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Home My WebLink About515 C St - Building ~ ~ORT ~ !::.J..O~~(t' ..(j~1JI if~ "- -=... ~ ~.,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 11/05/2002 PERMIT NO: 13674 OWNER/APPLICANT CLEARENCELUNDSTORM 515 SO. C STREET Port Angeles, W A 98363 360/000-0000 T: S: PROPERTY LOCATION 515 CST S Lot: N 40 L TS 11 & 12 Block: 107 D Long Legal Subdivision: Parcel No: 063000010755000 CONTRACTOR DAVES HEATING & COOLING SERVICE I 991 FRESHWATER PARK RD PORT ANGELES, W A 98362-0000 360/928-0245 PROJECT INFO Project Value: $5,000.00 Project Type: ELECTRIC FURN. Occupancy Type: Occupancy Group: Construction Type: Zoning Use: ARCHITECT C N/A , 98360-0000 360/000-0000 U) -. U) SFD Units' 0 Commercial: 0 SFD SQ FT: 0 Industrial: 0 Garage: 0 MFD Units: 0 MFD SQ FT: 0 ~ PROJECT NOTES INSTALL NEW HEAT PUMP AND LOW VOLTAGE THERMO r If\ "1 RECEIPT#9897 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $34.15 $0.00 Misc Fee 1 : THERMOSTAT Misc Fee 2: THERMOSTAT Misc Fee 3: $31 .15 $4.15 $0.00 TOTAL FEE: AMOUNT PAID: BALANCE DUE: $69.45 $69.45 $0.00 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 co~~ctionj 2afJiLp S'~ t 'VVf etA h . d A t Igna ure 0 on ractor or ut onze gen /I/os/1L Date Signature of Owner (if owner is builder) Date T \PLANNING\FORMS\1102 15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL WALLS 1 ROOF 1 CEILING DRYWALL T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP 7;-5~OZ, f<V WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engmeenng DIVISIOn) SEPARATE PERMIT #'s. WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA PARKING/LlGHTING 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.I PWI CONSTRUCTION - R W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT 417-4750 r PLANNING DEPT BUILDING 417-4815 j l-,S=-C:rL J.<\J BUILDING T:\PLANNING\FORMS\1l02.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date /1-6-0"'2-- Time Received by RV (phone, person) INSPECTION NOTES: Inspected: Date / I,.. 6~ Cl-z.- Remarks: Location of Work to be inspected ~ ~ I c.e::;:- 66 Name of person requesting inspection ~ v~k. Address of person requesting inspection Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing@ Sewer Excav. Other &4-1- .. YU V14p Time By I:?:? 6 71 Qt/ oA/ RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other D Repaired by City D Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) f "ORT ~ l"O~~~ .. h!iii "-~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 11/05/2002 PERMIT NO: 13674 OWNER/APPLICANT CLEARENCELUNDSTORM 515 SO. C STREET Port Angeles, W A 98363 360/000-0000 T: S: PROPERTY LOCATION 515 C ST S Lot: N 40 L TS 11 & 12 Block: 107 D Long Legal Subdivision: Parcel No: 063000010755000 CONTRACTOR DAVES HEATING & COOLING SERVICE I 991 FRESHWATER PARK RD. PORT ANGELES, W A 98362-0000 360/928-0245 PROJECT INFO Project Value: $5,000.00 Project Type: ELECTRIC FURN Occupancy Type: Occupancy Group: Construction Type: Zoning Use: ARCHITECT C N/A , 98360-0000 360/000-0000 U) -. V) SFD Units: 0 Commercial: 0 SFD SQ FT: 0 Industrial: 0 Garage: 0 MFD Units: 0 MFD SQ FT: 0 ~ PROJECT NOTES INSTALL NEW HEAT PUMP AND LOW VOLTAGE THERMO r If\ 1 RECEIPT#9897 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $34.15 $0.00 Misc Fee 1: THERMOSTAT Misc Fee 2: THERMOSTAT Misc Fee 3: $31.15 $4.15 $0.00 TOTAL FEE: AMOUNT PAID: BALANCE DUE: $69.45 $69.45 $0.00 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 co~~ction12a~1! ,~ VV~- P Sfgnature of Contractor or Authorized Agent ll/osj1L Date Signature of Owner (if owner is builder) Date T.IPLANNINGIFORMSII102 15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING 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 I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT. # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP 11-5~OZ- ev WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS 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 ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W / PW/ CONSTRUCTION - R W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 ,. PLANNING DEPT BUILDING 417-4815 I {--yDL J;?V BUILDING T \PLANNING\FORMS\1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date /1-6-0'"2-- Time Received by RV (phone, person) INSPECTION NOTES: Inspected: Date / /,... 6~ CJ-z..- Remarks: Location of Work to be inspected ~ ~ j '^~ 66 Name of person requesting inspection ~ v-c:..k. Address of person requesting inspection Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing@ Sewer Excav. Other &c.-f .. YUVfltP Time By csJ- lI,""f>{.~ ( one No. l~n7i r:;V DA/ RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) " ELECTRICAL iNSPECTION WIRING REPORT 457-0411 Ex\. 158 ~:~k1i~w? ~s / CiB~/vvU;.t I... u,."d~ 'f-f,fM.'\. , ADDRESS S/~~).~/ sf. INSPECTOR J~ APPROVED NOT APPROVED o ................... DITCH ................... 0 o .............. ROUGH IN/COVER. . . . . . . . . . . . .. 0 o .................. SERVICE .................. 0 }It . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . .. D. CORRECTIONS NEEDED Q) Il j JJ i 17 &vI If.! oS -ko/ s ON m #s--f, I~) &''10 bn<,~ c-lr.n-...,tIs &vI LtJ ~~ IL)/'tt){.<j l::; I f I I r NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PAINTERS, INC. (206) 452.1381 r I u7~i FEE RECEIPT NUMBER I CITY OF PORT'ANGELES ,', DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A557 /) PERMIT NUMBEA .. \ 50_00,' I. , " , TOTAL FEE , ) I CqNT. LI,C. NO. TI",!~ TO COM,PLET~ . NO. STORIES rLEGAlOCCUPANCY , " .\ . / ~ ELECTRICAL PtRM1T ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT SileAMreds ,L)l5'"' Sovr1-/ ~("'I'.. ~.' ,',' (,' CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDREJPrS ARE CANCELLED Owner Installation By QV1 ).J1!7e.- Owner's Address ,"):2 ( ,,; . Installers Address 5' A-M e- D~YPhane, ~lJ/ 765g InstallersPh?n!'- , APPllcatio~ is hereby made for Permit to install ElectricalEquipment as follows: N ~ J/t;CJ 58 U-//ZOO/J- :J J.J Q "1 ..... - . / Wiring Method /?OI'1E)/ . NUMBER AMP 120V ~f NUMBER AMP 120V 240V USE O:F CIRCUIT PER ., R FEE USE OF CIRCUIT PER 100R FEE CIRCUITS CIR 10 0' CIRCUITS CIR 10 30 LIGHT , SIGN LIGHT I 50VQLTS' OR LESS , .. MOTOR CONVENIENCE CONVE~IENCE MOTOR APPLlA~CE MOTOR . , FI'1E ALARMS DISHWASHER . . . .. , , BURGLAR ALARM DISPOSAL , RANGE I MISC. - OVEN , , WATER:HEATER LAUND~Y . DRYER' - REINSTALLATION LIGHT FIXTURE # , FURNACE SUB TOTAL FEE . GAS - OIL FURNACE ENERGY FEE ELECTF:l:IC BASIC FEE ELECTRIC HEAT I . TOTAL FEE ELECTfllC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT //J71 AMP / PHASE FEEDER , SIZE OF SERVIC~ ENTRANCE CONDUCTORS - :J~ I Z/J 00 . -1-~ - 4---;;:; - Z? IhtiA. SERVICE rI- A.W.G. I SUB. TOTAL . ::7","'" SIZE ~ ~ROUND / SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit witl be done by the installer and in conformance with . ? Date Application made ,19 By ~/ . co TRACTOR OR NER (OR AUTHORIZED AGEND Permission is hli!reby given to do the ~bove described work, according to the conditions hereon and according to the approved plans and speclflcation.~ p~rt~ining ,thereto" subje~t ,t? complj?nce ~Ith the Ordln~nces e City of Port Angeles. .' (,-> _'. Ie "'. "., ,11,1, )J" .), .-'\.1 .~~~Hr" ,I' \ .- "'/'.'7e pe~2rmi'1t 155.U. e8':dr )- ~ Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has.been given by Inspector in I I Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER- WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD - Inspector's Report OL YMI19 PRINTE~S, INC.. - --- ------ -.-- - ------ --- ~, , OATE OF VISIT , ~1zr1/tl b I .')/L 7/lfb I ,( . '1/9/! 1 - ~",,- . j_o MADE BY Ii , II!.' dL I, /fI/JI. / I ~. ~ REPORT OF INSPECTOR REMARKS " I- /L ri-<- -f.o t)/1 4 IA/M-~ [y'L.- t, t:u< ~ w~ j},OL , O.K. FOR COVERING f) k 7D r> ~ u (tL Gila ~ [ f' /J 0 "," In, {2 .s , . O.K. TO CONNECT SERVICE II;:INAL~ I'--~ . ~ CJ II: <C :!i! !a J: I- Z w ,II ,. l- e z e Q .1 Llo d<,OR',..,.~ ;}"'~"~<t. (;rr~ "'-. r=....l.:", ,~> 'k>~;...<';s.'" ELECTRICAL WORK PERMIT APPLICATION Job wired by ~ctrical Contractor 0 Owner ~ c L;;me /,,-~ Li:~;~ Date Expires Purp6>~d23 Citv State ZIP j34-Lt~ U-H'- 9.r:3"2--L.- Telephone num~ j'AX. number t:::J-, 3Co (j-<J>8f3 - 36:90;. premis0~&- ~ C&r- Address o~;c;~ So~fL c. ~ .s- -C:, A'-Y Installation description ~ommercial 0 Residential o New o Altered/Addition ~ I - ...(: N (;'> C,rc?- CHy C /fI- &f(>O w - "ZC()b-7 Phone number to schedule inspection: W /0.3 > Owner as d4i"ned hy ReW 19.28.261:(1) Owner will occupy the structure for two J'ears qfler this electrical permit is finalized (2) Owner is required to hire an electrical contractor if ahove said property is for sale. rent or lease After reading the above statement, I hereby certify that I am the owner of the <lbovc named properly or a licensed electrical contractor. [ am making thc clectrical instal- lation 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. Signature of owner, electrical contractor or electrical administrator o Cash ~eck # o Credit Card Card # Visa Mastercard Discover x Expiration Date of card Service Information Elec~lrj~al.LQadMdilions.and.or_sublra~liQOs o NO LOAD CHANGES D Baseboard KW D Furnace KW D Heat Pump Ton LAR o Fan-Wall KW D Overhead Service D Temp Service D Underground Service Voltage PhaseD1D3 Service Size: Feeder Size: SAME DAY_'~SPECTJON, CALL UF.E.ORE-1:00 AM 360-417-4735 ROUGH-IN THERMOSTAT / SERVICE J//U/"g. ltEHY \. . Dale Date Appruved By "- Date Approved lly / FINAL DITCH FEEDER II J'U, Ir/i- oyWJ "- I Dale Apprmed By../ Date Approved Hy Dale Approved By Inspcction Area, Building or Equipment [nspected Action Taken Electrical Datc Inspector (i"ORT ,,0 ~ (> .. ~~.. " ~Ai'" 7c..''c) {O-7-c<-. ELECTRICAL PERMIT APPLICATION FOR OFFICIAL USE ONLY Dato'Ra:: Pennitll: Due Approved: Oalc:lssuaI: The Electrical Permit Application must be filled out comaletefv. <It 78fZ Please type or reprint In Ink. If you have any questions, please call (360) 417-4735 Fax number: (360) 417-4711 REQUEST INSPECTION 0 Owner or Elec. Contractor Agent: Property Owner. {} /4i7 r P 'N e ;: u '" r,t; I y- en-.-- Address: 5/ f7 ~ C, Sf, City: Electricel Contractor: tY?d Jt/~ Phone: Fax: 7?:-.,/ Il-'),-?,o/~ " License #: Exp: Phone:j'5'7 76 51\ Zip: 9/;3 &. "So Phone: Address: INSTALLATION WIRED BY: )<(OWNER City: o ELECTRICAL CONTRACTOR Zip: Credit Card Holder Name: Billing Address: City: Credit Card Number: Exp.Date: Zip: VlSA:_MC: PROJECT ADDRESS: 515' S C. .s T. TYPE OF WORK: Check all that apply: 0 New o Alteration/Addition ~ReSidental Remote Meter o Multi-family o Commercial o Mobile Home Sq. Ft Number of Circuits added or altered: o Detached garage 'f o Hot Tub 0 Swim Pool o Septic Pump o Low Voltage 0 Telecom. 0 S DESCRIPTION OF THE ELECTRICAL-PROJECT: /l-D l) /lenT ~f' o Baseboard o Furnace 'fill Heat Pump o Fan-Wall KW KW .J!i!.....TON KW PERMIT FEE/It ,7/J c' ~7I 7731 Servlcelnfonnatlon Electrical Heat Load Additions LRA o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: PAMC 14.05.060(8): For industrial, commercial, & residential projects larger than a duplex, a one - line drawing of the Electrical Service 8 Feeders, building size (sq. fl.), load calculations, and the type & of conductors andlor raceway Is required and shall accompany the Electric Permit application. I hereby certify that I have read and examined this application and know that same to be true and correct, and I a authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits, required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: f~~~~<< ,~~ Date: Date: 9~>> 02. Owner or Elec. Cont. Signature: C:/ELECTRICALPERMIT APPLICATION ~ C ~ j!30joz- AI-- ELECTRICAL PERMIT APPLICATION =~. / The Electrical Permit Application must be filled GUt comDletelv. FOR OfPJClAL USE ONLY D~ec: Pamitl#: [)as AppRoved: Dalo: Iaucd: Pleaselype or roprlnt In Ink. tfyou have any questions, ploase call (360) 417-4735 Fax number: (360) 417-47t 1 REQUEST INSPECTION 0 . Owner or Elec. Contractor Agent: ProperlyOwner. tll.:?.-,o,,,.,q /, u-,.,r/;!...-c:n-.--- Address: .::> / 5" ~ C, S T, City: Electrical Ccnlractor. rJtd Jt/~ Phone: Fax: phone:1S-7 76 s1\ Zip: 9'!5'3c;. "S 1i:-./ l1-?<-o~/.-.- 5- 1/ license #: Exp: Phone: Address: INSTALlATION WIRED BY: fitOWNER City: o ELECTRICAL CONTRACTOR Zip: Credit Catd Holder Name: BIlling Address: City: Credit Catd Number: l:xp. .Date: Zip: VISA: MC:, PROJECT ADDRESS: TYPE OF WORK: Check roJ that apply: 0 New o Alteration/Addition ?1jltReSidental Remote Meter o Multi-family o Commercial o Mobile Home Sq. Ft Number of Orcults added or altered: o Detached garage ( o Hot Tub 0 Swim Pool o Septic Pump o Low Voltage 0 Telecom. 0 S DESCRIPTION OF THE ELECTRICAL PROJECT: /fl)J), /lenT ~~, .. Electrical Heat Load Additions PERMIT FEE: I. Service Information o Baseboard o Furnace ,j!!( Heat Pump o Fan-Wall ~ KW .k.... TON KW LRA [) Overhead Service [] Temp Service [) Underground Service Voltage: Phase: 0 1 [) 3 Service Size: Feeder Size: PAMC 14.05.060(B): For industrial, commercial, & residential pmjects larger than a duplex, a one -line drawing of the Electrical Service 8 . Feeders, bui~ing size (sq. ft.), load calculations, and the type & of conductors and/or raceway is required and shall accompany the Electric Pennit application. I hereby certify that I have read and examined this application and know that same to be true and correct, and I a authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits c required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature,: Date: f~/~&< ~~ Date:9-~D2 Owner or Elec. Cont. Signatum: C:/ELECTRICALPERMIT APPLICATION ~ e ~ f30joz.- Yfm R- D. ~, ,- iJO ~.C I\L'<:C'E<;' fEct'l.'((ZC'\J A:fl (t/-z- /~ CITY OF PORT ANGELES PERIMIT APPLICATION Building DivisionlElectrical Inspections 321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 48362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: l _ 1 & 2 Single Family Dwelling * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Boding Square Footage: Description of above 1 Owner Information r li Contractor Information Name: G %air t_-'yLce i� c1 ut Name: _ Maifin Addres -5 Mailing Address: City: 4fikstate: WA Zip: Grd a City: Stale: Zip: Phone: Fax: Phone: Fax: License # 1 Exp. Liven e # 1 Exp, Item Unit Charge Total {Qty Multiplied by Unit Charge) ServicelFeeder 200 Amp. $ 12100 Service /Feeder 201.400 Amp. $145.00 $ Service /Feeder 401 -600 Amp $ 205.00 $ ServicelFeeder 801 -1000 Amp. $ 262.00 $ Service /Feeder over 1000 Amp, $ 373.00 $ Branch Circuit W1 Service Feeder $ 5,00 $ Branch Circuit WlO Service Feeder $ 6100 $ 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[Feeder601 -1000 Amp . 1158,00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit] Limited Energy -1 & 2 Family Dwelling $ 64.00 $ Marufactured 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 $ $ Total Owner as defined by RCW.19.28.281: (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 -468, 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 electrical administrator: ❑ cash ❑ Check ❑ Credit Card 9 cT-- 2-7 — MOV2012 INSPECTION TYPE ELECTRICAL PERMIT a RESULTS: CITY OF PORT ANGELES DITCH 360- 417 -4735 Application Number 14- 00001027 Date 8/27/14 Application pin number 100823 Property Address 515 C ST ASSESSOR PARCEL NUMBER; 06- 30- 00 -0 -1- 0755 -0000- REPORT SALES TAX Application type, desoription ELECTRICAL ONLY COMMENTS: on your excise tax form Name Property Prppert Use to the Clay of Port Angeles Property Zoning RSV RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . , . 0 Application desc _ _______ Replaae panel Owner Contractor LUNDSTROM CLARENCE D OWNER 515 S C ST .PORT ANGELES WA 983632131 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Permit . . , . . . ELECTRICAL - - - - - - - - - - - .- - - - - - - - - _ - - - - - - - - - - - - - - - - - - - ALTER RESIDENTIAL Y , Additional desc . , Permit Fee . . . . 120,00 Plan Check Fee ,00 Issue Date 8/27/14 Valuation . . , . 0 Expiration Date 2/23/15 Qty Unit Charge Per Extension 1.00 120,0000 ECH EL -0 -200 SRV FEEDER 120.00 Fee summary Charged Paid Credited Due Permit Fee Total 120.00 120,00 00 .00 Plan Check Total ,00 00 .00 .e0 Grand Total 120.00 120,00 .00 .00 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 G:IEXCHANGE\BUiLDING w x