HomeMy WebLinkAbout1320 O St - BuildingApplicant or Agent: 6 I-
Owner S e,.
Address: 330 Ey 'f 5 City_P o
Architect/Engineer L, v„Gf t7
Contractor ST eiState License *sr, Re Hilt ;Tf
Address: 1 1 "Lo l- f k City O
PROJECT ADDRESS Z 0 5 U 0 STICCT
LEGAL DESCRIPTION Lot: Block:
CLALLAM COUNTY PARCEL NUMBER. 00' V 0 1 1-1 -0
TYPE OF WORK.
IV Residential g New Constr
b Multi family Addition
Commercial Remodel
Repair Sign
BRIEF DESCRIPTION OF THE
COMMERCIAL/RESIDENTIAL. Occupancy Gro
;BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
Re -roof
Move Garage
Demolition
Other
PROJECT
P.
Stove
Deck
No of Stories. Lot .Size: u Ems g Sq. Ft.
Total lot coverage
v
v
\t,
PLANNING USE ONLY 4��
ESA/Wetland(s) Yes No PA Checklist required? Yes No Other.
Phone: L i 9 9 f
Phone: I
1/1014 p "1 3
Phone 2- 17
p t7 y nS- O7Phone: H -fit 3 5
t0 Zip C(_` 6?
ZONING F
Su division.
IZE/VALUATION I
I 7 SF /SF fl
5 ii I SF 2...Z, /SF (4 L-
SF /SF
TOTAL VALUATION I 0
Fi
FOR OFFICIAL pEE
Date Rec. 147 GC/
(Permit
ate Approve
ate Issue
Occupant Load. Construction Type:
Proposed Sq. Ft �O TOTAL Sq. Ft. Z- 9q
APPROVALS
PLAN
BLDG.
DPWU
FIRE.
OTHER.
VALUATION OF CONS UCTION In all cases, a valuation amount must be entered by the applicant.
This figure will be revie -d and may be revised by the Buildmg Division to comply with current fee schedules. Contact the Permit
Coordinator at 417 -481: for assistance.
PLAN CHECK FE IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All othe permit fees are due at the time of permit issuance.
EXPIRATION 1 PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The
Building Offrci can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
R105.3.2 of th International Building/Residential Code, 2003). No application can be extended more than once.
I 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 ,qsp ,psibility to determine what permits are required not the City's, and that I
must obtain such permits prior to work.
MFORMS\B1dgPermitform.wpd Applicant: f �i A V Date: 1 Z(l o (c)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date
Time
Received by
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
Phone No.
Permit No.
Fin~wer Exc~Other
INSPECTION NOTES:
9 (/
Inspected: Date /0 - d 1- 0 <;; Time . 0 If 1""1
Remarks:..L''''<:'OFCf.<o-cl 5EWE,e,., S.e>.....L/..ce.. ~ 101- J4I- > rCic/....-./1, !-",((",
~i /0 I. '-<.N e " &,' o,(J t/'~{/c.., +1..,.", '-1-:;0 he." d, 12r1,.J 6<(;' ol- (,/' Pt/C-- kJ ::;'
, , ,
OA"'-.f- 1/...... ,/J..-co't',Jj /'-r/(.,
I , I
RESTORATION REQUiRED...... YES
NO i
l L
5, A ",c..Il"
Or;JL
() ~I)V r-
:}'" I-
ry, J.i.)
iJ.J
..t
I-
III
\
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Lof'fl;:L
G ('CIA- It c::.\ .
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LttV'~
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r
/ {p F-e~-\
i D~(f i
'--~------- -
foi-IO"
w1f-
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\:: to' ~11/ p~"
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREELSU~ERINTENDENT
IDATEl
ELECTRICAL PERMIT
CITY OF PORT ANGELES
364417-4735
Application Number . . . . . 17-00001089 Date 8/04/17
Application pin number . . . 627680
Property Address . . . . . . 1320 0 ST
ASSESSOR PARCEL NUMBER: 06 -30 -01 -7 -9 -0020 -0800 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
-------------------------------------------------------------------------
Application desc
New home
----------------------------------------------------------------------------
Owner Contractor
------------------------------------------------
THOMAS
----------------------
THOMAS A, MARILYN K EDGINGTON SUNSET ELECTRIC NW INC
1320 O ST 5654 NE MINDER ROAD
PORT ANGELES WA 98363 SUITE A103 BOX8
(360) 461-7174 POULSBO WA 98370
(360) 697-6303
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL NEW RESIDENTIAL
Additional desc .
Permit Fee . . . . 160.00 Plan Check Fee .00
Issue Date . . . . 8/04/17 Valuation . . . . 0
Expiration Date 1/31/18
Qty Unit Charge Per Extension
1.00 120.0000 BCH EL-R-SQFT FIRST 1300 120.00
1.00 40.0000 ECH EL-R-SQFT ADDITIONAL 500 40.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 160.00 160.00 .00 .00
Plan Check Total 00 .00 .00 .00
Grand Total 160.00 160.00 .00 .00
�'
REPORT STATE SALES TAX_
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
If
Signature of Owner or Electrical Contractor X
Date:
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:,
DITCH
SERVICE
ROUGH -IN
A )c4 I
FINAL
a t
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of Owner or Electrical Contractor X
Date:
y,ELECTRICAL INSPECTION
y WIRING REPORT
417-4735
DATE PERMIT # INSPECTO
�7
1-7
_I be1
OWNE
CONTRACTOR
s-� r
ADDRESS
APPROVED NOT APPROVED
❑ ....................DITCH.................... ❑
❑ .............. ROUGH IN/COVER ............... ❑
0....................SERVICE............... ❑
❑...................... FINAL ................. .
CORRECTIONS NEEDED:(
fes---
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
-- 00 NOT REMOVE -
CITY OF PORT ANGELES PERMIVAPPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: % —Z —(Q
X& 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete EI rical Plan Review Information Sheet
t> �o
Job Address: / 3 2 Q :5 -
ST - r -k-
Building Square Footage: 1. Tin N)
J
Descriptign of above
v
_
`?
IU e.,.a ca►,,. s-Hv s�1...-0...
: n, •� . �F
i oo �=�r-�
Owner Information
Contractor Information
Name:..,
4,?
Name:
Mailing Address: ( C-
Mailin Address: Sts S-4 tj_
City: State: �..s Zip:
✓b
City:es'1a1.Q State: L.J�.Zip:
Phone: N h Fax: N At
Phone: a tec -�p1ri- (cue R3
License # / Exp. >V Alm
License # / Exp. 'O
Item
Unit Charqe
9!Y Total (Qtv Multiplied by 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 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:
f
First 1300 Square Ft.
$120.00
$ / '-TjO
Each Additional 500 Square Ft. or Portion of
$ 40.00
$ Ko • c!J
Each Outbuilding or Detached Garage
$ 74.00
$
Each Swimming Pool or Hot Tub
$110.00
$
$4f l&O• oWotal
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.
Signature of owner, electrical contract ctrical administrator: ❑ Cash heck
rs-"r="" ❑ Creditcard#
Dated: 01/01n012
�a�:�. suo - -#,-Lto - /-1433 .
ELECTRICAL PERMIT e4 1
CITY OF PORT ANGELES Z
360-417-4735 c;)
Application Number 17-00000460 Date 4/11/17
Application pin number . . 422680
Property Address 1320 0 ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-01-7-9-0020-0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation . . . 0
Application desc
Temp service
Owner Contractor
THOMAS A AND MARILYN K EDGINGT EXTRA MILE TECH & ELECT., LLC
1320 0 ST 418 N. RACE ST.
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 461-7174 (360) 457-5222
Permit ELECTRICAL TEMPORARY SERVICE
Additional desc .
Permit Pee . . . 93.00 Plan Check Fee .. . .00
Issue Date . 4/11/17 Valuation . . . . 0
Expiration Date . 10/08/17
Qty Unit Charge Per Extension
1.00 93.0000 ECH EL-TEMP SRV 0-200 SRV FDR 93.00
Fee summary Charged Paid Credited Due
Permit Fee Total 93.00 93.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 93.00 93.00 .00 .00
•
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE () .) r17 isT '410W6F7
ROUGH-IN
FINAL A/47
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
v-..
,,`'7, ' :",.'1'.'- 7.,',,,1,-;if..,•,,, .....i
. i
._.z
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East rift Street-P.O.Box 1150/Port Angeles Washington,98362 _______
Ph:(360)417-4735 Fax:(360)417-4711 .1.11111Pv
Date: .-./d-/7 ____/1&2 Single Family Dwelling
*Plan Review May Be Required,Please Complete 1 : '' . P( i4,4ew Information Sheet
Job Addn3es: I 32c. 54-414._
v. 0 SP D
Belding Square Footage:
Demotion of atom. 7.-f,- -ve.12..L.ttc_s
Owner Infsmapn ' J-0 p) Contractor Information
Name - 1 yv%ckS F--c)9 ,'9 Name:ExTkiet Ni(SA Teo! 4 Elec:huct I
Matting Address: jize) 5'. 6. J54-..) M. .. -.. :-..- IP.D. tax 3 124
CRY: .05- State 414-Ztp: ct fgLy City: , , Slater Wilk rip: Ittfir2.
Phone: 11.1- 7/? ( Fac Phone: .w -Fae. cz' .s4/-iv 1•
ucense#1 Exp. licerse it/Ep. rieril244 revr4175 R 6,
Item Unit Chime gtv Total(Qv MuMolled by Unit Charnel
ServIce/r-eeder 200 Amp. $120.00 $
Service/Feeder 2)1-400 Amp. $146.00 $
Service/Feeder 401-600 Amp $205.00 $ .
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder Deer 1000 Amp. $Naoo $
Branch Circuit W1 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.ServicaFeeder 201-400 Amp. $110.00 $
Temp.Service/Feeder 401-600 Amp. $149.00 $
Temp.ServicefFeeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $ 96.00 $
Signal Circuit/Limited Energy-1&2 Far*Dweang $ 64.00 $
Manufactured Home Connection $120.00 $
Renewable Beclical Energy-5KVA System or Less $102.00 $
'Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY;
First 1300 SqUalE 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 $ ....,
$ 7 3• Total
Owner as defined by RCW.1928.261:(1)Owner mil 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 mu making
the electrical installation or alteration in compliance with the electrical laws,N.EC.,RCW.Chapter 19.28.WAC.Chapter 296-46B,The City of Port
Angeles Municipal Code,and Utility Spear:dons and PANC 14.05.050 regarding Electrical Permit Applications.
Signature of amen electrical contractor or electrical administrator: 0 Cash 0 Cho*
, iii"cnxio cards DIV Ift LE
."-1-171 PA
. - :Z--,
:::C- •...g ‘.--1‘2 17
x el, Dahst 01101012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735 '.1,!; .
•
Application Number 17-00001283 Date 9/12/17
Application pin number . 149745
Property Address 1320 0 ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-01-7-9-0020-0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation . . . 0.
Application desc I
NEW RESIDENCE 200A SVC. 1
Owner Contractor
THOMAS A, MARILYN K EDGINGTON EXTRA MILE TECH & ELECT., LLC
1320 0 ST 418 N. RACE ST.
PORT ANGELES WA 98363 PORT ANGELES WA 98362 11
(360) 461-7174 (360) 457-5222
Permit ELECTRICAL ALTER RESIDENTIAL i
Additional desc .
Permit Fee . . . . 120.00 Plan Check Fee . . .00 A
Issue Date . . . . 9/12/17 Valuation . . . . 0
Expiration Date . . 3/11/18
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
•
•
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCHot4::)oNo
SERVICE 1lie
ROUGH-IN
FINAL
�/oplfi CVP
COMMENTS:
PERMPC WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION ,
Signature of owner or Electrical Contractor X . Date:
. ...1 NI
1 .
• .s. ).-* N.
CITY OF PORT ANGELES PERMIT APPLICATION ,t--,-. . ,•,,, 11,11"1.-.41101.7. Co CI
Building Division/Electrical Inspections
t4 ,t00
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 ,.- L.„ ';,.,-*.,. N.......41MINF V
Ph: (360)417-4735 Fax: (360)417-4711
Date: 1—7-i 7 /I &2 Single Family Dwelling Z4
V
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: / 3 2.,r, ca...-1-1,- e) 5-1-1--e.A.-+ , I
Building Square Footage: .-.
Description of above_____) 4 .. , ( - .. ...0-.IA. . ...' ':C)
Owner Informafion
) .. , Contractor Information
Name: 7-1-.0 a.... CO ce, e,..1 -1-e k„ Name: EK7-72/11 44/LE TECH 4 Efrchtictt I
Mailing Address: 3:1. 5o -1.. / AA A4L114 ,41 ' Mail' AddressV.,114 Rene
City: ,4-- slate: z..-1,1—Tip: 4 k'..7 r.. a_ City: State: iArie. ,zip: it firZ
Phone: Fax: Phone: - -F644 al( ya/-,lee
License#/Exp. License#/Exp. 4-XTY2.4/Syr/75 'R C.
Item Unit Chem gt( Total(Qtv Multiplied IN Unit Charge)
Service/Feeder 200 Amp. $120.00 I $ e 2-0
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 WtO 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 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 $
, $ i ad.' 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.
Signature of owner,electrical contractor or electrical administrator: 0 cash 0 Check
/ Eie*-Credft Caul C O
arrillilb
A. ..-.‘Z)
x cor,e, '• Dated: cr — 7--( 7 sway
Application Number . . . . . 22-00001245 Date 10/07/22
Application pin number . . . 126790
Property Address . . . . . . 1320 O ST
ASSESSOR PARCEL NUMBER: 06-30-01-7-9-0020-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
THOMAS A, MARILYN K EDGINGTON BLACK DIAMOND ELECTRICAL CONTR
1320 O ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 461-7174 (360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 10/07/22 Valuation . . . . 0
Expiration Date . . 4/05/23
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR 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
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 9/30/22,11:25:43 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001245 1420 O ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
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
10/7/2022 22-1245 TAP
OWNER
CONTRACTOR
Black Diamond Electric
PROJECT ADDRESS
1320 O St