HomeMy WebLinkAbout225 W 13th St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
i
Application Number 09 00000970 Date 9/21/09
Application pin number 531290
Property Address 225 W 13TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 7870 0000
Tenant nbr name i ALEX/COCO JEAN CARLSON
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 6530
Application desc
TEAR OFF & RE ROOF THE GARAGE
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Owner Contractor
ALEX/LOCO JEAN CARLSON LARRY S ROOFING
225 W 13TH ST 352 AVIS ST
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 417 2109 (360) 452 2215
Structure Information 000 000 TEARIOFF & RE ROOF GARAGE
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF & RE ROOF GARAGE
Permit pin number 153874 1
Permit Fee 165 75 Plan Check Fee 00
Issue Date 9/21/09 Valuation 6530
Expiration Date 3/20/10
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Qty Unit Charge Per Extension
BASE FEE 95 75
5 00 14 0000 THOU BL-2001 25K (14 PER K) 70 00
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Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 165 75 165 75 00 00
Plan Check Total 00 i 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 170 25 170 25 00 00
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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 correct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified rein or not. They gra ng of pe it does not presume to give authority to violate or cancel the provisions of any
state or local law regulating onstru do or the performa e truct n.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
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T:Forms/BuiWing Division/Building Pemit
BUILDING PERMIT INSPECTION RECORD 1
— 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
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 �1
Ceiling 1"
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 p
Rough-in V
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
Electrical 417-4735
Construction R W PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
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Building 417-4815 X
T-Forms/Building Division/Building Permit
�O�tUkr9'� BUILDING PERMIT APPLICATION Print In ink
c?~ + r
- CITY OF PORT ANGELES
_ - Attn Building Permit Technician For City Use Only
`•r- 321 E Fifth St. Port Angeles WA 98362 Date Received 9-Z
(360) 417-4815 fax (360)417-4711 Permit#_ 0q—q-70
Date Approved
Applicant 10M aowe,8 Phone �z
Property Owner Phone 40- 2W
Property Owner's Aqdre r /Q (�
Contractor ��� S �YoJ � Phone
Contractor's Address �3,-_Z X35S es
License # 1g1rQ(06P3Lh Expires 1 E-mail
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PROJECT ADDRESS C i3
Parcel Number Lot Zoning
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Proiect Type& Brief Description. Reside tial ❑Multi-fam11�
❑ Commercial ❑ Industrial
Check all that apply �❑ New Construction `' O (C4 In� OJ
❑ Addition 1W 11,
o Remodel 1
❑ Repair
❑ Demolition
A Re-roof ❑ House garage ❑ other V tear off& re-roof o lay over one layer
❑ Heat System ❑ Heat pump ❑wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other
❑ Other
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Floor Areas Existin_a(sq. ft.)1 Proposed(sq. ft.)
Basement @ $ per sq ft. _ $
1 st Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $
Total footprint of structures sq ft. T Lot size sq ft. = Lot coverage %
Site Coverage= the.amount of impervious s l rface on a parcel including structures paved driveways, sidewalks patios
and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site-coverage %
Max. height of proposed structures ft. Occupancy group #of bedrooms
Will a lawn sprinkler system be installed? Occupant load #of full baths
Will a fire sprinkler system be installed? Construction type #of half baths
I have read and completed this application and know it to be true and correct. I am authorize to.appmc it.and understand
tha6t is my responsibility to determine perm are required, and to obtain permits prior to rking
Date -6-0I Print Name VOY'(1 U6 Signature
T:Forms/Building Division/Bldg Permit.doc
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f o d'°"' CITY OF PORT,ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES.WA 98362
Application Number . . . . 05-00000517 Date 6/25/05
Application pin number 882053
Property Address . . 225 W 13TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-7870-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . 0
Owner Contractor
SUETA, CARLA JEFF NEtSON,ELECTRIC
1420 GRAY BLUFF TRAIL 7062 OLD OLYMPIC HWY.
CHAPEL HILL NC 27517 PORT ANGELES WA 98362
( 91) '270-7912 (369) '460-4291
Permit- ELECTRICAL ALTER RESIDENTIAL
Additional desc JEFF NELSON/ MOVE METER
Permit pin number 52779
Sub Contractor JEFF NELSON ELECTRIC
Permit Fee 36.30 Plan Check Fee .00
Issue Date . . . 6/25/05 Valuation 0
Expiration Date 12/22/05
Qty Unit Charge Per Extension �.
1.00 36.3000 ECH EL-R OR RM REPAIR-METER/MAST- -----36.30-
----------------------------------------------
Fee summary--- --
Charged Paid-- Credited Due_--
----------
-
Permit Fee Total 36.30 36.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 36.30 36.30 .00 .00
COMMENTS/ACTION NEEDED
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ELECTRICAL PERAWT INSPEMON RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS.=PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
DITCH
SERVICE
FINAL
OS
GENERAL COMMENTS:
rw-um.Is 14rsa1
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION
I�
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 04-00001061 Date 1/07/05
Pin number . . . . . . .216322
Property Address . . . . . . 225 W 13TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-7870-0000-
Application description . . . RES REMODEL
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning RS7 RESDNTL SINGLE FAMILY EXPIRED
Application valuation 6000
OwnerContrac ------------
SUETA, CARLA SEAVIEW CONSTRUCTION
1420 GRAY BLUFF TRAIL P O BOX 235
CHAPEL HILL NC 27517 CARLSBORG WA 98324
(919) 270-7912 (360) 457-6697
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc . . DECK OVER LIVING AREA
Permit Fee . . . . 112.14 Plan Check Fee 18.80
Issue Date . . . . 12/03/04 Valuation . . . . 6000
Expiration Date . . 6/15/05
Qty Unit Charge Per Extension
BASE FEE 56.14
4.00 14.0000 THOU BL-2001-25K (14 PER K) 56.00
---------------------------------------------------------------
Special Notes and Comments
Building Division has no requirements.
The Fire Department has reviewed the project application and 1^
has no comments v\r
Proposal will result in a second floor deck over the
original footprint. No expansion of the first floor
footprint will occur for a total lot coverage of 28%. No
land use issues are noted.
Electrical load calculations and elctrical permits are
required.
MAINTAIN CLEARANCES FROM SERVICE WIRES
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50 �^
Fee summary Charged Paid Credited Due 1
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 112.14 112.14 .00 .00
Plan Check Total 18.80 18.80 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 135.44 135.44 .00 .00
Separate Permits are required forelectrical 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 orwork 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 give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
cons tr ti n.
Signa ure of Contracto or uthorized A__9e_nT Date Signature of Owner(if owner is builder) Date
T•\PLANNING\F0RMS\1102.15[11/14/20031
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 WORKBEFORE
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
UNDER FLOOR/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 Z —Q�
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 (Engmeenng 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 RW./PW/ CONSTRUCTION-RW
ENGINEERING 4174807 PW/ENGINEERING
FIRE 4174653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 4174815 BUILDING
T.\PLANNING\FORMS\1102.15[11/14/2003]
PREPARED 12/17/04, 13 19 16 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/17/04
--- --- - - ------------
ADDRESS 225 W 13TH ST SUBDIV
CONTRACTOR PHONE
OWNER JESSE PARENT PHONE
PARCEL 06-30-00-0-3-7870-0000-
APPL NUMBER 04-00001061 RES REMODEL
-- -- -- - - - ----
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
----------------------------------------------------------------------------------------------
BL3 01 12/17/04 JLL BUILDING FRAMING
ROGER - 808-3201
----------' ,----------------------
COMMENTS AND NOTES --------------------------------------
pt poaFOR OFFICIA USE O LY
CBUILDING PERMIT - APPLICATION Date Rec o �S— 'rj(.
Permit# D
Fill out COMPLETELY and in INK.Your application and site plan MUST BE Date Approved
COMPLETE to be accepted for review. If you have any questions,call Date Issued
PERMITS(360)417-4815 FAX(360)417-4711
Applicant or Agent: ' t Phone: z 6
Owner: n.fla O/. 2,le Phone:
Address: -�� '41 Civ: Zip:
Architect/Engineer: 2 D Gic- l&t �J b��k'^)t Phone: S�7
Contractor SP�yv�e+J State License#:'�-CAOIC 14Q/ p: 7-06 Phone: 957--(0110 %'1
Address: ??e>,L City: G C-16-5. 0.— zip: r9t7a�
2
PROJECT ADDRESS: Z Z-—5- L Z fiLl P 1- WA- q 3 le Z- ZONING: +�-5—7
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name:
Billing Address: City:
Credit Card Type VISA MC # Exp.Date:
TYPE OF WORK: SIZE/VALUATION:
'9Residential ❑ New Constr. ❑ Re-roof ❑ Stove 220 SF. @$ /SF.=$
❑ Multi-farmly ❑ Addition ❑ Move ❑ Garage SF. @$ /SF =$
❑ Commercial 1:1 Remodel ❑ Demolitionpeck SF. @$ /SF._$
❑ Repair ❑ Sign ❑ Other TOTAL VALUATION $ f7D�
BRIEF DESCRIPTIONOF THE PROJECT:
Gt`
k I PiGLbLm-�- h CXV.e- X 2-2O L0 X55 rcx,F r
COMMERCIAL/RESIDENTLAL: Occupancy Group: Occupant Load: Construction Type:
No.of Stories:_ Lot Size: Existing Sq.Ft.26 (zcl &Proposed Sq.Ft. 17-7 =TOTAL Sq.Ft.�
Total lot coverage 2q,.5 %
APPROVALS:
J PLANNING USE ONLY: PLAN:
BLDG:
DPWU:
ESA/Wetland(s): ❑Yes 11No SEPA Checklist required? ❑ Yes 11 No
No Other: 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 pernut 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,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 R105.3.I
of the International Building/Residential Code,2003). No application can be extended more than once.
1 hereby certify that 1 have read and examined this application and know the same to be true rrect I am auf n d to apply for this permit and
understand that it is my responsibility to determine what permits are required,not the City's and t I must obtain ch ermits prior to work
T\RVESS\BLDG-forms-brochures\2003-Buildmgpermit wpd Applicant: Date: I Iff —oy
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ELECTRICALWORKPERMITAPPLICATION
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` Installation description
Job wired by ❑Electrical Contractor ❑Owner ❑ Commercial ❑,Residential
Electrical contractor names License number Date Expires ti-
❑ New ❑Altered/Addition �1/lL�
PureKaser's mading a5dre`ss" _.,.,c �-�
eC' rsc
City State ZIP
Telephone number FAX numberr�-
�l�n //7Ci i o-t er'� e-e/ ll T v
Premises owner's name
Address of inspection
city����
o
Phone number to sr. edule iospeChon:
At /_T f1
Owner as defined by RCN.19.2861:(1) Owner will occupy the structure for two
years after this electrical permit ts,Jinalized. (2) Owner is required to hire an electrical
contractor if above said propq'Zis for sale, rent or lebse.�
After reading the above statement, I hereby certify that Iiam the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter'
19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator
Inspection fee
X �� t °.�� �// / Date: lot r/�� $ O
Electrical l!oed Additions and SMEM
or`subtractions `Service Information
/Ll]-NO LOAD CHANGES
rU Baseboard _KW I Voltage
❑ Furnace _KW (+ ❑ verhead Service Phase Lyl El3
LJHeat Pump _Ton LAR - 'U Temp Service Service Size: -=,V44
Cl Fan-Wall _KW ❑ Underground Service Feeder Size:
SAME DAY INSPECTION CALL BEFORE 7:00 AM 360-417-4735
ROUGH-Pq y� THERMOSTAT SERVICE,/
y lv. oj'
Dam Approved By Date Approved By m Approved By
FINAL DITCH FEEDER
Da Approved By Date Approved By ' Date Approved By
Inspection Area,Building or Equipment Inspected "Action Taken Electrical
Date Inspector
I
ELECTRICAL PERMIT
CITY OF PORT ANGELES ,
360-417-4735 =
Application Number . . . . 18-00001233 Date 8/07/18
Application pin number . . 798157
Property Address . . . . . . 225 W 13TH ST
REPORT STATR LES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-7870-0000-
Application type description ELECTRICAL ONLY to J/t1Urexci$e tax form
` Subdivision Name to the CttY of Port A/7ge%S
Property Use . . . . . ., . .
Property Zoning .. . . RS7 RESDNTL SINGLE FAMILY (L 05 02)
Application valuation V
----------------------------- ------ -- - - - - ------ - -- --
Application desc
Ductless heat pump
---------------------------------- ----- -- ------
Owner Contractor
ALEXANDER B AND COCO JEAN CARL BLACK DIAMOND ELECTRICAL CONTR
225 W 13TH ST 502 BLACK DIAMOND RD
PORT ANGELES NTA 98362 PORT ANGELES WA 98363
(360) 565-1035 .
---------------------------------------------------------------------------
Permit ELECTRICAL ALTER RESIDENTIAL
Additional, desc i -
Pe,e it Pee' 63.00 Plan Check Fee .00
Date 8/07/18 Valuation 0
Expiration Date 2/03/19
QtY Unit Charge Per Extension
l,:flfl 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
Fee summary,..,, Charged Paid Credited Due
------ ---------- -- - ---- - --- --
Pic 63.00 63.00 00 .00
00 „Ott 0Si QQ
- - _ Grand Total _ 63 10 - 3�A9 .00 Od -
1
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INSPECTION TYPE DATE: RESULTS: INSPECTOR
_DITCH
SERVICE
ROUGH-IN ,
Is
FINAL
. COMMENTS:
N.. PERMIT WILL EXPIRE SIX(6)MONTIiS FROM LAST INSPECTION
Signature downer or.,Ele04,Qmtractor X Date:
U~�
��.����- � �
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ELECTRICAL PERMIT APPLICATI
Public Works and Utilities Department ~~
321 E. 5th Street, 9ndAuuck:s \&A90� �ry�Z c'o~K8{�i )
]00.4|7.4735 � A-ww.cityofpa.us I dcctrico|pecnzi!sCachyofbaua|N, P��70�^ --^
Project Address:
PnojactDoaohpUon: ~
Single-Family Residential 0 Duplex/ARU Building Square footage.
OWNER INFORMATION
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: 1?1 License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
item Unit Charae Quantity Total(Quantity x Unit Charge)
Service/Feeder 2OUAmp. $120.00 $___________
Gen,ice/Fooder2O14V0 Amp. *146.00 ------_ $-----------
Service/Feeder 4V1-0V0 Amp. $205.00 $__________
Service/Feeder OO1'1OOOAmp. $262.00 $___________
Service/Feeder over 1OQOAmp. $373.00 $_________
Branch Circuit N0Service Feeder *5.00 $
Branch Circuit W/O Service Feeder $83.0V _� *-������L_
Each Additional Branch Circuit *5.00 $___________
Branch Circuits 1'4 *75.00 $--_--____.
Temp Service/Feeder 200 Amp. $93.00 $------__-_
Temp Service/Feeder 2V1-^0OAmp. $110.00 ___---- $
Temp. Service/Feeder 4O1-OOOAmp. *149.00 $
Temp Service/Feeder OO1'1VOOAmp. $108.00 $___________
Portal toPortal Hourly $96.00 $
Signal Circuit/Limited Enongy'1&2 DU $64.00 $-__-___---
Manufactured Home Connection $120.00 _------ $-----------
Renewable Elec. Energy: 5KVASystem orless $102.00 _-----_ *-----------
Thennoetot(Nous: $5 for each additional) $56.00 _-----_ *-----------
First 13OOSquare Feet *120.00 -_----_ $
Each Additional 50Osquare feet" $40.00 ------_ $--_-------'
Each Outbuilding/Detached Garage $74.00 ----_-_ $-----_----_
Each Swimming Pool/Hot Tub *110.00 ------_ $
TOTAL $-J�-������
Owner as defined by RCW1 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, | hereby certify that|omthe owner of the above named property orolicensed electrical contractor. |
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28,WAC. Chapter 296-
46B
Th City ofPort Angeles Mici |Cde andUtility Gpecifi
Date Print Name Signature QI-Owner F� Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711
�
-L� ����~~l
Application Number . . . . . 22-00001466 Date 11/22/22
Application pin number . . . 907862
Property Address . . . . . . 225 W 13TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-7870-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Service / Kitchen remodel
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ALEXANDER B & COCO JEAN CARL JOHNSON ELECTRIC COMPANY
225 W 13TH ST 3129 S REGENT
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 728-4327
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 205.00 Plan Check Fee . . .00
Issue Date . . . . 11/22/22 Valuation . . . . 0
Expiration Date . . 5/21/23
Qty Unit Charge Per Extension
BASE FEE 75.00
2.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 10.00
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 205.00 205.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 205.00 205.00 .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 11/21/22, 7:39:08 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001466 225 W 13TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 205.00
TOTAL DUE 205.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Remodel / Service
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
11/22/2022 22-1466
TAP
OWNER
CONTRACTOR
Johnson Electric
PROJECT ADDRESS
225 W 13th St
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Remodel
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
12/5/2022 22-1466 TAP
OWNER
CONTRACTOR
Johnson Electric
PROJECT ADDRESS
225 W 13th St
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Remodel
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
1/6/2023 22-1466 TAP
OWNER
CONTRACTOR
Johnson Electric
PROJECT ADDRESS
225 W 13th St
PERM,ti
CITY OF PORTANGELES
360-417-4735
Application Number . . . . . 18-00001233 Date 8/20/18
Application pin number . . . 798157
Property Address . . . . . . 225 W 13TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -7870 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Ductless heat pump
----------------------------------------------------------------------------
owner Contractor
------------------------ ------------------------
ALEXANDER B AND COCO JEAN CARL BLACK DIAMOND ELECTRICAL CONTR
225 W 13TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . . . 8/07/18 valuation 0
Expiration Date . . 2/03/19
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00
------------------------------------------------------------------- --------
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit.Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63,00 63.00 .00 .00
REPORT, STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE '
ROUGH -IN_
FINAL ./A -
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Sl of owner or Electrical Contractor X Date: