HomeMy WebLinkAbout1521 W 11th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT "' BUILDING DMSION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
PrOperty Addrl;!ss
ASSESSOR PARCEL NtJMBIm:
Applicationdes~~iption
Subdivision Niune ' '. . .
Property Zoning . . .
Application valuation
03-00000710 Date 7/23/03
1521 W 11TH ST
06-30-00-0-3-1365~0000-
RE-RooF
1381
OWner '
Contractor
WJ:LSONDOUGLAS W
1521 W 11TH ST
PORT ANGELES
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OWNER
WA 983635511
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,Permit . . . .
Additional desc
Pe,rmit Fee
Issue Date
Expi:ration Date
BUILDING PERMIT - NO PR' FEE
ROOF OVER ONE LAYER
74.45 Plan Check Fee
7/23/03 Valuation
1/20/04
.00
1381
Qty OnitCharge Per
Extension
47.00.
, 27.45
BASE FEE
9.00 3.0500 HND BL-501-2K (3.05 PER Cl
Other Fees
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STATE SURCHARGE
4.50'
CJ)
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Fee summary charged Paid Credited Due
----~------------ ---------- ---------- -.--------- ----------
Permit Fee Total 74.45 74.45 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 78.95 78.95 .00 .00
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Separate Permits are required for electrical work, SEPA, ShoreUne, ESAi):Jtilities, private and public improvel1'lents., Tbisp~l1TIlt~~()Ines
ilulland,.vold if work or construction authorized is not commenced within 180 days,ifconstruction or work Is'susJ.>ended cil'abanclo,n~d
for aperipd, of.1 ~() days afterthe work as comm~nce~,.or if req~lr~d 1~~pectl,~)Rs have not been requested within 180 days ,frol)lthela.s.t
Inspection. I hereby certify that I have read a'nd examined this application'ahd'KnoW the same to be trueand.co,rreet/l.n'pl'()~sionspf
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting ofaperiTiWCl6es not
presume to give authority to violate or cancel the provisions of any state~ocallaw regulating construction or the performance of
construction.
, ~
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Signature of Contractor or Authorized Agent Date Signature of6wner (if owner is builder) - Date
T:\PLANNrNG\FORMS\II02.1S (412002)
BUILDING PERMIT INSPECTION RECORD.
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CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 <HOUR NOTICE. IT IS UNLAWFUL TOCQV#R,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN NCONSPICUOUSLOCAnON.
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KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
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INSPECTION TYPE DATE ACCEPTED . CO\\fMENTS . ",,"
I YES. I NO . .' .. ., \
. " .'
FOUNDATION: .
FOOTINGS
WALLS
FOUNDATION DRAINAGE .'.
.'
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I',' . I :'
,LUMBING
0
UNDER FLOOR I SLAB I
ROUGH-IN .
WATER LINE I'
. GAS LINE
BACK FLOW I WATER . d
AIR SEAL' I
WALLS .' -
.;
CEILING .
'. .0 ....
FRAMING
JOISTS I GIRDERS
SHEAR WALL :
WALLS j ROOF I CEILING -.
. DRYWALL 0 .
0
T-BAR .-
INSULATION .
SLAB .
WALL I FLOOR I CEILING I
MECHANICAL
HEAT PUMP
WOOD STOVE I PELLET I CIDMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM .
PLANNING DEPT. SEPARATE PERMIT#'s . SEPA:
P ARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
" . .', FINI\L INSPE~rIONS Ri:OllIRED PRI<?~rO OCCU~NCYIUS.~ , '. " '.
0 .'.
RESIDENTIAL DATE YES NO CO!\1MERQAL DATE Ac:q:P,:q:D. ,
. " " .....; "-, '., ;.,.', YES NO
c \" " .. . , .. : , ..-c- _ -;-n:.:;- ,. ,
ELECTRiCAL - LIGHT DEPT. 417-4735 ELECTRICAL
'. LIGHT DEPT;: ')', I. .
P. c CONSTRUCI'ION - It. W.
CONSTRUCTION R. W.I PWI
ENGINEERING 4 I 7-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
. ~ MI....~A
PLANNING DEPT. . 4 !7-47~0 / PLANNIl-!GDEPT... .:., ,
W~ !/q JAr {>v .
BUILDING 417-4815 BUILDING
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T:\PLANNING\FORMS\I ~02.15 [412002]
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FOR OFFICIAL USE ONLY:
BUILDING PERMIT - APPLICATION
Date Rec.:
Permit #: 7 I a
Date Approved:
Date Issued:
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
(360) 417-4815
Applicant or Agent: \) Ou.~ ~S W ~
Owner: ~'j\QS LVl \S1Y\
Address: 1.c,::J,.\ W \ l-th 0-1-_ City:Jor-\-
ArchitectlEngineer:
Phone: (300) %.:4 -7a b-5
Phone: \3w) %;2. -7;2hc)
~I Q. \os WA Zip: OC <636 ~
Phone:
Contractor
State License #:
Exp:
Phone:
Zip:
ZONING:
Address:
PROJECT ADDRESS: 16;).. \ W \ l t;J... 01- .
City:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
m"'Resjdential D New Constr. ..:l!f Re-roof
D Multi,.family D Addition D Move
D Commercial D Remodel D Demolition
. fIJ Repair [:],Sign
BRiEF DESCRIPTION F THE PR~JECT:
.' '!2.be:.cfJ
City:
Exp. Date:
~ ~.:
D Stove;"
D Garage'
DODeck ,,~
D, . Other
SIZE/V ALUATION:
SF.@$
SF.@$
SF.@$
/SF. = $
/SF. = $
F'~"t~~! ~~4
COMMERCIALIRESIDENTIAL: Occupancy Group:
Occupant Load:
Construction Type:
= TOTAL Sq.Ft.
%
No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft.
Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage
APPRO is:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESNWetland(s): DYes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and 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: IF a plan check fee is due it must be submitted 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: Ifno permit is issued within 180 days of the date of application, the 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 that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work.
Applicant: p~ 1 A) ~Date: 07 / h~ / 0 ::s
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T:\FORMS\APPS\Buildingpermit. wpd
Application Number . . . . . 23-00001277 Date 12/05/23
Application pin number . . . 137886
Property Address . . . . . . 1521 W 11TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-1365-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
DHP
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Owner Contractor
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DOUGLAS W WILSON EXTRA MILE TECH & ELECT., LLC
1521 W 11TH ST 418 N. RACE ST.
PORT ANGELES WA 983635511 PORT ANGELES WA 98362
(360) 460-9526 (360) 457-5222
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 68.00 Plan Check Fee . . .00
Issue Date . . . . 12/05/23 Valuation . . . . 0
Expiration Date . . 6/02/24
Qty Unit Charge Per Extension
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 68.00 68.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 68.00 68.00 .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:--------------------------------------â–¡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]
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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
12/05/2023 23-1277 TAP
OWNER
CONTRACTOR
Extra Mile Electric
PROJECT ADDRESS
1521 W 11th St