HomeMy WebLinkAbout931 1/2 E 8th St - Building
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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Application Number
pin number . . . .
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use . . . .
Property zoning . . .
Application valuation
04-00000131 Date
.084303
931 1/2 E 8TH ST
06-30-00-0-2-2385-0000-
RES REMODEL
3/03/04
RS7 RESDNTL SINGLE FAMILY
20000
Owner
Contractor
GRATTAN, BOB
173 LAKE FARM RD
PORT ANGELES
(360) 457-3026
WA 983626420
HOCH CONSTRUCTION
4201TUMWATER TRUCK TRAIL
PORT ANGELES WA 98363
(360) 452-5381
Permit MECHANICAL PERMIT
Additional desc
Permit Fee 68.75 plan Check Fee
Issue Date 3/03/04 Valuation
Expiration Date 8/30/04
.00
o
Qty
Unit Charge Per
3.00
BASE FEE
7.2500 ECH ME-VENT FAN
Extension
47.00
21.75
....Q
V\J
Permit PLUMBING PERMIT
Additional desc
Permit Fee 96.00 Plan Check Fee .00
Issue Date. 3/03/04 Valuation 0
Expiration Date 8/30/04
Qty Unit Charge Per Extension
BASE FEE 47.00
5.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 35.00
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00
1. 00 7.0000 ECH PL- EA. WATER HEATER 7.00
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permi t . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
NEW RES APARTMENT
344.75 Plan Check Fee
3/03/04 Valuation
8/30/04
(?
-r
S-
137 . 90
20000
Qty
Unit Charge Per
18.00
BASE FEE
14.0000 THOU BL-2001-25K (14 PER K)
Extension
92.75
252.00
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
1. Provide electric and water meters for each unit.
2. Provide 4 off street paking spaces.
3. Units shall kept seperate, no access between units.
4. Floor area of accessory unit may not exceed 691 sq. ft.
5. Address for accessory unit will be 931 1/2 East 8th St.
6. Electrical & Building permits are required.
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construe ion.
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102.15 [I ]/]412003]
\,
\
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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
FOUNDA TION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYW ALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I
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
ELECTRJCAL . LIGHT DEPT. 417-4735 ELECTRJCAL
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\1 102.15 [11/14/2003J
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 04-00000131
pin number . . .084303
Page 2
Date 3/03/04
----------------------------------------------------------------------------
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 509.50 509.50 .00 .00
Plan Check Total 137.90 137.90 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 651.90 651.90 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
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. IT IS 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 .~ -I /~I) 1-/ 1 T.
WALLS
FOUND A TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT: #
ROUGH-IN 1
PLUMBING
UNDER FLOOR 1 SLAB ~.-IO-L,i-J . J L
ROUGH-IN -:) -~r)~~ _I ' j....
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING 11-1 -7 - oJ-/ J .l. I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING J-l.- ~ ...v J./ L t
DRYW ALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING 1J.f -ll\......() J.I J ,1--'
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 (0_ J./ - 0 --/ .I, L, BUILDING
T:\PLANNING\FORMS\1102.15 [11!l4/2003]
~~, - .,.~"""",,-.----
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use . . . .
Property Zoning . . .
Application valuation
4/09/04
04-00000131 Date
.084303
931 1/2 E 8TH ST
06-30-00-0-2-2385-0000-
RES REMODEL
RS7 RESDNTL SINGLE FAMILY
20000
Owner
Contractor
GRATTAN, BOB
173 LAKE FARM RD
PORT ANGELES
(360) 457-3026
HOCH CONSTRUCTION
4201TUMWATER TRUCK TRAIL
PORT ANGELES WA 98363
(360) 452-5381
WA 983626420
permi t . . . .
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
ANGELES ELECTRIC
152.60
4/09/04
10/06/04
Plan Check Fee
Valuation
.00
o
Qty
2.00
Unit Charge Per
76.3000 ECH EL-RM-0-200 1ST SRV FEEDER
Extension
152.60
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
1. Provide electric and water meters for each unit.
2. Provide 4 off street paking spaces.
3. Units shall kept seperate, no access between units.
4. Floor area of accessory unit may not exceed 691 sq. ft.
5. Address for accessory unit will be 931 1/2 East 8th St.
6. Electrical & Building permits are required.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
permi t Fee Total 152.60 152.60 ,00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 157.10 157.10 .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 as commenced, or if required inspections have not been requested within 180 days from the last
inspection, I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Owner (if owner is builder)
T:\PLANNING\FORMS\1102.15 [11/14/2003]
Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF / CEILING
DRYW ALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #"5:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 6~"f k-CJ ELECTRJCAL
':I-:7/Y7 LIGHT DEPT
CONSTRUCTION R.W. / PW/ / CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1 102.15 [11114/2003]
o
~ORTANGELES
CITY OF
WAS H I N G TON, U. S. A.
DEPARTMENT OF COMMUNITY DEVELOPMENT
September 9, 2003
Mr. Robert Grattan
173 Lake Farm Road
Port Angeles, W A 98362
RE: Conditional Use Permit - CUP 03-11
GRATTAN - 931 East 8th Street
Dear Mr. Grattan:
As you know, following a public hearing on August 27,2003, the Planning Commission
approved the above referenced conditional use permit allowing the addition of an accessory
residential unit to the residence at 931 East 8th Street. The Planning Commission's decision
is final unless appealed within 14 days of the decision. No appeal has been filed.
If you have any questions, please don't hesitate to contact this office at 417-4750.
Sincerely,
(//~ _ '-/?) ,C
~<7t!.--{_-,,--_ / _)c e-- ,-
I
/
Sue Roberds
Assistant Planner
I Cy[_\~./
'l . .
c:..c.; /~o~/
321 EAST FIFTH STREET · PO BOX 1150 · PORT ANGELES, WA 98362-3206
PHONE: 360-417-4750. FAX: 360-417-4711 · TTY: 360-417-4645
E-MAIL: PLANN I NG@CI.PORT-ANGELES.WA.US OR PERM ITS@CI.PORT-ANGELES.WkUS
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BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST ~
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815
FOR OFFICIAL USE ONLY l
Date Rec.: 2- - ll- c' t.j
P,=i< '0'( - J ~
Date APproved:~ 0
Date Issued:
Applicant or Agent: ?)c h (;\(L-WC'i\
Owner: \\J-) (~I'(" \:+Cc (j
Phone: A{-=;') I) - ~Od..k::-
Phone:
Address: I" ~ Lt, It r '4(,( ,\;\ \) (~ City: p~ 1~\v\C{' /.k'S
Architect/Engineer:hl'\\c\ In; x~'-I S(\\ [ c.ll
Contractor .\.tr ( ~\ (\(' \t ':-.,( ,-) IV State License #:H( Y' t-1(':rd.-u-( nTExp:
Zip: (, \ :'l..,,),
Phone: '-I;) ~ .- ((' l \ tb
Address: LJ:::Vi I '1".: (It Il-l
City: P-l
1;~(\Ct.k).. )
o
C'4!'~/(\4 Phone: l{'<,:)J-j T(l /
Zip: Ci \-; ~((' -3
~~
PROJECT ADDRESS: q,~ I S;, ~'-r- ~ ZONING: (:~ S t)
LEGAL DESCRIPTION: Lot: l '7 Block: ;:)':;" '~ Subdivision:
CLALLAM COUNTY PARCEL NUMBER: Oh~(c,('(J _),~ 3c.<:~(('(L
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
~Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial '9L Remodel 0 Demolition
b Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
--.~IZEN ALUATION:
o Stove (l;c3YJ """. ') -- SF. @ $
o Garage' SF. @ $
o Deck SF. @ $ ISF. = $
o Other TOTAL VALUATION $ ':J(', Cine
()l( ,lC !'-(" L......d \~, ,;:J ()\.c c\. J ( r
ISF. = $ ~C' ('( "U -
ISF. = $ J
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
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BillLDlNG PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
V ALUA TION 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 WTitten 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 requi ,n t the City's, and that I must obtain such permits prior to work.
T:\FO RM S\APPS\B ui Idingperrnit. wpd
Applicant:
(
Date: /;J Iii lev
, / /
.
l
,
3-31-204 10,37AN
FRON ANGELES ELECTRIC INC 360 452 9265
HH; rRlCI\L PERMIT APPLICATION
P.l
~"o:-,..;:".
~ 'li~
''--0' ,n'" l
1';~'-;<'
~~5;':;:"~'
L;/'?'
"Jhn FI(>(;lliC<l1 Ptwrt;l AppliC::'llion ,tl.!!-!sl be tlJ!~d oul comolctclv.
....... .~,." ..". .'.... \/'''.'
()..I_II\.."
"tlllll,,,
1)'lf"'P1""~"I:__
Ihkl,wrd:.____
t
<:.
~
Plea~p. type or reprint In Jnk. If you ha\l(> :lny e:,uf'~l]on$. pleas.e call (360. 417-4735
. r-e)( humh~f: (360) 417-4711
REQUEST INSPECTION 0
Ow".r Of ElK COnh"Clor Agon' --ANGELESJl../T:~l;~ll'l.C- Phon,' 4 57-'37(,4
PlOpert~Owner ~~ ~-rAA/ ~ ~~ ~
Md'e" __ 1,J 1;. e. -.:.r 8 61y ----?~~s
IING"'Lr"- J'LEC1'1'IC INC ' lINC,F:J.,F:1460RS
Eleclrical Contractor; };. J",,j, .. ., _ llc("!nsc II: Exp:
Fax: 4 '\7-'37(,'\
Phone:
Zip: ~,f;.'"Y(7
~
Pllone: d <;J-Q)E;4
_Zip: q8367
MOress: 524 EAST FIRST
INST ALLA 'r/ON WIREO BY:
1..1 OWNER
Cily: PORT IINGELES. WA
x~LECTRICAL CONT'RACTOR
Credil Card Holder Name:
'I'Prl Sj.ll:lps.on
Billing Address:
Clly:
Credit Card Numb"r:_
-'. p. Dale:_
Zip:
VISA:_MC/
,
PROJECT ADDRESS:
'13J JL
c-.
g-tL S~
TYPE OF WORK: Check all thaI apply: (J New ~aUon/Addilion
~idenlal ~IH-familY 0 Commercial . 0 Mobile Home
Sq. Ft.
o Remote MeIer 0 Detached garage 0 Hol Tub 0 Swim Pool 0 Seplic Pump 0 Low Vollage 0 T elecolTl. 0 Sign
Number 01 Circuits added or allered:
OloSCRfPTION OF THE ELECTRICAL PROJECT:
fU nL17
P,fMILj J'fl'S,tDenf1-tt-- -$F-..eIl1~
@ 7a')~!3. ( 176.~
2
Elecirical Heat load Addilions
Service Information
Its-z ~
o Baseboard
::J Furnace
:J Heal Pump
.J Fan-Wall
_KW
_KW
_KW
_KW
o Overhead Service
o Temp Service
lJ Underground Service
Vollage; ~zpf~
Phase: 3
Service Size:~.
Feeder Size:--TJ49
'AMC 14.05,060(8): F~r industrial, commercial. & residenlial projects larger than a duplex, a one. line drawing 01 the Electrical Service &
=eeders, building size (sq. ft.), lOad calc'Jlalions, and the type & of conductors andlor raceway is required and shall accompany the
=:Iectrical Permil application.
,
. hereby certify that I have read and examined this application and know that same to be true and correct,'snd f am
lUthorized to apply for this permit. I anderstand it is not the City's legal responsibility to determine what permits
lre required; it remains the applicants responsibility to determine what permits are required and to obtain such.
t1No+- C~'" c.., ""',', "'~'"~'~~j::~'t--- Vy)'/
At Owner or EI"c. Cont. Signature: . Date: ~ 3/ jo'f
'W-9019 ~ r ~~lrd- ,vJ! ti~, ulil:1-- -J
6)~ k'7 I-G y(.t L
tIc& ~ft~ . ~
i IS). .foO
INSPECTION TYPE
DITCH
DATE:
RESULTS:
INSPECTOR:
ELECTRICAL PERMIT
ROUGH -IN
CITY OF PORT ANGELES
FINAL
360-417-4735
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM
LAST
INSPECTION
Applicat - ion Number
16 00000881 Date 6/17/16
Application pin number
752698
Property Address
931. 1/2 E STH ST
REPORT SALES TAX
ASSESSOR PARCEL NUMBER:
06...30-00--0-.2_2385-0000
on your excise tax form
Application type description
ELECr.1'R1CAL ONLY
Subdivision Name
to the City of Port Angeles
Property Use
(Location Code 0502)
Property Zoning . . . . . . .
RS7 RESDNr.T.':[., SINGLE FAMILY
Application valuation
0
Application desc
Circuits
Ovine r
Contractor
APS ELECTR1C
931 EAST s,rif SI[V E, E'I'
546 BENSON RD.
PORT ANGEHES WA 98362
PORT ANGELES
(360) 452-6753
Permit ELECTRICAL
.ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee 15.00
Plan Check Fee 00
Issue Date 6/17/16
Valuation 0
13'xp.i rat icm Date 12/14/1.6
(iry Una .t Claarge Pe.r.
BASE
FEE P" 0')
Fee stimuiary Chayqc..,,,d
Paid •Credired );:c,
Perrm.J.t Fr c Total 75.00
75.00 00 0
Pl.aji Check Tota.]. 00
.00 00 00
Grand TotaL 75.00
75.00
INSPECTION TYPE
DITCH
DATE:
RESULTS:
INSPECTOR:
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM
LAST
INSPECTION
Signature of owner or Electrical Contractor X
GAEXCHANGEWILDING
v
06116/2016 11:23AM 3604526753 A.P.S. ELECTRICAL
CM Off' PORT ANGELES PERMIT APPLICATION
Iftudiirrt8 Div'tMoU ElectTical i pectliev's hingiau� 98362
Fast st Filth St�ree�t-�;�"-0. BOX 11501 Port Angeles Was
Ph: (360) 4174735 Paa: (360) 417-4711
Data: r
_)�1 & 2 Single Family Dwelling
Platt ReviewMaytae Re ui L ease �m e Electrical Plan Review lrtf0rL1111SIL61
Job Address: ,-�
8,urlding Square p00t3W,
Name: Nam:
�� G ,
Owner o� ort i MaBi�,6.
Mailfrtg city. State: �7: 71 —
Ptt� l�cerise i
# Exp
Licerae / Fir
y
PAGE 02102
ROM
MOMS Q1
lastotted by Unit Ch e
ServiceiFeeder 200 Amp,
$120,00
Senri+cer 201440 Amp-
$146.00 ..�'
Serviceftdder401.600 Amp
$.205.40
sepAcelfeecler 601»1000 Amp.
5 262.00'
$�
serviceffieederdver 1000 Amp..
$ 373.00
Branch Circuit W/ Service Feeder'
$ 5.00 .—.�
$
Brandt Citcuit W/O Service Feeder
$ 63,00
$ 5.00
$
Each AdMonal Branch Circuit
BmrO Circuits 1-4
$ 75.00
Temp. Service! Feeder 200 Amp.
$ 93,00
$
Terr4p. Service r 201 fir.
S11,0_00
--
$
Temp.. ServicelFeeder 401- 00 Amp,
3 149D
601.1000 Arrq) .
$16$.00
$
$�
P09W to rartHomeyeJ
96.00
Sigital + ifww " Emer y -1 & 2 gamily Dwelling
1 $4.00
hl red Houle Conner cion
$120,00
Renewable ElecWcal Energy - 5KVA System or Less
$102.00
$
Thermostat
$ 56.00
Note: $5,00 for each additional ?Stat
NEW U0g-N 0Nlr:
Flrst 1300 Square Ft,
$120.00
$�
Fach,Addifional 560 Spam Ft or Porton of
$ 40.00
'$
$
Each OuW169 or Deta;l Parage
74.00
$
Each SWimrning Pool'or Hof Tub
$110.00
$—'-7 •-Q Total
Owner asclefined by CW,19.28.261: (1)OwnerVglQ=pyft gtructure'far years ai r the
0 is i1sr . (2) Owner is required
to We an elect ioal contractor if above said pmWty is for sale;, rent or lead, pumo t ear ws a(W * moorrtlts of fast in . n
fter reedng the ailove statement, I hereby rortily, that I eat the over of tate above named propwty or a fewsW eleCWO c0ft r, i am making
the Installation or Wrafiqn in coplIanr e wb ov electrical Im, N.E.O., ,R W1, Chapter 19.28, WAC, Chapter N 468, 'Ths City of Port
Angeles Municipal Code, and tiblaty SP9di ,0bDns and PAW 11*+0 -050 regarding, Electrical Permit Applications.
Signature of owner, etecb4eal contractor or electlfcal admintst ator: Q cam 0 cham
{ credit cud g,
-i -1 - atraarxars