HomeMy WebLinkAbout133 W 7th St - Building Electrical Permit
133 W 7`" st
13 -041
ELECTRICAL PERMIT r
CITY OF PORT ANGELES
360-417-4735 --C
Application Number . . . 13-00000041 Date 1/10/13 �-
Application pin number . . . 428953
Property Address . . . . . . 133 W 7TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6560-0000- REPORT SALES TAX
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY (Location Code 0502)
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
T-stat Furnace heatpump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
SHAY JOANNE B ANGELES HEATING
133 W 7TH ST 2114 W. 8TH ST.
PORT ANGELES WA 983626010 PORT ANGELES WA 98362 _
-------------------------------------------(360) 457-0111 W
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 56.00 Plan Check Fee .00
Issue Date . . . . 1/10/13 Valuation . . . . 0
'Expiration Date 7/09/13
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 .� f
-------------------------- ------------------------------------ ------ V
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 56.00 56.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 56.00 56.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
Awl
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEWILDING
PORr L,, v1
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360)417-4711
li NS7E CI10N
Date: 4 _1 &2 Single Family Dwelling
*Plan Review May Be Required, Please Co�fete Electrical Plan Review Information Sheet
Job Address: / 33 W -2 A/l l� d r r A de;
Building Square Footage:
Description of above
Owner Information Contra c r Information
Name: .� t. Name: �
Mailing dress: 7`I Mailing/�ddre s: /!jf ml a th
City: State: _Zip: City: i�r State:AV4 Zip: I?F34 :7
Phone: Fax: Phone._76o SY6 ,�'j Fax:
License#/Exp. License#/Exp.
Item Unit Charge Q�t Total(Qty 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 $
Renewabl rical Energy-5KVA System or Less $102.00 $
Thermos $ 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 $
$ 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 296-4613,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications.
Signature of owner,electric contractor or electrical administrator: ❑ Cash ❑ Check
CI-> /( Credit Card#
X % Dated: 6f O q! �2_d 01/0112012
Electrical Permit
133 W 7`" st
13 -039
W
t
ELECTRICAL PERMIT c
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 13-00000039 Date 1/09/13
Application pin number . . . 261687
Property Address . . . . . . 133 W 7TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6560-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY (Location Code 0502)
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
200 amp service 3 circuits.
----------------------------------------------------------------------------
Owner Contractor
SHAY JOANNE B OLYMPIC ELECTRIC CO INC
133 W 7TH ST 4230 TUMWATER
PORT ANGELES WA 983626010 PORT ANGELES !�WA 983633 (c��
(360) 457-5303- 4_1
------------------------------------------- f2i8 V
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc' . \VN
Permit Fee . . . . 135.00 Plan Check Fee .00
Issue Date . . . . 1/09/13 Valuation . . . . 0 _
Expiration Date 7/08/13
Qty Unit Charge Per Extension
3.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 15.00
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------- ---------- -- --------- ---
Permit Fee Total 135.00 135.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 135.00 135.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE Ihol is
ROUGH-IN P[610 491
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEWILDING
Jan 08 2013 05:03PM Olympic Electric Co., Inc 3604523498 page 1
c w\
is
'`ll tl Ln LJ ��� �Fl
CITY OF PORT ANGELES PERMIT APPLICATION J t� cc
Building Division/Electrical Inspections
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 ELECTRICAL
Ph: (360)417-4735 Fax: (360) 417-4711 INSPECTIONS
Date: 11'r1-1-T M 1 &2 Single Family Dwelling
Plan Review May Be Required,Please Complete Electrical Plan Review Information Sheet
Job Address:_lir' &Z Z0
Building Square Footage:
Description of above tz
Owner Information Contractor Information
Name: 7 f1f1 Name: OLYMPIC ELECTRtc _
Mailing Address: ��_6 7A Mailing Address: 4230 TUMWATER TRUCK ROUTE
City: PORT ANGELES State' WA Zip: 96362 �Aty. PORT ANGELES State: WA Zip: 66363
Phone: !Y;7-J/JG Fax: Phone:36o-457-5303 Fax: 360452-3490
Lice nse#/Exp. License#/Exp.OLYMPEc26s0
Item Unit Charge Q Total(Qtv Multiplied by Unit Char-gel
Service/seeder 200 Amp. $120.00
ServiceFeeder 201-400 Amp. $146.00 $
ServiceFeeder 401-600 Amp $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Ci cuit W/Service Feede- $ 5.00 3 $
Branch Ci-caii W/O Service Feecer $ 63.00 $ —
Each Acditional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 75.00 $
Temp.Serycei Feeder 200 Amp $ 93.00 $
Temp.Se•v ce/Feeder 201-400 Amp. $110.00 $
Temp.Sev:ce/Feeder 401-60C Amp. $149.00 $
Temp.Sevice/Feeder601.1000Amp. $168.00 $
Portal is Portal Hourly $ 96.00 $
Signal Circuit!Limited Energy-18 2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00 $
Renewcble 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=t.or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 $
Each Swim ing Pool or Hot Tub $110.00
$ Total
Owner as defined by RCUV.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, ane Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: ❑ Cash ❑ Check
/♦♦G Credit Card k --
x i.-" y Dated: Tl!��� 011012012
Building Permit
133 W 7 t" S t
13 -037
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 13-00000037 Date 1/08/13
Application pin number . . . 112550
Property Address . . . . . . 133 W 7TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6560-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . . on your state excise tax form
Property use to the City of Port Angeles
Property Zoning RESIDENTIAL HIGH DENSITY
Application valuation 8000 (Location Code 0502)
------ --------------------------------------------------------------------
Application desc
REPLACE OIL FURNACE WITH HEAT PUMP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
SHAY JOANNE B ANGELES HEATING INC.
133 W 7TH ST 2114 W 8TH ST
PORT ANGELES WA 983626010 PORT ANGELES WA 98363
(360) 457-0111
--------------------------------- ------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . HEAT PUMP SYSTEM
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 1/08/13 Valuation . . . . 0
Expiration Date 7/07/13.
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .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 an state or local law regulating construction or the performance of
construction.
11
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building 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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. I`o
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted b
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:
Heat Pum /Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parkin /Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
1
Electrical r 417-4735
Construction-R.W. PW /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
THE71
iT1` OFFor City Use
�'� b. f # QP'.
Permit#
W A S H I N G .,T O N . U . S .
Date Received: /3
321 East 51 Street
Port Angeles, WA 98362 Date Approved �.- �� 137.
P: 360-417-4817 F: 360-417-4711
permits@cityofpa.us
Building Permit Application
Project Address:
��- 2
Main Contact: P one # 36 C-> 116 C, 3 i �(
Contact: ,
2 E-Mail: u4 c-ellf-J h leg
Property Name Phone
Owner U VV `� U
Mailing Address Email
City State Zip
Contractor Name Phone
Mailing Addr ss Email
City State Zip
el-1" } v �Z-
Contractor License # Expiration:
Project Value: Zoning: Tax Parcel # Lot#
$ 3,0 go
Type of Residential ° Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
For the following, fill out both pages of permit application:
New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical Plumbing ❑ Other ❑
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes ❑ No
Project
Description
I have read and completed the application and know it to be true and correct. I am authorized to apply for this
permit. I understand that it is my responsibility to determine what permits are required and to obtain permits
prior to working on projects. I understand that the plan review fee is not refundable after plan review has
occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the
permit is issued. I understand that if the permit is not issued within 180 days of receipt,the application will be
considered abandoned and the fees forfeit.
Date Print Name Signature
Residential Structures
For Office Use
Area Description (SQ FT) Existing Proposed $$value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck
Garage
Carport
Other(describe) `
Area Totals
Commercial Structures
For Office Use
Area Descriptions (SQ FT) Existing Proposed $$Value-,-
Existing
alue-Existing Structure (s)
Proposed Addition
r
Tenant Improvement? r
Other work(describe)
Area Totals
_ Lot/Site Coverage Calculations
Footprint(SQ FT) of all Structures: Lot Size: %Lot Coverage
SQ FT Site coverage (all impervious+ %Site Coverage
structures
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler Size: /� . # / Haz/Non-Haz Piping #of Outlets:
5�
Appliance Ven —Heater( us spended, lo®r, #
Boiler/Compressor Size: # Heating/Cooling appliance #
,t re air alteration
Evaporative.Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fireplace/Gas Stove Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #
Furnacqoeat Pump Size: # Ventilation System #
Forced Air
Plumbing Fixtures
Indicate how man .of each type of fixture to be installed,or relocated
Plumbing Traps # Fuel gas piping #of Outlets:
Water Heater # Medical gas piping #of Outlets:
Water Line # Vent piping #
Sewer Line # Industrial waste pretreatment #
interceptor
Other describe
T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX
PREPARED 4/01/13, 10:15:56 INSPECTION HISTORY REPORT PAGE 1
PROGRAM BP521L 0/00/00 THRU 0/00/00
CITY OF PORT ANGELES
--- --------------------— ---------------------
APPLICATION PROPERTY ADDRESS ASSESSOR PARCEL NUMBER ALTERNATE ID
STRUCTR PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR
------------------------------------------------------------------------------------------------------------------------------------
13 00000037 133 W 7TH ST 06-30-00-0-1-6560-0000- 063000016560
000 000 ME 00 MECHANICAL PERMIT ME99 0001 MECHANICAL FINAL 1/15/13 APPROVED JLL
REQ COMM: January 15, 2013 9:05:39 AM pbarthol.
REQ COMM:. Bob 460-2314
RES COMM: January 15, 2013 4:16:19 PM jlierly.
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 04-00000157 Date 2/24/04
Pin number . . . . . . .098981
Property Address . . . . . . 133 W 7TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6560-0000-
Application description . . . RE-ROOF
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 5500
Owner Contractor
------------------------ ------------------------
SHAY JOANNE B GOLDEN HERITAGE HOMES
133 W 7TH ST 1942 W 8TH
PORT ANGELES WA 983626010 PORT ANGELES WA 98363
(360) 477-1913
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT - NO PR FEE
Additional desc . . TEAR OFF, SHEET, FELT, COMP
Permit Fee . . . . 148.75 Plan Check Fee .00
Issue Date . . . . 2/24/04 Valuation . . . . 5500
Expiration Date . . 8/22/04
vJ
Qty Unit Charge Per Extension
BASE FEE 92.75 V
4.00 14.0000 THOU BL-2001-25K (14 PER K) 56.00
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
Fee summary------ Charged ---Paid--- Credited -- Due---
----- ---------- ---------- \\\
Permit Fee Total 148.75 148.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 153.25 153.25 .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 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 overning this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume o give a ority to violate or cancel the provisions of any state or local law regulating construction or the performance of
cons tru i n.
�� (J 0 C
Signatur of Cont actor or Authorized Agent Date Signature of Owner(if owner is builder) Date
T:\PLANNING\FORMS\1102.15[11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL 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.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:#
ROUGH-IN
PLUMBING
UNDERFLOOR/SLAB
ROUGH-IN
WATER LINE(METER TO BLDG)
GAS LINE
BACK FLOW/WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS/ROOF/CEILING
DRYWALL(INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL/FLOOR/CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE/PELLET/CHIMNEY
HOOD/ DUCTS
PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT#'s:
WATERLINE/METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT#'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
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-R.W.
ENGINEERING 417-4807 PW/ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 _ ;). BUILDING
T:\PLANNING\FORMS\1102.15[11/14/2003)
PREPARED 3/08/04, 11:39:20
CITY OF PORT ANGELES INSPECTION TICKET
----------- __ INSPECTOR JAMES L LIERLY PAGE 2
------------- ______
ADDRESS
133 W 7TH ST --- DATE 3/08/04
--------------------------
CONTRACTOR GOLDEN HERITAGE HOMES
' SUBDIV: --------------
OWNER SHAY JOANNE B PHONE (360) 477-1913
PARCEL 06-30-00-0-1-6560-0000- PHONE
APPL NUMBER: 04-00000157 RE-ROOF
PERMIT- -
BNOP 00 BUILDING PERMIT
REQUESTED - NO PR PSE --------------------------
TYP/SQ COMPLETED NSP DESCRIPTION
RESULT
-------------------
RESULTS/COMMENTS
BL99 01 3/03/04 JLL
3/03/04 BUILDING FINAL ___________
BL99 02 DA ventilation
BUILDING FINAL code _______one vent per 150 sf regd/Jil
-- COMMENTS AND NOTES
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BUILDING DIVISION
CITY OF PORT ANGELES
Correction Notice
Job Located at
Inspection of Your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
r2✓h^c 4
Z 7
a�L-
These corrections must be made and are not to be
covered until reinspection is made. When corrections
have been made, please call
for inspection.
Date Z'�
Inspector for Building Division
DO NOT REMOVE THIS TAG
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST: /
Date Z ` Time Received by V (phone, person
to be inspected
b.)Location of Work
p
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Other
INSPECTION NOTES:
Inspected: Date Time By
Remarks:
RESTORATION REQUIRED . . . . . . YES NO
SURFACE RESTORATION:
SURFACE TYPE: (-] Unimproved ❑Gravel ❑Asphalt El PCC
[I Other
❑ Repaired by City Work Order #
❑Repaired by Permittee [] COMPLETE
❑No Damage Found ❑ INCOMPLETE
irnntintie on reverse side if necessary) STREET SUPERINTENDENT (DATE)
Application Number . . . . . 22-00000787 Date 6/28/22
Application pin number . . . 502709
Property Address . . . . . . 133 W 7TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6560-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Service
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
David A Hendrickson II FELTON ELECTRIC
133 W 7TH ST 196 GANDALF RD
PORT ANGELES WA 983626010 PORT ANGELES WA 98363
(360) 775-1046 (360) 775-5001
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 120.00 Plan Check Fee . . .00
Issue Date . . . . 6/28/22 Valuation . . . . 0
Expiration Date . . 12/25/22
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
PREPARED 6/27/22, 8:26:22 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00000787 133 W 7TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 120.00
TOTAL DUE 120.00
Please present reciept to the cashier with full payment
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
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
7/25/2022 22-787 TAP
OWNER
CONTRACTOR
Felton Electric
PROJECT ADDRESS
133 W 7th St
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
7/26/2022 22-787 TAP
OWNER
CONTRACTOR
Felton Electric
PROJECT ADDRESS
133 W 7th St
Application Number . . . . . 23-00000226 Date 3/08/23
Application pin number . . . 703682
Property Address . . . . . . 133 W 7TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6560-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Basement remodel
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
David A Hendrickson II OWNER
133 W 7TH ST
PORT ANGELES WA 983626010
(360) 775-1046
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 100.00 Plan Check Fee . . .00
Issue Date . . . . 3/08/23 Valuation . . . . 0
Expiration Date . . 9/04/23
Qty Unit Charge Per Extension
BASE FEE 75.00
5.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 25.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 100.00 100.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 100.00 100.00 .00 .00
ELr-2 sF
1 .2 SINGLE.FAMILY
ELECTRICAL PERM IT APPLI CATI ON
Public Works and Utilities Department
321 E .5th Street, Port Angeles, WA 98362
3 6A .4 17 .47 35 | www.c ityofpa. us I e lectri calperm its@cityofpa. us
Project Address ß .al4 -vJ 1g L
Project Description:ßys;¿i<ø<rr l¿raoN¿¿- - sA{"&I, ATARTNø¡.II
T]o
3
*t
,E Single-Family Residential ! Duplex / ARU Building Square footage:
Name
Mailing Address:f¡{tJ
Email:ro't\lleslqde Ønatu.coh
Phone 3bö 775- ØqG
OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
Name
Mailing Address
License
Phone:
Expiration Date:
Email
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201 400 Amp.
Service/Feeder 40 1 -600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201 400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal Hourly
Signal CircuiUlimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: SKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
am making the electrical installation or alteration in compl
468, The City of PortAngeles Municipal Code, and Utility
Date Print Name
[Electrical Permit Applications may be submitted
Quantity þla! (Quantity x Unit Charge)
-Ææ2ç,oo
7l.oo
[Jnit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
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$
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$
$
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$
$
$
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$
$
$
$
$
$
$TOTAL
Owner as defined by RCW'1 9.28.261 : (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 licensed electrical contractor. I
iance with the e 1 9.28, WAC. Chapter 296-
Permit Applications.
ature ! Electrical Contractor/Administrator)
Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111
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PREPARED 3/07/23,14:11:41 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000226 133 W 7TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 100.00
TOTAL DUE 100.00
Please present reciept to the cashier with full payment
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
4/4/2023 23-226 TAP
OWNER
David Hendrickson
CONTRACTOR
PROJECT ADDRESS
133 W 7th St