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Home My WebLink About233 W 13th St - BuildingPREPARED 3/22/11 8 26 23 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/22/11 ADDRESS 233 W 13TH ST SUBDIV TENANT NBR PETER A RENNIE CONTRACTOR RICKENBACHER HOME REPAIR PHONE (360) 461 4282 OWNER PETER A RENNIE PHONE (360) 452 3694 PARCEL 06 30 00 0 3 7860 0000 APPL NUMBER 10 00001085 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 01 9/29/10 PB MECHANICAL ROUGH IN TIME 01 00 9/29/10 AP September 28 2010 4 23 48 PM 1pangrle JOHN 461 4282 MECHANICAL ROUGH IN INSTALLING A KITCHEN VENT FOR THE RANGE HOOD AFTERNOON September 30 2010 8 38 34 AM pbarthol ME99 01 3/22/11 MECHANICAL FINAL TIME 10 30 March 22 2011 8 21 37 AM 1pangrle Vl JOHN 461 4282 MECHANICAL FINAL INSTALLED KITCHEN VENT FOR RANGE HOOD HE REQUESTED A LATE MORNING INSPECTION ELECTRICIANS WILL BE THERE THIS MORNING SO YOU LL BE ABLE TO GET IN TO INSPECT COMMENTS AND NOTES DATE. z. oEh 9 l Pl�r ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT R CONTRACTOR CORRECTIONS NEEDED: 0 �Ld G. Al r g. 1 tr O ta— I INSPECTOR ADDRESS 315 U I L APPROVED NOT APPROVED DITCH 0 ROUGH IN /COVER t] SERVICE 0 FINAL 0 1n1�i L jN'i��c'�b -1 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE PREPARED 9/29/10 8 33 18 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/29/10 ADDRESS 233 W 13TH ST TENANT NBR PETER A RENNIE CONTRACTOR RICKENBACHER HOME REPAIR OWNER PETER A RENNIE PARCEL 06 30 00 0 3 7860 0000 APPL NUMBER 10 00001085 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 01 9/29/10 JLL SUBDIV MECHANICAL ROUGH IN TIME 01 00 September 28 2010 4 23 48 PM 1pangrle JOHN 461 4282 MECHANICAL ROUGH IN INSTALLING A KITCHEN VENT FOR THE RANGE HOOD AFTERNOON COMMENTS AND NOTES PHONE (360) 461 4282 PHONE (360) 452 3694 Subdivision Name Property Use Property Zoning Application valuation Owner PETER A RENNIE 319 W 14TH ST PORT ANGELES (360) 452 3694 Qty Unit Charge 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00001085 Application pin number 594420 Property Address 233 W 13TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 7860 0000 Tenant nbr name PETER A RENNIE Application type description MECHANICAL APPL PERMIT Application desc INSTALL KITCHEN VENT FOR RANGE HOOD Permit MECHANICAL PERMIT Additional desc KITCHEN VENT FOR RANGE HOOD Permit pin number 174243 Permit Fee 60 65 Issue Date 9/28/10 Expiration Date 3/27/11 10 6500 EA WA 98362 Per Charged 60 65 00 60 65 RS7 RESDNTL SINGLE FAMILY 250 Contractor Date 9/28/10 RICKENBACHER HOME REPAIR 121 E 2ND STREET PORT ANGELES (360) 461 4282 BASE FEE ME HOOD /DUCT MECH EXHAUST Paid Credited Due 60 65 00 60 65 00 00 00 WA 98362 Plan Check Fee 00 Valuation 0 Extension 50 00 10 65 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced or if required inspections have not been re ested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same t e true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified h- in not. The granting of a permit does not presume to give authority to violatepf)cancel the provisions of any state or local law 2 /a co struction or the performance of constri�ction. ii 1 2 10 ....1h1 4 G 4/ l ate Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T Forms /Building Division /Building Permit REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING. Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In I 4_Z It YID Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting Accepted By Comments PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. T Forms /Building Division /Building Permit IFINAL Date Accepted by IFINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Date Accepted By C- PROJECT ADDRESS 2 3 3 Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other Basement 1St Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed str u -s Will a lawn sprinkler syste be in .tailed? Will a fire sprinkler syste r be insta ed? 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 Applicant A44,4a4 4e Property Owner A. f,, /P Property Owner's AddrA.ss 2 31 0 /41-"‘ Contractor 50(4. Gam,(,.'- H 2e-oo-tr Contractor's Address f 2 w' S License Expires V /Residential Multi- family pi sti ll hi tc,4 va „t fir 4c Floor Areas Existing (sq. ft.) Proposed (sq. ft.) ft. Occupancy gr Occupant loa Constructio I have read and complet- this application and know it to be true and co ect am authorize that it is my responsibility to determine what permits are required, and to obtain. permits prior t Date 'f /a) Print Name Tr 1i 1('( c C Signatur T'Forms /Building Division /Building permit application Phone Phone Phone 3 y(2 4 6 yZ t- E -mail „tiH r 0 7C4y.sn.ev Lot House garage other tear off re -roof lay over one layer Heat pump wood- burning stove gas fireplace pellet stove other per sq ft. TOTAL VALUATION Lot coverag€ For City Use Only Date Received 9 251- U) Permit# I D— i0$5 Date Approved of Zoning Commercial Industrial a,•pII ng on drooms II baths alf baths .1 2S Total footprint of structures sq ft. Lot size Site Coverage the am•unt of imp rvious surface on a parcel includi g struct es paved driveways sidewalks, patios and other impervious su :ces see PAMC 17 94 135 for exemption.) Site coverage r this permit and understand rojects. Application Number 10 00001081 Application pin number 295330 Property Address 233 W 13TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 7860 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc kitchen remodel 8 circuits and mast change Owner RENNIE PETER 319 W 14TH ST PORT ANGELES (360) 452 3694 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date WA 983627719 ELECTRICAL ALTER RESIDENTIAL 174201 140 70 9/28/10 3/27/11 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Contractor ANGELES ELECTRIC 524 E 1ST ST PORT ANGELES (360) 452 9264 Plan Check Fee Valuation Qty Unit Charge Per 8 00 2 6000 ECH EL BRANCH CIRCUIT W /FEEDER 1 00 119 9000 ECH EL 0 200 SRV FEEDER Special Notes and Comments September 28 2010 8 00 35 AM Brian 417 4708 Install 5 foot mast to obtain clearance over neighboring structure Fee summary Permit Fee Total Plan Check Total Grand Total r v l 2J Li S i J INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS Charged Paid Credited 140 70 140 70 00 00 00 00 140 70 140 70 00 DATE. Signature of owner or Electrical Contractor X 5b,7,/li AN> Vz. zz 1t PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Date 9/28/10 RESULTS WA 98362 Due 00 0 Extension 20 80 119 90 00 00 00 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. (14W pate 09427/2010 08 37 FAX 360 452 9.265 Angeles Electric City etPort Angeles Permit Application :91611dInglildeloalEleibloal Inepeptione 121Iii(nftliltiiii440.0.11cot 1150 retktieletWee :Mc-M0l417 fir.g410)417-4711 Data: 22." 2 Single FantilyDwalling MulPmnlly or Commardel* CaMmaraliti Addition /Alteration I Remodel Raper PlanBeylew May tie job Addrese PlelCompill crifiCal Plan Review Information Sheet $0111g a.Fooe! Deeixiggon of above /2E4..1 Zere-atki rest *OEN, Unit Chamg 111910 1145.50 204.60 $262.20 37210 210 •S 73.50 2.60 92.70 'S 110.30 148.70 S 167.90 S 9510 68.20 9510 53X1 5310 119.90 102.30 5.11010 35.20 7310 4419. alio Name: eliE Y2 114 stete:_14E Phone: yi,i-seBTFat License 11 am. 70MAl Kker AS 414 41)4 C Intel (Oty Mulilolled by Unit Charm) 7 Servics/Fseder 200 Ansi ServiceForier 201400 Amp. SerAce/Feskr 401400 kip. SerAm/Fester 001-1000 Amp. Service/Fos& owl= Amp. Braid i ClrealtW/ kola Feeder Ranh Moat W/0 Santos Feeder Each Abniced Brandi Grad Temp. &Woof Fader= Amp. Tamp. 13antorwskr 201-400 knp. Temp. Sanko/Fasdar 401400 krw. Temp. ServiasiFeeder 501-1000 Amp. Panel to Patel Hs* SRIVOulke UOMIe9 Signal Mod/ Undid Energy -Camino:acid. Addiliond 1500 $5.00 Signal and Unto& Energy- I Fan* Davey Signal CaluNUndettEnogy billbfartaly Dosing Monufacturel NOM Connection Renewable Bedded Snag" 5KVA System Or Lees Ent 1300 Nous Ft. WI Addams! 500 &pant Ft. or Patton ot Each Gadding or Detsbed Garage Eat SoknrriTYPOSorliotTub Merman:I Total fin lOgnidurs of wow, &WWI contractor or doctrical administrator ILI‘,..veiat‘i.„ 0 Cheek 2 11C E. VI I) SEP'27 2009 ELECTRICAL INSPECTIONS A Ay rie (vhfsig,t, ye4qrsr Name: ....:_otgaityeriwreg_..afediMe Melling Address: Cily• Slats DP: Phone; Faic Ucensa Exp. 53"1 UM, re i lrhAg Z 0 0 0 1 0 0 2 4 Ownwr ndellowl byRCW.1121.2411: (I) Owner will occupy the mans far Iwo yows sitar ails Metrical pane k finattzw1 Orm wk mqvinw I to Nome deafest contractor ff •abovetiknioilelyli hit oh, Aorta lesse.psnwit aphis alter &months Gnu! inspietbrt. ARO Aiding the above alitsmsni, I busby edify titst lam the owner of bra above named property ore Ranted 'NOW contractor. I am makingtbo sisetricslinibilstion or littinitlinibtabmplinao OM the sisal* iewu NLC, RCW. Chapter WAC. Chaplain-4e, The City of Pod Angola, Municipal Cidai End UthitY SP•clikatbm Dc's '~':>.. ~ .~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 12\ EAST 5TH STREET. PORT ANGELES. WA 98162 ELECTRICAL PERMIT Issued: 7/17/98 Permit No: 6369 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ R H SCANLAN 233 13TH ST W 233 W 13TH ST Lot: 11,12 Port Angeles, WA 98362 Block: 378 Long Legal: 360/452-9423 Sub: TPA T: S: Parc No: CONTRACTOR-----------------------~-----DESIGNER--------------------------------- ANGEDES ELECTRIC 524 E. FIRST ST. PORT ANGELES, WA 98362 360/452-9264 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: RES. MISC. prj Value: $0.00 Occ Type: Cnstr Type: HOT TUB Occ Grp: Occ Load: Land Use: RS7 Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: o o o o Service Type Riser Overhead Service Underground Service Temp Service Voltage: Diameter: Service Size: Feeder Size: -1 o -3 o AMPS o AMPS PROJECT NOTES------------------------------------------------------------------- 9KW HOT TUB PROJECT FEES ASSESSMENT-----~---~----------------------------------------------- service: $0.00 Additional Feeders: $0.00 Circuit wiring: $0.00 Temp Service: $0.00 Misc HOT TUB $42.50 TOTAL FEE: Amount Paid: $42.50 $42.50 --------------------------------- --------------------------------- TOTAL FEE: $42.50 Balance Due: $0.00 COMMENTS/ACTION NEEDED I I I , I i , I I ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCJtP'I'ED COMMENTS I I YES I NO UnCH u, =IN II:! IVFK , 1~t;KI I GENERAL COMMENTS: P\V.II02.UI4I96J CITY OF PORT ANGELES LIGHT DEPARTMENT t ELECTRICAL PERMIT N? 15932 j'-:;J'y /c; Port Angeles, Washlngtoll._m______mm__.m_m________________m_m__mm__, 19m__'__: 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 _md.m3__Pm_?1!~i3__r::-L:..______________________m__mm__ Occupancy___..4--.e~----m-m--------------.- Owner ----2.jb1f..-----i5r.,,:--.~:i:l.-n- ~e}lant-----------m------------~----------m--mm-m--..--m---------- Wiring Contracto~ --V-~~;"~6'-----: ------~y:---- By._____________________________________________________m_m_________ Light Outlets....................................._.... Service, volts ..jd../J./..?:f!..C>.......... Type or Wiring: ., .. ;/ No. wires ...........m........--mt:/--.-- Size Wlre8...7~~""'''''''' Main fuse ......__....m.__m...h.... Enclosure .d~::?.....__.................h. Receptacle Outletsm............................ Dryer, KW....................__......__......__.... Range, KW.n............n.....__............ Water Heater: KW......................Z............. Heat: Kw..../9..If0.J.Ty4+..#.. Motors: sIze, v~~ ar-Phase: ~.IIr~"..~;(.dYl- . Type of wiring: Entrance Cable ..m__m"..m.. Rigid Conduit .................... Metallic Tubing ____mm........... Current transformers: No. & Size.....................__..__... Ser. NO..............................__.__.......__n. Ser. No. ..__...______...._....__.__..........__..... Ser. No. ...........................__.........__..... Armored Cable ................__n.......... Non-Metallic ................................_ Knob & Tube................................_ Rigid Conduit .............................._ Metallic Tubing ..__....m................ Raceway ......................._......_._.__ Circuits. Light....................................... Utillty................_............................ Tieat ......................................._...... Range ................................__........... Water Heater ............................... Motor ..._n.........__....__h......__........... Dryer ..............................................__ Furnace .........................__................... Total Mad.__...........__............. Ser. NO.......--....--...-...--....--.;1'........ Total ...____.____..____...__................ Remarks: -___C)_t,.e.d..:~__=__mm__~r.:t."'!::-L:,,~_{2.___:t.~LU,4.m-mmmmm----m-m--mm.-----___m_______ _.........._...n_..__________...__....._~~.n._.________________...__.___._.~._._..____...__n______._.__.__._____._u..._~._~._._._n______n_____________.__.___......~..~... -:~_:_~~__~~_~__-_~~~~-_~-_-_~~~~~~~-~:---------::~_~_~:~-_~_~_~_~~~_~_-_~.~~__m-mm--------:;-fljl;;:;.;l~~L 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 give.n the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15932 Address..................._...................................................................................................................Date..._......_.._......_.........._......_......_......... Owner .......nn.nn...n........nn._......_.._......_......_...........nn............00.................................. Tenant......u...............m....................................n.... Wiring Contractor...................................... ....................................................................................By.__........................................................... 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. ""--;~ t:lrl..t...rlO_ In~. 1-08-2072011PM FROM ANGELES ELECTRIC INC 360 452 9265 P.1 . , s ..."" ELECTRICAL WORK PERMIT APPLICATION ,- ElccnicaJ conrractol' name , , PUl'Ch3Ser '$ mailing <lddrcs$ - - I License number Date Expires o New csidcntial ~jAdditiOD Job wired by lectrical Contractor 0 Owner Jnstal!ation de~cl'";pt;()n o CommerciAl City ANGElES ElECTRiC. INC. 524 EAST FIRq ~'ORT A~fgrWA 98362 Telcphcmr: number FAX number ___ (l"'~AA~/ 4~_.___..._.:~ ~...-.c:_~::.. '/ .! ~-t/ /ffJ1Jl1) Premhes own~s ~ /1 ~~ t'gAJ7J/~ A~dre'2c~i~ tJ. 1~-rL City. 7/1- I 7f?Gz.. ~h(lnc number tll sChtd I . /' I OWMJ' uS dt::flned by RCJY. 1.9.28.261:(1) OWtlm" will occupy tile struclttrc fO,. two YC'ars after this dec'rica~ permit ;:.; finrAizeu. (2) O"'/J(!r jJ; r(~q1jir(:d 10 f.ire an dl!CI."jcal cQlIlractnr ~f abnw said1properlY if for sale. rem or least!. AticT reading: the above statel'Oent, J hereby cenify that I am the owner of tbe above named Tlropcny or a lichnsed electrical contractor. I am making the electrical instal- lation Or ,iltt:riUiOn in JompJiaJJce with 1he electric~11 laws, N,E.C" RCW. Cl'l3-ptc, 19.2~, WA.C. Chapter ;296-46B, The Cit), or Porl Angeles Municipal Code. and Utihty Specifications. I SI1!n:lturE! f) owne:r.~ el cJccrr.lcal admini trator x o Cash _ 0 Check # ~~ard Visa Card# ____-_..tXJ)_-_h$-____ ,(TV Mastercard Discover Date:~~;,? 7 Expiration Date of card EI tri.1 L dAdd i D NO LOAD CHANGES o Baseboard KW 1/ D Furnace ,~.,,~.. 1t>;<-t.0 QHeatPump _ Ton_l..AR D Fan-Wall KW -, SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH-iN 'JlIERMOSTAT ~~head Sennce D Temp Service o Underground Service Service Information vOll2gerzffPlz421 Phase 1 D~ Servioe Si:ze: ZtJl) Feeder Sizo: _ . _ n I , D;~IC ApprovctJ By D.lr Ap?rt>v~ tl)' c.-'.-------J SERVJCE -~j?Jl~.--. - APt'':',",..) Bol'" FEEDER FINAL DITCH D~le Appro\"cdIly D~lc AlIProyc~ By l},1\C Apl"""vO<J By lnspecLiol1 !>atc Are.:t, Building or Equipment Jnspccted ^c1i~'tl Takel) Electrical l~spector '.fi~~~ I - I ,t!, -61. A\lPQO\.J\Sfl /Ie ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 15-00001176 Date 9/17/15 Application pin number . . . 154912 DITCH Property Address . .' . . . . 233 W 13r.PH ST ASSE'SSOR PARCEI, NUMBER 06-30-00 0 3 786 0000 - Application type description ELECTRICAI, ONLY Subdivision Name Property Use FINAL Property Zoning RS7 R.ESDN'PL SINGLE FAMILY COMMENTS: Application valuation 0 Application desc Ductless Heat PUMP Owner Contractor PETER A RENNIE BLACK DIAMOND ELECTRICAL CONTR 319 W 14TH SJ:' 502 BLACK DIAMOND RD PORT ANGELES WA 90362 PORT ANGELES WA 98363 (360) 452 3694 (360) 565-1035 Permit ELECTRICAL ALTER. RESIDENTIAL Additional desc Permit Fee 63.00 Plan Check Fee '00 :Issue Date 9/17/1.5 Valuation 0 Expiration Date 3/15/16 Qty Unit Charge Per Extension 1.00 63.0000 ECH 'EL R- BRANCH CIR WO/ SEE FEED 63.00 Fee summary Charged Paid Credited Due Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total. .00 .00 .00 00 Grand Total 63.00 63.00 .00 .00 ,I REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTIONTYPE 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: G:\EXCHANGE\BUILDrNG CITY OF PORT ANGELES PERMIT APPLICATION I Building Division/Electrical Inspections a 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 l�,- HN Ph: (360) 417-4735 Fax: (360) 417-4711 Date: -1— /-4 & 2 Single Family Dwelling * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Lt.J / +f Building Square Footage: __ w Description of above Owner Information Name: Fl Mailing Address: Z '33 'ti r 7 7 City: State: Zip Mailing Address: Phone: Fax: City: License # I Exp. _—w Phone; Item Unit Service/Feeder 200 Amp. $120.00 Service/Feeder 201.400 Amp. $146.00 Service/Feeder 401-600 Amp $ 205.00 Service/Feeder 601-1000 Amp. $ 262.00 Service/Feeder over 1000 Amp. $ 373.00 Branch Circuit W/ Service Feeder $ 5.00 Branch Circuit W/O Service Feeder $ 63.00 Each Additional Branch Circuit $ 5.00 Branch Circuits 1-4 $ 75.00 Temp. Service/ Feeder 200 Amp. $ 93.00 Temp. Service/Feeder 201-400 Amp. $110.00 Temp. Service/Feeder 401-600 Amp. $149.00 Temp. Service/Feeder 601-1000 Amp . $168.00 Portal to Portal Hourly $ 96.00 Signal 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 NEW 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 L twCNtr ,t„ _ 1 er�, Contractor Inf do Name: U �. Mailing Address: City: State: Zip: Phone; License # I Exp Qty Total jQjy Multi lied bV Unit Chargel $ $........... $ $� $ �. $........................... $ $ $ �. $ ... $ 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.H., RCW. Chapter 19.28, WAC. Chapter 296-466, The City of Port Angeles Municipal Code, and tt "Irty Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of ow , �e tri contractor or electrical administrator: ❑ Cash Check --❑ Credit Card # ,,.,...... 0110112012 M1001