HomeMy WebLinkAbout909 W 16th St - Building
. CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Sepa~tEtf.'ermlts are required for electrical work,SEPA, Shoreline, ESA, utilities, private and public improvements~Thispennit becomes
null and v()ldif workor construct/on authorized is notcommenceawithin 180 days, if construct/on or wo*ls suspended()ra~andone!:l
for a periqd of 180 days after the work as commenced, or if required inspections have not been requestedWithin1~QdaystrOlTltheJast
insp#c:;t:f()!l:' .1~erl3by certify that I have read. and. examined this,application and know the same to be truea~d corre~t~IP':o.yisi()ns9f
la1lVsandordinanc~ governing this type of work will be compiled with Whether specified herein or not. The graritingofape.rmitd()es not
pr~sulll~:togiv ty to violate or cancel the provisions of any state or local law regulating construction or the performance of
cons . .
Application Number
Property Address .'
ASSESSOR PARCEL NUMBER:
Applica,tion . description . .
Subdivision Name
Property Use
property Zoning ~. .
Application valuation
04-00000080 Date 2/02/04
909 W 16TH ST.
06-30-00-0~4-2987-0000-
RB-RooF
RS7 RBSDNTL SINGLE FAMILY
18373
owner.
Contractor
RONALDC/CAROL A FOSS TTE TRST
909 W 16TH ST
PORTANGELBS KA 983637429
OWNER
"';--.,-<." -' :,.-~-_.
--~....'- - -- - - - - - - ~ - - - - - - .-. - - - - - - -...- ....,--- ~-.;. - -----.;.-~ - ---- --- -- --- --- -----. - ~ ------
Permit . . . .
Additional desc .
Permit Fee
Issue Date
Expiration Date
.00
18373
BUILDING PERMIT - NO PR FEE
TEAR OFFFBLTMETAL ROOF
330.75 Plan Check Fee
2/02/04 Valuation . . .
7/31/04
Qty uni t Charge Per
Extension
92.75
238.00
BASE FEE
17.00 14.0000 THOU BL-2001-25K (14 PER K)
._-~~--,-----------------------~-~-~------------------------------------------
Other Fees
STATE SURCHARGE
4.50
Charged.
Fee summary
Paid
Credited
Due
Permit Fee Total
',-;PlanCheck Total
~p~her Fee Total
,7',9~~dTotal
330.75
.00
4.50
33&.25
330.75
.00
4.50
335.25
.00
.00
.00
.00
.00
.00
.00
.00
~.-'J:;'( .': -
~.~:---->':'~r.
.... ..',.
.---,~."~~.
Signature of Owner (if owner is builder)
BUTI.J>INGPERMITlNSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. ~
, '"' --c;- - -c;-
. COMMENTS '
"INSPECTIONTYPE '.
DATE
ACCEPTED .
1m I NO
, '.
/;tifOUNDATION:
.X'~ }jj.':l'OOTINGS
wAI+S .
FOUNDATION
E~ECI'RICAL
.
,
DRAlNAGE/DOWN SPOUTS
(UGHTDEPl) SEPARATE PERMIT: II
. ."'1
I
I
ROUGH-IN
PLUMBING
UNDER FLOOR I SLAB
"
ROUGH-IN
WATER LINE (METER TO BLOG)
GAS LINE
<. BACK FLOW I WATER
AIR SEAL
WALLS
,
.
CEILING
FRAMING
JOISTS I GIRDERS
I
I
.
; SHEAR WAWHOLD DOWNS
WALLS I ROOF I CEILING
DRYW Al.,L (INTERIOR BRACED PANEL ONLY)
T-BAR .
'., INSULATION
SLAB
WALL I FLOORI CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE I PELLET I CHIMNEY
HOODI DUCTS
PW UTILITIES / SITE WORK (Engineering DiVision) SEPARATE PERMIT II's:
.
I
I
I
I
I
~
.
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT II's
PARKINGlLIGHTlNG
:
SEPA:
ESA:
LANDSCAPING
SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUP.(NCYIUSE;t! k , "
DATE' YES NO COMMERCIAL DATE
,
RESIDENTIAL
ELECTRICAL - LIGHT DEPT. 4174735
- '
CONSTRUCTION R. W./ PW/
ENGINEERING 417-4807 ..
.. FIRE .41]-4653 ,-
I'LANNING DEPT. .<- 417-4750
ELEcTRICAL
LIGHT DEPT
CONSTRUCTION - R. W.
PW / ENGINEERING
FIRE DEPT.
PLANNING DEPT.
BUILDING
BUILDING
417-4815 1/J..,ill ~ B-1
\ d... I
T:\PLANNING\FORMS\1102.15 [11I1412003]
.
,,"':' .
'.
", '
ACCEPTED
YES NO
.:1
,","i,'"
PLEASE PRovtDB KMJlIlIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WOR1(1!EFORE
INSPECTED AND A.CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS-AT JOB 'SITE . .
. ""..
-'
,
'. '
".'
-
2004/JAN/22/THU 10:59 AM
, '
CITY OF PA BLOC DEPT
FAX No, 360 417 4711
P. 001
, '.M ._.. ~ . .... '_0"
(I\"ClRT~'
~".~
. nlSI
'IIl'.-.~~
,Lit ~
BUILDING PERMIT.. APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.:
Permit #: .
Date Approved:
Date ls6ued:_
\
\
-1- --..... ..-.,
...
...'-
Fill out COMPLETELY and in JNK. Your application and site plan MUST BE
CO:Ml'LETE to be accepted for review. If yon have any ,questions, call '
(360) 411-4815
Applicant OT Agent: I.u:e.tc.lOC.f<. I ndu..6WU, I nc.. Phone:
Owner; FOM (Home. OWYl,eJtl Phone:
Address; 909 Wu:t 16:th City: Pot(;(: Anae.lu. WA
ArchitectlEngineer: N I A Phone:
Contractor I.u:eJtioC.f<. I ndc.v.;Wu '---- SJoate License #: INTERTT02 0 LCExp: 1/17/05
Address: 7505 HaJtduon Rd, Su..ite. 400 City: EveJte.il. WA
PROJECT ADDRESS: 909 Wu:t 16:th, Pot(;(: Anqe.iu, WA 98363
LEGAL DESClUPUON; Lot: :Block: Subdivision:
CLALLAM coUNTY P AReEL NillABER:
(4251 438;;8585
(3601 457-1918
Zip: 98363 '
Phone: (425) 438-8585
Zip: 98203
ZONING:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA
TYPEOFWORK:
o Residential C1 New Constt'. ~ Re-roof
o Mnlti-family D Addition 0 Move
o Co~cial 0 Remodel 0 D~roolition
o Repair 0 Sign
BlUEFDESCRIPTION OF :rHE PROJECT:
Supply and inO:ta.ti aluminum ~oofiing.
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load:
No. of Stories: _ Lot Size: Existing Sq. Ft. & Proposed Sq- Ft_
Existing lot coverage _ % & Proposed lot coverage _%::: Total lot coverage
City:
Exp. Date:
MC
#
tJ Stove
, [] Garage
tJ Deck
tJ Other---,
SIZEN ALUATlON:
, SF- @ $ ISF. "" $
SF,@$ ISF_=$
SF.@$ ISF.:e $
TOTAL V ALUA110N $
18,373.38
ConstrUction Type:
""TOTAL Sq.Ft.
%
APPROVALS:
PLAN:
BLDG:
DPWU:
:FIRE: _
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s):,D Yes, [] No SEP A Checklist tequired? t:l Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with iDfoxmation on the application and
plan subDlittal requirements if you have questions.
V ALUAUON OF CONSTRUCTION: In aU cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be rewed by the Building Division to cOlIlply with. current fee schedules. Contactthe Permit Coordinator at417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it m1+St be submitted at the tUne the building permit application and construction plans are
submitted. All other permit fees are due at.the time of permit issuance.
EXPmAUON OF PLAN REVffiW: If no permit i$ issued wit1rin.180 days of the ,date of application, the application will expire. The
Building O:fficial can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, current edition): No application can be extended ;more than once.
T:\FORMS\A.PPS\Buildiugpermit.wpd
five and correct. I am Bl.lthoriled to apply for this permit and
s, and that I must obtain such pennlts prior to work.
I hereby certify that 1 have read and examined this application and know the same
understand that It is my responsibility to determine what permits are re ui e
Date:
JanuaJtY 22, 2004
PREPARED 3/01/04, 12:27:32
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
5
3/01/04
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
909 W 16TH ST
SUBDIV:
PHONE
PHONE :
RONALD C/CAROL A FOSS TTE TRST
06-30-00-0-4-2987-0000-
04-00000080 RE-ROOF
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 ~/01/04 JLL BUILDING FINAL
call if pass inspection/jll
----------------- ---~--------- COMMENTS AND NOTES --------------------------------------
Application Number . . . . . 23-00000723 Date 7/11/23
Application pin number . . . 449823
Property Address . . . . . . 910 W 16TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-4215-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
SUSAN NICHOLS EXTRA MILE TECH & ELECT., LLC
403 S LINCOLN ST STE 4 PMB 33 418 N. RACE ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 317-6474 (360) 457-5222
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 7/11/23 Valuation . . . . 0
Expiration Date . . 1/07/24
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
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 7/10/23,15:11:35 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000723 910 W 16TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 63.00
TOTAL DUE 63.00
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
7/13/2023 23-723 TAP
OWNER
CONTRACTOR
Extra Mile Electric
PROJECT ADDRESS
910 W 16th St
Application Number . . . . . 22-00000669 Date 6/01/22
Application pin number . . . 277202
Property Address . . . . . . 909 W 16TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-2987-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
RONALD C/CAROL A FOSS TTE TRST EXTRA MILE TECH & ELECT., LLC
909 W 16TH ST 418 N. RACE ST.
PORT ANGELES WA 983637429 PORT ANGELES WA 98362
(360) 457-5222
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 68.00 Plan Check Fee . . .00
Issue Date . . . . 6/01/22 Valuation . . . . 0
Expiration Date . . 11/28/22
Qty Unit Charge Per Extension
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 68.00 68.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 68.00 68.00 .00 .00
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Pub! ic \Yorks and ULili ties Department
32 l E. 5th Street. Port ;\ngeles. WJ\ 98362
300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us
Project Address:--------------------------------------
Project Description:--------------------------------------□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:
DHP
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
5/31/2022 22-669 TAP
OWNER
CONTRACTOR
Extra Mile Electric
PROJECT ADDRESS
909 W 16th St