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Home My WebLink About1010 E 4th St - BuildingApplication Number 07 00001198 Application pin number 983710 Property Address 1010 E 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 7740 0000 Tenant nbr name WINDY FERGUSON Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 75 Owner Contractor WINDY FERGUSON 5222 CHICO BEACH NW BREMERTON (206) 954 9131 WA 98312 T:FormsBuilding Division/Building Permit (10 /01 /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 OWNER Date 10/16/07 Permit MECHANICAL PERMIT Additional desc BATHROOM EXHAUST FAN Permit pin number 113365 Permit Fee 57 25 Plan Check Fee 00 Issue Date 10/16/07 Valuation 0 Expiration Date 4/13/08 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 2500 ECH ME VENT FAN 7 25 Fee summary Charged Paid Credited Due Permit Fee Total 57 25 57 25 00 00 Plan Check Total 00 00 00 00 Grand Total 57 25 57 25 00 00 Separate Permits are required forelectrical 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. 1 hereby certify that 1 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 consttructioon. �r-- [ate Print Name Signature of Contractor or Authorized Agent Signature 1f ow is builder) CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 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 FOUNDATION. FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT ti's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 BUILDING PERMIT INSPECTION RECORD YES 1 NO FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 I I I I BUILDING 417 -4815 1 I 0- 7,(9 I F. K oilre/0 DATE ACCEPTED BY. I FINAL DATE ACCEPTED BY. 1 DATE ACCEPTED YES 1 NO PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING T Forms /Building Division /Building Permit (10/0 I /07).wpd i Applicant or Agent Owner f u )0d, Owner's Address t Contractor /Engineer Contractor /Engineer's Address License Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Re -roof Demolition Sign Heat System Other 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 Phone eec OAQ Phone 0 266, q;4/9/ nit e0 Zwp,( NvU c.'123/2. Phone PROJECT ADDRESS /0 /0 E 44 Parcel Number OL Lt yil Pt nr1 esidential Expires For City Use Only Date Received 0 Permit (N1- Date Approved Lot Zoning Commercial Multi family Industrial wall- mounted projecting freestanding awning other Total sign area sa. ft. Maximum allowed sign area sa ft. Heat pump wood burning stove gas fireplace pellet stove other Floor Areas Existina (sq. ft.) Proposed (sq. ft.) Basement per sq ft. 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION Total footprint of structures sq ft. T Lot size sq ft. Lot coverage Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. I 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 to working on projects. Dateiofrop Print Name faer_tii Ff.0 4,SV Signature T:Forms /Building Division /Bldg Permit Appl. -2006 Code.do ,n Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000528 Date 995440 1010 E 4TH ST 06-30-00-0-1-7740-0000- ELECTRICAL ONLY 5/06/08 RS7 RESDNTL SINGLE FAMILY o Application desc Service change Owner Contractor Ferguson, Wendy 1010 E 4TH ST PORT ANGELES WA 983624111 SHAMP ELECTRICAL CONTRACTING PO BOX 383 PORT ANGELES WA 98362 (360) 452-1689 - Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 125930 Permit Fee 64.00 Plan Check Fee Issue Date 5/06/08 Valuation Expiration Date 11/02/08 .00 o o - o Qty 1. 00 Unit Charge Per 64.0000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 64.00 t'\ . 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 J:: \*- U\ r\ ~----- I INSPECTION ELECTRlCAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE - ".. ROUGH - IN 6 ~ g - 05 "Iff At:&> FINAL COMMENTS: 05/02/2008 13:38 FAX ~001/001 L{ I '1- Lft/t'i ~~fM~ ~ ~S~? 'k f\ - _ ' (i ELECTRlc!~~\k"f-'ERMlTAPPLIc,mON Cf6 -~zB """"'/ J()b wired by o Electrical Contractor 0 Owner Inslnllation description / o ComJuerdaJ ~1tesldeptlaJ " o New IjJ Altel"edlAddlt1on /}mA: ~~LQ ~~~~ 1l-t- ~C:dn O'l'ner a.~ dr;fi"r!J by RCW.19.28.26J:(l) OW"('''' will I'lCCUpy IlIe srrUCflln:' fur rw,," yr.or.t (lji.p.r lith .tIurT"icaf permit is fillrllized. (2) OW/lei' is require" fa lJirt an electrical cO/:tracmf if above said proporty ~1' for r"/tt, 1't!/lI or lease. Ancr readinlllhc above: uatcmcnt, I hereby ccrtif;J (h..\ 1 am lhe OWT'lCf of the ",hove nlmed properly or a. licensed electrical conlr.l.ctor. 1 am. makins the elcctrlclIo\ instal- III-non or :lhcr.u;on ill compliance with the cledrk:l.l laws, N.E.C., RCW. Chapter 19.2B. WAC. Ch.a.pLcr 296.468, The City 01' POT! AngcJc~ Municlp.11 Code. 3ruj UlililY Spccific~lioD:;. 51&: rc or owner, cI driul ~,lt'ltraUor or e:Ic~trlcKI ~ Date? MAY (}:) Z66S () Q"() \ ~ ~BV\ED I:l Cash [J Check #U~ o.~_, o Credit Card VISa Mastercard Discover Card # . - ---------------- x btr ctlon Expiration Date of card EI o NO LOAD CHANGES Cl BaseDoard KW o Fumace KW CJ Heal Pump _ Ton _ LAR o Fan-Wall _ KW o OverheQd Servlca o Temp Service o Underground Service Vol1ag6 F'hase Cl , 0 :3 Service Size: Feeder Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ^llpr dDy Dnle ^ppro<>'Dod 9,.. SERVICE l)~l~ ^wl'D<>'cdtl,. FEEDER D_I. ^ppl'llvtd Dy ROUGH-IN THERMOSTAT U~'e ^IlPrlIvNDy Dale A~Pl'llv,Ol' by DITCU IrISpC:Clll)r1 Date Area. BUllding or Equipmenl lru.'PE:cted A~tion Taken Electrical TlIspc!:c.tor 5-(,-02. All aN~'CT ~ ~t/aJ ~ '::.':'J "'" " " Application Number . . . . . 22-00001134 Date 9/12/22 Application pin number . . . 737016 Property Address . . . . . . 1010 E 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7740-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc PV system ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HEIDI A AND WILLIAM E BECKER POWER TRIP ENERGY CORP. 621 MONTGOMERY LN 83 DENNY AVE PORT LUDLOW WA 98365 PORT TOWNSEND WA 98368 (360) 643-3080 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 120.00 Plan Check Fee . . .00 Issue Date . . . . 9/12/22 Valuation . . . . 0 Expiration Date . . 3/11/23 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 .00 Grand Total 120.00 120.00 .00 .00 Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us EL1-2 SF 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Project Address: Project Description: □Single-Family Residential □ Duplex / ARU Building Square footage: OWNER INFORMATION Name: Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Name: License: Mailing Address: Expiration Date: Email: Phone: PROJECT DETAILS Item Unit Charge Quantity Total (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 Circuit/Limited Energy - 1&2 DU.$64.00 $ Manufactured Home Connection $120.00 $ Renewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional)$56.00 $ First 1300 Square 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- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (□Owner □Electrical Contractor / Administrator)Permit #: New Construction Only [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] 1010 E 4th St, Port Angeles, WA 98362 Partial Removal/ reinstall of 4.2 kW array originally installed in 2020 William Becker bbeckredwings@gmail.com 1010 E 4th St Port Angeles, WA 98362 (360)477-8771 Power Trip Energy POWERTE964JN 4-15-202483 Denny Ave Port Townsend, WA 98368 buddy@powertripenergy.com (360) 643-3080 $ 9/8/2022 Andy Cochrane 1 120.00 120.00 Datasheet X-Series: X21-350-BLK | X21-335-BLK | X20-327-BLK SunPower® Residential AC Module Built specifically for use with the SunPower Equinox™ system, the only fully integrated solution designed, engineered and warranted by one manufacturer. Maximum Power. Minimalist Design. Industry-leading efficiency means more power and savings per available space. With fewer modules required and hidden microinverters, less is truly more. Highest Lifetime Energy and Savings. Designed to deliver 60% more energy over 25 years in real-world conditions like partial shade and high temperatures.1 150% 140% 130% 120% 110% 100% 90% 80% 70% 60% 0 5 10 15 20 25 Years of operation Up to 60% more lifetime energy Best Reliability. Best Warranty. With more than 25 million modules deployed around the world, SunPower technology is proven to last. That’s why we stand behind our module and microinverter with the industry’s best 25-year Combined Power and Product Warranty, including the highest Power Warranty in solar. 100% 98% 96% 94% 92% 90% 88% 86% 84% 82% 80% 0 5 10 15 20 25 Years of operation 12% more power in year 25 E-Series and X-Series And Better. The SunPower® Maxeon® Solar Cell •Enables highest-efficiency modules available. 2 •Unmatched reliability 3 •Patented solid metal foundation prevents breakage and corrosion Factory-integrated Microinverter •Simpler, faster installation •Integrated wire management, rapid shutdown •Engineered and calibrated by SunPower for SunPower modules Warranted module power 25-year energy yield per W sunpower.com X-Series: X21-350-BLK | X21-335-BLK | X20-327-BLK SunPower® Residential AC Module AC Electrical Data Inverter Model: Enphase IQ 7XS (IQ7XS-96-ACM-US) @240 VAC @208 VAC Peak Output Power 320 VA 320 VA Max. Continuous Output Power 315 VA 315 VA Nom. (L–L) Voltage/Range2 (V) 240 / 211–264 208 / 183–229 Max. Continuous Output Current (A) 1.31 1.51 Max. Units per 20 A (LL) Branch Circuit3 12 (single phase) 10 (two pole) wye CEC Weighted Efficiency 97.5% 97.0% Nom. Frequency 60 Hz Extended Frequency Range 47–68 Hz AC Short Circuit Fault Current Over 3 Cycles 5.8 A rms Overvoltage Class AC Port III AC Port Backfeed Current 18 mA Power Factor Setting 1.0 Power Factor (adjustable) 0.7 lead. / 0.7 lag. No active phase balancing for three-phase installations 1 SunPower 360 W compared to a conventional module on same-sized arrays (260 W, 16% efficient, approx. 1.6 m2), 4% more energy per watt (based on third-party module characterization and PVSim), 0.75%/yr slower degradation (Campeau, Z. et al. “SunPower Module Degradation Rate,” SunPower white paper, 2013). 2 Based on search of datasheet values from websites of top 10 manufacturers per IHS, as of January 2017. 3 #1 rank in “Fraunhofer PV Durability Initiative for Solar Modules: Part 3.” PVTech Power Magazine, 2015. Campeau, Z. et al. “SunPower Module Degradation Rate,” SunPower white paper, 2013. 4 Factory set to 1547a-2014 default settings. CA Rule 21 default settings profile set during commissioning. See the Equinox Installation Guide #518101 for more information. 5 Standard Test Conditions (1000 W/m² irradiance, AM 1.5, 25°C). NREL calibration standard: SOMS current, LACCS FF and voltage. All DC voltage is fully contained within the module. 6 This product is UL Listed as PVRSE and conforms with NEC 2014 and NEC 2017 690.12; and C22.1-2015 Rule 64-218 Rapid Shutdown of PV Systems, for AC and DC conductors; when installed according to manufacturer’s instructions. See www.sunpower.com/facts for more reference information. For more details, see extended datasheet www.sunpower.com/datasheets Specifications included in this datasheet are subject to change without notice. ©2018 SunPower Corporation. All Rights Reserved. SUNPOWER, the SUNPOWER logo and MAXEON are registered trademarks of SunPower Corporation in the U.S. and other countries as well. 1-800-SUNPOWER. Please read the Safety and Installation Instructions for details. 531946 RevA DC Power Data X21-350-BLK-E-AC X21-335-BLK-E-AC X20-327-BLK-E-AC Nom. Power 5 (Pnom) 350 W 335 W 327 W Power Tol. +5/−0% +5/−0% +5/−0% Module Efficiency 21.5% 21.0% 20.4% Temp. Coef. (Power) −0.29%/°C −0.29%/°C −0.29%/°C Shade Tol. • Three bypass diodes • Integrated module-level maximum power point tracking Tested Operating Conditions Operating Temp. −40°F to +185°F (−40°C to +85°C) Max. Ambient Temp. 122°F (50°C) Max. Load Wind: 62 psf, 3000 Pa, 305 kg/m² front & back Snow: 125 psf, 6000 Pa, 611 kg/m² front Impact Resistance 1 inch (25 mm) diameter hail at 52 mph (23 m/s) Mechanical Data Solar Cells 96 Monocrystalline Maxeon Gen III Front Glass High-transmission tempered glass with anti-reflective coating Environmental Rating Outdoor rated Frame Class 1 black anodized (highest AAMA rating) Weight 42.9 lbs (18.5 kg) Recommended Max. Module Spacing 1.3 in. (33 mm) Warranties, Certifications, and Compliance Warranties • 25-year limited power warranty • 25-year limited product warranty Certifications and Compliance • UL 1703 • UL 1741 / IEEE-1547 • UL 1741 AC Module (Type 2 fire rated) • UL 62109-1 / IEC 62109-2 • FCC Part 15 Class B • ICES-0003 Class B • CAN/CSA-C22.2 NO. 107.1-01 • CA Rule 21 (UL 1741 SA)4 (includes Volt/Var and Reactive Power Priority) • UL Listed PV Rapid Shutdown Equipment6 Enables installation in accordance with: • NEC 690.6 (AC module) • NEC 690.12 Rapid Shutdown (inside and outside the array) • NEC 690.15 AC Connectors, 690.33(A)–(E)(1) When used with InvisiMount racking and InvisiMount accessories (UL 2703): • Module grounding and bonding through InvisiMount • Class A fire rated When used with AC module Q Cables and accessories (UL 6703 and UL 2238)6 : • Rated for load break disconnect PID Test Potential-induced degradation free Solar Agent: Michael Slater Client Name: Becker Residence August 18, 2020 - 3 - Power Trip Energy Corp 83 Denny Ave, Port Townsend, WA 98368 (360)643-3080 www.powertripenergy.com LIC: POWERTE964JN Project: 1010 E 4th St. - Becker Residence Client: William Becker Phone: (360) 437-8153 Address: 1010 E 4th St, Port Angeles, WA 98362 System Description: 4.2 Residential Grid-tied PV AC Circuit Combiner Panel: Exterior south wall of house Solar Modules: Branch Circuit A-12 SunPower 350W AC modules Model: SPR-X21-350-AC-BLK Micro inverter max power output 320 watts House roof Customer Owned Production Meter: Exterior south wall of house Net Meter: Exterior south wall of house Meter #: E14319 Utility Grid: City of PA AC System Disconnect: (For Rapid Shutdown of AC Modules) Exterior south wall of house Main Service Panel (LOAD): Interior north wall of laundry room Solar Agent: Michael Slater Client Name: Becker Residence August 18, 2020 - 4 - Power Trip Energy Corp 83 Denny Ave Port Townsend, WA 98368 (360)643-3080 www.powertripenergy.com LIC: POWERTE964JN Project: 1010 E 4th St. - Becker Residence, Client: William Becker Phone: (360) 437-8153, Address: 1010 E 4th St , Port Angeles, WA 98362 System Description: 4.2 Residential Grid-tied PV Project Photos and Notes: South facing roof line of house- Location of 12 SunPower 350W AC modules Solar Agent: Michael Slater Client Name: Becker Residence August 18, 2020 - 5 - Breaker panel for interconnection is located on the interior north wall of this laundry room Exterior south wall of house- Location of utility meter, combiner panel, AC disconnect, production meter and data monitoring. Solar Agent: Michael Slater Client Name: Becker Residence August 18, 2020 - 6 - PREPARED 9/09/22, 7:48:44 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001134 1010 E 4TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 120.00 TOTAL DUE 120.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: PV system NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 9/21/2022 22-1134 TAP OWNER CONTRACTOR Power Trip PROJECT ADDRESS 1010 E 4th ST Application Number . . . . . 22-00001208 Date 9/27/22 Application pin number . . . 160064 Property Address . . . . . . 1010 E 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7740-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Addition ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HEIDI A AND WILLIAM E BECKER UPPER LEFT ELECTRIC LLC 621 MONTGOMERY LN 1306 ROOK DR PORT LUDLOW WA 98365 PORT ANGELES WA 98362 (360) 461-7720 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 80.00 Plan Check Fee . . .00 Issue Date . . . . 9/27/22 Valuation . . . . 0 Expiration Date . . 3/26/23 Qty Unit Charge Per Extension BASE FEE 75.00 1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 80.00 80.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 80.00 80.00 .00 .00 Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us EL1-2 SF 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Project Address: Project Description: □ Single-Family Residential □ Duplex / ARU Building Square footage: OWNER INFORMATION Name: Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Name: License: Mailing Address: Expiration Date: Email: Phone: PROJECT DETAILS Item Unit Charge Quantity Total (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 Circuit/Limited Energy - 1&2 DU.$64.00 $ Manufactured Home Connection $120.00 $ Renewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional)$56.00 $ First 1300 Square 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- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (□ Owner □ Electrical Contractor / Administrator)Permit #: New Construction Only [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] PREPARED 9/23/22, 8:01:51 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001208 1010 E 4TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 80.00 TOTAL DUE 80.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Addition NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 9/27/2022 22-1208 TAP OWNER CONTRACTOR Upper Left Electric PROJECT ADDRESS 1010 E 4th St ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Addition NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 10/26/2022 22-1208 TAP OWNER CONTRACTOR Upper Left Electric PROJECT ADDRESS 1010 E 4th St