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HomeMy WebLinkAbout1320 E 5th St - BuildingApplication Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 04 00000750 782500 1320 E 5TH ST 06 30 11 5 5 0590 0000 MECHANICAL PERMIT RS7 RESDNTL SINGLE FAMILY 8280 Owner Contractor NIVA DENNIS /GINGER 1320 E 5TH STREET PORT ANGELES 36) 452 2655 WA 98362 Date 8/30/04 DAVE S HEATING COOLING PO BOX 413 PORT ANGELES WA 98363 (360) 452 0939 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc FURNACE /HP APS ELECT Sub Contractor APS ELECTRIC Permit Fee 48 10 Plan Check Fee 00 Issue Date 8/30/04 Valuation 0 Expiration Date 2/27/05 Qty Unit Charge Per Extens4n 1 00 48 1000 ECH EL -R OR RM 1 4 ALT CIRCUITS 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 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 presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T•\PLANNING \FORMS \1102.15 11/14/20033 BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL 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 CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO FOUNDATION FOOTINGS WALLS FOUNDATION DRAINAGE /DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN 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 GAS LINE WOOD STOVE PELLET CHIMNEY HOOD /DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T•\PLANNING \FORMS \1102.15 [11/14/2003) 8 I I 1 1 I ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT 1 BUILDING FROM A.P S. ELECTRICAL CONTRACTOR FAX NO. 360 452 6753 Aug. 30 2004 06 59AM P1 )wner or Elec. Contractor Agent n i .f Phone: g 3 Fax: 4 4 /-,7 r J' 'ropeny Owner ,ddress: 13 OC lectrical Contractor. .P 5 /e. ^3 r, 0 "FsGt c. License A p 'Lc xp a ry 06 .tldress: C ry p Pin4J P Roo IX Cit e 4 4STALLATION WIRED BY- o OWNER ;redit Card Holder Name: A 5 l S tilling Address: �l 1 :redit Card Number` D ROJECT ADDRESS: YPE OF WORK. Check all that apply New 1jAlteration /Addition tesidential Multi family Baseboard KW Furnace KW Heat Pump v S TON LRA Fan -Wall KW ELECTRICALPERMITAPPLICATION 8/-50/w ELECTRICAL PERMIT APPLICATION The Electrical Permit Application must be filled out completely. Please type or reprint in ink. If you have any questions. please call (360) 417 -4735 Fax number (360) 417 -4711 (-)1 V1 ‘)0. 3 ao e s 0 Commercial 0 Mobile Home Sq. Ft 1 Remote Meter 0 Detached garage 0 Hot Tub Swim Pool umber of Circuits added or altered: P- ESCRIPT1ON OF THE ELECTRICAL PROJECT tectrical Heat Load Additions and or Subtractions Service Information 7ereby certify that have read and examined this application and know that same to be true and correct, and 1 am rthorized to apply for this permit. 1 understand it is not the City's legal responsibility to determine what permits e required, it remains the applicants responsibility to determine what permits are required and to obtain such. ce/Ofrd Credit Card Holder's Signature: Owner or Elec. Cont. Signature: Rt City 4), 4, it TnC R1UJi ELECTRICAL CONTRACTOR 6 /eG G1 -a city Exp. Date. S Ci seitaatftSeAgskt, 0 Temp Service ilnderground Service Phone: FOR O. u Ladllcr. r' mil; a [hoc Approved: Odic Gz-/- 75-- Zip. VISA. Septic Pump 0 Low Voltage 0 Telecom. Sign Phone: 2 4 5 b75 Zip: 6 ,3 Voltage: Phase: X 3 Service Size: only, Feeder Size: 4 Date: 04' "a 0 4' Date: p p 7 PERMIT FEE. y8 /O MC- ~ .. ~ VORT ~ 1...4.0~~ "~'"' "- -=-- ~ 'l..,ii:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Pl.n number Property Address ASSESSOR PARCEL NUMBER: Application description Subdl.vl.sion Name Property Use Property Zoning . Application valuation 04-00000750 Date .782500 1320 E 5TH ST 06-30-11-5-5-0590-0000- MECHANICAL PERMIT 8/26/04 ~ RS7 RESDNTL SINGLE FAMILY 8280 ~ Owner Contractor F/~ (J.,~~I) q-7 -OJ.{ NIVA, DENNIS/GINGER 1320 E 5TH STREET PORT ANGELES WA 98362 ( 36) 452-2655 DAVE'S HEATING & COOLING PO BOX 413 PORT ANGELES WA 98363 (360) 452-0939 Permit MECHANICAL PERMIT Addl.tl.onal desc HEAT PUMP, DUCTS, FURNACE Permit Fee 61.70 Plan Check Fee .00 Issue Date 8/26/04 Valuation 0 Expl.ratl.on Date 2/23/05 Qty Unit Charge Per Extension BASE FEE 47.00 1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 36.40 Plan Check Fee Issue Date 8/26/04 Valuation Expiration Date 2/23/05 .00 o ~ ~ Qty Unit Charge Per 1.00 36.4000 EC EL-LOW VOLTAGE Extensl.on 36.40 Fee summary Charged Pal.d Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 98.10 98.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 98.10 98.10 .00 .00 ""\ Cf1 $ cf) :t 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 withm 180 days from the last inspection. I hereby certify that I have read and exammed this application and know the same to be true and correct. All provisions of laws and ordmances governmg this type of work Will be complied with whether specified herem 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 regulatmg construction or the performance of construction. (~ Iv C I 1- ~ . Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T \PLANNING\FORMS\1102 15 [11/14/2003] .. .,. BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK lJ,EFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER I AIR SEAL I WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS Ff .--JJ..-o s; ...1 J...i- PW UTILITIES / SITE WORK (Engmeenng DIvISion) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA PARKING/LIGHTING ESA. LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R W / PW/ CONSTRUCTION - R W ENGINEERJNG 417-4807 PW / ENGINEERJNG FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 '(J -'7-0 1-/ W t-/ ___ BUILDING T.\PLANNING\FORMS\1102 15 [11/1412003] FROM :Dave's Heating & Cooling Srvc FAX NO. :13604520939 ~~L.JJ'''- lJiJ I ~ BUILDING PERMIT - APPLICATION Aug. 24 2004 08:45AM Pi rOR orFlCIAL us!: ONL v. Date Rec..e -z#-cLj Pemrit"; CYI- '7 S; CJ FIll out COMPLETELY and in INK. Your application and cite plan MUST BE COMPLETE to be accepted for review. Uyou have any qUestlODS, uU (360) 411-4815 Date Approved' Date Issued Applicant or Agent])t:tve\s Hea..~''''6c:J,..,CoD( I",~.::iav-C!l'~ ::z;,.c. Phone: ~..s~..o 939 , /' . ,WI<. ti5 .#O~ Owner: ~~nlo <.i- D.1""7fY Alive< Pho.</L:, ~"1()' Phone: ~6~'~b::56 Address: / 3~o G.si" stA 9redcuy: foY'..J. k~ ~'"" ZIp: q8'3b~ Archit.ectlEngincer: Phone: . Contractor.1hve!5 f{ed-t'rv:ectLa=:i/~stife ~'irse ~sHarf'( b1;: S- /os Phone: ~9 Address: 10.' ~ GfI.3 City: 10..,,;- ~05/ Zip: ~~~?'J- PROJECT ADDRESS: 1~.Gld ~4..5+ S-~ ~ ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: ~CreditCardBolderNpe: .j"ea..~~ p. oli~K.a.~f ~ BUliDI Addresa: ~ ~6X ql3 City: Credit C.rd1)pe VISA.......... MC ,_ TYPE OF WORK: SJZEN ALUA TION: c!(Residemial CJ New Constr. 0 Re-roof CJ Stove SF. @$ ISF.'" $ CJ Multi-family C Addition C Move 0 Garage SF. @ $ ISF. =- S o Commercial 0 Remodel [J Demolition D Deck SF. @$ /SF.:: $ C Repair 0 S~gn ~ Other TOTAL V ALUA;TlON $ ~ ~ -g O~ BRIEF DESCRIPTION OF THE PROJECT: IhS+~o..+"o". eyf d:t.t.dLL>or l( I e,..{.e.c.4-n'c:..... ~~Q\~ '""- ~ fLtvnf (" T- 57797_\ t. 3(;;,,40 COMMERClALIRESIDENTIAL: Occupancy Group; Occupant Load: No. of Stones: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. ExistiDg lot coverage _ % &. Proposed lot coverage _ % = Total lot coverage !PaveJs f(~K~ 'V- COt:> I, '~~ loY'-+- ~~..J 0 ~ _ Exp. Date: _ Construction Type: APPROVALS: PLAN: BLDG: DPWU: no: OTHER:_ ~ (e(k~ )C CO", frV-n"\a..~ 0/000.. a .Jar1'J'l11- 'T5~-cr;39. I"BUILDING PERMIT APPLICATION SUBMITTAL: The BJlldmg DiviSion can provide you wtth information on the applicanon an plan submiUal requirements if you have questions VALUATION OF CONSTRUCTION: Ja all cases, a valuation amount must be entered by the applicant. This figure will be reviewe, and may be revised by the Building DiviSion to comply with current fee schedules. Contact the Pemut Coordinator at 417 -48 I 5 for aSSIstanCE PLAN CHECK FEE: IF a plan check fee is due it musl be subrmtted at the time the buildlng permit apphcal:1on and constructlon plBD& ar- submitted. AU other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no pennit 1S issued withm 180 days of the date of applicahon, the application will expire. Th Building OftieliI can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 0 the Uniform Building Code, cmrent edition). No application can be extended more than once. PLANNING USE ONLY: ESA/Wetland(s): [] Yes 0 No SEPA Checklist required? 0 Yes 0 No Other. I heflby c;ettify that I have teed ,nd examined thIS applicatIon and kno~ the same to ,be tIVB and conect. J a~ authorized ~o apply for this permit an understand that It is my tesponslbility to determine whet permits are reqUIre ,n t the Cit s, and that must obtSIn such pen",ts prior to worlc. Applicant: Date: "l/ .;). ~ I 0 u T:\FORMS\APPS\Buildingpennit.wpd / ~ ~ PREPARED 8/30/04, 13 29 17 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY 1320 E 5TH ST DAVE'S HEATING & COOLING NIVA, DENNIS/GINGER 06-30-11-5-5-0590-0000- 04-00000750 MECHANICAL PERMIT PAGE DATE 5 8/30/04 SUBDIV PHONE PHONE (360~ (36 452-2655 PERMIT, ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ~~;--~~--~-~~-----~:~~~~~~~-~~~~:~:~~~;------------------------------------------ -------------------------------------- COMMENTS AND NOTES -------------------------------------- }.\1) {)~ ~<.J~ ~~bue Id-~ D6~ ~ 070' #~f~ 1-\6 Y /' r \ V'"r ~af\> o~ dPi) PREPARED 9/02/04, 13 37 49 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 7 9/02/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1320 E 5TH ST DAVE'S HEATING & COOLING NIVA, DENNIS/GINGER 06-30-11-5-5-0590-0000- 04-00000750 MECHANICAL PERMIT SUBDIV PHONE PHONE (360) 452-0939 ( 36) 452-2655 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME2 01 8/30/04 JLL MECHANICAL HOOD / DUCT 8/30/04 DA Jeanne 452-0939 no answer at door or phone number on lnspectlon tlcket/]11 ME5 01 9/02/0i J~ MECHANICAL DUCTS JEANNE 452-9701 1t~j( I' LAST INSPECTION OR CLOSE TO IT SEEMS TO BE A COMMON REQUEST -------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin numbe~ . . . . Property Address . ASSESSOR prCEL NUMBER: App11catio descript10n Subdivision Name . . . Property Use Property Zoning . . . Application valuation 04-00000426 Date .331162 1320 E 5TH ST 06-30-11-5-5-0590-0000- RE-ROOF 5/19/04 RS7 RESDNTL SINGLE FAMILY 3039 ~P{lZED lyf~/o4- Owner Contractor JACK DAVIDSON FAMILY TRUST C/O BONNIE WORK RENTON WA 98058 FOX'S REMODELING AND ROOFING 428 ORCAS PORT ANGELES WA 98362 (360) 417-0342 Permit Add1t1onal desc Perm1t Fee Issue Date Expiration Date BUILDING PERMIT TEAR OFF, FELT, 120.75 5/19/04 11/15/04 - NO PR FEE COMP Plan Check Valuation Fee .00 3039 Qty Unit Charge Per Extension 92.75 28.00 BASE FEE 2.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 ~ ')-::> () Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Perm1t Fee Total 120.75 120.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 125.25 125.25 .00 .00 n'\ CJ1 ;t 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 presume to give authority to Violate or cancel the provisions of any state or local law regulating construction or the performance of construction. n (95"-- 1Cr- 0 r Date Signature of Owner (if owner is builder) Signatur T \PLANNING\FORMS\1102.15 [I ]/14/2003] CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT / t N? 14917 j-" "? >9 Port Angeles, Wasb1ngton.n.,__.__n__~.:_________________________________________, 19________ 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. :::' ~~~~s==~;=;~~'~~'~~~~-:~~:::-~== /.... (./" Y c; Service, volts .h:.._:.::__.I....::...m...____..__ Type at Wiring: '!, No. wires ....__..0.__..____..___..___...._...... Y'/tJ '" j;; Size wires.....................h:......._h___... / .tJ ex; ;'/ Main fuse ...................____..____...._..... 0::-- Enclosure .....~............h.....__..h..___ Light Outlets_____________________m___m__________ Receptacle Outlets..........__.__...._____....... Dryer, KWj ......n._n......_...__...._...______. .__ Range, KW.__,__n....______.__.___..__________._... Water Heater: KW_____hmmm_mhm_m____.__hm____. _ /~ ,''r:;')3 IS Heat. RW...........h__.................,.__......... Type of wirIng: Entrance Cable ..................0.......... Rigid Conduit h__mm__mm____.__mm Motors: size, volts and phase: Metallic Tubing .......m......__......... Current transformers: No. & Slze.._____._____._____.____.__.______..__. Ser. No........______.__.._______.__.....____..._... Ser. NO.,..____........._......h.......___.......... Ser. No......._.........._......................._.. Total Load___.......__......._h_...... SeT. No.........______..._...______................. -E-. Remarks: ...._____.;-:'2_'-'-C~::::=._.:..:_______~~!:1L:'_~_~:~_~.n..._...nunu...u______..... Armored Cable ............__.............d. Non-Metallic .__.......m...h..........____. Knob & Tube_ Rigid Conduit ________mm______________m Metallic TubIng ..........._.......__...... Raceway ...__................__..__.__.__......_ Circuits. Llght.__:)m.m___mm_________________ ~- Utility ___hm__mm_________m_________________ if: Heat ...._.................._...................... .:L. Range 0......__.......____.....__.___.............. Water Heater :2..........__......._....._ Motor ................_........._.................. Drye'.m::.:?,,_____..m___mmm__m____________ Furnace ............___..........'_................ .' ;;.. Total .!?~...................._......_....__ Treas. Receipt No._________________________ -J/(/' /JI/ /; JJ - /Y. jtft kdiJ By _______:___ __'n'_;.___(.:f!'___________n____<!!::!!~-n______ Permit Fee ,g, y'O $____________________mn__________, NOTICE-Current must not; be turned on until Certificate of Inspection has been Issued. It work is to be 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 \ ., I J Ifw- ;]B ELECTRICAL PERMIT COD- N? 14917 Daiecaned,lrwin'Jtdlof:__:rt.!:._________._________________________________________________m_m__________________________....I_=__;;..__::::__7...__'l.._____________..________ /-, ;!.. ~ ~::;:::::&:::~:t::~!~~F:h?~_::::::=:~~::':-::::~::::::::::::::::::::::::::::::::::::::::::::::~::::~~::::::::::~::::::=:::::::~:::::::~ Total Load ................_.......hn............................................................_ ...... 1M 3.72 Olympic Printers, Inc. FR E`��� CITY OF PORT ANGELES PERMIT .j'PLICATj0N 0 �, � , ����� � Building Division/7Electrical Inspections 321 East Fifth Street -P Ck Box 1150 / Port Angeles Washington, 98362 'EUCTRICAL Pit: (360) 417 -4735 Fax: (360) 417-4711 INSPECTIONS Sate. ��"° —1 I & 2 Single Family 1lrvelllttg Plan Review May Be Required, Please sWe3m 0e Electrical Plan Review Inforrnatfon Sheet Job Address aulding Square Footagea: Description of above �a Darer Infortaatiors MNaams s s: Contractoinformation � dame: fa e� GJrs.� City: 5tatea: Zlp; Mailing Address, Phona: Fars: City: 'PA-_ State: Ldcense # l Exp. f'he3ne;�. 1 I Al - Fax; r A- tears Un Senrtcs F8eder200Amp, it MR—ChCham 0 orus Mu 1 li Unit Cho rvice/Feecfer 201404 Amp. $148.00 " "� � $... � . _, -� •. Service/Feeder 40400 Amp $ 205,00 «- Sery m Fesde r 807 -4000 Amp. $ 28`1.00 Service/Feeder over 1000 Amp, $ 373,00 Branch Circuit Wl Service Feeder $ 5.00 Branch Cirmlt W/O Service Feeder $ 53.00 $�-- Each Additional Branch Circuit $ 5.00 $ � rv� Temps erview e $ 73.00 � $2 Temp. Servie:el Feeder 200 Amp. $ 03.0(3 $ Tense, Service/Feeder 204 -400 Amp, $ 110.00 Temp. ServicelFeedder 401 -600 Amp, $149.00 Temp. ServimiFeeder 601 -4000 Amp . $188.00 $- 1 o[W to Portal Hourly $ 96,00 $� Signal Clrcuiil Limited Energy - 4 & 2 Family Dwelling $ 64,00 Manufacturead HOMO Connection $120.010 Renewable Electrical Energy - 6KVA System or Less $1.02.00 Thermostat $ 56.00 ,$ Note: $5.00 for each additional T-Scat N Ci3F1STtiUCi ON NL First 9300 Square Ft, $1211,00 _ Each Additional No Square Ft, or Porilon of $ 40.00 $ — • -- .._ Each Otilbuilding or Detached Garage $ 74.00 " "" $-- • Each Rimming Pool or Hot Tub $114 .0{3 --- - °- �--- � —..•.. $� Testal (hurter as defined by RCW.19,2g. 67; (1) Owner will o tfsy the structure for two years after this electrical permit is finalized, (2) Diner is raqutr to hire an electrcal contractor if above said proper is for sale, rent or lease. Permit expos after six months of last inspection. After reading than above statement, i hereby cet#ify that I arrr the owrser of the allover named properly or a i1censed electrical wntrgictor, I arse mak the electrical installation or alteration in compliance With the el dCW laws, N.E.C., RGW. Chapter 19.2$, WAG. Chapter 29"B, The Laity of P Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Sigcatarre ^r I d3wna,r, a ectrrcal contractor or electrical administrator. © e;aste © check X 1/'L-AZ5 10 . If 1% 0 CmdItCord#�_ 4110112Dt2 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number , , . . . 14- 00001463 Date 1.2/05/14 Application pin number , , . 489615 DITCH Property Address , , . . 1320 E 5TH ST ASSESSOR PARCEL NUMBER: 06-30-11--5-5- 0590 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use FINAL Property Zoning . , . , . . . RS7 RESDNTL SINGLE FAMILY Application valuation , , . , 0 Application desc Kitchen .Remodel Owner Contractor SHARP REVOCABLE TRUST EXTRA MILE TECH & ELECT., LLC 1320 E 5TH STREET 418 N. RACE ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 ( 36) (360) 457 -5222 Permit , , . , . . ELECTRICAL ALTER RESIDENTIAL Additional desc 1 -4 CIRCUITS Permit Fee 75.00 Plan Check Fee 00 Issue Date 12/05/14 valuation 0 Expiration Date 6/03/15 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 REPORT SALES TAX on your excise tax form to the City of Port 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 Contra_ ctor X Date: G:%XCffANGEIEUILD1NG F ti 111.1