HomeMy WebLinkAbout904 F St - Building CITY OF PORT ANGELES PERMIT APPLICATION �'-
]Building Division/Electrical Inspections '���� is
IL-
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington, 98362 +�
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: _�~Z� "1 X_I &2 Single Family Dwelling
V1
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet 1
Job Address, s�• y�
Building Square Footage:
Description of above
Owner Informal ion �� Contractor Information
N l�
Name: OCA—<rtI 1 Name: Mc
Mailing Address: goy S. F—s -r- Mailing Address: SP .3�'4'r'r-
6�^
City, State; Zip: City: State: zip:
Phone, 06°781-3" Fax Phone: Fax:
License#I Exp. License#!Exp. C n VP%--
Item Unit Charge Qty, Total(Qty Multiplied by Unit Chargel
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 WI 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 $ �r
Temp.Service/Feeder 60 1-1000 Amp, $168.00 $
Portal to Portal Hourly $ 96.00 $
Signal Circuitl Limited Energy-1 &2 Family Dweliing $ 64.00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy-5KVA System or Less $102.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additionai T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft, $120.00 $
Each Additional 500 Square Ft or Portion of $ 40,00 $
Each Outbuiiding or Detached Garage $ 74,00 $
Each Swimming Pool or 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 296-4613,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications,
Signature o ner, ectri I contractor or electrical administrator: ❑ cash heck
❑ Credit Card#
X Dated: —C-23 — 1 0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES n i
360-417-4735
Application Number , , , , . 13-00000555 Date 5/23/13 L./l
Application pin number . . . 809690
Property Address 904 F REPORT SALES TAX
ASS --
ASSESSOR PARCEL NUMBER; 0630-0000-0-3-0404-0000-
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
Owner Contractor
,9ERGIO AND LEIANN NICCOLI BLACK DIAMOND ELECTRICAL CONTR
517 SW 1207H ST 5.02 SLACK DIAMOND RD
SEATTLE- WA 98146 PORT ANGELES WA 98.363
(206) 369-6411 (360) 565-1035
Perron . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc , , DDE DUCTLESS
Permit Pee . , , , 63.00 Plan Check Fee .00
Issue Date 5/23/13 'Valuation , , , . 0
Expiration bate 11/19/13
Qty Unit Charge Per Exten9ion
1.00 63,0000 ECH EL-R- BRANCH C7TR WO/ SER FEED 63.00
Fee summary Charged Paid Credited- Due
Permit Fee Total 63,00 63,00 .00 .00
Plan Check Total ,00 ,00 .00 .'00
Grand Total 63.00 63,00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
,DITCH
SERVICE
ROUGH-IN 0
FINAL i Lj
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature-of owner or Electrical Contractor X Date:
G:IEXCHANGRIBLIILDING
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDI2qG DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 1/16/2002 PERMIT NO: 13128
OWNER/APPLICANT PROPERTY LOCATION
FRANK FRITZER 904 F ST S
904 S. "F" STREET Lot: 1 & E.40'OF LOT 2
Port Angeles, WA 98363 Block: 304 [] Long Legal
360/457-7494 Subdivision: TPA
T: S: Parcel No: 063000030400000
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $1,500.00 SFD Units: 0 Commercial: 0
Project Type: PATIO COVER SFD SQ FT: 0 Industrial: 0
Occupancy Type: Garage: 0 ~
Occupancy Group: MFD Units: 0 (~
Construction Type: MFD SQ FT: 0 ,_~
Zoning Use: RS7
PROJECT NOTES
INSTALL 16' X 24' GLASS PATIO COVER \~
RECEIPT~8714 T(
FEES ASSESSMENT ~j~
Building Permit: $54.00 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: $58.50
Plumbing: $0.00 AMOUNT PAID: $58.50
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate 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 pedod 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
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (i~0~wner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNL~4 It/FUL TO COVER,
INSULATE OR CONCE~4L .4NY t4/ORK BEFORE INSPECTED AND .ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE I YEsACCEPTEDI NO COMMENTS
FOUNDATION:
BUILDING 417'4815 ¢ '~'~6' {~'~a~' ~'n~¢ BUILDING
o~ FOR OFFICIAL USE ONLY:
BUILDING PERMIT- APPLICATION
~ The Building Permit - Pre-application must be fdled oat completely, rna
Please type or print in ink. Ifyan have any questions, please call 417-4815
Applicant and/or Agent:. Phone:
Architect/F~ineer: Phone:
Coniractor. License #:, Exp: Phone:
Address: City:. Zip:
LEGAL DESCRIPTION: Lot: z~ ~/o~/? ~x~° Block: .~3/// Subdivision: 7'/-~ ZONING:
CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name:
Credit Card #: Exp. Date: VISA MC
TYPE OF WORK: SlZI~VALUATION:
~sidential o New Constr. [] R~-reof [] Woodatov~ SF. ~ $ /SF. -- $.
[] Multi-family t2 Addition [] Movo [] Garage SF. ~ $ /SF.--$.
o Commereial [] Remodel t2 Demolition ~ Deck Qooo_~ SF. ~ $ /SF.
[] Repair [] Sign ~ TOT•Al/ VALUATION $ / ~'-~>O~-~--
COlVlM~RCIAL/RF, SIDKNTIAL: .Occupancy Or•up: . Occupan~ L6iid: Construction Type:
No. of Stories: Lot size: % Lot Coverage: . %
Existing Lot Coverage: /sq; i~. + Proposed Lot Coverage:~ ;~ /sq. ft;: ~ TOTAL LOT COVE~AOE: ': /sq.ft
PLANNING USg ONLY: APPROVALS: PLAN_
Notes: BLDG.
ESA/Wetland(s):OYesnNo SEPAChecklistrequlred?• Yesn No Other:. OTiIF_,R.
BUILDING APPLICATION SUB1VIITI'AL: Yottr ~l~/~et{~qott ~I$/fepk nt~t k~ oat eot~lt~ to k aecel~tod[or tevIew. The
Building Division c, au provide you with more detailed information on the application and plan submittal requlremeats.
BUILDING lmgRMrr APPLICATION SUB]~Ii-I-I'AL: Your anmpleted application, site plan (for additions) and building consiructlon
plans are to be submitted to tho Building Division.
VALUATION OF CONSTRUCTION: lu all cases, a valuation amount must be catered by the applic~at. This figure will be reviewed and
may be revised by the Building Div. to comply with current fee schedules. Contact the Permit Coordinator at 417-481 $ for assistance.
PLAN CI~CK l~g: Your plun check fee is due at the time the building permit application and cousm~don plans are submitted. All other
permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of apptication, this applientinn will expire by
limitations. The Building Officiul can extend the time for action by the applicant up to 180 days, on written request by the applicant (see
Section 107.4 0fth¢ Uuiform Building Code, current edition). No application cau be extended more than once.
1 tume&y cerafy that I have read and examined this application and/enow the same to be true and correct, and I am authorized to app(vfor
this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
REQUJ~ST: ' ~ ......... INSPECTION REPORTi ' ' '~'I
Date ~ '-~'-c~7'- Time Received b phone, person)
Location of Work to be inspected ~'t~~-~ '' -~--~'-'--'
Name of person requesting inspection
Address of person requesting inspection ~ Phone No.
Type of Inspection (circle appropriate one): ~ ~ Permit No. ?
Sewer Foundation Framing Chimney Plumbing,Sewer Excav. Other
INSPECTION NOTES: ~-~D
Inspected: Date (/~ - '~ -~)~'~- Time By
Remarks:
RESTORATION REQUIRED ...... YES. NQ
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
I--I Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
(I
d'~':>'
J~
\i1
CITY OF PORT ANGELES
PUBLIC WORKS . ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 9R~62
ELECTRICAL PERMIT
Issued: 6/19/98
Permit No:
6348
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
FRANK FRITZER 904 F ST S
904 S. "F" STREET Lot: 1 & E.40'OF LOT 2
Port Angeles, WA 98363 Block: 304 Long Legal: .
360/457-7494 Sub: TPA
T: S: Parc No: 063000030400000
CONTRACTOR-----------------------------DESIGNER-------------------~-------------
OWNER
VARIOUS
Port Angeles, WA 99360
206/000-0000
,
000/000-0000
PROJECT INFO---~----------------------------------------------------------------
prj Type: RES.GARAGE prj Value: $500.00
Occ Type: cnstr Type:
Occ Grp: Occ Load: Land Use: RS7
Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
o
o
o
o
Service Type
Riser
Overhead Service
Underground Service
Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
-1
o
-3
o AMPS
o AMPS
PROJECT NOTES-------------------------------------------------------------------
add circuits to existing garage
PROJECT FEES. ASSESSMENT---------~---------------------------------~-------------
Service: $0.00
Additiona~ Feeders: $0.00
Circuit Wiring: $41.00
Temp Service: $0.00
$0.00
Misc '
TOTAL FEE:
Amount Paid:
$41. 00
$41. 00
---------------------------------
---------------------------------
TOTAL FEE:
$41. 00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CAll 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DAn: I ACCEPTED COMMENTS
r YES NO
UnU1 F .
-IN I CUVER (, f7j../?,Jl
SERVICE ,
, I
l"(hL/VA'T I
Ul ,
GENERAL COMMENTS:
PW-I101.1S14'961
_._-~~-~. - -
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
'/(5-/ '7
::}-~;:).-9<f
DATE
ELECTRICAL PERMIT
Installed By:
o READY FOR
INSPECTION
license Number:
WILL CALL FOR
INSPECTION
Phone:
Site:Address:
Owner/Business:
Phone:
r-
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW
o HEAT PUMP KW
o FAN/WALL KW _
~ RESIDENTIAL
rf:j COMMERCIAL
l5t NEW CONSTRUCTION
rD'REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
g OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
D1r/1 D3r/1
SERVICE SIZE
FEEDER SIZE -:;leo
~~--'
AMPS
AMPS
,
De,ailslDescription:
'-;IIp/v.4.Pk../1./A' tJ J
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
Q Ditch Inspection O.K.
1pVIftJ Rough-in/cover O.K.
1f^'f$. O.K. to connect service
~ "p Final O.K.
Installer:
~F/(
New Meters
Site Address:
.
Notify Port Angeles City Light by Street Address an Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. HONE 457-0411, EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 5 D ' LJ 0
Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meier Dept., Bottom: City Halt
OlYMPIC PRINTERS INC
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 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
07-00001520 Date 12/24/07
223600
904 F ST
06-30-00-0-3-0400-0000-
SERGIO & LEIANN NICCOLI
RES FOUNDATION REPAIR
RS7 RESDNTL SINGLE FAMILY
10000
Owner
Contractor
SERGIO & LEIANN NICCOLI
904 S F ST
PORT ANGELES WA 98363
J GRICE CONSTRUCTION LLC
223 MARSDEN RD
PORT ANGELES WA 98362
(360) 457-1708
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
FOUNDATION REPAIR
118059
207.75 Plan Check Fee
12/24/07 Valuation
6/21/08
83.10
10000
Qty Unit Charge Per
Extension
95.75
112.00
BASE FEE
8.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 207.75 207.75 .00 .00
Plan Check Total 83.10 83.10 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 295.35 295.35 .00 .00
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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 presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
ec J,'-{-(J7
Date
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T.FormsfBuilding DivisionlBuilding Permit (IOfO I(07).wpd
BUILDING PERMIT INSPECTION RECORD
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 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.
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INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS ~o..;r\ " ,~O 3 -0 8- JLL
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 FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULA TION
SLAB
W ALL I FLOOR / CEILING
MECHANICAL
HEATPUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE I PELLET I CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD I DUCTS
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT !I's SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
,.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 LJ ~?'D -() g ~LL- BUILDING
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T forms/Building Division/Building Permit (1010 1/07).wpd
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CITY OF PORT ANGELES For City Use Only:
Attn: Building Permit Technician Date Received \L.-ll-ol
321 E. Fifth St., Port Angeles, WA 98362 Permit # 0,_ ~ .
(360) 417-4815 fax (360) 417-4711 ate Approved f'1''i).I! or')
Applicant or Agent ~-ev\.c"-tl.C__ t .Aw.c;te.1 q,\..e\ \w... (b~ ~V~) Pho e 4t t -oml
Owner ~y.~o ~ L....I>>.l.Y\V\ ~\ lLo\ 'I' Phone . \ COY'~I
Owner's Address a;;,""btA:J n~Jb.. ~. s..,,,:\+\..,. \.uA- 9..5 \w Col\:orP'CKv
ContractorfEngincGf. J c. e::r-~ ~~ +V""~t.OI\ L.L.L Phone 4S1-noo', ~<z..(.. "13. '* 'fJ
Contractor/Engineer's Address 2.2...1. LMA--~ tz.d ~ ~ A.-..~....k. wA qe~fJI'2..
License # ..\~l1-\~LC1.~A-~ ) · Expires ~5
BUILDING PERMIT APPLICA TION Print in ink
PROJECT ADDRESS
~o
~
""M'
Lot t 1.1. ~.&LZoning tt..S-
Parcel Number fl) t., -2>0 -tbO - 6 0 ~
Proiect Tvpe & Brief Description:
Check all that apply
o New Construction
o Addition
o Remodel
~epair
oRe-roof
o Demolition
o Sign
o Heat System
.D Other
:X::esidential
o Multi-family
o Industrial
o Commercial
o wall-mounted 0 projecting 0 freestanding 0 awning
Total si n area s . ft. Maximum allowed si n area s . ft.
o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other
o other
Floor Areas Existinq (sq. ft.) Proposed (sq. ft.)
Basement @$ per sq. ft. = $
151 Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALVA nON $ l Dlcco
sq. ft.
Lot size
sq. ft. = Lot coverage
# of bedrooms
# of full baths
# of half baths
%
Total footprint of structures
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
Occupancy group
Occupant load
Construction type
ft.
I have read and completed this application and know it to be true and correct. I am authorized to appl for t
understand that it is my responsibility to determine what permits are required, and to
projects. I f --z' /'
Date I ~{ 2/ U 7 Print ~~W' ,At.act (J ~t~ Signature
T:Forms/Building Division/Bldg Permit Appl.-2006 Code.doc
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Application Number . . . . . 22-00001465 Date 11/22/22
Application pin number . . . 834255
Property Address . . . . . . 904 F ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-0400-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
DHP
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Owner Contractor
------------------------ ------------------------
SERGIO AND LEIANN NICCOLI EXTRA MILE TECH & ELECT., LLC
517 SW 120TH ST 418 N. RACE ST.
SEATTLE WA 98146 PORT ANGELES WA 98362
(206) 369-6411 (360) 457-5222
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 11/22/22 Valuation . . . . 0
Expiration Date . . 5/21/23
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
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 11/21/22, 7:37:02 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
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APPLICATION NUMBER:22-00001465 904 F ST
FEE DESCRIPTION AMOUNT DUE
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ELECTRICAL ALTER RESIDENTIAL 63.00
TOTAL DUE 63.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
DHP
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
11/22/2022 22-1465
TAP
OWNER
CONTRACTOR
Extra Mile Electric
PROJECT ADDRESS
904 F St