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Home My WebLink About3515 Galaxy Pl - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 8 kw furnace 2 ton heat pump Owner Gilbert James 3515 GALAXY PL PORT ANGELES Permit Additional desc Permit pin number 149336 Permit Fee 59 50 Issue Date 6/30/09 Expiration Date 12/27/09 Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983623752 ELECTRICAL HEATPUMP 59 50 00 59 50 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000642 865594 3515 GALAXY PL 06 30 15 7 5 0140 0000 ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 DATE Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 Qty Unit Charge Per 1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 1 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT 7/c Date 6/30/09 WA 98363 Plan Check Fee 00 Valuation 0 Extension 57 50 2 00 Paid Credited Due 59 50 00 00 00 00 00 59 50 00 00 RESULTS Signature of owner or Electrical Contractor X Date INSPECTOR. trAP Nth? 06/28/2009 21 55 4579270 City of Port Angeles Perintll Application Building Division!Electrical hmp ettions 321 East Fifth Street- P.U. Box I' :50 Port Angeles Washington, tin Ph: (360) 4174735 Fax (360) 41'4711 Date: f 0 Y 14_1 1 2 Single Family Dee ling Multi Family or Corrmer Commercial Addition i A tt:ration l e model Repair Plan Review May Be Rev Plea ile t:o plete Electrip�l Plan Review Informal on Sheet Job Address: L't4 Building Square Footage' Description of above _1(j n a yip eoa u 41d2f2.-tr 11 04 —'t 2 Owner Inform non n Name: G CS f4644- Mailing Acgre, s: City 1i` 3tate:.2,jL4 Zip; Phone Y6, 54P.Z. F ax: License #1 Exp. 4. Total (Qty Multiplied by UM Charge) Service/Feed N 200 Amp. Service/Feed 201 -400 Amp. Service/Feed r 401-600 Amp. Service /Feed r 601 -1000 Amp. Service/Feed :r over 1000 Amp. S Unit Charge !;qty 93.75 $113.75 $160.00 $205.00 $291.25 2.00 Branch Cincu l W/ Service Feeder 57.50 J 4 1SbBranch Circuit W/O Service Feeder 2.00 .pC Each Additioi cal Branch Circuit 72.50 Temp. Servic el Feeder 200 Amp. 86.25 S Temp, Sent elFeeder 201.400 Amp. $11625 Temp. Servic elFeeder 401-600 Amp. $131.25 Temp, Salk elFeeder 601 1000 Amp. 75.00 Portal to Pon al Hourly 69.00 Sign /Outline Jghting 75.00 Signal Circuit I Limited Energy Commercial 50.00 Signal Circuit I Limited Energy 1 2 Family Dwelling 50.00 Signal Circud I Limited Energy Multi Family Dwelling 93,75 Manufacture' I Home Connection 80.00 Renewable E lectrical Energy 5KVA System or Less 86.25 First 1300 St uare Ft. 27.50 Each Additio ial 500 Square Ft.. or Portion of 57.50 Each Outbul ling or Detached Garage 86.25 Each Swim ing Pool or Hot Tub 43.75 Thermostat 5 1 7.e5b Total Owner as defined by RCW.:r9. '6.261. (1) Owner will occupy the structure for two years aA er this electrical permit is ruralized. (2J Owner is revdred to hire an electrical contractor ifdorm s d pn per l: y.fS for sale, rent or lease. After reading the above statan ent, here by certify that I am the owner of the above name I property or a licensed electrical contractor. I am making the electrical Installation or alteration in eor oiance with the electrical laws, N.E.0 RCW. Chapter 19.21, WAC. Chapter 296.489, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner electrical contractor or electrical administrator JUN 2 9 2009 ELECTRICAL INSPECTIOJI Contrac for I formation L.L. Name: r err: Mailing g s. _497,1-1.3 g 14/11 ip F Pho State: P us7 `1� D Fax: license 1 Exp y ,��SC 1_9 7 S7 Gsah et eck Cr alit Card PAGE 01 0 a- Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Furnace 8KW and 2 ton HP Owner Gilbert James 3515 GALAXY PL PORT ANGELES 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 WA 983623752 ELECTRICAL HEATPUMP 148700 43 75 6/19/09 12/16/09 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000595 341565 3515 GALAXY PL 06 30 15 7 5 0140 0000 ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 Contractor Qty Unit Charge Per 1 00 43 7500 ECH EL LVT THERMOSTAT Plan Check Fee Valuation Charged Paid Credited ALL WEATHER HEATING COOLING 302 KEMP RD PORT ANGELES WA 98362 (360) 452 9813 43 75 43 75 00 00 00 00 43 75 43 75 00 Date 6/19/09 DATE RESULTS 7/i f c 447 00 0 Extension 43 75 Due 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. NTIA> Jun 17 09 09'49a City of Port Angeles Permit Application Budding DivisionlElectrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: C)9 X 1 2 Single Family Dwelling Multi Family or Commercial' Commercial Addition f Alteration Remodel Repair' Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: \5 r la1oac. Imo► ar e_- Building Square Footage: 1r--4 Description of above cz- fir tk. )a ,'u i- Su,Sk w1 c cp1c c_1(\ _`wro Owner Information Contractor Information Name: '.w. o r-, C' .Q»f Name: PM eu? t 1 7 rec 1 r t c1• Q.c •9 Marlin ddress:?5 15 C�►ala.Nc Mailin,9g,�Address: _,5p. Y UC City k 13mo e-S State: i.1.) A Zip: t=lfV 0 City W.. ckArride-% State: Zip: 9$?2Lo,Q Phone: 99a-- lt,,81 Fax: Phone:AF,Q -j$ Fax: L1Plq- Gil 1'1 License Exp. License #1 Exp. ALL_ I. t LJ Unit Charoe 93.75 $1t3.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $11625 $13125 75.00 69.00 75.00 50.00 50.00 S 93.75 S 80.00 S 86.25 27.50 57.50 86.25 43.75 Signature of owner, electrical contractor or elect cal administrator RECEIVED JUN 1 8 2009 Total Ql yt Multiplied by Unit Charoe) Service!Feeder 200 Amp. Service!Feeder 201 -400 Amp. S Service /Feeder 401-600 Amp. Servicelceeder 601 -1000 Amp. Service!Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service! Feeder 200 Amp. Temp. Service/Feeder 201 -400 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 S Signal Circuit( Limited Energy 1 2 Family Dwelling S Signal Circuit/ Limited Energy Multi- Family Dwelling S Manufactured Home Connection S Renewable Electri Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat Total Owner as defined byRCW.79.28257: (1) Owner will occupy the structure for Iwo years after this electrical permit is finalized (2J Owner is requited to hire an electrical contractor if above said property is for sale, rent or lease. 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 296.466, The City of Port Angeles Municipal Code, and Utility Specifications. S "v ate: LIGHT DEPT Cash Check It Credit Card an x p.2 Owner Qty Unit Charge 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total T:Forms/Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc HEAT PUMP INSTALLATION JAMES /MERCEDES GILBERT TTE JAMES MERCEDES REV TRUST 3515 GALAXY PL PORT ANGELES (360) 452 5681 WA 98362 Permit MECHANICAL PERMIT Additional desc INSTALL HEAT PUMP Permit pin number 148676 Permit Fee 64 80 Plan Check Fee 00 Issue Date 6/17/09 Valuation 0 Expiration Date 12/14/09 Per BASE FEE 14 8000 EA ME FURN /HP /FAU Charged Paid 64 80 00 64 80 Date Print Name /Signature of C 09 00000594 639670 3515 GALAXY PL 06 30 15 7 5 0140 0000 JAMES /MERC GILBERT TTE MECHANICAL APPL PERMIT RS9 RESDNTL SINGLE FAMILY 10264 Contractor Date 6/17/09 ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 64 80 00 64 80 OR 5 TON Credited 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 fora 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 presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. /8/;74r C� -e j cOG or or Authorized Agent Signature of Owner Of owner is builder) 00 00 00 Due Extension 50 00 14 80 00 00 00 V \GOO 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 Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By /Xo I e 3 Jun 17 09 09 Applicant or Agent I r i e_ 6 1i4 Owner J1 )h0 1 1 Owner's Address i geLeAriy '/4 ce Contractor /Engineer Ott V, il liti4"; y (-f act 7lta -i lr Contractor /Engineer's Address ;G)2 t? l c'+ License A 1-1-1,1-16/.5t) K l,i PROJECT ADDRESS i? 1a�o�.�V Parcel Number C't..e3C7 \S 1S' olik Protect Type Brief Description. ik Residential Commercial Check all that apply New Constrt tion o Addition o Remodel c Repair o Re -roof Demolition o Sign Eir Heat System o Other BUILDING PERMIT CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417-4815 fax (360) 417 -4711 \‘eekcA\ Floor Areas Existing (sq. ft.) Posed (sq. ft.) Basement 1 Floor 2"d Floor 3` Floor Garage Carport Covered Porch Deck Shed Other wall- mounted o projecting o freestanding o awning o other Total sign area sq. ft. Maximum allowed sign area sq ft. ;Heat pump o wood burning stove o gas fireplace o pellet stove other Total footprint of structures sq ft. Lot size Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? have read and completed this application and know it to be true and correct. t am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior t working on project Date r Print Name �J��/� NIli�� Signature .,�L .�L� a/� T. Formsl8 ildin. Division/Bldg Permit Appi. -2006 Code.doc E��/ L. v ft. Occupancy group Occupant load Construction type p1 APPLICATION Print in ink For City Use Only: Date .Received jn— I i—()1 Permit# (c_ 5q�+ Date Approved Phone 5 L 2 9 8 3 Phone 9e" -44SZl Phone 3I9L -'L 913 Expires c( /D Lot Zoning, o Multi- family b Industrial per sq. ft. TOTAL VALUATION j ('j, (q(- A 40 sq ft. Lot coverage it of bedrooms ft of full baths of half baths CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 17515 3'-.;;~ F/ Port Angeles, Washlngtonmmmm..m_____.____.._._m__mm..._m___m__m, 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. Address ____2.f?-~{4ky-.-~ooo--n.--n-- OCCUpanCy____~~___mm.._.._mmooo__.. ~::~;~~-~.2l:~:::~~~~-:~~~;::..::::::::::...~~~.~~:::::::::=::::::::::::::::==::::::::::::::::::: Light OUlIetBumncf>':(Omm_.._.--- Service, volts -/o/?.!.':~-u.u: Type of Wiring; Receptacle Outlets___)...._m_.............h No. wires .__~_._~-................---;-.m... Armored Cable .............m........._.... C o/c1 tt?/ Dryer. KW._.......__d.......____n____...._._____. Size wiresn_LI.:".......___...___........_.. - /.. '/~t:J4 Range, KW _n____I_~!.._n_____.n.____n______n. MaIn fuse _._._h.h............__n..._nh_.... S' Enclosure ....m_m_............m_........... 'Water Heater: /' KWuuu.ig.~~.---n.--- Heat: KW..__...n__._nd................_n_._...n Type of wiring: Entrance Cable ......m_....h............. Motors: size, volts and phase: __./~;.uuumm_mnmmm____ .n./Ih..~~_m.mmummmnm.____m.. Rigid Conduit u......nm MetallIc Tubing ..__n..... Current transformers: No, & Size..n........................ Ser. NO........n......h__.......................... Ser,. No. ...__nn..................:__.__.nn_...... < Ser. NO_nn.......nn....._nnn...h._......_.... Non-Metallic .......___..._....._._.....___... Knob & Tube.n..._.........._..h_........... RIgid Condnlt .mmmm__Umnmmm Metalllc TUbing ..._uuu_nn_m___Um o~~,:~{~~:= .;:L ::t:: ~:~~-~~~.~~~~~~~~~~~~~~~~~::~~~~~~ Motor ..._........._.........nn.............n_. ";J. Dryer .......~_:::__...._....._______._..........._ Furnace ........._................_....._____m...... /7. Total l.oad....nn..................... Ser. NO.nd............._....nn.....h........... Total ....L..._....nn_n_............n_ Remarks: h_mooo../lLed..u=:::._n_n_C_/"2!.~-g';tj_mooo__.__h__.mmm__ooo.__m______mm______m___m__m.m__.____ n.u_nn_n_n__._h_..nun.nn____n_._nndnun.n.n__.n_.n....nnn...___....nUU.hu..nnuu.n__n..._uun_nn..._nnu.....__u.._..n.nu_n....--' .h...ooom_m_hh_______mn.mmn_m__mmm__m___.___mmooon____mooo_mnnooonn__mm__~mooo-m-----:'.0------------------....2:-----. ;:~_~;.~~Q~_.__._____..__._.___. ::~~_~:__:_~_~:~~~o._____ By ._._.lf~~L.J~~.___._...___~ , 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 berore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION -{;. 17515 i i J I \ Address ._..n..nnU....._...._...._nn__.....hun..nnn....................n....._.n..........................................n_.... Date..._....h_.._U_.._nnn...._....__u....__...._... , " Owuer..................__.....___.......__.....__._.....__......_.._._......____...........____...._____..___.___.....__._.....Tenant._..___._...__.______....._.............---...-.--.~.....-.---.-..--- ; \ \ IWirtng Contractor ........__..._____......._._......._....__._..........._____............._......___.....__d............................ By____....._..._..______.............................._......-.- I .{~ " ',,-. ...... ~ NOTIC~urrent must not; be turned on until Certificate of./lnspection has been issued. If work Is to be con. cealed due notice must be given the Inspector so that work may'be inspected befoTe concealment. . ELECTRICAL PERMIT ") ---' .,.../ 1M Olympic Printers, Inc. \. N~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~1 III ~-t,A,~'~ .r'*~.~..~.a.~T ........ OWNER/APPLICANT PROPERTY LOCATION 3515 GALAXY PL LEE DARLING 3515 GALAXY PL Lot: 14 Port Angeles, WA 98362 Block: [] Long Legal 360/452-4979 Subdivision: GALAXY ESTATES T: S: Parcel No: 063015750140000 CONTRACTOR ARCHITECT AFFORDABLE SERVICES N/A 258663 HWY 101 W SEQUIM, WA 00009-8382 , 98360-0000 360/452-5264 360/000-0000 PROJECT INFO Project Value: $2,629.00 SFD Units: 0 Commercial: 0 Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES TEAR OFF / FELT/3TAB FEES ASSESSMENT Building Permit: $83.25 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $87.75 Plumbing: $0.00 AMOUNT PAID: $87.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 I Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within '180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby cedify that I have read and examined this application and know the same to be true and correct. All provisions o! laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does no1 presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance ol fconstructio~ / Signature of C~/actor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\?LANNEVG~,~ORMS\ ] ]02A5 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS YES I No FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB [ WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'$: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGltTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTPdCAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERfNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 41%4815 .~-L/~'-<~_ ~--~ BUILDING T:\PLANNING~FORMS\1102.15 [4/2002] FOR O~l¢lAL U$£ ONLY: BUILDING/FIRE PERMIT APPLICATION , The ~udd~ng/Fire Pe;'mi! ~pplicarion mus~ be ~E~d out completHy. Plcas~ ~pe or prim In Ink. ]f you hav~ any q~on~, pl~e call 060) 41%4815 ContractorJ~ LEGAL DESC~IONi TYPE OF a,¥ORK: a KmidcaliaJ o Multi-family o Comnl~c[~l ;z'R~rOo[ o LP-g~,. VALUATION (Cosl of project mina* ~et ta~) $~. aL'ILDING pER.MTF APPLICATION SU'BlVirI"IAL: Your complcmol applicaion, rite plan (tbr ~dditiuns) and. building COnmm. rucoou VALUATION OF CONSTRUCTION: tn all cas~, a ~ualim mount must be a~ta'~l by ~he ap!01icanl, This l~g~lra will be renewed and may be rcdso:l by the Building Div. lo comply w~rg currmt ,fig scha'tulm, Contact ~e Fa'mit Coordiaalor al 417-4815 for ~siilanc. c LXYlRATION OF PL~.N R.~VIEW: If no I~ermit is i~au~ wltl~ ltg} ~ayt ~f'~e ilale of ~plkatio~, this ~pp~lc,,rlou wltl ~plr~ by }iIII.HaIlOlIi The Blhldilllt O~cinI ~ C~'letld the time for action by the aoplicant up to 180 days, on writlm requ~.~ by the al~l.ieaat (~ S~:non 103.4 of the Uniform BuitdJuil Code, curr~! ~iitJou). No applicatioo can be extended more tha.a once. h~ ebv cerI~l~ that / I av~ read and e~amined t/il~ apFl ~aho~ a d ~a~ t/e ~ame to be tt~e and carrier, and / am authorized to apply for th~ pe~it ] unde~land ft ~ nat the C~O~ legal r~pon~tbi[~ to det~rmt'ne ~at permil~ are rtqtd~d; it remains t~e appllca,t~ 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Pub! ic \Yorks and ULili ties Department 32 l E. 5th Street. Port ;\ngeles. WJ\ 98362 300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _ OWNER JNFORMATtON Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRfCAL CONTRACTOR fNFORMATION Name: ___________________________ License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge) 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 CircuiULimited Energy - 1 &2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Ren ewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Sql;Jare Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool/ Hot Tub $110.00 $ TOTAL $ 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- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] '"'CJ CD PREPARED 4/26/23, 7:33:46 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000418 3515 GALAXY PL FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 75.00 TOTAL DUE 75.00 Please present reciept to the cashier with full payment Application Number . . . . . 23-00000418 Date 4/27/23 Application pin number . . . 538244 Property Address . . . . . . 3515 GALAXY PL ASSESSOR PARCEL NUMBER: 06-30-15-7-5-0140-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc EV charger ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HERBER, THOMAS & CONNIE SERVICE MAX HEATING & AC LLC 3515 GALAXY PL 3405 172ND ST NE #5 PORT ANGELES WA 98362 ARLINGTON WA 98223 (360) 333-5904 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee . . .00 Issue Date . . . . 4/27/23 Valuation . . . . 0 Expiration Date . . 10/24/23 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 ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 5/4/2023 23-418 TAP OWNER CONTRACTOR Service Max Heating PROJECT ADDRESS 3515 Galaxy Pl