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Home My WebLink About1114 E 9th St - Building .... CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03~00000084 Date 1/29/03 Property Address ...... 1114 E 9TH ST D. gSESSOR PARCEL NUMBER: 0630000281650000 Application description . . . MEC~3%NICAL REPAIR Property Zoning ....... Application valuation .... 8300 Property owner ....... CROUSE ROBERT L Owner address ........ 436 GLASS RD PORT ANGELES WA 983628662 () Contractor ......... ALL WEATHER, HEATING & COOLING .......................... Structure Information ......................... Constr~ction Type ..... TYPE V NON-RATED Occupancy Type ...... SINGLE FAM & CONGREGATES Permit ...... ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee .... 35.30 Plan Check Fee . . .00 Issue Date .... 1/29/03 Valuation .... 0 Expiration Date . . 7/28/03 Qty unit Charge Per Extension 1.00 35.3000 EC EL-LOW VOLTAGE 35.30 Permit ...... MECHANICAL PERMIT Additional desc . . Permit Fee .... 61.70 Plan Check Fee . . .00 Issue Date .... 1/29/03 Valuation .... 0 Expiration Date . . 7/28/03 Qty unit Charge Per Extension B~E FEE 47.00 1.00 14.7000 ECH ME- INSTALL 100- FAU 14.70 Fee summary Charged Paid Credited Due Permit Fee Total 97.00 97.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 97.00 97.00 .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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 41%4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPAIk~TE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATEE AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PWUTILITIESI SITEWORK (EnglneerlngDivision) SEPARATEPERMIT#'s: WATEKLINE / METER SEWER CONNECTION SANITARY STOILM PLANNING DEFT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHOI~.ELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 ! - ~2~.~ O~,~' ~/~tfi BUILDING T:\PLANNING\FORMS\ I 102.15 [4/2002] FROM : ALL WEATHER HEATING ~ COOLING FAX NO. : 360 452 5177 Jan. 20 2003 11:53AM P1 The Budding Permit - Pre-application must ~ out Ple~e ~ or p~nt in in~ If you have any qu~, pl~a~ call 417~81~ LEG~ D~S~ON: Lot:. ~ Block: Subduing: ~ CO~ P~CEL ~ER: Cr~it Cs~ Ho~r Name:. C~t C~d ~: Exp. Ds~: ~$A MC O ~i~ O New ~. ~ ~-mof o Wood,ye ~ SF. ~ $ /$F. = $ ~ ~ - gi~ ~ T~AL VALUA~ON ~O~R~8~E~: Occup~cy ~up: Occup~l Load: -- Com~c~on ~e: Ex~g Lot ~v~sge: /sq. ~. + ~os~ Lot Cov~age: /sq. ~. ~ ~T~ LOT ~VE~GE: PLUG USE O~Y: APPROVe: P~ DPW ES~d(s): ~ Y~ o No S~A Che~l~t requital? ~ Yes u No O~cr: BT~,B~G ~ ~CA~ON S~: Yourapplic~ona~ep~m~be~outcompl~to~dfar co~le~ a~cafi~n, si~ p~ (f~r ~fions) ~d building co~cfion p~ns ~ tn be ~ed ~ ~e Bml~i-~ Division. V~UA~ON OF CO~U~ON: ~ ~ ~ a vMuafion s~unt m~t ~ enter~ by ~e ~c~ ~ fi~ ~1 ~ ~ed p~ ~es ~e due at ~e ~ ofp~ is~uce. Buil~ ~1 c~ ~md ~ ~ for acfon by the ~li~t up to 180 days u~n ~n ~quesl by ~e a~liam~ (see Seefon 107A 0f · e U~fo~ Bulldog C~e, ~nent edition). No applica6ou can be exten~d m~e ~ once. I here~ c~ that I have read and ~amin~ fha application and ~w the ~ame to be tme a~ co.et, and I am autho~td m ap~ly~r thi~ pe~it. I undentand it i~ not the ~'~' legal r~ponsibili~ to dete~ine what pe~i~ a~ required,, t~ remains the applic~t'~ r~po~ibili~ to dete~ine what p~i~ are requt~d and to obtain T:~O~S~PP~uildin~it ~ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date I~ 2~J <:~-~ Time Received by ~/ (phone, person) Location of Work to be inspected I I ~ ~ E ~-~ '~ Name of person requesting inspection /~./I [~_)~ ~-[A.~., V~- Address of person requesting inspection Phone No. z_/~ _~/~/,~ Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing ~ Sewer Excav. Other INSPECTION NOTES: Inspected: Date / ~ ~ ~r~) ~ Time By Remarks: _ ,~ / RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 200 amp service change Owner CROUSE ROBERT L 436 GLASS RD PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983628662 155620 93 75 10/29/09 4/27/10 09 00001125 255625 1114 E 9TH ST 06 30 00 0 2 8165 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor ELECTRICAL ALTER RESIDENTIAL Qty Unit Charge Per 1 00 93 7500 ECH EL 0 200 SRV FEEDER ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Charged Paid Credited Date 10/29/09 NORTH PENINSULA ELECTRIC 761 FRESHWATER PARK RD PORT ANGELES WA 98363 (360) 477 1764 Plan Check Fee Valuation 93 75 93 75 00 00 00 00 93 75 93 75 00 Due 00 00 00 f ■S*- `10 DATE RESULTS �,�171ag gird ra s aP 11l19 log sV 00 0 Extension 93 75 L,Oc-tt INSPECTOR I Ad 6 10t1 4 4 !Pei f Signature of owner or Electrical Contractor X Date 2009 -10 -28 12:03 NORTH PENINSULA ELEC Owner lnfomlktign Name: 1 'v C C. N ill N. r' c' Mailing Acklre$s: 11 1 Lit G� City +Y( t_YY State: L„,!,' Tip: Phone: Fax: License 1 Exp. Unit Charge 93,75 $113.75 $160.00 $205.00 $291.25 2.00 57.5o 2.00 72.50 86.25 $116.25 $131.25 75.00 69,00 75.00 50.00 50.00 93,75 $80.00 86.25 27.50 57.50 86.25 43.75 3609 City of Port Angeles Permit Application Building DivislonIEiectrlcsl Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington. 98362 Ph: (960) 417-4735 Fax: (360) 4174711 Date: 3' L 2 S Family Dwelling Multi- Family or Commensal' _Commercial Addition Alteration Remodel !Repair" Plan Review May Be Required, Please Complete Electric I Pian Review information Sheet Job Address: \\V4 Building Square Footage: Description of above T i Mu lied bv Unit Chapel S Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401 Amp. Service/Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp, Temp. Service/Feeder 201 -400 Amp. ramp. Service/Feeder 401.600 Amp, ramp. Service/Feeder 601 -1000 Amp. Portal to Portal Hourly Sign/Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi-Family Dwelling Manufactured Horne Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat 1S Total ECE V 1;'1 4841 oc,, Zoos ELECTRI�L �•1 `ECTIONS rJ C P /1 N n Contractor Infomlati r Name: _'IBC- k c'�X[ Y\ S \c- J Mating AS(d ss; 1 \k C v.: L c City' State: k-- bp. 5 3 Phone: {'V\ l..r Fax c17 c License Exp _n',r, c k C.) Signature of owner, electrical contractor or electrical administrator Cash Check x )(-r h 1 1 Dale: 2 card. Li 13 Owner is detlned by RCW.19.28.261: (Vaunter wd8 occupy the structure for two yarn alter tbia electric* permtt Is Bea&ed (2/ Owner Is required to titre an electrical conractor Nabove said property Is for sale, rent Or lease. 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 ekerstion hi compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utilky Specifications. 0 11 .1 -1(A Date Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL NEW SIDING OVER OLD Owner Contractor CROUSE ROBERT L 436 GLASS RD PORT ANGELES WA 983628662 Permit BUILDING PERMIT NO PR FEE Additional desc INSTALL NEW SIDING OVER OLD Permit pin number 132100 Permit Fee 109 75 Plan Check Fee 00 Issue Date 8/12/08 Valuation 2176 Expiration Date 2/08/09 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 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 \<-4. eV. C Y G s e... v�- Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T.Forms /Building Division/Building Permit (05/13/08) wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00000990 268950 1114 E 9TH ST 06 30 00 0 2 8165 0000 SIDING RS7 RESDNTL SINGLE FAMILY 2176 OWNER Date 8/12/08 CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES. CALL 417 -4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE. FOUNDATION: FOOTINGS SHEAR WALLS WALLS INSPECTION TYPE DATE FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING I FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR I INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT N's PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417-4807 I FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T P caai dill FIT r✓Rt Ildi rrnil (05/I3/081.wnd BUILDING PERMIT INSPECTION RECORD ACCEPTED YES NO FINAL FINAL SEPA. ESA. I SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING COMMENTS DATE ACCEPTED BY. DATE ACCEPTED BY. DATE ACCEPTED YES NO I I I I I I I, CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant or Agent Kcvc e ms G rpi Property Owner fZ ab.e kav-.e Property Owner's Address itt3C C toss PA Contractor /Engineer Contractor /Engineer's Address License PROJECT ADDRESS \y E- Parcel Number 00062 OJOS BUILDING PERMIT APPLICATION Print in ink C co us C Lot Project Type Brief Description. Residential Commercial Check all that apply ci New Construction Addition Remodel Repair Re -roof Demolition Heat System XOther R ei►De_ i S “dcs. (Ai 'P14n Floor Areas Phone 3t: o 'kS'7 -3303 Phone Phone Expires Zoning Multi- family Industrial Heat pump wood burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq. ft.) For City Use Only Date Received Permit OB Date Approved Basement per sq. ft. 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures sq. ft. T Lot size Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type TOTAL VALUATION ?C mot" sq ft. Lot coverage ok of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. 1 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. pate C7i l i 10% Print Name l`ra v- v, C V o u S Signature ∎fk�r� t/LAec tit-" T:Forms /Building Division /Bldg Permit Appl. -2006 Code.doc Cust No I Job No I Purchase Order' 7 Sold To CASH LN# SHIPPED ORDERED UM SKU 1 171 EA MP825 2 12 EA 093 -419 SALES Dh ANGELES MILLWORK TRUE VALUE 1601 SO C STREET PORT ANGELES, WA 98363 -7449 360 -457 -8581 4301388406039563 38840603956343010002 07/30 08 12 30 03 PM WED 00* *39790 VI CROUSE KAREN l 'H 828 ICE 10 N 3031 NT $1180 44 THANK YOU. PLEASE COME AGAIN. !VAL 035078 ANGELES MILLWORK LUMBER COMPANY INC. 1601 S. "C" ST PORT ANGELES, WA 98363 TOLL FREE 1 -888- 457 -6610 PHONE (360) 457 -8581 Ship To VISIT US ONLINE ANGELESMILLWORK COM WE APPRECIATE YOUR BUSINESS Reference Terms CASH /CHECK BANKCARD DESCRIPTION I SUGG UNITS PRICE /PER EXTENSION MAXI PLANK 8 1/4'x12 TRAD 6 55 171 5 99 /EA 1 024 29 l0oz DAP SIDEWINDER WHITE 5 99 12 5 39 /EA 64 68 \\Oc e PAYMENT RECEIVED PAID IN PULL r Clerk 10 BANKCARD PAYMENT 1 80 44 BKCRL# TERM #591 SLSPR 10 Bob Hill TAX A4 MILLWORKS -CASH RETAIL PAGE NO 1 Time Date 7/30/08 12 15 DOC# J62681 INVOICE 1 180 44 TAXABLE 1088 97 NON TAXABLE 0 00 SUBTOTAL 1088 97 TAX AMOUNT 91 47 TOTAL AMOUNT 1180 14 Received '3A of'ORr~ W CITY OF PORT ANGELES . DEPARTMENT OF COMMUNITY DEVELOPMENT .. BUILDING DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 '"f:o',t,II.J.....\,;c:L...J.Oll ~wn.oer. ... -. Property Address ASSESSOR PARcEL NUMBER: Application description . Property Zoning . . . . Application valuation . 03-00000235 1114 E 9TH ST 0630000281650000 RES.ADDJ:TION Date 3/12/03 2920 .. Owner Contractor CROUSE ROBERT L 436 GLASS RD . ~RT ANGELES OWNER WA.983628662 ------Structure Information Construction Type .. Occupancy Type . . . . . . Otherstruct info .. . . . 73 SQ FT LAUNDRY ROOM ADDITION TtPE V NON-RATED SINGLE FAM &:CONGREGATES NUMBER OF UNITS 10.00 Permit . . . . Adcl,itional. geSe;! . . Permit Fee . . Issue Date Expiration Date . BUILDING .PERMIT -RESIDENTIAL 106.75 3/12/03 9/0e/03 Plan Check Fee Valuation 42.70 2920 .Qty Unit Cl1.arge Fer Extension 92.75 14.00 -....-.. --- -- . BASE FEE 1.00 14.0000 THOU BL-2001-25K (14 PER K) ----------------------~-------------~------_._--------------- ~rnlit . . ... MECHANICAL PERMIT Ad<iitional gesc . . pernlit Fee .. Issue Date .. . ~iration Date 61.50 3/12/03 9/08/03 Plan Check Fee Valuation . . .00 o Qty unit Charge ~er It\.. Extension SASE FEE 47.00 __.... 2.00 7.2500 ECH ME-VENTFAN 14.50 ---~------------"...---------~-----------._-..------ permit PLUMBING PERMIT ------..------------- Additional desc Permit Fee Issue.Date Expiration Date ... 68.00 3/12/03 9/08/03 Plan Check Fee Valuation .00 o --.0 sf- Qty Unit Charge Per Extension 47.00 21.00 ~ BASE FEE 3.00 7.0000 ECH PL- EA.. FIXTURE ON ONE TRAP Fee summary Charged Paid credited Due -~-------~----_.- -...,..---_.0..- ---------.. ----.....---- ---------- Permit Fee Total 236.25 236..25 .00 .00 Plan Check Total 42.70 42.70 .00 .00 Grand Total 27$.95 278.95 .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 constructionauthorized 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 inspeeti(ln.1 hereby certify that I have read and examined this application and know the same to be true and eorrect.AII 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 ,ek..~ 3-t2- D3 Signature of Owner (if owner is builder) Date .. T:\PLANNING\FORMS\l 102.15 [4120021 I""'" ~N-'r:,._ :_' :. ~ ~ , ".;:._;:~~_"-'-~-,,..,-;;--' ,-, ~,,",,~, ;".'t-,;,,.,(:~,~ -';":+-~:f',fl:~_r~~4'" ~_-',A"':o - __, ,~ - ;/~~; ,,- , "yo:,::' ','_ ":,' ;_", _ __~'_'_.~ '_, FOUNpAtIONl, " , ;, fOOTINGS ;- WALLS ' , , ' ' FOUNDATION" PRAlNAGE - . ' , EI,ECTRICAto," ~GHT DEPT) SEPARA;TaPERMlT: # ROUGH.IN ."., ., " I '. . ' r.L\lMB~(; '., .", " UNDER f@RlSLAB ' . ROl,lGH.JN ' , WATERltlNE - GAS LINE ' BACK FLOW I WATER AIRSUli -:. W AU.S . CEILING ',-' FRAMING -: JOISTS/GIRDERS SwiAR WALL WALLS I ROOF I CEaING DRYWALL ',' T.BAR . INSULATION:. . . .." .'. ,JJJm.DINGPERMIT INSPEOOQN RECORD , '. "" '.::<":" ;'\<'1:/;(',,4'/:;; I1r";._':1.l'"",{)"" "r:t',.",'.,,~...,: , CALL 4 \ 7-4~15 FOR aUILDING INS~aCrIONS:PEE~&P.ROVlDE~MThlI~iQM~Pp~~.OtiSE; "rf'dUNfAWFUL/itJqt '. INSULATE OR CONq:A~ ANY. W.o.IYfJJPFORElNSPEctEDAND ACCEP1ED.POST PJ:RM1Ti~A CONSPICUOUS,~CAT,l6 - - . .., "":'<~,:-' . <, ':f-:'~' ::.'~~":' . ,- "..:;';, ,'. . . .~-"''',. :",....~, .::Z:' c'. KEEP PERM:iT,CARDAND APPROVED ,PLANS;AT:JOB SiTit C;i' . _ -,- - '_ '_', -. ,,' '," ,f:}; ;");->- ,,~'i .,_~:_'_ ""'" ,,", .""",,. -'- .- r DATE ACCI!:PTED ...' k':~- I YES I NO. I', . ,", ,': .., ,>.' , '.' "", ,"', <;<i~~~~>,> " '. ,". ' . . ':'" '." ,.,': I ".,' . :.:..,.;." I .INSPECfION TYPE '.. , " I. " , .'. ' ,.' . >, .- .. r ',' '~;_";:'" ,~.',." . . Y:,: , , ' , . '~;:~L'-, . ' , , ' :.{~ ~ , " , ' < , .' . . .' . ..;..,. , ". .. , '. .."'>,'. ., I ',:' . ...: . " . ."', '.." ".' .. f. ' ,-'''. ..... .' .. ,." ';;," . ,''. , , .' , . . .. . ,. " '~.;''''':'' ,fa: I '. I . . '., '''. . , . . "",,J<i- ,; .;.. '.-'." ," , .... , , , 'I . . " ' . .':.,' , :,,; . . ':' .. , '. .:.{ .. ..: '.c'<'I',-",,,. '. q, . SLAB....,.... WALLJ,m,OOR/CEILING 'I {f MEC~I&.L .:.,. . HEATPuMP ' c ..' H,H..:, WQODSTOVE/fELLET/ClDMNEY :0. ~>~ HOOD f DUcTs ': PW UTILri'lESlS!TE WORK (Engineering Division) SEPARAT.E:PERMlT #'s: ",.,' . WATERLINBiMETER ',' . . .' , , SEWER CONNECTION'': SANITARY - , STORM ". .. '. PLANNING DEPT. SEPAJl,ATEl'ERMlT #'$ .. SEPAl P.4.RKlNGlL'GHTING ' ESA: LANDSCAPING.~.__ ',' ..' ',' '.SHORELINE: '. ,.., . ",'" '....'. '_:;:j:.ikillll~fNSPE<IT!Q~s~QYJRED l'~Qlt1O OC~~~Jl:' " ,,~,~,AL,,~g;...,.; ".'. I:: bAli'.r.\' YES.. NQ, 'r;~iiili~~;J'" ';":',,;,~':r~'~ . '. ",' . . ,: ..,""';' . I J :~, ,. " ,~ ". ;,.;;".",,;:,.,'. ,'., "., " . A "," c'~>: ';'~:,m' "'. ' "Nt) ;':' " El,ECnu.'\ ':'CAt':'UGHTDEPT. ,,'2 .41:14135; '> T --. I,'; .:, . .; a. r{CiitcAI. -'. .... ,i ,. < II.':. <:; d...." ,..' ,}W. ,.. p ",LlGat,QEJ'T',;. ,,,, ,.::; '7:":. .,\,;;': g?S~:fJiN8NR.W.JPW' 417-480; .' ~~1-~J>J:N&'W~'., '!\'lc.;t ;::":,< .... ":;::; FIRE '.' :. 417-4653 ::':. FlREDE:P1',;' . ,.-,' . . PLANNING DEPT. . c. 417-4750'~.:. t '] - ~... ~~G D~rT~ ". -, '.' . t BUILDING' _... 417-4815 lloio';.v / - --1.:... P.J / BUILDING,:.. ,';.' . ,""i" c":;~ ;'/'.-. , . . , " ~.." ,....'.... -..~;.-:, ..',. . ";'., ,;:. ' . . :,>" '.", -:.,,,::--:-:,,,: :. I ',',) "..':, . -:;- '. \' ' ,,', .' I . . .' . ,,'.. ,:/.. ,.' , ,..' J,. ,. o , ..' , " ,," '" ". .' '"'''' - ..' ",,' . , " ;" ,. ,;" , . ," " . -, T:\PLANNlNG\FORM$\I102.lS (412002) - ~,,-.~ :-\' '~>:.:.:- ~-,-i"=-= ,- ;'..~,>- )'.., -;,-~ :J~,-'';:: '-;';i;~,~iyJ~~t ;O'F;. .;v-', '0 BUILDING PERMIT - APPLICATION F.OR OFFICJA~E ONLY: Date Rec.: :2 - - <!> ?_ Permit #: ~ So Date Approved: ~ - 7- CY'? Date Issued: The Building Permit Application must be filled out completely. Please type or print in ink. If you have any questions, please call 417-4815 Applicant or Agent: Owner: f.<nhPr-r eRn (1 S e . Address: "'r~ (~., G ( at <7S l<c\ Phone: Phone: Llb7 - I ~ ~ 1f City:Jo"r+ A0Jel!'l Zip: qf?~lP2 Phone: Architect/Engineer: Contractor License #: Exp: Phone: Address: City: Zip: PROJECT ADDRESS: / / / (../ b......,fl~/?'17J ZONING: LEGAL DESCRIPTION: Lot:'b ::X(.. c J7/~ ock: 2~ I Subdivision: TPA- CLALLAM COUNTY PARCEL NUMBER:~~JI'fS~ Credit Card Holder Name: Billing Address: City: Credit Card #: Exp. Date: VISA MC TYPE OF WORK: lZ!- Residential 0 New Constr. 0 Re-roof o Multi-family ~ Addition 0 Move o Commercial I!!I Remodel 0 Demolition ril Repair 0 Sign o Wood-stove o Garage o Deck o SIZENALUATION=-fbJ() . "7.3 SF. @ $~SF. =.$ SF. @ $ /SF. = $ SF. @ $ /SF. = $' TOTAL VALUATION $ dC}lO, ':2<<fZ6 ~ BRIEF DESCRIPTION OF THE PROJECT: 75~ a.~.A;-\.~\A R~&\''\r ~ 8gj-~ ~h i'I + t2-.:> ~ Ie fl..;,<. l-:rh .v.5 "b- J-c,..""" ~ r-y ~ Construction Type: h,)IJ ~ e. Ad,.1 COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: No. of Stories: Lot Size: II S 7 0 % Lot Coverage: g. t/ % Existing Lot Coverage: BCJ 0 /sq. ft. + Proposed Lot Coverage: 7.::s /sq. ft. = TOTAL LOT COVERAGE: q ~ ::5 /sq. ft. PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW FIRE ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER BUILDING PERMIT APPLICATION SUBMIl'TAL: Your application and site plan must befilled out completely to be accepted/or review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction 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 application, this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify t~at I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. Applicant: Date: J - 1-1:)"3 T:\FORMS\APPS\Buildingpermit ,---- - <) -- - ---- N ./- ~.>t-> ~;.b -" 7 ~ IS\. ~ '1 ~"_.- , - Hi:" -J , ........ "J c-i ('i) i 1 I L .. r "" ," ~ J . :--1 I \ ) '39. D 5't 5(t q -t "^'- \\\4 t: ( M~~.-<~~ '- \.. It. ~ '! 1 ~ I.r, ,"""'-, hof. n-,~ 1>-, L 1_ _ _ ~4"- ....7s;...~ _L .""""""','" )011\1 ....... (7) ./ 1 ---, !- ;>~l- -; I I . , . I \ J(< "'v1""'.:J GJ ,i J%~ ~~}/t<f : 1 /'>-.. . ~ , .,~ ~ '/""""'"1 <;' ! :r- I -~ ~ I /7 1;lvcd5 flog r . h..a."",,'~ _ (' . " I . _ .- -}fZ; -+ I '.. o~ (V) l I \' ,-- t\--I I \ II \ ! " I I. i,. I . , l '. , ~--------j-- - --.' :f , I -j ! -I 1- }5l-- I 1 i '. ! .,'( i I I j I I - I I I \ Mr::::I~ 1-,., 0~ t::>t:> ~";'. it '1.,/ ~ ~.. ;;". I , .... \ '~> ,0),s II" '-n 1",-,' h~ 7V L L _ _ ~-"1'" ".7~"''''' .L. '')0,/1 _)5.'of r;;,'/'a~;) ,:,X C" ':>0,,9/ <;} Jbf"'/ ';)X (? 'Q ""J. -,001.:1 9"rl<3 L . '-;;~/'" -+<;~ol .J 00/ j 0; X e - ':Jj? I j(vt"';;fG) i 1 fb tfjt 1~. ::-;'"'.'5: I _ ~ (), '?>;}11 ::r- I ./""''''1<;: I -- ~-_. -' .J 1 -- I /7 'Ovod5 flog r. ~ ~ '- . p~nl'V -!> C; n:''f-OOif ~ "Pc0 ~ "'r;-s(W CJ ofC'1 II;" , lI"'P v\1~"(1 \lY>~ + ~y:xy \ 1''''01 Ie ('II 'e c.,rY/-f>"j ('I \ 'f. dl1 9"t7 (pe -\"'qo~ /( r /I'" I "1 ~ J II I <;? ,.;....'~.i s.."..-"" ...... I; . . . '" ~~ CITY OF/PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll..DINGDMSION 321 EAST 5TH STREEt, PORT ANGELES;WA 98362 Application Number Property Address ' ASSBSSORPARCEL NUMBER: Application description Property Zoning ..... Application valuation 03,-00000084 "Date 111.4 E 9TH ST 0630000281650000 MECHANICAL PERMIT 2/20/03 " Owner Contractor 8300 ALL WEA~, HEATING & COOLING 302~.lU'~,' PORT ANGELES, WA PORT ANGELES NA 98362 ',..... '. ... ............ '. ......'.. ...,..... ' , .,(360).,:~!j~..,~~.13.' '----"'"--------------------- Structure Information ----'--------------------- Construction Type . .'. . . TYPE V NON":RATED .' Occupancy' Type . . . . . . SINGLE FAM & CONGREGATES CRQUSE ROBERTL 436.GLASS RD PORT ANGELES NA 983628662 Permit . . . . Additional.desc ',: Permit Fee Issue Date Exp~ratiOn Date ELECTlUCAL ALTER RESIDENTIAL ' 35.30 1/29/03 '. 7/28/03 Plan.Cbeck' Fee Valuation " . '" .00' o --..... --..:.:; . -, Qty Unit Charge Per 1.00 35.3000 Be. EL-'LOWVOLTAGE Extension 35.30 ~ , ' :' .' Permit . . . . Additional desc Permit. Fee Issue nate EXpiratiClnDate ELECTRICAL ALTER RESIDENTIAL ROBERT CROUSE 62.30 2/20/03 8/19/03 Plan.,Cbeck Fee ,Valuation . . .00 0' \t\, ---------------------------.-,-.----------------------------------~---_._------ . . . ". . permit .... Additional desc Permit Fee Issue.Date Expiration Date .00 o ,. .Qty. 1,00 . .00 onitCharge Per 46.7000 ECH EL-R OR RM 1-4 ALT cIRCUITS. 5.2000 ECH. EL.-R OR RM ALT ADDNTC~COITS Extension 46.70 .00 . Qty Unit Charge 'Per 1.00 46.7000 ECH EL-R OR RM 1-4ALT'cIRCUITS 3.00' 5.2000 ECH EL-R OR RMALTADDNT. CIRct1ITS _ _.~ __~__ ~_ __._ _ _ _,_ ,. __ _ _ _ _ _ _ _ _ _ _;.. _ _ _ __ _ _ _ _ _ _ _ ~'J..;. :::__ ~ _~ ~':::-_ ::~':' _ __ _ _.--- ___ r. . t.. Extension 46.70 15.60 "Permit:.. . .. Additional desc , Permit ,Fee Issue'Date .,. EXpirat~onDate MECHANICAL PERMIT 61:70 1/29/03 7/28/03. Plan Check Fee Valuation .00 o Qty Unij:Charge Per Extension 47.00 14.70 BASE FEE 1.00 14.7000 ECH . ME- INSTALL 100- FAD Fee ,summary Charged Paid Credited Due Separate Permits are required for electrical work, SEPA,ShoreUne, ESA, utilitles,p!iVate and publiclmp1"Oy~e,l1tsJ~~$p$tnlt~c>ine$ null and "pi.d it wo.rkorconstruction authorized Is not comme~cedwithin'180 daySi'if ponstruction orwork;I~~~M'~.~r#~,I)~C?n,fJ~ fur a p~ri9d of1~9days atter the work as commenced,..ot ifr~"qulredlnspections h~ve notbeen request~~~thiri'~8(h:l~ySfr,p.rn:!f1.e I~t' I~Sp8ctlon~ .' hereby certify "that I, have read and ~xar!iined'tnls application and k~ow the sa~e tc) be trU'e'a~~ct;i:,~r~~!tlh~'()f laws ap.d ordinances governing thiS type of work will b~complied with whether specified herein or not The gra~.~rgof~:.()~ermit~C)esnot presurneto give authority toyiolate or cance.1 the provisions of any state or local law regulatlngconstructioli-orthe;performahceof construction.... " . oA/ FILE Signature of Contractor or Authorized Agent Date Slgnature~pf Owner (if oWner is, bull~er) T:\PLANNING\FORMS\1102.1S [412002] Application Number. Permit Fee Total Plan Check Total Grand Total 206.00 .00 206.00 .03-.0000008.4 206.00 .00 206..00 Page "Date.. 2 2/20/03 .00 .00 . .00 i~ i\W lJ..: i;'".',-, \," ~ . CITY OF PORT ANGELES " " - - -: -' -"'- -,' ,> - -. . DE}> ARTMENT OF coMMUNITY DEVELOPMENT - BUlLDINGDMSION . 32(EAST~"J'H STREET,P()RTANGELES, W A98362 "l" .... ,1' .00 t .OQ .00 :---'~-'. I, '_"-i1", ~"~ '\J~" r ': ...,'.- ,f',: ... ~- .. - , , .. .. "~__ -, ..' ':' _::~~ ,'",.>, :,,_, ~eparat!~ermitsare requiredforelectrical work, SEPA, ~h?relinefFSA. utilities, privat~ and public imprOyef.11e.n~t~i~~l111lt,I;>>~()m!s' null aricfvoid. if work or construCtIon authorized is not cOmmencQ~wlthin 189 days,lfdonstruCtlon or work Is susperidi~,<<>r8b~n~()ne~, for a perio~of 180 days after th~work ~s coI11Ten(:!'ld, or.if~91.11'rfldlnsP!C:~!()Il~ h~ve not beenre9u~~te~wlthi~.1 ~Odll . " tfJ~.las.t inspection..! her~by certify that I have rea~'andexa'mlned 'this;applicationiandkrlowthe same to be trU~'andAAf(~r;, .,'@jsof laws and ordinances govemingthis type of work win be complied Wlthwhett\er ~~edher~in or nolThegrantlngoiWde'" .~c:ieS not presume to give authority to violate or canpel the provlslo'ns of any state'or 1?C8llaw regulatingcollstructlon9rtl;l~;~~J'f,o'"1li1rype of construCtIon," : '. . . ':. . ", 'c'.>\<:;:Y Signature of Contractor or Authorized Agent Date sJgpature.of Owner..(if owner is builder) ~,:\, ~:<~.. .: -..... .. T:\PLANNING\FORMS\1102.15 [412002] ~'-~-'" "'~~'.,..." .~",.".._-.,..-...,.. BUfLDING PERMIT 1N.~,P,c;nON RECORD <9:31 tg 11 , < .,""T- /-,' /> -f i:__. . ,lr?'~f:_, ";::'."_,_,,,,,;:\~~,. CALL 417-4815 FOR BUILDING INSl'IiCTIONS. PLEASE PROVIQ)?!\MINIMUtvi24IJQUR NOTICE.:itIS UNLA WJltILiJ:O CQJ/~~, ' INSULATE OR CONCEAL ANY WORKBEJlORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICU()l}~L~'99N; KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE " . , ," > INSPECTION TYPE DATE ACCEPTED " ,COMMENT.S .'.> ",;t/il~',"" .,...,', YEs NO JV:, " FOUNDATION: . ". .~ . FOOTINGS ....' .... " . . WALLS ,'.' ~ , , i .' I FOUNDATION DRAINAGE .'.' T .... ELECTRICAL (LlGIITDEPT) SEPARATE PERMIT: # . ROUGH-IN .--C:"" -;- I . , PLUMBING . '. . , UNDER FLOOR I SLAB '. . ! . , . ROUGH-IN . WATERLINE GAS LINE BACK FLOW I WATER 1 " + '.',' -iT T '. "'1 . .. AIR SEAL WALLS < , CEILING i; F . .. .., FRAMING "'.. JOISTS i, GIRDERS -;- .' SHEAR WALL . .' WALLS I ROOF I CEILING ,." DRYWALL , ; " ; .' . . T.PAR , . . , , INSULATION " , .' i .. 0 SLAB 1 WiALL I FLOOR I CEILING ,,' I ..... I . '. , ':~i;'< . ME,CHANICAL " FII-IIfL.- I~?--K""':'O~ p~H-'" Dr' HEAT PUMP "'. ~~.3 1-~Jf i WOOD STOVE I PELLETt CHIMNEY , .1 I , , HOOD I DUCTS . . . PW UTILITIES I SITE WORK (Engineering Di~on) SEPARATE PERMIT #'s: . '.'. i' , " WATERLINE I ~TER SEWER CONNECTION .' , I , I SANITARY \ ; .' . STORM , .' PLANNING DEPT. SEPARATE PERMIT #'$ SEPA: . PARKlNGlLIGHTING ". ESA: I , .' LANDSCAPING , .. ~},,~..,. SHORELINE: ,. i " , ,." .,...::~'n!"~.JIlSPEg10~, . ~R Tc;r~cur.:qCYIUS~ -, c...._...~. -- "-""--'-"" ~""""'- "', T .-- ,,' . .' .' ,.... .. RESIDENTIAL . ",';,; DATE i ,j-'~i" NO ,; ,~O~c::JA!. ,i.>"; J?,ATE,i'i, ,..::i:ACf;:Eri~ " "".' ~n .' '. '~':,' .:' ,," , ";' ",' '.' ," .,,,' . ,,', ;.., " .., !.. Oil.,;.: , _,,::l--'.:~;j<'(1.:i,':c.,' ...ft" ',',; ~.., <;' t}.~!l'l ".NO , : ";~' ~ . ", "4'17~13S j.' ,J.-io.'" :' n,';" ;~( ?2::'" }~h} ;'i.i ; 'ELECfRitAr;' -;- ~ ,.7Pt;....:.4 ;ilf ),' ~l IH:. ELEcnuCAL - LIGHT DEPT. ll;~;-t: '. -03 .,.McJ ,: " LIGliT DBIrr:.;I> .'.ie{ " '. . .hT ' " .' .. ,,' '. , ., . .:-~ -'; ---;;; -;- ...., :P ,..;-" '~Wo~~N-W;iVf '.! v,, c." '.,,: ~ "!~ i .:-?\ . ,; .; CONSTRUcTION R. W.I PWI .' ,fl, ENGINEERING 417-4801 . '. } FIRE 417-4653 ". . , , . . FIRE DEPT. PL~GDEPT. ',. . ~P~75o, ..... .....1 P1:ANNINQI)~' .. ., . "::,;. ,.. . " " .,~. ',' , ," , <,.. " 1::11.,.", -&., J ~l " BuJioING ""':' D ~ .',1' " r: ,. BUILDING . 417-4815 ~ -. ". .. ...,,,,,^,",,<,~- ~ - T:\PLANNING\FORMS\1102.15 [412002] I I CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16486 :.) - ~ 3 ' Port Angeles, Washlngton.___nn/:_.___._:::...:.___.n___....__n....n..___.___, 19_,-._f In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to dO ~ectrical work as listed below. V i Y' ;:.- I"/'.~' .. ., Address ..__.!._!~m.______!::-::_.!.-'!r-!.'____n______h..nn.nn__n__.__________________ OccupancY.__n-:::J/.'~_=___'_____'____"_h._____n (.4 ~. , c..) . Owner __h____~_~~:h!n"!'::_ti':fc.'1'.._":f(-::__m_:_::..1~.:~.;!-::::._?d:?.___:____ Tenant..uommnuunn__n.nm._m__nndumu..mmuhm__... . , .:-(/ I .. ~ ..5f~ Wiring Contractor u___u"_~__~~~::_~~._~;~~__A";:U__::~1'J.h_~!:__~....Byu-u-muu---m-----nmnmm_u_._dn.___.douun.___nn //lOd;I/!C serv:c:. ~:::: ::::~::.:::::::~:::;.::::::::::::: If"."/.'~ - / /'/ i..I;'L~_ ~ Size wlres_.............:..................._.. //cy!C':l<),4 Main fuse nnm........n..:____:...____h..... - ~ Enclosure ....._..._n........___......_.__...... Light Outlets....__h____.__................_.._..... Receptacle Outlets.....__.m_.._..h...._....... Dryer, KW _..........n....__._.____..______________ Range, KW.___h..____._...___.__.___..._ Water Heater: KW.________m________.___.__...______. Hea', KW...__6.~~_,i_~BB.__.. Type of wiring: Entrance Cable ......nm__m........m.. Motors: size. volts and phase: Rigid Conduit __mm__mm Metallic Tubing ..nmmm Current transtormers: No. & Size..................m___m__ Ser. NO............n............._................... Ser. NO...nn.................n..............n.... Ser. No. ...n......_....................h........... Total wadn........................... Ser. No. ....00..000000..._.._......__...._.......... "'" Type ot Wiring: Armored Cable .............mn__...nm_ Non-Metallic _........_.......__..n.....h.._ Knob & Tube__._....m..m................_ Rigid Conduit ...____..............._.....___ Metalfic Tubing _____....__...._m.__..._. Raceway .....n................_......___._ Circuits. Light..................n......nn......... Utility ....00..0000.._00.__000000................... 11eat _n...n.n............................_...... Range .................................._....._.... Water Heater .mmum.n................ Motor ........................00...00...........00_ Dryer ......0000......................__.............._ Furnace .........................._......_.._....... Total ...._...0000.....00..00................ Remarks : _.___n__nn.n~'-__.::!__~!__':._~.::~"!.u~.~._R~:__Uh_uuuun....uuunUhdUU....___._._......_.....____.__.........__...._........_U.__h.un_ /~"-'" - .;:~;~.;~:-...----...----------___.----;~:~~.u;:~~~~~--------------.---u--------uu---u~);0::;~l;,~~---.ml?:---.---u---. $:_______.______.___._______________u. No'u______________u__________ By _..,!..:.:1>.::___:___(,___::'._:____..::__:.=:__:u:::..~:=.:':.=:___ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con- cealed due notice must be giv~n the Inspector so that work may be inspected betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT Address N? 16486 Owner ......0000..00.....................__....._.._......_......_.._.........................................00.......__..0000. Tenant.........n_h....nn..n...nnnn...n............_..._......... Date..._...nnu__.._.._...__....._......_......__n...... WiringContractor...................................._..............................................._.....__..............................By..............._.............................................. NOTICE-Current must not be turned on untH Certl!1cate ot Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected betore concealment. "1..__1~ C"in!Q!,,,. Inc. 'j ., 01/27/2003 18:25 FAX 3604575303 :.J-':'':'-''''':'; ,.....: ..:;\:1....1:__." ...;.j.., ;..rJGl::.Lld.':;' : ,H!D.! \ 7<4'7 11 I4I 01 . " OLYMPIC ELECTRIC ~ 1J\ bt ELECTRICAL PERMIT APPLICATION ~~U:E.~Ti_07 _..- I. ~,~; ., 0..0..(..-1" TI'M EJBC!Jk:aJ Pwrmn Appl~lim mullt ba ".lId nut ~bl.-.tv. ""'.... '- ar ..prlnlln InlL II you -.. any q_.... p..... call t3lO. .17.4735 "ox numbOr: caaal 411.4711 c:>oonor or E""', COnImClOr Ago"" 01 ympic Property 0.-: J:o/Y1 C/r;tlU 1/1'1 ? '1 Fit Electric Co., Inc. poon.: 457-5303 Fax: 452-3498 7'31(1S Pr...: I~TAlLATION WIREO eVe DOWNER CIly: ~ ELECTRICAl. CONTRACTOR Burkhardt, Olympic Electric Uco""'"': OL YMPEC2B~: 3/31/03 Port Angeles, WA 2lp: ~: 457-5303 Z;p: 98363 A<I<Ireso : Eloctri"'" Cad1BdDr: Olympic Electr ic AdW~: 4230 Tumwater City: Co.. Inc. CredIt C.rr1 Hoki<<" fII"m.I: Charles T. Co .. I nc . Billing AdJI _: Credit ClurJ Number: Same ZIp: VJSA:..2..-UC:_ ctry: Exp. DillrI' PFlOJl'CT _&6, IllY ~ 7111 TYPE OF WOAK: Check llillhal apply. 0 Naw o A~arBtionlAdd1tlon )Zl'R8s1dentnl 0 Mul1l-lamlly o Remote Meter 0 Detached garage 7- o Commercial n Mobile Home Sq. Fl. o Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage 0 Telocom. 0 Sigr OESCRIFTlON OF THE: e1..EcnucAL PROJECT: nu! NurntJ8r of C1neuita B<Jd8d or ill8f9Cl: o Bll58board ,ei Furnace $'He8t Pump Oi"ar>-Wall _KW tD KW (,0 A ~KW Z>,. _KW o 0>.em..Il<l SGrvioe o Temp SuJVica o uno&~l'Ound Service 1J:.€.'Si u,z.,I-;-nll\.L 1- 't. C<IC) Se....lce In1l1fmBlIon Vollag..: :< '10//77) Phaoe::gr.,1 10 3 Service 5i..: "2-VD Feeder Size: Eiloetrical Hat LORd Addltlon, 4> lfb ,70 P J.I.1C 1 '.05.060(8): FOf Indl.latrial, commercial. & _!dantlal prole"", larger than a duplex. a one -line dr.owing oll!'le EIeCI~ea1 5enItee & F...oen. bulldillg a~ (oq. ft.). lOild calou"'uona, ..... l:1e type to gf ~ucla$ anellor """,way Is requinod ""'" .hall accompany IJla Electrical p"""n appli<;BUon. I ;'BIBby certify Ihat I have read and examined this application and know /hac same /0 be tlW ant:! corf9C1, and 1M autl'JoriZed to apply for this perrn//. I undBrstand iI is not the City's legal responsJointy to det9rmll16 what permlrs are rtJqulred; if remains me sppficantt; fB$pDnsitJi!ity to c1elermlf16 what permits are requirec1 and 10 ob18in such -4~~ ~ _ a Ie- ~ /. ;c -tL:... , emit Card Holdor'a SJvmnu...; k ~18; f /z 7/0 P I I PW -9019 Owner Of Elee. Com. Slgn"ure: Dste: IlK c ~ 1/31/03 , ra/1 ELECTRICAL PERMIT APPLICATION =,C1"2U~"Q'.!-b~ PermilII: Dale Appn'~; Dalcl5SUN: The Electricel Pennit Applicetion must be filled out comoletelv. Please type or reprint In Ink. It you have any questions, please call (360. 417-4735 Fax number: (360) 417-4711 Owner or Elec. Contractor Agent: Property Owner: 8 C! 6 , Address: /1 J q k 406 etUJt-0"~ era e~tL5.t:... Phone: /I5T-J:;;. 38 Fax: :. Phone: City: .1""'..../ /lNb~, - w,4, Zip: 9%3 ts. "L Electrical COntractor: ---- License #: Exp: Phone: Address: .---:---.. INSTALLATION WIRED BY: p(OWNER Credit Card Holder Name: City: o ELECTRICAL CONTRACTOR Zip: Credit Card Number: Zip: VISA: City: Exp. Date. Billing Address: MC:_ PROJECT ADDRESS: I//~ ,e, 9'6 sr; TYPE OF WORK: Check all that apply: 0 New 'ilJ Alteration! Add~ion )lll Residental 0 Multi-family o Remote Meter 0 Detached garage ? o Commercial o Mobile Home .Sq.Ft. '0 o HotTub 0 Swim Pool o Septic Pump 0 Low Voltage 0 Telecom. OS; Number of Circuits added or altered: '~:". ." DESCRIPTION OF THE ELECTRICAL PROJECT: '-./1.oLJ ~'/1?~ /!. / 17A' I.;:IJ .;r-S Electrical Heat Load Additions 4/P,70 T (5.~D}t3) ::- c,J- ~ --',', , . .: Service InformatIon " o Baseboard o Furnace o Heat Pump o Fan-Wall _KW _KW _KW _KW )Ir Overhead Service o Temp Service o Underground Service Voltage: Z.<(O/I'LO Phase: p;11 0 3 Service Size: 2-0-0 Feeder Size: PAMC 14.05.060(B): For industrial, commercial, & residential projects larger than a duplex. a one -line drawing of the Electrical Service I Feeders, building size (sq, ft.), load calculations, and the type & of conductors andlor raceway is required and shall accompany the Electrical Permit application. I hereby certify that I have read and examined this application and know that same to be true and correct, and I ~ authorized to apply for this permit. I understand It is nol the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. 1/1..(0'> 4( _ ~V;(;.-~ w:ae ;/eftf,.,+ C!u<l/UV'c.e &v. c.e....", -;-- '"'TiU;;"'TiN..e~ ~ Credit Card Holder's Signature: Date: Owner or Elec. Cant.. Signature: Date: PW-9019 I~ C(~ ;z.-4-()3 Application Number . . . . . 23-00000016 Date 1/06/23 Application pin number . . . 154144 Property Address . . . . . . 1114 E 9TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-8165-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Service ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CROUSE ROBERT L NORTH PENINSULA ELECTRIC 436 GLASS RD 761 FRESHWATER PARK RD PORT ANGELES WA 983628662 PORT ANGELES WA 98363 (360) 477-1764 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 120.00 Plan Check Fee . . .00 Issue Date . . . . 1/06/23 Valuation . . . . 0 Expiration Date . . 7/05/23 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 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 1/05/23,14:07:11 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000016 1114 E 9TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 120.00 TOTAL DUE 120.00 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 1/6/2023 23-16 TAP OWNER CONTRACTOR North Peninsula Electric PROJECT ADDRESS 1114 E 9th St