE \BUILDING 12/29/2011 10: 35 FAX Q 001 /001 w RECEIVED moo yokrI C Cr 2 9 2011 L1.,,,,,,Ig1 c 2 I�IIi►�r, CITY OF PORT ANGELES PERMIT APPLICATION 0 Building I +a Division/Electrical ns Inspections ELECTRICAL g p INSPECTIONS 'Ir tFira:"':: 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362`` Ph: (360) 417 -4735 Fax: (360) 417 -4711 N \1 2 Ingle Family Dwelling Multi Family or Commercial' Commercial Addition Alteration Remodel Repair` Plan Review May Be Requ r ed, Please Cgmplete lectrical Ian R Aor e InfoF� pee n Job Address 1 1 t. l i, "t`�' 4 '1 !/1l r Building Square Footage' Description of above Owner I o {{yy ati n Contract• I. formatlo Name: Ad li A c Name: tL f t Maili Addre iieI/It rl lfI Mailing .dhr r C f City: I ,r A late: Zp: 'Z y City:.. /idWe .f% State. .4i Zip: F51 Pho e: Fax Pho e: Fax: l G License Exp. ,mac License /•Exp. ,.I4 o /c2 Item Unit Charge City Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. $119 90 Service /Feeder 201.400 Amp. 145 50 Service /Feeder 401 -600 Amp 204.60 Service /Feeder 601 -1000 Amp. 262.20 Service /Feeder over 1000 Amp. 372 50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/0 Service Feeder 73 50 __L_ Each Additional Branch Circuit 2.60 Temp, Service/ Feeder 200 Amp, 92 70 Temp. Service /Feeder 201 -400 Amp 110.30 Temp. Service /Feeder 401 -600 Amp 148,70 Temp. Service /Feeder 601 -1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign/Outline Lighting 66.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95 90 Note: S5.00 for each addd onal 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling 63,90 Signal Circuit/ Limited Energy Mulli- Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy SKVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square Ft $110.30 Each Additional 500 Square Ft or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub I Him__ $110.30 i V i r 5 J W 6- j D Isa n v� Total Owner as de fine y RCW.19.26 261: (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. Signature ow ner, electrical ontractor or -ctrical administrator: Cash 0 the Credit Card Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc TEAR OFF /INSTALL COMP Owner HURD DAVID L 2009 W 15TH ST PORT ANGELES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983635130 Permit BUILDING PERMIT Additional desc TEAR OFF /INSTALL Permit pin number 132068 Permit Fee 291 75 Issue Date 8/12/08 Expiration Date 2/08/09 Qty Unit Charge Per 14 00 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 291 75 00 4 50 296 25 T Forms/Building Division/Building Permit (05/13/08) wpd 08 00000986 154910 1729 E 4TH ST 06 30 00 5 5 0150 0000 RE ROOF RS7 RESDNTL SINGLE FAMILY 15889 BASE FEE 14 0000 THOU BL -2001 25K (14 PER K) STATE SURCHARGE 291 75 00 4 50 296 25 Contractor WESSEL CONSTRUCTION PO BOX 1514 PORT ANGELES (360) 457 8544 NO PR FEE COMP Credited 00 00 00 00 Date 8/12/08 WA 98362 Plan Check Fee 00 Valuation 15889 Due Extension 95 75 196 00 4 50 00 00 00 00 10-z6 Ex P 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 has 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. 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 Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES CALL 417 -4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER I AIR SEAL WALLS CEILING I FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING I MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING I PLANNING DEPT SEPARATE PERMIT t /'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING I FIRE I PLANNING DEPT I BUILDING 417 -4807 417 -4653 417 -4750 417 -4815 me ino BUILDING PERMIT INSPECTION RECORD YES 1 NO I 1 1 ■Io -ZE -da I C x Pi r t I FINAL FINAL SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. DATE ACCEPTED YES 1 NO I I I I I I I I Applicant or Agent Property Owner Property Owner's Address Contractor /Engineer Contractor /Engineer's Address PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Re -roof Demolition Heat System Other BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 1'7 ZG g 4- License WSr�TS�I? Residential Commercial Phone 467 g.54-4 Phone x-5--7 02 S Phone Expires c 7_ c Lot Zoning Multi- family Industrial Heat pump wood- burning stove gas fireplace pellet stove other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq ft. 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures sq ft. Lot size Max height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type Date 6- )l- Print Name rrNez -u. T Forms /Building Division /Bldg Permit Appl. 2006 Code doc For City Use Only Date Received Ss Permit s4, 486 Date Approved fa 12,- .71) TOTAL VALUATION S" sq ft. Lot coverage °/o of bedrooms of full baths of half baths 1 have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Signature .A e �Q \idvo ?6-1-4-- c) 9 D) Vy A tAvs 1) Ems'` 11 .?c‘e 7 z 77'7 x 2 bra /4 x Z3 2S5 17x 6 2 /4( 1408 /7 l00 tozo 1 3 s 33 �U /4 RFc e C M G C/ hJ lfal/ R 38/64. 0Appie-- /,re x /40/41 4Si gooa t (oo Site Address: CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. .3343 . ELECTRICAL PERMIT DATE 10 -ii'9-fjl Installed By: 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 ~ Remodel 1% Service update/alter/repair o Add/alter circuits o Auxiliary power (list below) o Special equipment (list beiow) o Overhead o UndergrOunu....;o Voltage /Z.q ~10 03.0 Service size ~_ Amps o Temporary Details/Description: /'J1tPVF l'2Rv1e/ I I/-Jrtiva ( R~ ...::I+..ff--I :?~L.- ~/kdM7 I ~ UoM I ~S- &0 tv-,4-llS ~~() CV~ tis ~ . .fl. /I. ~ .I~. W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. ^ f-lfl Rough-in/cover O.K. {\P 0 O.K. to connect service o Final O.K. 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: ~ {" S PermitfReceipt No. "3J 'fJ New Meters Date: - -iff Site Address: . Notify the Department 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 457.0411, EXT.158 or EXT. 224. T ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~() ~ Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall ~ OLYMPIC PflINTERS, INC. r ~3~ FEE RECEIPT N MBER " CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 1t2IT~EA '... . . \~ ~';"OO , '. , . , :. \ , , " .' ~ ': ....- .. TOTAL FEE , '. -' ... '- CaNT. LIC. NO.. TIME TO COMPLETE '.NO.~!ORIES LEGAL OCCUPANCY Owner NO OCCUPANCY OR USE ESTABUSHED UNDER THIS PERMIT \ ... "J~' .. , . \. , Installers Address - /- Day Phone '1r')- '3//1" .. ,. " 'installer~'Phorie. ~..-"5 - t::- [f/.? .' App.lication is here~y made for PermHJoinstal1 Electrical Equipment as follows: ///-7'...("'_,. --1P_~ LLk'.,:17f '?'~~ Wiring Method .. NUMBER AMP . 120V 240V NUMBER AMP 120V 24QV USE OF CIRCUIT CIRCUITS PER 10 100A FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE CIR 30 CIR 30 LIGHT SIGN .. 50 VOLTS . .. LIGHT OR lESS MOTOR .. CONVENIENCE , CONVENIENCE ... MOTOR APPLIANCE .. MOTOR DISHWAS~EA I FIRE ALARMS . DISPOSAL I BURGLAR ALARM RANGE I MISC. OVEN I , WATER HEATER I LAUNDRY / DRYER 'O. f AEINSTALLATION LIGHT FIXTURE # . FURNACE SUB TOTAL FEE GAS - OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT t TOTAL FEE . 30.00 ELECTRIC HEAT SIZE OF SERVICE SWITC~R CI~~'2T BREAKER - A.C. UNIT /1~, AMpt? /,~ . PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE ,~ 'J . s:/~ ~ ~-- /7 A.W.G. I SUB-TOTAL .. - SIZE OF GROUND SIZE OF ENTRANCE SWITCH ~ ;,hi;~ I certify that the work to be performe~ under thiS permit Will be done by the Installer and~.n c for.man91 w' CIt' /", / / --- -If. Date Application made 7/ "-, f,'> ,19 By - tc;, , , / . CONTRACTOR OR OWNER (0 Permissiofl is hereby given to do the above described work, according to the conditions hereon and acc~rding t the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.\, I \ DIRE}lO.R OF CITY L.IGHT . By)t./.~~ .:.','. PLANS APPROVED . 5' ~ .. .. Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER - WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD -Inspector's Report OLYMPIC PRINTERS, INC. '\ REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS .It) - )..'1--1 s '7JD fJWIIL L ,oj" c.. tJe A I' Bv N 4/ '.OH" . /[J.f, 6-/1 fCr J< rU~<'J'. M ,s..s; I"ll' C- 1) T 80'(: ~/V EN I' t:n= . /fl ,L' <.s /'" , C~,AI<J/. , , . , s-I'//<e , , ~ ~,;;lo~. iT tJ Il'tl.e r //( SAoP , . ~ sTllrf ~ u/ ai/if. e. e t: Ifu/ /. .s PI1C f' iN . . . , .. . , .. , , \ . " , . . , )' . . , .... -. " , . . \' ~ ,,' . , . . . \ . . . . . " . . "/, 5'8" 5 /)( '/" f " O.K. FOR COVERING Cf'J~ ()' /j; 'l/)j , O.K. TO CONNECt SERVICE , . . FINAL O.K. , '. . , , " , I . .. z o II: < :::!! !!? ::I: I- Z W I- '. l- e z e Q .' {} j;V 3 CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 000347 FEE RECEIPT NUMBER PERMIT NUMBER . . it. .~ y ~ If ();vt~ , TOTAL FEE .., .. CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY Site Address' . ' ELECTRICAL PERMIT ~LY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ,/ ~ :? 'RRECTfRESS ISt.:::~IBILITY OF APPLICANT PERMITS WITH WRONG ADORES P :z ?ls-')- (. )('&'? r . Owner Installation By Owner's Ad Installers Address D.ay Phone . y 3-? - ., 11'7 Installers Phone . f Application is hereby made for Permit to In5t~11 Electrical Equipment as follows: ~irjng Method USE OF CIRCUIT NUMBER CIRCUITS AMP PEA CIA 120V 10 240V 100R 30 FEE USE OF CIRCUIT NUMBER CIRCUITS AMP PEA CIA 120V 10 240V 100A 30 FEE LIGHT SIGN 50 VOLTS OR lESS MOTOR LIGHT CONVENIENCE CONVENIENCE ,APPLIANCE . . DISHWASHER DISPOSAL . RANGE OVEN WATER HEATER LAUNDRY DRYER FURNACE GAS. OIL FURNACE ELECTRIC ELECTRIC HEAT ELECTRIC HEAT A.C. UNIT FEEDER SERVICE , I\.. ~A>, // / f", :(V/fl.^- V(/j~/ ~ (/ /~j Jr--., V //) -~.1 <I MOTOR MOTOR FIRE ALARMS BURGLAR ALARM MISC. ^ ()) )iflN?~ATION LIGHT FIXTURE # ' V", sy~ T9"'}N'EE ~"~A9~FEEI " Bkol'C fEE I./)> TOT AC'FEIV~ H , I {, , !Jfl- SIZE oJ!' SERVICE SWITCH OR CIRCUIT BREAKER AMP SIZE OF SERVICE ENTRANCE CONDUCTORS PHASE A.W.G. I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH Date Application made I certify that the work to be performed under this permit will be done by the Installer and in 7- / h ,19'3'~ B ode. . CONTRACTOR OR OWNER (OR AUT RIZED AGENT) Permission is hereby given!o do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances,of the City of Port Angeles. BY. 1frL?/;::;:;p- Date Permit Issued PLANS AP R VE ~ 7-lt-() WARNING I Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for coverlng.or service has been.given by Inspector in Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK - Triplicate WHITE CARD - Inspector's Report OLYMPIC PRINTERS. INC. -, < ': II \ II ~. .::. \ " ... . . ' REPORT OF'INSPECTOR DATE OF VISIT MADE BY REMARKS . , , 7" I 6. r~---:, /111' ~ ff7.d (S . /VO I AN~Lo;l 0/'1 J;(e Ol/1r ~ , /'_ r. (:?,e s !:::1< II c.rL Y AS /"0<:' e, c:..-/u tfp 6'" r :.z: T/(/~/J '/"c.(5,{ 'N C- ot- Ta (/: if:- "''t' tS- ~ ve j( AdtJ ;f T r/...,.s 'I1/V1 e :z::- Ft'PI (T IS "04'/./ 0 . '. .' .. , A ,~,\. . -^ (\0.('/')\ '/ . /," "'\~\.'V ,\ , ", \ \>....} r - . f v ,,' /'. ' \ ( - .,,~ ~ \ yV /. , , ,. , 'if /\ ,) /- ."v .) . . . . . ""7.{/- <J(~- ) A O.K. FOR COVERING - 1-1{.. fff' '>- /fIf'.d O.K. TO CONNECT SERVICE 7-lt-r,r ) '. , . FINAL O.K. , : . . , . z Cl a: c( ::E ~ J: I- Z W l- . l- e z e c . ELECTRICAL. PTRMIT CITY OF FORT A*GEI<ES 360417-4735 Application Number . . . . . 17-00001749 Date 11/30/17 Application pin number . . . 664223 Property Address . . . . . . 1729 E 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -5 -0150 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 -----------------------------------------------------------_----------------- Application desc Heat pump and Furnace ---------------------------------------------------------------------------- Owner-�7 Contractor -------�%l__ b ------------------------ HURD DAVID L CASCADE ELECTRIC & VAC INC 2009 W 15TH ST PO BOX 369 PORT ANGELES WA 983635130 PORT HADLOCK WA 98339 1360) 379-5347 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date . . . . 11/30/17 Valuation . . . . 0 Expiration Date 5/29/18 Qty Unit Charge Per Extension BASE FEE 75.00 - - - - Fee summary Charged PaidCredited 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 INSPECTION TAPE DITCH SERVICE ROUGH -IN FINAL COMMENTS: DATE. RESULTS: i� PERMrr WILL EXPIRE SIX (6),moms FROM LAST INSPECTION Signature of fawner. or Electrical Contractor X REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR: El Date: CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 ... Date: -7 1 —1 & 2 Single Family Dwelling * Plan Review May Be R uired, Please Complete ctrical Plan Review Information Sheet Job Address: Z.y' N4N -5 Building Square Footage: ` Description of above r -e& 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 own ,electrical co,jractor#electrical administrator: ❑ cash (11'cter 11 Credit card # x .� rated: I � i 7 u,ro,►zo,s 36 U �% a Z S S- Owner Infomjt n l�Gly'd Contra Information Name: IJ�`TVe- Name: Mailing Address: 172q Mailing Address: City: P.4 State: Zip: City. State: Zip: Phone: Fax: Phone: Fax: License # / Exp. License # / Exp. Item Unit Charge Qty Total (Qty Multiplied by Unit Chante) 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 _j $ 1 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 $ Note: $5.00 for each additional T-Stat NEIN 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 $ $ O 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 own ,electrical co,jractor#electrical administrator: ❑ cash (11'cter 11 Credit card # x .� rated: I � i 7 u,ro,►zo,s ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 17-00001750 Date 11/30/17 Application pin number . . . 797250 Property Address . . . . . . 1729 E 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -5 -0150 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . Property Use . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat pump / Furnace T-stat ---------------------------------------------------------------------------- Owner Contractor ------------------------ HURD DAVID L ------------------------ AIR FLO HEATING CO INC 2009 W 15TH ST 221 W CEDAR ST PORT ANGELES WA 983635130 SEQUIM WA 98382 (360) 681-3901 -------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL ------- Additional desc . . Permit Fee . . . . 56.00 Plan Check Fee .00 Issue Date . . . . 11/30/17 Valuation . . . . 0 Expiration Date . . 5/29/18 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 fINSPECTION TYPE DATE: DITCH SERVICE ROUGH -IN FINAL t COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION RESULTS REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR: Signature of owner or Electrical Contractor X Date: ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 17-00001750 Date 11/30/17 Application pin number . . . 757250 Property Address . . . . . . 1729 E 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -5 -0150 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . Property Use . . . . . . . . Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 - - - Application desc Heat pump / Furnace T -stat -------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HURD DAVID L AIR PLO HEATING CO INC 2009 W 15TH ST 221 W CEDAR ST PORT ANGELES WA 983635130 SEQUIM WA 98382 (360) 681-3901 Permit . . . . ELECTMAL ALTER RESIDENTIAL Additional desa Permit Pea 56.00 Plan Check Fee .00 Issue Date, 11/30/17 Valuation 0 t9piration Date 5,29/18 4ty Unit Charge, Per Extension 1.00 56.0000 BCH EL-LVT-THERMOSTAT 56.00 ------------------------- 7--7 ----------------------------------------------- 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 DATE: RESULTS: DITCH SERVICE ROUGH -IN l } FINAL t trr COMMENTS: PERMIT WR A WRE SM<6) MONTHS FROM LAST INSPECTION. = '. Signature of ovam or Electrical Contracor X REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) i INSPECTOR °gyp°"7�^'�F ELECTRICAL INSPECTION V ��N y WIRING REPORT ` & 417-4735 DATE !! PERMIT # INSPECTOR 17 -)SA )l'7 OWNER CONTRACTOR ADDRESS 1-729 r, Li'l`\� APPROVED NOT APPROVED ❑ ....................DITCH.................. . ❑ ❑................ ROUGH IN/COVER ..............� ❑ ....................SERVICE................... ❑ ❑ .....................FINAL.................... ❑ CORRECTIONS NEEDED:1PTLL- r NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE -- 11/29/2017 WED 8:07 FAX 360 683 3971 Airflo Heating copier CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical-inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax- (360) 417-4711 Date: 12�1 f -,&1 & 2 Single Family Dwelling 10001/002 ' Plan Review MaacBe Renu fid, Phase Complete Electrical Plan Review Information Sheet Job Address: i —17 Li:�tr i �F Building Square Foo e: y Description of above (-MP htaE� (.1Y'Y'1 C;l� *L f-Itr' Y YA Cj*'-r Own n do J j, , Can%IMML—state: atlo l y� Name: if A Nam7 # Mail' t - Mad' city. sate: zip: S SS._ �zip: Phone: Fax Plrorre: ax: License V Exp License # f Exp. !tern Unit Charge l Total iQty Muldolied bit Unit Chamej Service/Feeder 200 Amp. $120.00 $ -- Service/Feeder 201-400 Amp. $146.00 $ ServicelFeeder 401.600 Amp $ 205.00 $ Service/Feeder 601-1000 Amp $ 262.00 $ ServiWFeeder over 1000 Amp. $ 373.00 $ Branch Circuit W/ Service Feeder $ 5.00 $ Branch Circuit Wb Service Feeder $ 63.00 $ Each Additional Branch CirWt $ 5.00 $ Branch Circuits 14 $ 75.00 $ Temp. Service! Feeder 200 Amp. $ 93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. ServimTeeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp . $168.00 $ Portal to Portal Hourty $ 96.00 $ Signal Circuit/ limited Energy -1 &2 Family Daeling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy - 5KVA System or Less $102.00 $ Thermostat $ 56.00 1 $5�, Note: $5.00 for each additional T-Stat NEW CON$TRWTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square FL or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming. Pool or Hot Tub $ '110.00 $ $�"J Total Owner as defined by RCW.19-20.261: (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 29646B, The City of Port Angeles Municipal Code, and Uii* Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Sign re f , e 'cat cotrtractor or electrical administrator: 0 cash �p Cheek - ❑ Credit Card # X = Dated: V + 90112012