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HomeMy WebLinkAbout125 W 14th St - Building RECEIVED CITY OF PORT ANGELES PERMIT APPLICATION SEP 2 7 2013 Building I?ivision/Electrical Inspections 321 East Fifth Street—P.O. Box 11501 Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711NrS �;�dON ()ate: 09126120013 --------------- _Mx 1 & 2 Single Family Dwelling Multi-Family or Commercial* D Commercial Addition /Alteration 1 Remodel 1 Repair* *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 125 W-1 4TH S7 ------ ---------------------------------------------------------------------------------------------------- Building Square Footage:2000 -------- --------- - ---_ ----------------------- Description of above INTRUSION ALARM INSTALL ---------------------------------------------------------------------------------------------------------------- ***ADT LLC*** Owner Information Contractor Information Name:DAVID SCHWARTZ _ _ _ Name:ADT LLC Mailing Address: 125 W 14TH ST f -f------ -_ _____ Mailing Address:11824 N CREEK_PKWY N, SUITE 0105 City: Port Angeles ----Stale:WA---Zip:98362-------- City:BOTHELL-------State:WA---Zip:98011------- Phone:3037177522 Fax' ___ ____ Phone:706-774.9499 Fax:888-400.0383 __ ____ License 00/Exp.____________------- _ ___, License#1 Exp,ADTLLL*881D0 —- --_-- Item Unit Charge gly Total (Qty Multiplied by Unit Charge) ServicelFeeder 200 Amp. $119.90 $- ServicelFeeder 201.400 Amp. $145.50 ------ ServicelFeeder 401.600 Amp $204.60 ------ ServicelFeeder 601-1040 Amp. $262.20 ------ ServicelFeeder over 1000 Amp $372.50 ------ Branch Circuit Wl Service Feeder $ 2.60 Branch Circuit WIO Service Feeder $ 73.50 Each Additional Branch Circuit $ 2.64 Temp Service!Feeder 200 Amp. $ 92.70 ------ Temp. SeruicelFeeder201.400 Amp. $110.30 ------ Temp ServicelFeeder401.600 Amp. $148.70 Temp ServicelFeeder601-1000 Amp . $167.94 Portal to Portal Hourly $ 95.90 Sign/Outline Lighting $ 88.20 Signal Circuit!Limited Energy I First 1500 sf-Commercial $ 95.90 Note: $5.00 for each additional 1500 sf / I� Signal Circuitl Limited Energy-1 &2 Family Dwelling $x"90 Signal Circuit!Limited Energy-MUlti-Family Dwelling 5 63 90 _--___ $_--__—_ Manufactured Home Connection $119 90 $ Renewable Electrical Energy-5KVA System or Less $102,30 ------ Thermostat $ 56.00 NEW CONSTRUCTION ONLY: First 1300 Square Ft. $110.34 _—_-_- Each Additional 500 Square R or Portion of $ 35.20 _--_—_ Each Outbuilding or Detached Garage $ 73.50 -_- $_—__ Each Swimming Pool or Hot Tub $110.30 - - - $_ � $ /Tfltal Owner as defined by RCW.19,28.261: (1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor.I am making the electrical installation or alteration in compliance with the electrical laws, N.E C., RCW.Chapter 19.28,WAC. Chapter 296-46B, The Cily of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05 050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: ❑ Cash ❑ Check Jennifer nijolly signed by Jennifer Burgess L1 credit Card#4292102798618677 ex 12113 cuc 140 ON:cn=Jennifer Burgess, o=NORTHWEST PERMIT, - g ou=NORTHWEST PERMIT, bated: OTfe1f2fl10 —�mall=le 4ele:2�13,p9.2fi'12:19:53-0 T00' ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 e-- Application Number . . . . . 13-00001115 Date 9/30/13 Application pin number . . . 675330 Property Address . , . . , . 125 W 14TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER; 06-30-00-0-3-8775-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name Property Use to the City of Port Angeles Property Zoning . . . . . . . R,S7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 0 Application desc Security system Mgner Contractor DAVID L SCHARTZ ADT LLC 125 W FOURTEENTH ST JIB24 N CREEK PARKWAY, N PORT ANGELES WA 98362 STE 105 1 BOTHELL WA 98011 �+ {206} 719-0347 Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc , , Permit Fee . . . . 69,00 Plan Check Fee .00 Issue Date 9/30/13 Valuation . . . 0 Expiration Date 3/29/14 Qty Unit Charge Per Extension 1100 54.0000 ECH EL-SINGLE CIR LIMITED RES 64.00 Fee summary Charged Paid Credited Due Permit Fee Total 64.00 64.00 .00. ' .00 Plan Check Total 00 .00 .00 .00 Grand Total 64.00 64.00 00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN O FINAL COMMENTS: PERMIT WILL EMPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number 12- 00001145 Date 9/05/12 Application pin number 903010 REPORT SALES TAX Property Address 125 W 14TH ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3- 8775 -0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 200 amp panel replacement\ Owner Contractor HOCHHALTER, DENNIS JEANINE BEST ELECTRIC 1628 W 6TH ST P.O. BOX 2445 PORT ANGELES WA 98362 SEQUIM SEQUIM WA 98382 (460) 2248 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 120.00 Plan Check Fee .00 1 Issue Date 9/05/12 Valuation 0 Expiration Date 3/04/13 S I Qty Unit Charge Per Extension v 1.00 120.0000 ECH EL -0 -200 SRV FEEDER 120.00 Special Notes and Comments September 5, 2012 11:57:48 AM banders. OK Fee summary Charged Paid Credited Due Permit Fee Total 120.00 120.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 120.00 120.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE /6 �Z 'w ROUGH -IN FINAL c /-,J)2.-. AV 4. COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION,' Signature of owner or Electrical Contractor X Date: G.: \EXCHANGE \BUILDING OF pOR7gHC� ELEC L C INSPECTEIOK �i !N U N i it N0 REPORT 0. ORK4 40 417-4735 PERMIT N INSPECTOR DATE b OWN CONTRACTOR ADDRESS APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: °j16 ?rzb t) t i> LJ() 2K 1 t./ J lei o F T2t,►.I dip zi NOTIFY INSPECT(/' WHEN CORRECTIONS ARE COMPLETED WITHIN 95 D �',NS DO NOT REMOVE f iIOVEE 4 �,tihr CITY OF PORT ANGELES PERMIT APPLICATION c Building Division /Electrical Inspections b 2O 4 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 ELECt /C --c-- Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECT/0 G9 Date: r 1 2 Single Family Dwelling Plan Revie 6�lay� Req ired, PITS omp -t: Elec altew Information Sheet Job Address: ��.•.•�5 Building Square Footage' Description of above p .Q,. i(e,e fi iCt C 'en, 4 Owner rmation Contra a. +r In o ati Name: ea/f %0'e V8/7 /3 k/ oci lal., 1 "i Name: s'e I T C J Mailing Address: tilailin !�e City: State: Zip: City: e ,»i State:L Zip: 3 Phone: Fax: Phone: 1 Fax: License Exp. License Exp. r"A` 9 W" 4 Item Unit Charge QQt Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. $120.00 P. 0, 0 0 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 5 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 5 Signal Circuit/ Limited Energy 1 2 Family Dwelling 64.00 Manufactured Home Connection 120.00 Renewable Electrical Energy 5KVA System or Less 5102.00 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 5110.00 /AO, 00otal Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature .f owner, -lectrical contractor or electrical administrator: Cash Check Credit Card Lam" X f Dated: 9- 01/0112012 PREPARED 2/23/09 8 32 24 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/23/09 ADDRESS 125 W 14TH ST SUBDIV TENANT NBA DENNIS /JEANINE HOCHHALTER CONTRACTOR PENINSULA HEAT PHONE (360) 681 3333 OWNER DENNIS /JEANINE HOCHHALTER PHONE (360) 460 4701 PARCEL 06 30 00 0 3 8775 0000 APPL NUMBER 09 00000074 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 2/23/09 L FebruaIyA2 FINAL TIME 01 00 2009 A i( February 23 2009 8 28 54 AM 1pangrle DENNIS 461 4701 MECHANICAL FINAL HEAT PUMP AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES r'' Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Heat pump 2 ton with 10kw furnace Owner Hochhalter Dennis 125 West 14th Street PORT ANGELES WA 983620390 94( x{701 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS 141366 59 50 2/05/09 8/04/09 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 09 00000123 305811 125 W 14TH ST 06 30 00 0 3 8775 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor ELECTRICAL ALTER RESIDENTIAL Plan Check Fee Valuation Charged Paid Credited Qty Unit Charge Per 1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 1 00 2 0000 ECH EL -ECH ADDNT BRANCH CIRCUIT 59 50 59 50 00 00 00 00 59 50 59 50 00 Date 2/05/09 OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES WA 98363 (360) 457 5303 1 3tIR$ DATE RESULTS 00 0 Extension 57 50 2 00 Due 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. 7 02/05/2009 07 35 FAX 360 452 3498 Olympic Electric Co 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 -4135 Fax: (360) 4174711 Debt ,2// /0 2 Single Family Dwelling Multi Family or Commercial' Commercial Addition Alteration Remodel I Repair Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job.Address: F �/Cf Building Square outage' ___41/4 Description of above .YCd„, 9P o, 'cKw ,.ry 2r Owner information Contractor Information Name: pi/1/1.1 /�DP.,AAa />i// Name: /ir�i Mailing Address: hZ 1e, /'/0 Mailing Addrasef 4'2 A City D -/4 i State: ZIp: %PJ Clty: .4.- f�A, State: ,'9 L P: Vi"?...", Phone:_Y Phone; Ur 7 -fr� License #1 Exp, license #1 Exp. '7 Unit Charoe 2( Total fQty Muitiglied by Unit.Chargej 93.75 Servioe/Feeder 200 Amp. $113.75 Service/Feeder 201 -400 Amp. $160.00 Service/Feeder Amp, $205.00 SmytcelFeeder 601 -1000 Amp. $291.25 Service/Feeder over 1000 Amp. 2.00 Branch Circuit WI Service Feeder S 57.50 Branch Circuit W/O Service Feeder 2.00 2....-- Each Additional Branch Circuit 72.50 Temp. Service/ Feeder 200 Amp. 86.25 Temp. Service/Feeder 201-400 Amp. $116.25 Temp. Service/Feeder 401-600 Amp. $131.25 Temp. Service/Feeder601 -1000 Amp. 75.00 Portal to Portal Hourly 69,00 SignlOutlne Lighting 75.00 Signal Circuit/ Limited Energy Commercial S 50.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling 50.00 Signal Circuit/ Limited Energy MuIB.Famly Dwelling 93.75 S Manufactured Connection 60.00 Renewable Electrical Energy 5KVA System or Less S 86.25 First 1300 Square Ft 27.50 Each Additional 500 Square F4 or Portion of 57.50 Each Outbuilding or Detached Garage 86.25 Each Swimming Pool or Hot Tub 43.75 Thermostat SY. /Jr Total oawierasdeffaaedlry Is212sx:.(f)owrsertraa apy Mostar/Jiro lartwo yessafterthis elecbica l,permicisEaaurad.IVOavetis ,/aadmana4o electrical contracmrllabova sold pnrpaftyls for sale rent of /asses After reading the above statement, I horsey certify that I am the owner of the above named property or a licensed electrical contractor I am mating the electrical Installation or alteration incompliance withete electrical laws, N.EC. RCW. Chapter 19.28, WAC. Chapter 206.46B, The City of Port Angeles Municipal Code, and Utility Specircations. Signature of owner, electrical contractor or electrical administrator G-t ^66'1 (0 Data_ zZ. cr RECEIVED FEB 5 2009 UGHT DEPT PA CITY INSPECT Z001/002 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc T stat Owner Hochhalter Denm s 1628 W 6 St PORT ANGELES (360) 460 4701 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH FINAL COMMENTS WA 98363 140640 43 75 1/22/09 7/21/09 s=116f ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 SMIN0076 633348 125 W 14TH ST 06 30 00 0 3 8775 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor ELECTRICAL ALTER RESIDENTIAL Qty Unit Charge Per 1 00 43 7500 ECH EL LVT THERMOSTAT Plan Check Fee Valuation Charged Paid Credited PENINSULA HEAT 782 KITCHEN DICK RD SEQUIM WA 98382 (360) 681 3333 68 w 6 43 75 43 75 00 00 00 00 43 75 43 75 00 DATE. RESULTS Date 1/22/09 00 0 Extension 43 75 Due 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. Application Number 09 00000074 Application pin number 172856 Property Address 125 W 14TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 8775 0000 Tenant nbr name DENNIS /JEANINE HOCHHALTER Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 5253 Application desc INSTALL HEAT PUMP Owner Contractor DENNIS /JEANINE HOCHHALTER 125 W 14TH ST PORT ANGELES (360) 460 4701 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total 14 8000 EA 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 pres me giv; authority to violate or cancel the provisions of any T:FormsBuilding DivisionBuilding Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 WA 98362 MECHANICAL PERMIT INSTALL HEAT PUMP 140624 64 80 Plan Check Fee 00 1/22/09 Valuation 0 7/21/09 Per 64 80 00 64 80 BASE FEE ME FURN /HP /FAU Charged Paid PENINSULA HEAT 782 KITCHEN DICK RD SEQUIM WA 98382 (360) 681 3333 64 80 00 64 80 OR 5 TON Credited Due 00 00 0 0 state or local law regul a, n construction or the erfojmance of cons sti t }on. 4 /Z-4 ai'41/e- Date Print Name Date 1/22/09 0 0 00 00 Extension 50 00 14 80 le,./1L./ Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 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 Accepted By Comments PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE c0 D Z 23- I S LL Date Accepted By 01/21/09 14 31 FAX 3606812086 re 4.71 0 City of Port Angeles Permit Application Budding Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 4174735 Fax: (350) 4174711 Date: 1 /7i /D 9 �C 1 2 Single Family Dwelling T Multi Family or Commercial` Commercial Addition Alteration Remodel I Repair' Owner In Name: Marlin Pore: L D License 1 Exp. Unit Charge 93.75 $113.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 8625 $116.25 $131.25 75.00 69.00 75.00 50.00 $50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 Sig of owhar, or electrical administrator aecbie5l l.!/ l t State: G t/i¢ Zip: L 7U Peninsula Heat RECEIVED JAN 2 2 2009 LIGHT DEPT *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Z5 W W. .S t eef Building Square Footage: i n/L.n o Description of above U_ r> .EFT M� L.IK� --t (PIP Total 19,yt Multiplied by Unit Chprg�j Service/Feeder 200 Amp. Service/Feeder 201 -400 Amp. Service/Feeder 401-600 Amp. S Service/Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit WI Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201 -4O0 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601 -1000 Amp. Portal to Portal Hourly Sign/Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy -1 2 Family Dwelling Signal Circuit/ Limited Energy Multi-Family Dwelling Manufacteed Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square FL Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub 3 Thermostat .3 Total Contracts formation f Name: e /7 ir�Sr.t a. Pa, L1�7e Maifmg d 7f frherl h /<d City' tO P9g' vr' State: J.J/�P: 9 2' Phone: L(� �r 3 3 License Exp p5,v //1/ /U r-/ tie Owner as defined by RCN! 18.28. 261: (1) Owner will occupy the sbucene for two rears after this elacbicaipermft is finalized. (2) Owner is required to hire an alectricel contractor Rebore said property is for sale, tent or lease. a103 After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed ele�ial contractor. lam making the electrical installation or alteration in compliance with the electrical lass, N.E.C. RCW. Chapter 1928, WAC. Chapter 296169, The City of Port Angeles Municipal Coda, ii4 Utility Specifications. c� P‘o -char 1 04 --tom 01/21/09 14 31 FAX 3606812086 6 4oaram cr,1411 0 t__ V Applicant orA�9ent (0)%ar /y ibi�s�t� Owner ifh 1z' 14 g /Aor Owner's Address Ltz Contractor/Engineer I h Contractor /Engineer's Address 7g� License PeivJ 10 ail/ Peninsula Heat 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 PROJECT ADDRESS 2-5 .57t Parcel Number Proiect rune Brief Descrintion. Resldent1al o Commercial Check all that apply o New Construction a Addition o Remodel o Repair. O Re -roof o Demolition a Sign Heat System o Other Phone l —333 Phone 7 4 tj Phone Expires Lot Zoning t] Multifamily p Industrial o wall mounted o projecting a freestanding o awning 1 1( Total sign area so ft Maximum allowed sign area so. ft. Heat pump o wood burning stove o gas fireplace o pellet stove o other Floor Areas Existing (so. ft) dosed (sa. ft j Basement 1" Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other per sq. ft. For City Use Only Date Received -21 -0i Permit Oct tit Date Approved o other TOTAL VALUATION 5.2 5 3 e Total footprint of structures sq. ft. Lot size Max. height of proposed structures ft. OcQupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type I have reap.and completed this application and know it to be true and correct. I any authorized to ap•ly understand tha it is my responsibility to determine what permits. are required. and tain projects. 4 fr' Date 44 U 9 Print dame C. !4 ik det5 T:Forms/Bui!ding DivIsion/Bldg Permit Appl= 2006 Code.dac sq. ft Lot coverage of bedrooms of full baths of half baths Il02 this permit and r ty working )n %!nom Application Number 06 00001198 Application pin number 212372 Property Address 125 W 14TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 8775 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor HOLHALTER DENNIS 125 W 14TH ST PORT ANGELES WA 983620390 CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 ANGELES ELECTRIC 524' E 1ST ST. PORT ANGELES (360) 452 9264 Date 11/03/06 WA 98362 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc ANGELES/ METER REROUTE Permit pin number 90167 Sub Contractor ANGELES ELECTRIC Permit Fee 36 30 Plan Check Fee 00 Issue Date 11/03/06 Valuation 0 Expiration Date 5/02/07 Qty Unit Charge Per Extension 1 00 36 3000 ECH EL -R OR RM REPAIR METER /MAST 36 30 Fee summary Charged Paid Credited Due Permit Fee Total 36 30 36 30 00 00 Plan Check Total 00 00 00 00 Grand Total 36 30 36 30 00 00 C OMMENTS /ACTION NEEDED SINGLE F 1 1 Ch 00 0 6 30.4 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO DITCH ROUGH -IN COVER SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD 1 1 1 1 1 1 1 1 1 leler-scr 1 1 1 1 1 1 1 1 1 1 1 /1 -3 -nb PW.1102.1514/961 ~esidential ~New Construction I Heat KW 0 Remodel o Baseboard 0 Furnace/Boiler 0 Service update/alter/repair o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) . Site Address: /Z'i' fJJ. AtJ b H'LJ; Vtf.- I nstalled By: OwnerlBusiness: Owner/Business Address: DetailslDescription: CITY OF PORT ANGELES LIGHT DEPARTMENT 's PERMIT NO. /7 3 &/30/il'l I I ELECTRICAL PERMIT DATE / 1~ 711 (U LTYL IL t(', . 0 READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: ~S7 -Irf'/t/ Sq. Ft. o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) ~overhead o Underground ;:; .' Voltage /7fi> '2;1/0 :gr10' D3t /Se'rvice size tJF:;l Amps o Temporary .{J'f,vJ 5' /00 ;:.V 4/1'1/ - ~~t t51J/rl; ((. F J J"',,)'L (1:., I' . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough.in/cover O.K. ~ O.K. to connect service ja Final O.K. ~ Site Address: /2 ~ Installer: ().J. / {(lJ AJ\JGft~ ( 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 D Plan Review approved/pending Permit/Receipt No. l7 )5 fL l L TiLi L. New Meters 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. M ,(1-- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ;fjr::, ~ ; Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall . \ OLYMPIC PRINTERS. INC. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 17783 'ff -/ c: F:4 port Angeles, Washlngton..mm...?__..m..m..i::.m.m.....__.mm.m.__...., 19__000000 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 ..__/d.:}i..~LYr..L.m.____.mm...__.__m____.__ Occupancymd.~m___..__.__mm____.__ ~:7:~~.~;~:::~;rar.~f~~~~~:~~:____~~:~~~;:::::::::::::::......~~~~~::::::=::::::::::::::::::=::::::::::::::::::: Light Outlets.__________________.___________________. Receptacle Outlets__........................__... Dryer, KW nn....................._..__............ Range, KW m.h__h__..h__m__.____ Water Heater: KW..............n.............~n.........n... 'L"-/ ./. Hea" KW...;.,i'.___!tL!.r/.~4<~,,'itA,. ~ Motors: size, volts and Ph~: .,)~/;-,tcr.:.'I' #r:.45y.{~~ :&JI--''' . . f .......................................................'-.. Total :Load..........___n.............. Service, volts .....mmn.............m.......... No. wires ........_n.............n............. Size wires.................n................_.. Main fuse ....n..__.........n.__nn........... Enclosure n..............__...........n.. Type of wiring: Entrance Cable n"nnn..__...__m. Rigid Coudult ___________________.________.__ Metallic Tubing __n......___n Current transformers: No. & Size......n...................... Ser. NO.............n............._.................. Ser. No. __..........nn__........................... Ser. NO....nn.............n................n...... Ser. NO.__..........nn._.......n._..........n.. Type ot Wiring: Armored Cable ...m___..................... Non.Metallic .....................n........._ Knob & Tube...................._..........._ Rigid Conduit __.____________________________ MetalUc TUbing h_..m................... Raceway ..............................._......_ Circuits, Llght.............m..n................... Utility _____._____________.___.___.________________. Heat .................................,....._...... Range nn...n.............n........_............ Water Heater .........m._m.............. Motor ................nn.__.n................... Dryer ...........................n...........nnn.._ Furnace ............_............__.................., Total ......n..............n....n......... Remarks: ..m.q:-:!::.q:l2..----qy!~:&:!,~"_;.."'.__.P.__..,.~i.--:!!:.~~m..__mm__.000____000__.000__000000...__000.........__000..000 C/ .nnn.nhn__n.n.....nnnn.__nnnuu__n._nn.o..nn.u___n.nnnn.n_.nnn--un-uuhh_nn...._n__nu....__nn._nnn_n__o....nu.....nn.uo..n_ Permit Fee .--h---nu.uu.n..n__nn__.nn________nu._______n.nh.._._uU......__u..n_h..-...nh-_.n..n.h..n__hh_...nuu..nn.__...__.nu._nnn...h_....n_nn Treas. Receipt NO......m........__.......... $..__..000..____..__...000___000.___.__ By ...000..--..000..__000.000.000.__......000.__..000000..__000.____.__.. NOTIC~Current must not be turned on until Certificate or 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 N~ 1 77 8 3 Address............_..........................................................................................................-................Date..._.........._.._.._.........._._...._................. Owner .h..n.__.......h.n_nn........_.....__.._......_......_.._.....................n.........n...............__........ Tenant....hnn.......hn__.n........nn.........nn........nnn... Wiring Contractor....................................... ....................................................._............._............._.By........................................._............_....... NOTICE-Current must not. be turned on until Cert1flcate of Inspection has been issued. If work is to be COD- cealed due notice must be given the Inspector so that work may be inspected betore concealment. 1M Olympic Printers, Inc. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N'! 16925 ? - :2. 3 >9 Port Angeles, Washlngtonmm___.._____m______.._._._...mmm......_mm.., 19000"_,, 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__:::::~t~:::::::::::::::::::-m~::~:~:::__~~~~~:~:.~::::~:~::~~:~::::::::::::::::::::::::::: Wiring Contractor mn~_~~nnm__n.nnnnn_hnnm_m By..nnm_..___.m_mmmm__m.nn__n______m..hn____..n /.:2-0/;;; y.[/ serv:::., ;:::: ::::~::::1:::~~:::::::::::::::::::: 'r/O Size wlres....--............-..-------:.l....-.. {;;.~ tJ /"+. Matn fuse __........_.____________......_........ S Enclosure h_.....__...m___.........._._.....__ Light Outlets..............._h............._.._..... Receptacle Outlets....____......._..__._...._.... Dryer, KW....nnh___n.....________.__.....___._. Range, KW ____....__n...:..uu__.___.__._..._ Water Heater: KW.nnnn....nn...n...m...m.. __... .m. Heat: KW............._..............__..____.......h...... Motors: size, volts and phase: ::'1::/' Type of wIring: Entrance Cable ._........m_____m........ Rigid Conduit ........mm........... MetalUc Tubing .h_.........._._..__ Current transformers: No. & Size..__.....__..h_............_ Ser. No........__............__.___________........... Ser. NO............______.h_..............._..._____ Ser. No._______..............._.___________........_. Type of Wiring: Armored Cable ............_m.............. Non-Metallic n..n.._..____.............___.. Knob & Tube......n............_..__......._ RIgid Conduit ....__......................... MetalUc TubIng .....mm..........___... Raceway ___.._................._........._..._ Circuits, Llghl............................-.........- Utility ....m..........__...:...................... Heat ___.___............_.......:........_.._.._ Range ._.._................__.__.........._.._..__. Water Heater ........_.__........._......... Motor .._......_......____..........___._.......... Dryer _..........___............___.__............_..... Furnace ..__......................_.______.._......_. Total Load........................__.. 5er. ~o........~:..._....................--..-. i ~....--.--.............--......... :::=~~~;;.;~:~::;y~~::::::::::::::::::::::::::::::::::~::::::::::::::::: m_..n.nhmn~-mnmnm-mm--mnm-mmm--mm--mn-n--nh.m.mmm-m-..--..nnnmnm.m...n_..__._.n.mn~.n..mn ::~_=.~~..~::.__:...h_.mnm ::~.~.~:_.:~_~:~.~~m.... By fJf:d!lri4~.':nL~?!:~.~. 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 WH!ON READY FOR INSPECTION Address ELECTRICAL PERMIT N? 16925 Owner ..........__......................_....___.........._......__._......._____............................._................. Tenant.........__.h...._..................__.___.__.._...h.._.......... Date..._......____.._.._.........._._...__.__.._......._ WirIngContractor._................................._......_...._....__._..............__.___.._.____.._._______...._....................By............._..._..__..............................-.......- NOTICFr--Current must not be turned on untll CertIficate of Inspection has been issued. If work Is to be con. cealed due noUce must be given the Inspector so that work may be inspected before concealment. ~\ 1M Olympic Printers, Inc. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 17694 r " ::J -/u r ..! Port Angeles. Washlngtonm.f-"_.m..m..__.....mmmm.m........m...m. 19.00._... In aocordance 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 ../_:'?._~_..~/__'t._r;;~:..........mm......._.,~.u................. Occupancy_oo_.,_,~!'coo~,;..L._.___.._.____..._...... . !. _j/~ ,': r'r/~ ~::~~.~~~:~~~:.:~:~::~::t.I~~:r.:~~~~;~y(~~~~~;::::::::::::::~~...~~:::::::::=::::::::::::::::::::::::::::::::::::::: /,iv.r) . ~ Light Outlets.....................h................... Service. volts ........mm......__n........h..... Type of Wiring: -' Receptacle Outlets....h......................... No. wires .......~.............................. <:',-""/-', / ~. J;<!{J . Size wires...................:.............._.. '';(.. .'z1 I~.l Main fuse .....:....m......m.....nmh..... S Enclosure ..........__........... ..n..m..n.. Dryer, KW.....n..........__......__............... Range, KW hn.......................... Water Heater: KW....uumooumoo__ ____mUmm__ __m__, Type of wiring: Entrance Cable ........m.nmm.. Heat: KW......h.........................h........n.... Motors: size, volts and phase: Rigid Conduit ..mmmm'" MetalUc Tubing ....m......m........... Current transformers: No. & Size.............................n....n.. Ser. NO.............h............h.................. Ser. No. .h.......................................... Ser. No. ..............................h__.....h.... Armored Cable ............................_ Non.Metalllc ........__.__.__................_ Knob & Tube...................._............ Rigid Conduit .............._.________....... Metallic Tubing _._........................ Raceway .................................._...._ Circuits, Light..........mm...hm............... Utilit). ............................................. II eat .h.........................h................. Range ............................................. Water Heater ...h....................._.... Motor ............................................. Dryer .................................................. Furnace h........................_......_h......... Total Load.n.......................... Ser. No. .........:..;c.............................. Total....................................... r "" /? "'7 / '''&' {:(".:z.~/' Remarks : hdUU~...~__L~.u.L~~.h:.~:-:::dU:h.:.t.}L..un__~..t...~r:::.u__~.~_Q...-':.__:t::.m:.m__-c..__::t:..:__u__mn__umm____u..._.n__~~._ f '..../. _;:;:;;;;~.-;~:mumuh--...h---.h----;~:~~.u~:~:;~~um-m-----.----.-mumu.....uu1u;Jr..........),?uuZ.-..---....?;....mu. -r;t.r... I -........ . _/ J. I /~ ,i'fl f.'~;../ ./1 :l:d-:i.."..,., $..u.u.um.mmmmm.m.m. NO......__m......m...._... By uuuuu..___..._m......mm__h.m.......mmu..ummu. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT Address N~ 1 7 6 9 4 ., Owner ............h............n......._.........._.............._.._......................................h................... Tenant..................hn..................n.....nn....nn....n... Date..._......_.._......_.........._......_......_......... WiringContractor..................................._:....._.............._.....................:.......................................By.................................................:............ NOTIC~urrent must not be turned on until Certificate of Inspection has been issued. It work is to be con- cealed due notice must be given the Inspector 80 that work may be inspected before concealment. \\ 1M Olympic Printers, Inc. 11-02-206 5,45P~ FRO~ ANGELES ELECTRIC INC 360 452 9265 P.l .-. Gl' . "-; ~""..., ELECTRICAL WORK PERMIT APPLICATION / Job wired by 0 ectric.al Contractor 0 Owner lnstall!lotion dcscriplion Q Commercial Electrical contractor nClyne ANGElrs'ITWRrc~ INC. 52\ [AST fiRST PORT ANGELES. WA 98362 Date Expires DNew I.:IRe~til1l ~eredlAdditioD City State ZIP ~I/k~ ~ '. Purchaser's mailing addNss , TclepllOnc number FAX number PrCmilOC$ owner's name ~ . &A-/1t5 L~ ~dd"" of 7'15' IV. J~ ~ <:ity W: rbunf' IloIunbcr tu schedule inspection: pt; ~V7tJ / OWr:C'f cs defi'led by RCJt'./9.28.26J:(fJ (ft.'neT wlll occupy the W'UclIlrt:' for two years after lhiJ' ele-ctrirClI pemd is finalized. (2) Owner iI' re'lJlirl'd to hi;!; 0'1 c~leclri,:al COfltraCtor ); abo>,;t! said prnperty is for .Yuk n:nl or lease. After reading the above: statement, t hereby certify that I am the owner of the above r'!i1'l'Icd propcny or a Iiccnsed electri~,..l cootfac\ol'. I 3m making the deculCClI inst<ll- lalion or alteration in comptiance with the cleclrit;a\ laws. N,E.C.! RCW. Ch.:lptcr 19,28, WAC. Chapter 296-463. The City of Port Angelc$ Municipul Code. ilnd Utility Specifications. Sfgnsturc 0 wner. elec rica I conn ctor l)r dcdrical admiuistr (or .' o C~O Check # Cl"6-cdit Card Visa Card# ....____"_pV_-f!q;_-____ Masiercard Discover x Date: Expiration Date of card Inspection fee $0 $ '?~ ~JI.i.~.e.lnform8tion VOllaga_-::-~~~ Phase Cf1"1J 3 . . . Serviee Size: ~ Feeder Size: ~ '~oad Addl"on~ or subtractions O. LOAD CHANGES o 8aseboard KW o Fumace KW CJ Heal Pump _ !on D Fan_Wall KW LAR ~d S."dee Q T emo $Qrvice CI Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 / ROUGH-IN / THERMO!>'TAT SERVICE --', '- OJ.(!: ^rjlrO"cd 1::1)' "'-- .DlI(~ / ^PlIt\WC:,s ~y ......... lJ~I~--" "l'(ly","",dHy I/h//:AL.W '- Dc AslIlTOVWf'Y"'/ DITCH FEEDER " DI(~ !..potOVW fl)' ..,/ IJale; ^Plltll~cd By In:;pcction Dale Area. Building or Equipment Inspected Al.:lIUD T..\ken GIl:l.:lrlc;sl .Inspcct()r " A ~ /-Itlf/ , /1 '-1/loC; / INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL qb�h� "'D COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION I Signature of owner or Electrical Contractor X Date: ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 �-- Application Number . . . . . 17-00001116 Date 8/15/17 Application pin number . . . 386068 Property Address . . . . . . 125 W 14TH ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -8775 -0000 - Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . , . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Spa circuit ---------------------------------------------------------------------------- Owner Contractor ------------------------ DAVID DAVID L SCHARTZ ------------------------ ---------------------- ANGELES ELECTRIC 125 W FOURTEENTH ST 524 E. IST ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-9264 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date . . . . 8/15/17 Valuation . . . . 0 Expiration Date . . 2/11/18 Qty Unit Charge Per Extension BASE FEE 75.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due --------------------------- Permit Fee Total 75.00 ------------------------------ 75.00 .00 .00 Pian Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL qb�h� "'D COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION I Signature of owner or Electrical Contractor X Date: 08/08/2017 12:47 FAX 360 452 9265 Angeles Electric CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Eleebicai Inspections 321 East Fifth Street — P.O. Boz 11501 Port Angeles Washington, 9$362 Ph: (360) 411-47315 Fax: (360) 4174711 Date: W7 —fl- b 2 Single Family Dwelling [A0001/0001 * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: f �'V • / BuNng Square Footage:. Description ofabove Owner info tion/ Contractor Information Nam fit Nom; � j� 'j rove. Maging� Mailing Addnssa _s Y C�- r _ r: City �---� . State p: � Z City �C� to 71p: Phone: Fax: Phone ax: r G,S�"" License # I Exp. Lkenee # r Fxp 717 7'5-2.7-- Item3a3 Unit Chorus glx Total (Qty Muidoliad by Unit Chargd SwvWFeeder 200 Amp. $120.00 $ 3ervicelFeeder 2014M Amp. $146.00 $ Servic aTeeder 4 i -60a Amp $ 205.00 $ Sw&etFeeder 6014000 Amp. $ 262.00 $ SeMcelFeeder over 1000 Amp. $ 373.00 $ Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit W10 Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 75.00 $d" Tetrir. Service! Feeder 200 Arte. $ 93.00 $ Temp. ServioelFeeder 201400 Amp. $110.00 $ Temp. SenrioelFeeder 401.600 Amp. $149.00 $ Temp. ServicelFeeder 601-1000 Amp . $166.00 $ Portal to Portal Hourly $ 96.00 $ Signal Chttxritl Limited Energy -1 & 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy - 5KVA System or lass $102.00 $ Thermostel $ 56.00 $ Note: $5.00 for each additional T-Stat NEW CONSTRLiC' M ONLY: Firs11300 Square Ft $120.00 $ Each Additional 500 Square Ft or Portion of $ 40.00 $ Each Outbuilding or Detached Carpe $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ $—;UW— Total Owner as defaned by RCW.19.28.261: (1) Owner will occupy the structure for twa years after this electrical permit is finalized. (2) Chimer is required to hire an electrical contractor if above said property is for sale, rent or (ease. Permit expires after sic 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 malting the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296465, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or eiictrical administrator: �O Cob D creat QYCndrt curt # 0A1 �i d -J X 0": 4class