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HomeMy WebLinkAbout2506 S Laurel St - Building 'J CITY OF PORT ANGELES d DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000486 Date 5/18/11 Application pin number 576576 Property Address 2506 S LAUREL ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-09-5-2- 3500 -0000- Tenant nbr, name BETTY JANE NICHOLSON on your state excise tax form Application type description RE -ROOF Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 9094 Application desc TEAR OFF RE -ROOF THE HOUSE GARAGE Owner Contractor BETTY JANE NICHOLSON EMERALD ROOFING INC 2506 S LAUREL ST P. O. BOX 879 PORT ANGELES WA 983622532 PORT ANGELES WA 98362 (360) 452 -4681 Structure Information 000 000 RE -ROOF THE HOUSE GARAGE Permit BUILDING PERMIT NO PR FEE Additional desc RE -ROOF THE HOUSE GARAGE Permit pin number 185967 Permit Fee 207.75 Plan Check Fee .00 Issue Date 5/18/11 Valuation 9094 Expiration Date 11/14/11 Qty Unit Charge Per Extension BASE FEE 95.75 8.00 14.0000 THOU BL- 2001 -25K (14 PER K) 112.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 207.75 207.75 .00 .00 Plan Check Total .00 .00 .00 .00 0/\\ Other Fee Total 4.50 4.50 .00 .00 Grand Total 212.25 212.25 .00 .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 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 provision of any state or local law regulating construction or the performance of construction. 5-(g -1( 4r4-vi cagier- 6;Z::'") Date Print Name Si. ature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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. 0.0 POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. C Inspection Type Date Accepted By Comments 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 FINAL Date Accepted by AIR SEAL: Walls Q Ceiling J FRAMING: Ca Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T Bar V1 INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: J Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 5 "SUL I i_— T:Forms /Buildin Division /Building Permit l(1 H H 1 01 H 1 I N I W w c7 F W q 1 1 C7 H Q CO 1 a 1 N N 0 0 o U1 0 p H x N M f 0 o w a 1 x H f6 F H H 1 1 p a H W W 1 H 0 0 0 0 0 w 0 w o 0 0 w 0 w 0 x x 1 z 0 02 N 22 2 0 0 O H a Z F h oo o o W z a 2 ox m a H O 1 0, N H W u0 z 1 d Op F ww w1 I 1 z 00 ,-I C w V7 1 0. 0 0 0 1 H 1 H H 1 W 0 1 a ry Diil 0 0 F 1 z M O 0 0 I a0H 2co H 1 0 0 0 C H> Q o 1 z w w° m d 0 Z Zo 1 1 (Qa 1 GOZHC1 00002 I E, a H a o o I H 0 i F N aH HH r 1 a.1 00.0 1 Z N 1 Z.U] H ,0140[400 17, TI, 2 a 7 1 c 1 O co a 0 0 0 1 .7 m 41 0 7 .r1 o o 1 H W io mo 1 0. p 1 E, W H H 0 o f W F 1 1 1 If) W N W W S H I 0 w a c1 o rc4 N 0. 0. 0 0 0 1 0 ".J 0 H H,. 1 PI w o 0. 0 .02 W 1020 W 20 0. 1 0. O F W 0. 0 0 0 1 H w H 0 0 wF OZ d w m a R, U .F a i 0 F 4 1C]Nlq, BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES For City Use Only Attn: Building Permit Technician Date Received 5- ys 1 321 E. Fifth St., Port Angeles, WA 98362 Permit# t[— LISh (360) 417 -4815 fax (360) 417 -4711 Date Approved Applicant E/Ulem ecciub, \jQ Phone 452 Property Owner f' A) i c(t oC5aI) Phone 457- 46 S9 Property Owner's Address 26a, 1 (2,ED-/ LAO el Contractor Frt —u) ft t'6 1/tic Phone 14 5 2- L(6 Contractor's Address CS. ()U)( 1 n/k 2 t 5 License f -741. f Expires 11= 5 l E -mail PROJECT ADDRESS 6 Parcel Number Lot Zoning Project Type Brief Description: Residential Multi family Commercial o Industrial Check all that apply New Construction Addition Remodel Repair Demolition gRe -roof XHouse ,.garage other kAear off re -roof lay over one layer Heat System Heat pump wood burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION 7(97 Total footprint of structures sq. ft: Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type 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 r uired, and to obtain permits prior to working on .e .jests. Date 5 45 Print Name 112A l Signature T: Forms /Building Division /Building permit application Clallam County Assessor Treasurer Property Details 64600 BETTY JANE NICHO... Page 1 of 2 Clallam County Assessor Treasurer Property Search Results 64600 BETTY JANE NICHOLSON for Year 2011 2012 Property 3 Account Property ID: 64600 Legal Description: FOGARTY DOLAN'S ADDITION LOTS 1 -3 E 30' LT 4 BL 35 Geographic ID: 0630095235000000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: i Range: Location Address: 2506 S LAUREL ST Mapsco: c PORT ANGELES, WA 98362 Neighborhood: Cycle 5 Res Map ID: 3 Neighborhood CD: 10955130 Owner Name: BETTY JANE NICHOLSON Owner ID: 43230 Mailing Address: 2506 S LAUREL ST Ownership: 100.0000000000% PORT ANGELES, WA 98362 -2532 Exemptions: Taxes and Assessment Details Property Tax Information as of 05/18/2011 Amount Due if Paid on: M. NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. First Second i Half Half Base Base `Year Statement ID Taxing Jurisdiction =Amt. Amt. Penalty Interest Base Paid :Amount Due 2011 158608 ST SCH STATE SCHOOL $339.72 $339.71 $0.00 $0.00 $679.43 $0.00' 2011 158608 CC -GEN COUNTY CLALLAM $187.54 $187.53 $0.00 $0.00 $375.07 $0.00' 2011 158608 SD #121 SCHOOL DISTRICT #121 $444.07 $444.06 $0.00 $0.00 $888.13 $0.00 2011 158608 CITY PORT ANG CITY OF PORT ANGELES $432.94 $432.93 $0.00 $0.00 $865.87 $0.00 2011 158608 PORT PORT OF PORT ANGELES $26.40 $26.39 $0.00 $0.00 $52.79 $0.00 2011 158608 NTH OLY LIB NORTH OLYMPIC LIBRARY $78.65 $78.65 $0.00 $0.00 $157.30 $0.00 i 2011 158608 HOSP #2 HOSPITAL #2 $76.99 $76.98 $0.00 $0.00 $153.97 $0.00 !2011 158608 WSMET PK DIST WILLIAM SHORE MET PARK DIST $23.40 $23.40 $0.00 $0.00 $46.80 $0.00 I 2011 158608 CITY_STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $72.00 $0.00 2011 158608 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.00 2011 158608 TOTAL: $1646.53 $1646.46 $0.00 $0.00 $3292.99 $0.00': 2010 46905 ST SCH STATE 'SCHOOL $336.32 $336.31 $0.00 $0.00 $672.63 $0.001 :2010 46905 CC -GEN COUNTY CLALLAM $178.97 $178.98 $0.00 $0.00 $357.95 $0.001 2010 46905 SD #121 SCHOOL DISTRICT #121 $435.62 $435.61 $0.00 $0.00 $871.23 50.00 2010 46905 CITY PORT ANG CITY OF PORT ANGELES $414.39 $414.38 $0.00 $0.00 $828.77 $0.00 2010 46905 PORT PORT OF PORT ANGELES $25.16 $25.15 $0.00 $0.00 $50.31 $0.00 2010 46905 NTH OLY LIB NORTH OLYMPIC LIBRARY $52.00 $52.01 $0.00 $0.00 $104.01 $0.00 2010 46905 HOSP #2 HOSPITAL #2 $73.42 $73.42 $0.00 $0.00 $146.84 $0.00 2010 46905 WSMET PK DIST WILLIAM SHORE MET PARK DIST $23.36 $23.36 $0.00 $0.00 $46.72 $0.00 2010 46905 CITY_STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $72.00 $0.00 i 2010 46905 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.00 http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year 2011 &prop_id =64600 5/18/2011 l L2 2'_ l 10 ___________94,1P 51-6T-- '.________J Of, A Lit y v X 0► y ____if _._________.____t s e_______ _r,. ___O\ 411 -----'_:2) 3 t .f 1 I' is 3 /vl l a I. n r F v v l CO 5R595 e 17t i'' 4 e'it td 3 n .777-- k d i es' /)7 I a. e co us c yS v �:?t. +v 1 3.:,_ "'ad tr46 �s ,•;6 "a,: iNWPA FS c. k.,.$1Zr 2 'w 1 .,a x� k r.�.. t MY.. c S� T \PLANNING FORMS \1102.15 [11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 04 00000774 Date 9/02/04 Pin number 694272 Property Address 2506 S LAUREL ST ASSESSOR PARCEL NUMBER 06 30 09 5 2 3500 0000 Application description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 1500 Owner Contractor NICHOLSON BETTY JANE 2506 S LAUREL ST PORT ANGELES WA 983622532 Qty Unit Charge Per BASE FEE 1 00 10 6500 ECH ME -GAS PIPE 1 TO 5 Fee summary Charged Paid Credited PA SWIMMING HOLE FIREPLACE S 518 W 8TH ST PORT ANGELES WA 98362 (360) 565 1163 Permit MECHANICAL PERMIT Additional desc PROPANE FIREPLACE LOG SET Permit Fee 57 65 Plan Check Fee 00 Issue Date 9/01/04 Valuation 0 Expiration Date 3/01/05 Due Permit Fee Total 57 65 57 65 00 00 Plan Check Total 00 00 00 00 Grand Total 57 65 57 65 00 00 Extension 47 00 10 65 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 construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 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 WALLS FOUNDATION DRAINAGE /DOWN SPOUTS ELECTRICAL LIGHT DEPT FIRE PLANNING DEPT 417 -4807 417 -4653 417 -4750 BUILDING 417 -4815 T•\PLANNING\FORMS\ 1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT 4 ROUGH -IN PLUMBING UNDERFLOOR /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 I GAS LINE L/' -0o L WOOD STOVE PELLET CHIMNEY I HOOD DUCTS PW UTILITIES SITE WORK (Engineering 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 I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING PW ENGINEERING YES I NO I FIRE DEPT DJ DEPT I BUILDING I I I I I I I I I PREPARED 10/20/04 13 21 49 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/20/04 ADDRESS 2506 S LAUREL ST SUBDIV CONTRACTOR PA SWIMMING HOLE FIREPLACE S PHONE (360) 565 1163 OWNER NICHOLSON BETTY JANE PHONE PARCEL 06 30 09 5 2 3500 0000 APPL NUMBER 04 00000774 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED, RESULT RESULTS /COMMENTS ME6 01 10/20/14 JLL MECHANICAL GAS LINE Seth PA Swimming Hole COMMENTS AND NOTES Fill out C OMPLE PELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review II' you have any questions, call (360) 411-4815 Applicant or Agcnt4e& 110 16j Owner 1 �P P tc�cn,P� c r1 Address. 4 Ze- City -P�C Architect/Engineer Phone Contractor] i le Stan: License ft Address. S S5 U) City ?off Zip .,..743., L, PROJECT ADDRFSS oZg 6 S ZONING LEGAL DESCRIPTION Lot Block. Subdivision. CLALL AM COUN t'Y PARCH NUMBER. 0G,}OC'7)'1_5 Credit Card Holder Name: Billing Address. Credit CardType VISA MC tt TYPE OF WORK. J/ t] Residential New t"hn:cth U Rr. -runt 01 Stnvr. L7 Muth- family 0 Addition tJ Move Caragc O Commercial 0 Remodel U Demolition 0 Deck i Repair 0 Sinn n Other BRIEF DESCRIPTION OF THE PROJECT lat!" .9 tfC Cb COMMERCIAL /RFSIUII'.NTIM Occupancy Group No. of Stories. Lot We P.xisong Sq. Pl. Existing lot coverage 4.Q4 Proposed Int coverage PLANNING USE ONE V BUILDING PERMIT APPLICATION City. Occupant Load. a< Proposed Sq. Ft. 'f otal ot coverage L'SA/Wetland(s). Li Yes Li No SI:PA Checklist requited" Yes 0 No Other S Ir E/V AL(JA'I'ION ;1' cu/ SI Qi1 /SF SF /SI; roTAL VALUAT ON H Iill,IllNC' PFRI1/1 A i'P' aY•A•rrcb SWIMITT.At. [he Building DIV151Gn can provide you with information on the applicauon and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant, This Figure will be reviewed and ukaybc eevised Li the Buildi, Di vision to comply with current fee schedules. Lunt.act the f ei mit Coordinator at 417 4615 for assistance PLAN CHECK K E E If a plan check fee is due it must be submitted at the umne the building permit application and construction plans are. submitted. All other peruur lce. are due at the time of permit issuance. E XPIRATION OF PLAN REVIEW lino permit is issued within 180 days ot the date of application. the application will expire. The Building Official can extend the lime. for action by the applicant up to 180 days upon written request by the applicant (set. Section 107 4 of the Uniform building Code eun•enr edition) N) :application can be extended matt: than once. t hereby certify that I have read and examined this application and know the same 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 not the city's and that I must obtain such permits poor to work. I• 1:0104,51A l'I'S rn ii.xPJ ZO 39Vd Apphcanr• Date Exp. Date. Phone: ate Phone 3 fr— qS 4 /68 9' (e Zip ,?6 m 7 xPW rv/6/0. honc.S6�—I tic,. onstruclmii 'hype I OTAI q.I't I'I)It l i1+Ir'I.4 IISI UNLY I,:0 It -0 it 94 L. (LW AppruvcJ; t7utc Issued; APPROVALS. l'I,AN BLDG DPWU FIRE OTI 5313 d1WHS 689TZSbO9Et VS ET b00Z /lE /80 Application Number . . . . . 23-00000243 Date 3/15/23 Application pin number . . . 115650 Property Address . . . . . . 2506 S LAUREL ST ASSESSOR PARCEL NUMBER: 06-30-09-5-2-3500-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Garage feeder and circuits ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SARAH G PAINTER DISCOVERY BAY ELECTRIC, INC. 2506 S LAUREL ST PO BOX 3531 PORT ANGELES WA 983622532 SEQUIM WA 98382 (360) 460-4206 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 125.00 Plan Check Fee . . .00 Issue Date . . . . 3/15/23 Valuation . . . . 0 Expiration Date . . 9/11/23 Qty Unit Charge Per Extension 1.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 5.00 1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 125.00 125.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 125.00 125.00 .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 3/13/23, 7:48:12 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000243 2506 S LAUREL ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 125.00 TOTAL DUE 125.00 Please present reciept to the cashier with full payment 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 3/15/2023 23-243 TAP OWNER CONTRACTOR Discovery Bay Electric PROJECT ADDRESS 2506 S Laurel St 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 3/20/2023 23-243 TAP OWNER CONTRACTOR Discovery Bay Electric PROJECT ADDRESS 2506 S Laurel St