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HomeMy WebLinkAbout724 E 4th St - BuildingElectical Permit 724E 4t" St 13 -337 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . . . 13- 00000337 Date 4/04/13 Application pin number . . . 182696 Property Address . . . . . . 724 E 4TH ST ASSESSOR PARCEL NUMBER: 06- 30- 00- 0- 1- 7415 -0000- . Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Application desc Kitchen remodel 1 -4 circuits ---------------------------------------------------------------------------- Owner Contractor ------------ -- ---- - - -- -- ------------------------ CORMAC J AND COLLEEN R MCGAUGH EXTRA MILE TECH & ELECT., LLC 9015 EAST D ST 418 N. RACE ST. TACOMA WA 98445 PORT ANGELES WA 98362 (360) 457 -0198 ------------------------------------- ---------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1 -4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date . . . . 4/04/13 Valuation . . . . 0 Expiration Date . . 10/01/13 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 1 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X GAEXCHANGEBUILDING W 1 W .J 1 -r--r i I CITY OF PORT ANGELES PERMIT APPLICATION RECEIV- Building Division/Electrical Inspections w "} 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 APR 3 201 " Ph: (360) 4174735 Fax: (360) 4174711 Date:' ELECTRICAL `a� ° % ✓1 & 2 Single Family Dwelling INSPECTIONS * Plan Review May Be Required, Please Complete EI ctrical Plan Review Information Sheet Job Address: '7 �2 � Ei" S T Building Square Footage: Description of above G- C or2c J i)I) i5u• _i ,i i, Owner Information Name. 0 .- IA z �_,� iV\ t.A a 3, e; Mailing Add �� �J 1' J City State • zip: Phone:azS i —E /(c S'- ^�%rlC�Fax: License # / Exp. Item 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 W1 Service Feeder $ 5.00 Branch Circuit W/O Service Feeder $ 63.00 Each Additional Branch Circuit $ 5.00 Branch Circuits 14 $ 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 Family Dwelling $ 64.00 Manufactured Home Connection $120.00 Renewable Electrical Energy - 5KVA System or Less $102.00 Thermostat $ 56.00 Note: $5.00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 Each Additional 500 Square Ft. or Portion of $ 40.00 Each Outbuilding or Detached Garage $ 74.00 Each Swimming Pool or Hot Tub $110.00 Contract r igformation . _ Name: NA L24 Otte I E� 4, ELe—C *(C& Mailing Address: !W9 �.4CF SYXFLT city: 4 State: g[.4 zip: 41 8 3& L Phone _frr7 --SA22 Fax: s.1/A License # /Exp._EXT/2AM 0Z to 9!Y Total (Qtv Multiplied by Unit Charge) $ $ $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 sate, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that 1 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 296466, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ cash ❑ check � ❑ CredkTCard D _ x [(•— Dated: 3 —13 011101012 V W `W( V ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number 11 00000684 Date 7/06/11 Application pin number 571588 Property Address 724 E 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 7415 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 200 amp service and 10 circuit remodel Owner Contractor DENNIS AND JEANINE HOCHHALTER ALASKAN ELECTRIC DATE 1628 W 6TH ST 237 ROBER30N RD DITCH PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 417 1,277 ( 61) 58 874 452_ Permit ELECTRICAL ALTER RESIDENTIAL Additional desc ROUGH IN Permit pin number 188649 Permit Fee 145 90 Plan Check Fec: 00 Issue Date 7/06/11 Valuation 0 Expiration Date 1/02/1 Qty Unit Charge Per Extension 10 00 2 6000 ECH EL BRANCH CIRCUIT W /FEEDER 26 00 1 00 119 9000 ECH EL 0 200 SRV FEEDEP 119 90 Special Notes and Comments July 6 2011 1 05 20 PM Brian 417 4708 12 Loot minimum clearance must be obtained ov -r back porch /dec Extend mast through roof to achieve clearance and install guy supports Fee summar; Charged Paid Credited Due Permit Fee Total 145 90 145 90 00 00 Plan Checl, Total 00 00 00 00 Grand Total 145 90 145 90 00 00 INSPECTION TYPE s DATE RESULTS INSPECTOR. DITCH REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) AF INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE G) AF ROUGH IN FINAL 2 C C COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date - G \EXCI- IANGE',BUILDING N ORT ELECTRICAL INSPECTION 4 N �m y WIRING REPORT �sc�F RKS 417 -4735 � b DATE. PERMIT # INSPECTOR -z s c I �i -O4SL( OWNER H.acHN AL- �. CONTRACTOR 4L- 1121 ADDRESS 72 APPROVED NOT APPROVED ❑ DITCH ❑ ❑ ROUGH IN /COVER ❑ ❑ SERVICE !PPV,T kh (— ❑ ❑ FINAL ❑ CORRECTIONS NEEDED: `rz-4v L D 1f-- )Relp%,UZ I.a)OlZl<1N C= r. o J10 6 ZL NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — CI,fy of powr ANGELES PE1tMIT APPLICATION RECEIV Building Divisjor► /Electrical Inspections JUL � 6 321 East Fiftl► Street - P O. Box I ISO / Port Angeles W ast►►tu�tol ►� 9H362 Ph (360) 417 -4735 Fax. (360) ail -4711 ELECTRICAL Date. 1— — Commercial Addi� OWNT�� ion / Remodel / Repair` �,1 & 2 Single Family Dwelling __ Multi- Family or Commercial* * d, PleaseeteElectrical Plan Review Information Sheet Plan Review May Be Require COM Job Address: —• _ Building Square Footage: i Zsa�2— Description of above Owner Information ant, ALT Name: _ Malling Address: ,�� City: State: it: 4 zip: - �(a —�✓- Phone: y6i ,c=_L—Fax: _ License 91 Exp.._. — item Service/Feeder 200 Amp. Service/Feeder 201.400 Amp. ServicelFeeder 401.600 Amp ServicelFeeder 601 1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit WI Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit 'romp Service/ Feeder 200 Amp, Temp, Service/Feeder 201 -400 Amp. Temp. ServicelFeeder 401 -600 Amp, Temp, Service /Feeder 601 1000 Amp Portal to Portal Hourly Sign /Outline Lighting Signal Circuill Limited Energy / First 1500 sf - Commercia Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 & 2 Family Dwelling Signal Clrcultl Limited Energy Multi - Family Dwelling Manufactured Home Connection Renewable Electrical Energy SKVA System or Less Thermostat EW CO SIRUCTION ONLY. First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming pool or Not Tub Unit Char $119.90 $ 145.50 $204.60 $ 262.20 $ 372.60 $ 2.60 $ 73.50 $ 2.60 $ 92.70 $110.30 $148.70 $16790 $ 95.90 $ 88.20 1 $ 95.90 $ 63.90 $ 63.90 $102:30 $ 56.00 $110.30 $ 35.20 $ 73.50 $110.30 Contractor Information _ Name; ALg4KIY � .���GT�t�c.a� rS�eS�kV�ed'S. 2oSiPVSoN i�0 Meiling Address: _� —' city. _� - - -- State: w l�- Zip: _181:L . Phone: 587.-1 --Fax: —` /�� License # 1 Exp..��C�+�—= �-2"�. y "- /6iar2 � Total (Q fJlultlplied by Unit Charnel $ cti0 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 )s 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 296466, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05:050 regarding Electrical Permit Applications. Signature of owner electrical contractor or electrical administrator' ❑ Cash - 0 check 17 C rodit Card tI X 0110112010 ZO /Z0 39Vd SAS 10373 NV>iSV-IV EEESZSV096 ZV 60 ZZOZ /90 /L0 l O WASHINGTON, U S A, FAX TRANSMITTAL Department of Public Works/Utilities 321 East Fifth Street, Port Angeles Washington Phone .(360) 417-4735 -FAX (360) 417-4711 TO to 1—t (� 0 COMPANY FAX#' l�a 217j 2l NUMBER OF PAGES INCLUDING COVER. -') V-5 i c' " 15-c'x I ki (=. -rc, t'*Pff Vooz- TLAI'l I NO FROM P 'TA:' GELE' 1 1 AS H I . G T O N, U S.A. Trent Peppard Senjor.Electrical- Inspector / Traffic Signal Technician Phone: 360-417-4735 Email tpeppard@cityotpa.us Website: www.cityofpa.us Fax: 360-417-4711 321 East Fffth -Street P.C. Box 1150 Port Angeles, WA 98362-0217 PREPARED 7/22/10 S 04 13 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 724 E 4TH ST SUBDIV TENANT NBR DENNIS & J HOCHHALTER CONTRACTOR PHONE OWNER DENNIS AND JEANINE HOCHHALTER PHONE (360) 417 1277 PARCEL 06 30 00 0 1 7415 0000 APPL NUMBER 10 00000540 RE ROOF PERMIT BNOP 00 BUILDING PERMIT REQUESTED INSP TYP /SQ COMPLETED RESULT BL99 01 7/22/10 L our NO PR FEE DESCRIPTION RESULTS /COMMENTS BLDG FINAL July 21 2010 4 15 23 PM 1pangrle DENNIS 461 4701 BUILDING FINAL RE ROOFED THE HOUSE THE PERMIT IS NEAR THE FRONT STEPS COMMENTS AND NOTES PAGE 5 DATE 7/22/10 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 95362 Application Number 10 00000540 Date 5/28/10 Application pin number 116320 Property Address 724 E 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 7415 0000 Tenant nbr name DENNIS & J HOCHHALTER Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 2686 Application desc RE ROOF THE HOUSE LAY OVER ONE LAYER Owner Contractor DENNIS AND JEANINE HOCHHALTER OWNER 1628 W 6TH ST PORT ANGELES WA 98363 (360) 417 1277 Structure Information 000 000 RE ROOF THE HOUSE Permit BUILDING PERMIT NO PR FEE Additional desc RE ROOF THE HOUSE Permit pin number 166694 Permit Fee 109 75 Plan Check Fee 00 Issue Date 5/28/10 Valuation 2686 Expiration Date 11/24/10 Qty Unit Charge Per Extension BASE FEE 95 75 1 00 14 0000 THOU BL -2001 25K (14 PER K) 14 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 109 75 109 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 114 25 114 25 00 00 �NLjq "-7-2,2 - 10 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. Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FormsBuilding 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Landscaping Footings Construction R.W PW I Engineering 417 -4831 Stemwall Fire 417 -4653 Foundation Drainage / Downspouts Planning_ 417 -4750 Piers Building 417 -4815 Post Holes (Pole Bldgs ) PLUMBING FINAL Date Accepted by 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. FINAL Date Accepted by Heat Pump / Furnace / FAU / Ducts Rough-In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts MANUFACTURED HOMES Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. ESA. SHORELINE. Parkin / Li htin Date Accepted By Landscaping FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W PW I Engineering 417 -4831 Fire 417 -4653 Planning_ 417 -4750 Building 417 -4815 T Forms /Building Division /Building Permit A 0 d �N 1 M S 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 Applicant %%nni s �fa� Property Owner Property Owner's Address Contractor -i2e,a'41 g � Contractor's Address License # Expires E -mail For City Use Only - Date Received 5 -Z$- 10 Permit # 10 -540 Date Approved Phone /17- /2 -,r -7 Phone Phone PROJECT ADDRESS 72 y c", /-/Y4 Parcel Number Lot Zoning Project Type & Brief Description. Residential ❑ Multi - family ❑ Commercial ❑ Industrial Check all that apply ❑ New Construction ❑ Addition ❑ Remodel ❑ Repair ❑ Demolition XRe -roof AHouse ❑ garage ❑ other ❑ tear off & re -roof ,V lay over one layer ❑ Heat System ❑ Heat pump ❑ wood- burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existin_q (sq. ft.) Proposed (sq. ft.) Basement $ per sq ft. = $ 151 Floor 2nd Floor 3`d Floor Garage Carport Covered Porch Deck 4 ,�` S m-�� i� 7 V Shed 3 v Otherb TOTAL VALUATION $ Z 6 p Total footprint of structures gq ft. T Lot size s ft. coverage % Site Coverage = the amount of impervio s ace on a parcel including structures pav = eways sidewalks patios and other impervious surfaces (see PAW 17 94 135 for exemptions) Site coverage % Max. height of proposed structures ft. Occupancy group \of edrooms Will a lawn sprinkler system be insta d? Occupant load ull baths Will a fire sprinkler system be inst ed? Construction typ alf baths /have read and completed this application and know it to be true and correct. /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 Dat k /D Print Name Oen *ls �5'ari�lh� � ems— Signatur T Forms /Building Division /Building permit application Clallarn County Assessor & Treasurer - Property Details - 57352 DENNIS AND JEANIN Page I of 5 Clallarn County Assessor & Treasurer Property Search Results > 57352 DENNIS AND JEANINE HOCHHALTER TTES for Year 2010 2011 j Property Account Property ID- 57352 Geographic ID- 0630000174150000 Type Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Open Space. N Historic Property- N Multi-Family Redevelopment: N Township $000 Range: $5 Location Address: Neighborhood. Neighborhood CD- 724 E FOURTH ST PORT ANGELES WA Cycle 5 Res 10955130 Legal Description: LOT 4 BL 174 TPA Agent Code. Land Use Code DFL Remodel Property 30751 100 0000000000% Section. Mapsco Map ID- Owner Name DENNIS AND JEANINE HOCHHALTER TTES Owner ID- Mailing Address: 1628 W 6TH ST % Ownership PORT ANGELES WA 98363 Exemptions. Taxes and Assessment Due Property Tax Information as of 05/28/2010 Amount Due if Paid on. M 11 N N http://vpn.clallam.net:80841propertyaccessIProperty.aspx?cld=O&year=2010&prop_id=57 5/28/2010 First Half ;Second Half 'Base Year, Statement ID! Taxing Jurisdiction Due Base Due Penalty Interest lBase 2010 40352 ST SCH STATE SCHOOL $97.29 $97.29 $000 $000 $5 2010 40352 03 2 CC-GEN COUNTY $51 78 $51 77 $000 $000 $Ir 12010 40352 PORT PORT $7.28 $7.27 $000 $000 1 2010 40352 PORT ANG PORTANGELES $119 8 7 $11988 $000 $0 00 $11 201040352 SD #121 SCHOOL DISTRICT #121 $12601 $12602 $000 $000 $12 12010 40352 NTH OLY LIB NORTH OLYMPIC LIBRARY $1504 $1505 $000 $000 $1 2010 40352 HOSP #2 HOSPITAL #2 $21.24 Y $21.24 $000 $000 $2 12010 40352 WSMET PK DIST WILLIAM SHORE MET PARK DIST $6.76 $676 $000 $000 1 2010 40352 CITY STORMWATER CITY STORMWATER $3600 $3600 $000 $000 $1, 12010 40352 WEED CONTROL WEED CONTROL $082 $081 $000 $000 1 2010 40352 TOTAL. $482.09 $482.09 $0.00 $0.00 $41! 2009 573522008 ST SCH STATE SCHOOL $10964 $10964 $000 $000 $21 12009 573522008 CC-GEN COUNTY $5548 $5548 $000 $000 $11 2009 573522008 PORT PORT $7 86 $786 $000 $000 $1 2009 573522008 PORT ANG PORT ANGELES $121 71 $121 72 $000 $000 $24 2009 573522008 SD #121 SCHOOL DISTRICT #121 $135.59 $13559 $000 $000 $27 1 206-9-5-7-3-52-2008 N_TH_OLY -LIB ---NORTH --OLYMPIC --LIBRARY $16- 12 13$0 00 __$_0__0_0__ - _$11 12009 573522008 HOSP #2 HOSPITAL #2 $22.76 $2275 $000 $000 $4 http://vpn.clallam.net:80841propertyaccessIProperty.aspx?cld=O&year=2010&prop_id=57 5/28/2010 INSPECTIONTYPE 7 DATE: RESUL'T'S: INSPECTOR: ELECTRICAL PERMIT CITY OF PORT ANGELES SERVICE 360 -'417 -4735 ROUGH -IN Application Number . . . 15- 00000653 Date 6/09/15 Application pin number . , , 22250B ° Property Address 724 E 4TH ST T REPORT SALES TAX ASSESSOR SSOR PARCEL NUMBER: 06- 30- 0'0 -p -1 -7415- 0000 - 1 Application type description ELECTRICAL ONLY on your excise fax form Property Name r Pro ert Use to the City of Port Angeles Property Zoning . . , . , , , RS7 RESDNTL SINGLE FAMILY (Location code 0502) Application valuation . , . , 0 Application desc Dryer and laundry lighting Owner Contractor -- ----- ------ ------ - - ---- CORMAC L7 AND COLLEEN R MCGAUGH ------------------------ EXTRA MILE TECH & ELECT., LLC 9015 EAST D ST 416 N. RACE ST. TACOMA WA 98445 PORT ANGELES WA 98362 (360) 457 -5222 Permit . . . , , , ELECTRICAL ALTER RESIDENTIAL Additional deac . . Permit Fee 66.00 Plan Check Fee .00 Issue Date . . , 6/09/15 Valuation . . . . 0 Expiration Date 12/D5/15 Qty Unit Charge Per Extension 1.00 5.0000 ECH 'EL -ECH ADDNT BRANCH CIRCUIT 5.00 1100 53.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00 Fee summary Charged ---- ------ - - -- -- Paid Credited Due ---- - - - - -- Permit Fee Total 68;00 --- - - - - - -- ---- - - -- -- ---- - - ---- 68.00 ,00 .00 Plan Check Total .00 .00 00 1 00 Grand Total 68.00 68,00 .00 .00 INSPECTIONTYPE 7 DATE: RESUL'T'S: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: ° PERMIT WILL EXPIRE S IX (6) MONTHS FROM LAST INSPECTION Signature of owner or EIectrical Contractor X G:T_XCHANGEIBUILDING RECEIVEJ Ij Ow of P'®R.T AYGFLEs PFRIVTrT APPLYcA.'i m Building DivisionfEiectricai I pections IAJN� 9 206 321 East Fifth Street —P.O. Box 1 50 /Port Angeles Washington, 98362 ELECTRICAL Ph: (360) 417.4735 Fax: (360) 417 -4711 INSPECTIONS Bate:! S� 1 & 2 Single Family Dwelling Pian Review May Be Required Please Cpmple a Slical Plan Review Information Sheet Job Address; 7 '4 Building Square Footage: w Deacriptiraa of above �z t L c (or- cD 'e v\ msµ. A•'{'4•- r.�V'{•:`y�,�eT � V Owner In�frormation Contractor fnfonn�nation . Name ` cr'Jp bvl c[C 1.�yy^ ('Milne: okh&R hy?"f e �Y � Mailing Address: S . Maifln Addre • ,�►- KA Of, 5' City _._L���i State i= iP' C 7 C' ?f i is zp: I e Pfapia9: F2tc:_ -- _ phone: 4157- SXXZ_ Fax: 1,31A- iicsnse # /Exp. liserr5e #ftEarp. X-7 iel I 7 5 1;� & 0 Item UnaCJ�arrre C Iota Haiti tied Unit Char ServlcelFeeder 200 Amp. $12100 $- SeMcefFeeder201400 Amp_ $14 00 SaMcelFeeder401-800 Amp $ 205.00 $� ServicelFeeder 6014000 Amp. $ 262.00 ServicelFeeder over 1000 Amp. $ 373.00 g SetrW a Feeder $ Branch /C/�€Cart(1W1 Branch Gircurt 10 ilC7r ice F[TTRler �5j.l06 $ 63.00 �M�� � a o r) mach Additional Branch Circuit $ 6.00 Branch Cimuits 14 $ 75.00 ..� Temp. Servicel Feeder= Amp. $ 93.00 g Temp. ServiWReder20140DArnp. $ 110.00 � $� Temp. ServicelFeWer401- 600Amp. $144.04 $ Temp, SvrAcaftederV-1000 Amp. $16 8.00 $ postal to Portal Hourly $ 96.00 Signal CimuY United Energy- 9 & 2 Family tilling $ 54.00 $ Manufactured Home Connection $120.04 Renewable EfecMeal Energy w 5KVA System or Lm $10200 $ Tharmostat $ S6.00 Note: $6.00 foremb additionalT,Stat NFW C0N iRM 0_N ONLY_: First 1300 Square K $120.00 g Each AddiffonM 50 Square F#. or Porrgon of $ 44.00 $ Each Outbuilding or Detached Garage $ 74.00 Each Saatmming Pool or Not Tub $110.00 $ $ C Total Owner as deffned by RCillf.19.2$.261: (1) OWer vAll occupy the structure for two years after this electrical permit is finalized. (2) Omer is require to hire an electrical contractor N above said property is for sale, rent or lease. Permitexpires after slat months of last inspection. After reading the above statement, I hereby caffy that l am the owner of the above named property or a licensed electrical contractor. I am makir the electrical imiallaiion or alteratian in compliance with the electrical laws, N.E.C., RCflil; Chapter 19.28, WAG. Chapter 296-468, The City of Poi Angeles Munldlpal Code, and (Utility Specifications and PANIC 14.05.050 regarding Electrical PermitAppiica5ons. Signature of owner, electrical contractor or electrical administrdor: Q cash Q chl a& " DUMP=