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Home My WebLink About3406 Mt Angeles Rd - Building CITY OF PORT ANGELES A MU PUBLIC WORKS UTILITIES o 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000989 Date 9/19/11 Application pin number 021526 REPORT SALES TAX Property Address 3406 MT ANGELES RD ASSESSOR PARCEL NUMBER: 06- 30- 14 -2 -3 -0200 -0000- on your state excise tax form Application type description PUBLIC WORKS UTILITES Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning UNKNOWN Application valuation 0 Application desc Connect to City Sewer Owner Contractor HANIFY IRMA J GARY PRIEST EXCAVATING INC. PO BOX 2184 P. 0. BOX 2181 PORT ANGELES WA 983620285 PORT ANGELES WA 98362 (360) 452 -1770 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 192419 Permit Fee 150.00 Plan Check Fee .00 Issue Date 9/19/11 Valuation 0 Expiration Date 3/17/12 Qty Unit Charge Per Extension 1.00 150.0000 EA SAN SEWER HOOKUP 150.00 Other Fees SEWER SYSTEM DELV CHARGE. 2260.00 Q Fee summary Charged Paid Credited Due Permit Fee Total 150.00 150.00 .00 .00 Plan Check Total .0.0 .00 .00 .00 Other Fee Total 2260.00 2260.00 .00 .00 3 Grand Total 2410.00 2410.00 .00 .00 f• 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. X116 11 Signature of Contractor or Authorized gent Date Signature of Owner (if owner is builder) Date T:Forms /Building Division /Public Works Permit PERMIT INSPECTION RECORD I•h CALL 417 -4831 FOR UTILITY INSPECTIONS. 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 YES I NO P%% UTILITIES (Engineering Division) WATERLINE./ METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE. .1 SITE EROSION CONTROL PARKING rc SIDEWALK a, CURB "GUTTER f DR I V E WAY'APPR OACH BACK FLOW DEVICE. .:el. is 1 P Y Se, FI NAL INSPECTIONS PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE I ES NO COMMERCIAL DATE ACCEPTED e „t. YES .NO CONSTRUCTION R W P,W/ CONSTRUCTION ENGINEERING s' 417 -4807: PW /ENGINEERING FIRE 417 -4653 FIRE DEPT.. PLANNING DEPT 417 4750 PLANNING DEPT. BUILDING 4.7 ,BUILDING 4815 T Forms /Bwldmg Dfvisfon /Public Works Perrrtu r %w CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 10- 00001490 Date 3/14/11 Application pin number 422500 Property Address 3406 MT ANGELES RD REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 14 -2 -3- 0200 -0000- o/7 our state excise tax form Application type description CLEARING GRADING Y Subdivision Name to the City of Port Angeles Property Use Property zoning UNKNOWN (Location Code 0502) Application valuation 0 Application desc Extend sewer south side Mt Angeles Rd Owner Contractor HANIFY IRMA J OWNER PO BOX 2184 PORT ANGELES WA 983620285 Structure Information 000 000 SEWER EXTENTION Permit CLEAR GRADE Additional desc SEWER EXTENSION Permit pin number 179382 Permit Fee 477.00 Plan Check Fee .00 Issue Date 3/14/11 Valuation 0 Expiration Date 3/13/12 U Qty Unit Charge Per Extension 1.00 40.0000 ECH GRADING FILLING 40.00 C' 5.00 55.0000•HR PW INSPECTION 275.00 324.00 .5000 LF PW ENG REVIEW SAN SEW(LF) 162.00 Special Notes and Comments December 29, 2010 1:58:23 PM SKJ. Planning has no issues. No environmentally sensitive areas exist on site. All trenching and excavation safety measures to be in accordance to WAC 296 -155. Copy of contractor's performance bond to be provided to City.. Contractor's insurance to name City as an additional insured. Insurance amounts per section V(10). m Fee summary Charged Paid Credited Due 0 Permit Fee Total 477.00 477.00 .00 .00 Plan Check Total .00 .00 .00 .00 j�1 Grand Total 477.00 477.00 .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 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. i Signature of Contractor or Authorized Agent Date Signa u e of3wner (if owner is b ilder) Date T:Forms /Building Division /Public Works Permit PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY INSPECTIONS. 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 YES NO PW UTILITIES (Engineering Division) WATERLINE: /METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE. SITE EROSION CONTROL PARKING• SIDEWALK CURB °GUTTER DRIVEWAY APPROACH BACK FLOW DEV[CE FINAL' INSPECTIONS,REQUIRED PRIOR TO OCCUPANCY /U RESIDENTIAL DATE I ES NO COMMERCIAL DATE' ACCEPTED YES ..NO. CONSTRUCTION R W CONSTRUCTION -:R W ENGINEERING 417807 PW ENGINEERING FIRE 417 -4653 FIRE DEPT.. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 4�7 BUILDING :w' 4815 a F' T Forms /Building Dregs on /Public Works Pertrut c Application Number . . . . . 22-00001203 Date 9/27/22 Application pin number . . . 791024 Property Address . . . . . . 3406 MT ANGELES RD ASSESSOR PARCEL NUMBER: 06-30-14-2-3-0200-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . UNKNOWN Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Service / remodel ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JOHN G AND ELIZABETH A HOLLIS EXTRA MILE TECH & ELECT., LLC 3406 S MT ANGELES RD 418 N. RACE ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457-5222 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 170.00 Plan Check Fee . . .00 Issue Date . . . . 9/27/22 Valuation . . . . 0 Expiration Date . . 3/26/23 Qty Unit Charge Per Extension 10.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 50.00 1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 170.00 170.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 170.00 170.00 .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 9/23/22, 7:47:09 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001203 3406 MT ANGELES RD FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 170.00 TOTAL DUE 170.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Service NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 9/28/2022 22-1203 TAP OWNER CONTRACTOR Extra Mile electric PROJECT ADDRESS 3406 Mt Angeles Rd 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 10/17/2023 22-1203 TAP OWNER CONTRACTOR Extra Mile Electric PROJECT ADDRESS 3406 Mt Angeles Rd