HomeMy WebLinkAbout1206 W 5th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32\ EAST 5TH STREET, PORT ANGELES, W A 98362
Lasered
CEO
Appl~cat~on Number
Appl~cat~on p~n number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Appl~cation type descr~ption
Subd~v~s~on Name
Property Use
Property Zon~ng
Appl~cation valuat~on
07-00000895 Date
080450
1206 W 5TH ST
06-30-00-0-1-1405-0000-
HOWARD HUFFMAN
RE-ROOF
7/30/07
RS7 RESDNTL SINGLE FAMILY
4070
Owner
Contractor
HUFFMAN WM / LAVONNE
1206 W 5TH ST
PORT ANGELES WA 983632006
GARLAND CONST & MAINT.
2512 E RYAN DRIVE
PORT ANGELES WA 98362
(360) 457-5186
Permit
Add~t~onal desc
Permit pin number
Perm~t Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR OFF AND RE-ROOF
108100
137 75 Plan Check Fee
7/30/07 Valuation
1/26/08
.00
4070
Qty Un~t Charge Per
Extension
95 75
42.00
BASE FEE
3.00 14 0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Pa~d Credited Due
----~------------ ---------- ---------- ---------- ----------
Perm~t Fee Total 137.75 137.75' 00 .00
Plan Check Total 00 .00 00 .00
Other Fee Total 4.50 4.50 .00 00
Grand Total 142.25 142.25 .00 .00
Fl'ntdeJ
02/02/07
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 speCified herein or not. The granting of a permit does not
pr ume to give authority to violate or cancel he provisions of any state or local law regulating construction or the performance of
c nstru ion. I
7- 30-()7
Date
Signature of Owner (If owner is builder)
Date
T \Pohcles\1102_l5 bUlldmg penml1l1SpeCllOn record05 wpd [1/4/2005]
o
...J
CALL 417-4807 FOR PUBLIC WORKS UTILiTIES )
PLEASE PROVIDE A MINHvfUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANJ' 1-VORK BEFORE \IJ
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION -n
KEEP PERM1T CARD AND APPROVED PLANS AT lOB SITE \fl
BUILDING PERMIT INSPECTION RECORD
CALL 417-48]5 FOR BUILDING INSPECTIONS CALL 4] 7-4735 FOR ELECTRICALlNSPECTIONS
INSI'ECTlON TYPI: DATE ACCEPTED COMMENT~
YE~ NO
FOUNDATION
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDA TJON DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS )
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY
BACK FLOW 1 WATER
AIR SEAL .
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CElLING
MECHANICAL -
ROUGH-IN
HEAT PUMP I FURNACE 1 DUCTS
GAS LINE FINAL DATE ACCEPTED BY
WOOD STOVE 1 PELLET 1 CHlMNEY
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKlRTING
PLANNING DEPT SEPARATE PERMIT #'s SEPA
I' ARKING/LI GHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 417-4735 ELECTRJCAL
L1GHTDEPT
CONSTRUCTION R W 1 PWI CONSTRUCTION - R W
ENGINEERJNG 417-4807 PW 1 ENGINEERJNG
FIRE 4] 7-4653 FIRE DEPT
PLANNING DEPT 417-4750 . PLANNING DEPT
BUILDING 417-4815 ~1 07)n, -:iLL- BUILDING
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T \Po11c]es\1 102 15 bUildmg penTIlt InspectIOn recOId05.wpd [1/4/20051
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PREPARED 8/02/07, 8'31 46
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES LIERLY
PAGE
DATE
------------------------------------------------------------------------------------------------
4
8/02/07
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1206 W 5TH ST
HOWARD HUFFMAN
GARLAND CONST. & MAINT
HUFFMAN WM / LAVONNE
06-30-00-0-1-1405-0000-
07-00000895 RE-ROOF
SUBDIV'
PHONE (360) 457-5186
PHONE
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01
8/02/07 I~
(I V~
BLDG FINAL
08/02/2007 08 05 AM LPANGRLE
GARLAND 457-5186
BLDG FINAL - RE-ROOF
-------------------------------------- COMMENTS AND NOTES --------------------------------------
Lase'
GEL
PROPOSAL & ACCEPTANCE
Garland Construction
& Maintenance
<~~ ",.,'w~$<, , " ,25 I 2 East Ryan Drive
~" ,IJ::, 'j,,':;': '" Port Angeles. WA 98362
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FOR OFFICIAL USE ONLY
DateRec ,- 30 ,a7
Pernut # 01- B'l5
Date Approved (~'3.0 -07
Date Issued I ,
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and iD INK. Your application and site plan MUST BE
COMPLETE to be accepted for reVIew. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Phone:
'1S7~5/?J{,
'15 ~ -I/OG,
ZIp: c; 8 ~ 0 :s
Owner:
Address
ArchItect/Engmeer:
ContractorG 0 r ( (LAJ
Address:
Phone:
PROJECT ADDRESS:
LEGALDESCRlPTION. Lot.
CLALLAM COUNTY PARCEL NUMBER:
fJ.--OCc
lJ
Zip:
ZONING:
Block:
SubdIVIsIOn:
TYPE OF WORK:
o ResIdentIal 0 New Constr. ~e-roof D Stove
o MultI-family 0 AddItlOn 0 MoveD Garage
o CommercIal 0 Remodel 0 Demol1tlOn 0 Deck
o Reparr 0 SIgn 0 Other
BRIEF DESCRIPTION OF THE PROJECT.
SIZEIVALUATION:
SF @ $ /SF = $
SF. @ $ /SF = $
SF. @ $ /SF = $
TOTAL VALUATION $~O(O
.,
'Re.
R-oo +:
No. of Stories: Lot Size:
Totallot coverage
Construction Type
= TOTAL Sq. Ft
COMMERClAL/RESIDENTlAL: Occupancy Group'
Occupant Load:
& Proposed Sq Ft
EXIstmg Sq Ft
%
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
ESA/Wetland(s):DYesDNo SEPACheckhstrequlTed?D Yes 0 No Other.
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 Buildmg DIVISIon to comply with current fee schedules Contact the Permit
Coordmator at 417-4815 for aSSIstance.
PLAN CHECK FEE: IF a plan check fee is due It must be subIDltted at the time the buildmg permit applicatlOn and constructlOn plans are
subIDltted. All other perIDlt fees are due at the t1llle of permit Issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued WIthin 180 days of the date of applicatlOn, the application will expire. The
Building Official can extend the t1llle for action by the applicant up to 180 days upon written request by the applicant (see SectlOn
RI05.3.2 of the IntematlOnal BulldinglResidential Code, 2003). 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. I am authorized to
apply for this permit and understand that it is my responsibilitY'to determine what permits are required ,not the City's, and that I
must obtain such permits prior to w rk /
Date:
1- 30-07
T'\FORMS\BldgP=tform wpd Applicant;!
I
~11i611lil1.~if;;il~~e,F;l51 ~~:wSEr~eINJJ~}~1~~~\1t~~~f~1::~~W
PLUMBING
TRAPS:
WATER HEATER:
SEWER:
WATER:
MECHANICAL:
VENTS:
FURNACE:
GAS FIREPLACE:
WOOD FIREPLACE/STOVE:
MECH APPLIANCE:
.
.'
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
S.J 7 V
l,:;/zr/pJ-
DATE
Installed By:
IZQfo
;;(
ELECTRICAL PERMIT
s'f-t1
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o FAN/WALL KW _
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o RISER
~ OVERHEAD SERVICE
o UNDERGROU!)lD SERVICE
VOLTAGE: /2,t}{?J7V
E1 r/J D3!11
SERVICE SIZE ~ AMPS
FEEDER SIZE AMPS
o TEMPORARY SERVICE
Details/Description:
ttLu'-'7 p~
I?/;. ~7 fPJ1J
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
>>~Final O.K.
Installer:
New Meters
--
.
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
'1h1
Electrichllnspector
NO OCCUPANCY OR USE ESTABUSHED UNDER THIS PERMIT
$
!t30
.
Permit Fee
WHITE - Fife by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC.
. ..~,,~
'.
, .
PORT ANGELES HOUSING REHABILITATION PROGRAM
129 E 1st Street
Port Angeles, W A 98362
Telephone #452-2023
September 18, 1995 (revised October 11, 1995)
Final worklist specifications for:
Howard and Lavonne Huffman
f< 1206 W 5th Street
Port Angeles, W A 98362
Telephone #452-1106
A TTENT/ON CONTRA CTORS: Submit bids to the Port A ngeles Housing Rehabilitation
Program office no later than October 27, 1995,
PROJECT A (HEALTH AND SAFETY REPAIRS)
0600 1) Upper stairwell area: Install a proper handrail.
2)Rear entry: Remove the existing covered entry and steps, and install new entry steps,
landing, and railing, Homeowner to complete installation of a new deck at the rear of
the house,
0900 1 )Main floor family room addition: Install new pad and carpet.
2)Living room: Install new pad and carpet, Include a vinyl cutout near the front
entry, Carpeted area to include the bedroom hallway.
3) Bathroom: Install new underlayment and sheet vinyl floor covering,
4)Bathroom: Properly seal the wall and tub wrap around the perimeter of the bathtub
wall and floor areas.
5)SW bedroom Install new pad and carpet. Include the bedroom entry and closet
areas.
fill
- ~/' x//'
/J..-lf-'1:'?- /f ,/".
! ../) I
} 02) Y) /j .;J,r '
.. .,.....
...
6)Kitchen and laundry/nook areas: Install new underlayment and sheet vinyl floor
covering. Include, shim and level the floor as much as possible.
1500 1 )Bathroom: Reset the toilet after the new vinyl flooring is laid.
1600 1 )Install new hardwired smoke alarms with battery backup throughout the house to
code. All alarms to be intertied.
2) Living room: Install (I) additional outlet.
3)Bathroom: Install a new GFCI protected outlet near the sink to replace the existing
outlet.
4 )NW bedroom: Install (2) additional outlets.
5)Center sewing room: Install (1) additional outlet.
6)Center sewing room: Replace (1) existing outlet on the east wall with a standard
outlet. .
7)SW bedroom: Install (1) additional outlet.
8)Crawl space: Insure that the water heater is properly wired and the junction box is
properly secured and has a cover plate.
9)Crawl space: Install (2) porcelin ceiling light fixtures and connect to a switch to be
located near the crawl space access.
10)Laundry/nook area: Properly install the existing outlet near the doorway.
11 )Laundry/nook area: Install (1) additional outlet.
12) Insure that the existing electric panel is properly wired and labelled. All 3 -prong
outlets to be properly grounded. All 2-prong outlets to have proper polarity. Insure that
all water lines are properly grounded. All accessible electrical connections and fixtures
to have proper junction boxes and cover plates. All switches and outlets to have
proper cover plates.
1700 I )Safe up the wood stove. Include properly attaching all pipe connections with screws.
{j1/1
----
;iI;t;7 /)0 S rJ~L
\~h -
2
. ~ ,., ..
, , :".
PROJECT B (WEA THERIZA nON)
0800 I )Rear entry: Install homeowner's solid core wood entry door. Include new door
jamb/threshold, hardware, deadbolt, lock, and weatherstripping Trim and finish the
interior and exterior. Stain and finish or paint the door and trim.
PROJECT C (EXTERIOR DETERIORATION AND BLIGHTING)
0200 I )Complete extermination of powder post beetles and other wood destroying insects
and organisms.
0400 l)Complete installation of concrete footings and foundation around the perimeter of
the house. Eliminate all earth/wood contact throughout the crawl space area, include
the removal of all wood/cellulose debris and materials throughout the crawlspace.
Relocate the access to the SW comer.
0600 I )Replace the deteriorated beam and support posts In the crawl space near the entry
area. Shim and level the utility room floor/framing as much as possible.
0700 1)Rear addition: Tear off the existing roofing and reroof the low slope rear addition
with torch down roofing. Include installation of proper flashing along the main house.
PROJECT D (BUILDING CONSERV A nON)
0500 I )Install new seamless aluminum raingutters, downspouts, and splash blocks around
the perimeter eave areas.
1500 I )Replace the galvanized water lines throughout the crawl space. Include replacement
to the fixture shutoff valves. Insure that all water lines exposed in the crawl space area
have proper insulation. ~LACEfvI t::-{J. r 10C-L\{DES S'E12--VI L..-F- To
dlkl:r'1 [ZoOM OJJ.~ '
, /~))d YI ,#'%( d, ~
y I/~ \ -' ./
ontroc/ors: Please bid all projects separately and include all applicable tax and building
perm it fees in your bid.
~. " V;;r /.J)hj'h-j).J
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17372
/0 - d-. If?)
Port Angeles, Washlngtonm____________m___..___m_mm,__m_mmm__mm, 19000000__
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to dO electrical work as listed below.
Address __.../4.9..._~nm_J~~r:._/~.=._ci:n..____.....___m____....__ Occupancy_....."-1..!?_~,-t__L.__.m..__..m___m.
~::~ ~-~:~~~~Z~~~~cft~~::;;;~~-.-a~~~~~~-........~::::::::::~::::::::::::::::::=:::~::::~:::::::::
, ~ j,ja ft,Y()
Light Outlets..._m___.........______....._.___d.. Service, volts __..___m...........__..___n.........
j /
No. wIres ...._......................._.......
#da.{/
Size wlres......_..._........_._n_nn....._..
//"O>~ //.
Main fuse .....__~........__.,...:':____.....
-S
Enclosure ___................____..............._
CITY OF PORT ANGELES
UGfIT DEPARTMENT
ELECTRICAL PERMIT
Receptacle Outlets..._____...........__m.......
Dryer, KW _.....u_n__n.....___________....._____.
Range, KW __n....._n_.._.___________..______
Water Heater:
KW.___.___.n___nnn_____.___nn___..n___.n.
Heat: KWj~__gP.'t__E.~v
rype of wiring:
Entrance Cable ......______m..h........__
Motors: slze, volts and phase:
Rigid Conduit m.m..........
MetalUc Tubing .............m..
Current transformers:
No. & Size.......................................
Ser. No...............................................
Ser. No. .............................................
Ser. No...............................................
N'!
Type 01 Wiring:
Armored Cable ............m.........n....
Non.Metalllc ................n_...........___
Knob & Tube..................................
RIgid Conduit ............__.................
MetalUc Tubing ...m..m......m.m...
Raceway ..............................._.._._
Circuits. Light.......................................
Utlllty ............n___........___..__.............
Heat .......................................___..
Range .............................................
Water Heater .......00......................
Motor .............................................
Dryer ..................................................
Furnace .........................._......_...........
Total Load............................. Ser. No. ................._................_...... Total.......................................
Rem;rks: .._~.~-e._,,1:-~.:=::m._.._m_q~~:1-.,......_::::::.___.....e_'"""'..bt.__t!J.g,~al,dJ-;;____(.:_~.'.
( .-,..- V
_.__.________._.._....___....._._______________._...u._...__..__..___.__.____....__.____.______..........__...._....u___u..___...__....._.._.__._______._______...____.-----
Permit Fee
Treas. Receipt
..__.____.__..__..___dn__d__.uun.nn.nn.__.._~dnun.un__.nn.nn__.nn.__.n.....n..n.U.uu.n__n.n..nd__uunu__n_________n.__._.n..~_n_n_nn'
$:...._..____......._.........000__000.
No..___________.__.............
Byr.7;T.--:t..-0.L.~i2:.d.:-~~=~-~
./,. , _ r
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
Address.........................................................................................................................
N?
17372
Owner ..................................._.........._.............._.._........................................................... Tenant....................................................................
Date:.._.........._.._.._..~..............._......_.........
Wiring Contractor ...............................n.._....._............................................................................. By....................................................._......
\
l':10TICE-Current must not be turned on until Certtflcate of Inspection has been Issued. If work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment. -:
1M
Olympic Printers! Inc.
~
�a
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number , . , . .
15- 04001447 pate 11/16/15.
Application pin number , , .
639368
Property Address , , . . . .
1206 W 5TH ST
ASSESSOR PARCEL NUMBEA;
06-30-00-0-1- 1405 - 0000 --
Application.type description
ELECTRICAL ONLY
Subdivision Name , . . . , .
Property Use
Property Zoning . . , . . , ,
RS7 RESDNTL SINGLE FAMILY
Applicatior valuation , , , ,
0
Application desc
Ductless heat pump
Owner
Contractor
HUFFMAN WM / LAVOINNF
EXTRA MII,E TECH & ELECT„
LLC
1206 W 5TH ST
418 N. RACE 5T.
PORT.ANGELES WA 963632006
PORT ANGELES
WA 98.362
(360) 457 -5222
Permit . , , . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc , ,
Permit Fee 68.00
Plan Check Fee
100
I,sSue Date 11/16/15
Valuation . , , .
0
Expiration Date 5/14/16
Qty Unit Charge Per
Extension
7.,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
.0o ,00
o0
Grand Total 68,00
68,00 .00
00
REPORT SALES TAX
on your excise tax form
to the City of Part Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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NOV :l.
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E�ufldhag DiVISIOMMIectrical TnasPecdons liV lyl l it1�l„
321 East Fifth meet — P.O. Box it 9 Port Angeies Washiu&n, 9$362
Ph: (360) 417 -4735 Fax: 0) 417 -4711
Cate, �'' —� , & 2 Single Family Dwelling
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* Plan Review Ma Ge Required, Please Complete Electrical Plan Review Information Sheet
,1nb Address: . vie k.).
Building Square Faatage:
iDescrlptlon of above KJ AJ _ 0: i
Owner inf rrnatiorr
iame:�e Vo A16 14'k t tvr t�A!
Centractor lnformation
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Malllrsg Address' / 7�?
Glty 'P9= --state: zip
Mani Address:
City. a State _ MIA- mr. 9 is AhZ
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Phone P!- —�
Phone
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t.leenss#I&P.
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Ltcerr�ef#1Evn. ,
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tirait �Ffm
ToW ft MuMplig is Unit Chamej
Seivic effeeder 200 Atop.
$120,00
ServicefF'eeder201400 Amp.
$145.00
$
SerkelFeeder 401 -600 Amp
$ 205,00
Service/Feeder 601 -1000 Amp.
$ 2620
ServiceiFeederover 1000 Amp.
$ 373,00
$
Branch Circuit W1 Service Feeder
$ 5.00
$ v
Branch Circuit WjG Se ica Fier
$ 63.00
$ 5.00
! $
Each Additional Branch Circuit
Branch Clrcutts 1.4
$ 76.00
_ r
Temp. Servicd Feeder 2i3ti Amp.
$ 93.00
Temp. ServicslFeeder201 -9011 Amp.
$110.00
$..._ ..... .
Temp. SetvlcaJFeeder401•ks00 Amp.
$149.00
8
Temp. SeNc +iF'eeder501- 10013 Amp .
$166.00
Portal to Portal Hourly
$ 98.00
$
Signal Clrcriltf Limited Energy -1 & 2 Ferrrily Dwelling
$ 64.00
Manufadured Home Connecrion
$120.00
Renewable Electrical Energy - 6WA System or Less
$102.00
Thermostat
$ 58.00
Note: $5.00 foreach additional T-Stat
new NST UCTtt7M ONLY
First 1300 ware Ft.
$120.00
Each Additional 600 Square Ft. or Portion of
$ 40.00
Each Outbuilding or'Ntadwd Garage
$ 74.00
--
Each Swimming pool or HotTub
$110.00
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Owner as defined by RtdUV.19.2&251: (1) (urrr"ll occupy the structure for two years after this electrical permit is frialized. (2) Omer is required
to hire an electrical contractor if above said properly is for sale, rent or lease. Permit expires after six moriifts of last inspector.
After reading the above statement; I hereby certify that 1 am the owner of the above named properly or a licensed electrical contractor. I am making
the electrical installation or alteration in COMpiiartce
with the electricoi laves,
N.I .C., RCW Chapter 19.25, WAC. Chapr29646B, The Cif of Port
Angeles Niunielpal Cods, and Otili€y Specificeibris and PAMC 94.05.050 regarding Electrical Perr kAppliratlons.
Signature of owner, electrical contraeWr or electrical administrator:
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