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Home My WebLink About2133 W 14th St - BuildingCash Adjustment Application o 35 Receipt 0 3 I) C) 2- Fee Type f Amount Paid- 1. 2-1 v 30 Adjustment Signature Posted Fee New :Fee SEND TO Refund Amount Gashiei info Payment Type Check 121, 30, SP°, SI P Pe 11 e+ Red Con Tony „230 c E, Part A. 114 aks, WA `1 5362 Beason own V-,ts ry r, Ct de-G1 &keel. not 4a v-n o ve *e. ve bed, Pan 3 t le z3 /6q 06/1B/2009 02 05 13604520503 Keith foster has decided not to move the stove so we would like cancel the permit and put a credit for us or send a check. Thank you. S g Pi z i SHOP St. zoo Pellet Heat Co PortAngeles, WA Michael DeRousie Spa Shop /Pellet Heat Company 230 -C East First Street Port Angeles, WA 98362 360 -457 -4406 phone 800 -869 -7177 toll free rah 4 1 a spat; 9 i SPA SHOP PELLET HEAT PAGE 01 _4(f\' CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00000035 Date 3/20/09 Application pin number 743745 Property Address 2133 W 14TH ST ASSESSOR PARCEL NUMBER 06 30 01 6 0 2800 0000 Tenant nbr name KEITH FOSTER Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 900 Application desc INSTALL GAS FIREPLACE Owner Contractor KEITH KRISTINE FOSTER 403 S LINCOLN ST STE 4 PMB 7 PORT ANGELES WA 98362 T.Forms/Building Division/Building Permit PELLET HEAT CO 230 EAST 1ST SUITE C PORT ANGELES WA 98362 (360) 457 4406 Permit MECHANICAL PERMIT Additional desc INSTALL GAS FIREPLACE Permit pin number 140137 Permit Fee 121 30 Plan Check Fee 00 Issue Date 3/20/09 Valuation 900 Expiration Date 9/16/09 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 10 6500 EA ME STOVE /FIREPLACE /MISC APP 10 65 1 00 10 6500 EA ME FUEL GAS PIPING 1 5 OUTLETS 10 65 1 00 50 0000 HR ME INSPECTION MIN 1 HR 50 00 Fee summary Charged Paid Credited Due Permit Fee Total 121 30 121 30 00 00 Plan Check Total 00 00 00 00 Grand Total 121 30 121 30 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 la and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a pe it does not presume z'• i�. uthority to violate or cancel the provisions of any state or local law regulating construction or the performance onstr Lion. /904 64,E w T Date Print Name Signature of Contractor •r Authorize 4 Agent Signature of Owner (if owner is builder) 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 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 Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting 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. Inspection Type Date Accepted By Comments Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I I ESA. Landscaping I I SHORELINE. FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Application Inquiry SUNO.ARD' P JB..K,. ,i f 'Toff t3.s Application o9- OOU0o0 Bongs GE Contractor escrow aa Fees no 3lobal balar tlur LE Inspection history Miscellaneous mfoi 50 Names Permits Q PlantracKinq Receipts EC Sip are footage cal: Strurture valuation calculatiL ..Print Cancel X Exit Refresh Land inquiry Documents Property Information Address .Location ID Owner name ASSESSOR PARCEL NUMBER: ALTERNATE ID: Contractor Information cr Contractor Name PELLET HEAT CO Contractor Number 2642 Type GENERAL Status ACTIVE contractor Requirements 3/20/09 2133 W 14TH ST PORT ANGELES, WA 98362 102576 RASMUSSEN LEONARD N/L t'. 06 -30 -01 6 -0 -2800 -0000 063001602800 l e i Our Number 0031102 SCORDERY Application Information Application desc Application status Status Date Application type Application date Tenant name /number Valuation Outstanding Inspections Ioop Type IL CE Total I No uutstanding inspection exist INSTALL.GAS FIREPLACE PERMIT ISSUED 3/20/2009 MECHANICAL APPL PERMIT 1/12/2009 KEITH FOSTER 900 1 1 30 00 111,30 1 .00 r Schedule Confirmation Date Number h Recei rt date Pecei tome Number Cashier menthvie Received Paid with credit Randal 01/12/2009 17 14 13604520503 SPA SHOP PELLET HEAT Protect Type Brief Des Check all that apply o New Construction o Addition o Remodel o Repair o Re -roof Demolition n Sign KHeat System o Other Floor Areas Basement 1 Floor 2nd Floor 3 F loor Garage Carport Covered Porch Deck Shed Other Max height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? BUILDING PERMIT APPLICATION Print in ink 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 Pc I I at t Owner fc e,tI. Fos t-& Owner's Address 2 t 3 A 1' s y d 5 rre4 Contractor /Engineer ?cif, <44 Co Contractor /Engineer's Address 2 3 0 c_ rs} License# p LLtr WGM 8O ^4 Si PROJECT ADDRESS ,L 13? J 0-0 Si Parcel Number cription. )(Residential Commercial o wall- mounted projecting o freestanding o awning o other Total sign area sq. ft. Maximum allowed sign area sq. ft. o Heat pump o wood- burning stove )(gas fireplace o pellet stove o other Exlstina (so. ft.) Posed (sq. ft.) Total footprint of structures sq ft. Lot size ft. Occupancy group Occupant load Construction type PAGE 01 For City Use Only Date Received i 61_ Permit O 35 Date Approved Phone Phone Phone Expires y 7 -v C) Lot Zoning Y5 7. -y vok, o Multi family .o industrial per sq. ft. V TOTAL VALUATION 9 D O 4-.) C, sq ft. Lot coverage of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. t 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. Date I IL 7 Print Name /h, Signature T•Forrns /euilding Division /Bldg Permit Appi. -2006 Coda.doc ti ~~ CITY OF PO~T.t\NGELES. . DEPARTMENt OF coM:MriNrrY DEVELOPMENT- BUilDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~plication Number Application pin number Property Address ASSBSSOR PARCBL NUMBER: Application type description Subdivision Name Property Use . . . . Property Zoning .. ..> Application valuation. 05-00001148 Date. 11/18/05 150004 2133 W 14TH ST 06-30-01-6-0~2800-0000- RB-ROOF ~~ I 4c& (oy- ~~ .~~ ( -- + \1 Separate Permits are required for electrical work, SEPA, Shorelin,e, E~util!ties,private and pUblic improvements. This pel"lT!lt f:K.icomes null and void if work or construction authorized is not commence'd withir 180 daYS, if construction or work is. fiuspended orab~ridoned for a period of 180 days after,ti,le. work as commenced, otif requlredin~pe~olls h~ve not been. requested within 180 da~frori1the last Inspection. 1. hereby certify that I have read and examined this application~nd know the same to be true and. qgt;rect,.A11 provisions of laws and ordinances govemingthis 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 orlocallaw regulating construction or the 'performance of construction. . , RS9 RBSDNTL SINGLE FAMILY. 8965 ' owner Contractor ~-----'-~------.~---~~~-- RASMUSSEN LEONARD N/L C 2133 W14TH ST PORT ANGELES KA 983635120 T9PNOTCH ROOFING & GUTTER 1235 W. 9TH PORT ANGELES WA 98362 (360) 457-0066 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . BUILDINGPBRMIT - NO PR FEE TEAR OFF SHAKE INSTALL <=aMP 65698 193.75 plan.. Check Fee 11/18/05 valuation 5/17/06 .00 8965 Qty unit Charge Per' Extension '95.75 98.00 BASE FEE 7.00 14.0000 THOU BL-2001-25K (14 PER K) Other, Fees 4.50. STATB SURCHARGE ----------------------------------------------------~----------------------- Fee swmnary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 193.75 193.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 198.25 198 ..~5 .00 .00 .9 Signature of OWner (if owner is builder) T:\Policies\II02_IS building permit inspection recordOS.wpd [1I4Iioo5] ~ ,...,\; Date BUll.J)ING PERMIT,IN$PECTION ~q:)R>> CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECfRlCAL INSPECTIONS. CALL 417-4807 FOR PUBI.IC WORKS UTILITIES,.. /. i.,>. PLEASE PROVIDE A MINIMUM 24 HOJ,JR NOTICE. IT IS UNLAWFUL TO COVER, 11'{$ULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPIGUOUS LOCATION. . KEEP PERMIT CARD ANO APPROVED PLANS AT JOB'SITE , ',,!)"'. .", . INSPECTION TYPE DATE . '.ACCEPTED COMMENTS '. , YES NO . c, FOUNDATION: '. FOOTINGS WAllS I I I FOUNDATION DRAINAGE I DOWN SPOUTS . PIERS I POST HOLES (POLE BLDGS.) " PLUMBING .' UNDER FLOOR I SLAB , ROUGH~IN 1 WATER LINE (METER TO BLOG) . ! GAS LINE' . FINAL DATE ACCEPTED BY: BACK FLOW I WATER > .' AIR SEAL WALLS , I i I I CEILING .' I I i . , FRAMING JOISTS I GIRDERS SHEAR W ALUHOLD DOWNS WALLS I ROOF I CEILING .' DRYWALL (INTERIOR BRACED PANEL Ol-lL Y) T-BAR '. . INSULATION .' . SLAB ," WALL I FLOOR I CEIliNG , I MECHANICAL . i HEAT PUMP I FURNACE I DUers i I GAS LINE ., . i WOOD STOVE I PELLET I CHIMNEy i FINAL . D'A TE ACCEPTED BY: COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB. , BLOCKING & HOLD DOWNS , SKIRTING , <.' PLANNING DEPT. SEPARATE PERMIT #'s SErA: PARKING4-IGHTING 'ESA: .~~~,G"..""",."'.'.,,, " SHORELINE: . . .... .', . ", .' F~~SPECTIONS REQUIRED PRlORTPio<:q.!I:'AllfgtqSE.. " .' ........ ,,,,t,S . , RESIDENTIAL DATE YES NO CQMMERCIAL -.r ~ATE/' N; ..ACCE~ ,fi,; .>. " YEsi " NO , ELECrruCAL , " ELECTRICAL - LIGHT DEPT. 417-4735 LIGHT DEPT ,-} " CONSTRUCTION R. W./PWI CONSTRUCTION - :Ri~.' '\"y " ...." ENGINEERING 417-4807 PW I ENGINEERING \ ....".'" '. \ '.' ?,,,,",, FIRE 417-4653 FIRE DEPT. . '.,. ~ " ;;'^. pLANNING DEPT. 417-4750 ' I / '. PLANNING DEPT. , ' ,; '21, BUILDING 417-4815 J~/v/br ~ BUILDING T:\Policies\1102_1S bwldiDg permit inspection recordOS.wpd [lMom:J PREPARED 12/06/05, 12:57:22 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR: JAMES L LIERLY PAGE DATE 8 12/06/05 ------------------------------------------------------------------------------------------------ ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 2133 W 14TH ST TOPNOTCH ROOFING & GUTTER RASMUSSEN LEONARD N/L C 06-30-01-6-0-2800-0000- 05-00001148 RE-ROOF SUBDIV: PHONE PHONE : (360) 457-0066 PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL99 01 ~~ BUILDING FINAL TIME: 17:00 12/05/2005 11:16 AM PBARTHOL --------------------------- LEONARD 452-9039 ******* PERMIT ON FRONT OF HOUSE.*........*...... 12/05/2005 01:39 PM PBARTHOL --------------------------- -------------------------------------- COMMENTS AND NOTES -------------------------------------- ~. ..ABRI...., . '. !" ,;~~"",:' - '" I' ~, _~_,""-- -~'.--- . ~~~:: ~~-~ 7119/05 topnotchroofinga@qwest.net ,) ~ TOPNORG994DA.>>:>_EXPIRATION DATE: 5/18/06 Company signatttfe ..??-' ~ Lc ~ /~. Date 7-/9 -C~D \ Bid prices are subject to reasonable increases due to any necessary alterations, additions, increases in material and/or labor to complete work. Homeowner will be notified of any necessary changes, which may affect cost. prooertv owners are resoonsible for obtaininQ any oermits reQuired for work and materials described herein. TOPNOTCH is haoov to orovide oermit, but will add the cost to the final bill. Bid prices are applicable for 30 days* from date below, unless otherwise stated or agreed to. Please feel welcome to call if you have questions concerning this estimate/bid. If bid is accepted, please sign one copy and return it to TOPNOTCH ROOFING & GUTTER, at the address above. Work is scheduled upon receipt of sianed bid. Verbal aareements will not auarantee scheduled work. References are available! ESTIMATE AND BID PROPOSAl- CONTRACT TO. Leonard Rasmussen, 2132 West 14th St., Port Angeles, WA 98362 452.9039 FOR. Re-roof house and garage at above address. Shake roof to be torn off - has solid sheathing. House: Tear off existing shake roofing. Clean up and disposal included. Roof with 40-year laminated, architectural composition over 15# felt. Install starter course composition, 108' of ridge cap, 108' of ridge vent, 2 -1" neos, 1 -2" neo, 1 -4" neo, 90' W valley, 4 -AF50 vents. Estimated cost of tear off and re-roof, using the materials specified, labor to complete work as described, and sale: tax: $7078.00 587.47 $7665.47 Seven thousand, six hundred sixty five, and 47/100 Garage: Tear off existing shake roofing. Clean up and disposal included. Roof with 40-year laminated, architectural composition over 15# felt. Install 26' of ridge cap, 4 roof vents, 2 - vents. Estimated cost of tear off and re-roof, using the materials . specified, labor to complete work as described, and sales tax: $1887.00 156.62 $2043.62 Two thousand, forty three, and 62/100 ......) .// /"./'.;' ",I" .,f MATERIAL WARRANTY BY- ANUFACTURER, WORK L/ , PAYMENT TERMS: ONE HALF TO START WORK. BALANCE DUE IN FULL WHEN WORK IS COMPLETED * ALTERNATIVE PAYMENT ARRANGEMENTS MUST BE DISCUSSED AND AGREED TO PRIOR TO THE START OF THE JOB ~~ Date '/~JI:2a'{?_s.-/ NSHIP GUARANTEED BY UCENSED, BONDED, IN-:Z:Z::CTOR BUILDING PERMIT - APPLICATION Dale Issued: '---=---' Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be :1ccepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: Owner: L J/!,'{)~ J I? dl..51'ht/ ~ ~ A/ Address: ~ 1'3 3- cJ, )~~ Phone: Phone: City: 1</), Zip: 9/1363-- Architect/Engineer: Phone: ~ "' 'l'i1lJd contractor~~ ;kk ~tf1/1mre Lice0J3e #70/' IV 0 riS Exp: r=- /<;.'.-6>6 Phone: 7.::::t!)1J 66 Address: . tU ( 1 City: ? ~. q g-- ~6 3. Zip: PROJECT ADDRESS: ZONING: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: TYPE OF WORK: M o Residential 0 New Constr. e-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: o Stove o Garage o Deck o Other SIZEN ALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ ,-.~ <g1ros COMMERCIALIRESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage % Occupant Load: . & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applic~nt. 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: 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 Rl 05.3.2 of the International BuildinglResidential Code, 2003). 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 n is my responsib17ity pt pennits are required ,not the City's, and that I must obtain s~ennns prior to work. T:\PoHd~\BL-llO'-'3wpd Applican ~ C/J 4-nate: /1- /" ~ ().j CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nt} 17492 rJ - :;; (; ?/ Port Angeles, Washlngton.__...._._____..m__..__..__m__.__..___.............__...., 19.____... 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 electrical work as listed below. Address ..__J!?L2....?.......~m/.t..(}{n...___.___nm_______ Occupancyn___..~~m_____.____nm___n O';vner --:7$t:r~1..~.rrr.-l!k:.~;;;!i:;----- TenanL____nnm___.m_.___nm.___._____...______....n.m______n.. Wiring Contractor .../....~nnm..__mm.'..mm....m._m Byn.n....____.....m..m___mm__mn....m_.___n.m...n.... Light Outlets.---.---.?':--?1;.O--.----.---. servl~e. volts __I..~/a...r..d...----- Type of Wiring: Rl!ceptacle autleta.......L................... No. wires ............................~......... Armored Cable ....h......................_ 6. . '#;:) IA.P Dryer, KW ...mn...../.....~m.n.............. Size wires.....~.Q-.If....h._.. Range, KW..............__.......................... Main fUBe ....................................... Water Heater: y, J' Enclosure ______::?...____.o.__o.m...m___ KW..........................................n.. Type of wiring: Hcat: KW.m___/i?~o.~__&.~~m..__ Entrance Cahle ......__0.0.0.........0...... Motor ..._......................:................. Dryer ........0:.................................__ \ Furnace ......._................_~................... J.;? ,.( \ Total I.oad............................. Ser. NO.......h..................................... Total ,~...................................... Remarks: nm---.m___~~J!'::.:.?r.""'r:::....C&!:?~"'d.A....:.L___n..__nmnmm___.m....m...m.______.___._______......m.n....__..___ Motors: size, volts and phase: I A '_..J~ _______m..__trA~'~..o...__o..m..__________... I I --o...mJ..t:!?..f.;t!~:"_..m.....:..____________ RIgid Condnlt ___.___...______o.o.mo.m__. Metallic Tuhlng ..m____..___.o.______o... Current transformers: No. & Slze.....................h................ Ser. NO............................h................ Ser. No. .............................h.............. Ser. No. .h...........................h............. Non.Metallic ................................. Knob & Tube....................h.d.......~ Rigid Condnlt _________..___.___m...___o.__ Metallic Tubing h::'-.;..................... Raceway ......................;........__..._ Circuits, LlghL__k._____________.___.__________ Utility _____mf.._____._______...______________ '5T ::ge ..:::::~:::::::::~:::::::~::~~:~~~::~~~ Water Heater ..~~..................... ............-.................-.-........................................................................__u......._..._..................................................... '\ .~ :i.:j:.~~.::.:.::~-:::.::m.m--::~.~.~::~~_~_~~.~.~::::::::m.m-----.m--:~..-Q?2l{L~~ v, c .\' - . NOTICE-Current must not be turned on until Certificate of Inspection has' ti~e'n issued. It work is to be con. cElaled due notice must be given the Inspector so that work may be inspected before concealment. .........~. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION __H__ -tT------.-- (' ct/ ,....- l '."0. i /.;(j~-l.1 ELECTRICAL PERMIT N? 17492 , ---f of) , 90 I Address !.-----o..--.---m--m-----m____)--j-_________19.__m____m___________m__.________..m___.._____._____.___________m__ Datem____.o.______________m____mm____mnmo.____ J ., . Owner..................................._......_.._......_......_..n...........................................................Tenant........................................................_.......... i J ~ .~~,riring Contractor....................__......h.__.f_......................_................h...................................h...... By....h........................................._............. . f I .... 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 given the Inspector so that work may be inspected before concealment. . . I \ / I 1M "' Olympic Printers, Inc.Y 0 ) (~ I , ?' \ J' / ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 17-00001309 Date 9/14/17 Application pin number . . . 629814 Property Address . . . . . . 2133 W 14TH ST - REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06 -30 -01 -6 -0 -2800 -0000 - Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . to the City of Pott Angeles - Property Use . . . . . . , . Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502) -----Application-valuation-_ . . ------0,-- - ---------------------------- ------ Application desc #}� DHP ---------------------------------------------------------------------------- Owner DATE: Contractor FOSTER CASCADE ELECTRIC & VAC INC 2133 W 14TH ST PO BOX 369 PORT ANGELES WA 98362 PORT HADLOCK WA 98339 (360) 379-5347 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc 1-4 CIR. Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date . . . . 9/14/17 Valuation 0 ` Expiration Date 3/13/18 Qty Unit Charge Per Extension BASE FEE 75.00 ---------------------------------------------------------------- Fee summary Charged Paid Credited Due Perfiit.Fee Total 75.00 75.00 .00 .00 Plan check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 i INSPECTION TYPE DATE: DITCH SERVICE ROUGH -IN FINAL CON041'.ri` I SI: . PERmrr wiLL EXPIRE six (6) moms FROM LAST INSPECTioN i Signature of owner or -Electrical Contractor X RESULTS: V INSPECTOR: Date: CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Bog 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: 1 & 2 Single Family Dwelling * Plan Review May Be Required, Please Complete lectrical Plan Review Information Sheet Job Address: Building Square Footage: �% V% r C L � � Description of above -d' Owner InformationsContractor &t -e -ep 1 formation ' Z �I. S cc w Name: K V l S 7' l i^C3 S Name: to Mailing Address: City: State: Zip: Mailing Address'. !-� rL 1l City: /—lA :1f-,,State:a� Zip: Phone;�� b `l b ! G�7( a4? Phone: S7/ 0.;8' >- Fax:. _.3£ G iZ I C ', S License #/Exp. License#/Exp. G�tSC•1/�`icr� Item Unit Charge QQty 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/0 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 $ Renewable 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 Ft. or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ $ 7S-�` GTotal 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 29646B, The City of Port Angeles unicipal Code, and Utility Spepifications and PAMC 14.05.050 regarding Electrical Permit Applications. Sign of y6er, e)ectrical ntr �r or electrical administrator: ❑ Cash Id Check ❑ Credit Card # X ri �i Dated: 4e / / e 7 0110112012