HomeMy WebLinkAbout1037 W 11th St - Building
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use . . . .
Property Zoning . . .
Application valuation
04-00000001 Date
1037 W 11TH ST
06-30-00-0-3-1844-0000-
MECHANICAL APPL. PERMIT
1/05/04
RS7 RESDNTL SINGLE FAMILY
2400
Owner
Contractor
DOUGLAS B/DOROTHY C CUDD
1037 W 11TH ST
PORT ANGELES WA 983637208
PA SWIMMING HOLE & FIREPLACE S
518 W 8TH ST
PORT ANGELES WA 98362
(360) 565-1163
Permit MECHANICAL PERMIT
Additional desc FREE STANDING DIR. VENT
Permit Fee 57.65 Plan Check Fee .00
Issue Date 1/05/04 Valuation 0
Expiration Date 7/03/04
Qty Unit Charge Per Extension
BASE FEE 47.00
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.65 57.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.65 57.65 .00 .00
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Separate Permits are required for electrical work, SEP A, 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.
O}J
r/Lc~
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
WALLS
FOUNDATION 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 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP
GAS LINE 1-5'04 IJLL
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 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/LIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 r~z,c>L{ -.JU~ BUILDING
T:IPLANNINGIFORMSI1102.15 [11/14/2003]
KeDtd Y ~~- (TI()n l-S--OL{
BUILDING PERMrT - APP~ICAIJON
Fill out COMPLETELY aad in INK. Yuur application and site plan MUST BE
COMPLETE to be Acccpt<:d for rc:view. If yvu Il~ve lUly questions, caU
(360) 4174815
Applicant Or Agent: {~ (1),1 k I A/\
Owner:JJc;ugJg S- ~ Phone:
Ad<h:--" , ,I D~ to II""'-~ City: ~\ +- Ar~k5
Architect/Engmeer: " ~:7\AJ~"''4f"/~Phonc:
ContractorPA- G.o(MM~IlI4~ State License '#:L_ 7x.p: J.l.-~
Address: ?/t [cJ <68.. ~{.. City; F6,\- ALtJ e Ic:s
PllOJECT ADDRESS: 103 7 t.0 II &- S+(
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER: CC ~~~ ':? J ~ t.j II ~
FOR Ol+"lCLAL USE ONLY:
J.)~tc R..c,:~....5 ~ 0 y
Permit II: (. L./ - I
Date A1>DfOVi:LI:
Dale Is~ucd:
Phone: ~CD - (./.(;0 --~<60/
457-- cn/~
Zip: 9'.g",5' h-3
ZONING:
Phone: ~t!.:"'" - 1105
Zip: 9g~~-~~
C...i.c.r.H.,..rN....:~ S~~~_..
Billing Address: '3' 10 I U lc.NL _ City~ .
~~~~
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Construction Type:
;:: TUTAL Sq.Ft.
%
PLANNING-USE ONLY:
.- APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHF.R:_
ESNWetllJ.l1d(s): 0 Yes 0 No SEPA Checklist requu-ed? CI Yes CI No Other:
BUlLDINC Pl!:RMIT APPLICATION SlT.BMIl'TAL: The Building Division can provide you with intnrm~tion 011 the application llnd
plan suLuuUal requiremencs if you have questions.
VALUATION OF CONSTRUCTION: In all c..ses, 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 CUm:nt fee schedulec. CDnt~tThc I'ermit Cuvl~1inlitor at 417-413 15 tor assjstanc
eck fe
No application can be extcnderl mort" than once.
I m 8uthorized to apply for this permit and
tain Quch permits prior to 'NOrK.
(:) -;;;J.-{-O?
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ELECTRICAL PERMIT :- 7,
CITY OF PORT ANGELES �
350=417-4735
Application Number . . . . 18-00001095 Date 9/11/18
Application pin number 833300
Property Address . . . . . 1037 W 11TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-1844-0000- OI? our excise tax form
Application type description ELECTRICAL ONLY y
Subdivision Name . . . . . . to the City Of Port Angeles
Property Use
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY, (Location Code 0502)
Application valuation . . . 0
----------------------------------------------------------------------------
Application desc
Bathroom circuit
Owner Contractor
BRYAN $ AND ASHTON R HARP ALASKAN ELECTRIC
1037 W 11TH ST 237 ROBERSON RD
PORT ANGELES WA 983637208 PORT ANGELES WA 98362
(360) 582-3874
----------------------------------------------------------------------------
Permit . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . 63.00 Plan Check Fee . .00
Issue Date 7/19/18 Valuation 0
Expiration Date 1/15/19
Qty Unit- Charge Per Extension
1.00 63.0000 BCH 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
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DrrCH
SERVICE
ROUGH-IN ..LL
FINAL
CONMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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°`p°"r�"QF ELECTRICAL INSPECTION
WIRING REPORT
�,KS.�s� 417-4735
DATE: PERMIT# INSPECTOR
.%-//
OW
CONTRACTOR
ADDRESS
APPROVED NOT APPROVED
❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . .'
❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑
CORRECT!QNS NEEDED: �� Z� ����41?a
i
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE--
ti
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4-1
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Fill `�----- h
ent
thr 836 (511S
c+rojaed � �.. �
A G•�t - d
Project 0esc " �} -1111tS 3A -1D
mgle-F Rftidential C1 flupiex ARU Building Square klotage. `
OVVNEW
Name� Email:
Mailing address: 10 37 .3. 1`T H— Pa-IW 1%3[2. Phi; 571 Z30- vsS
ELECTRICAL OR INFORMATION
t�iattie: ea 61' '1GeX. License: A—A-5KX-M�Z 00
Mailing Address: PO g 8 5AU4: f4lE expiration Date.
Email: �$K'�PA9 � �fbht
PROJECTDETAILS
tz chores S�It�034t1t ftaur�ttity x unit Chtrrge)
Servic lewder 200 Amp. $120.00 $
Survice/Feeder 201-400 Amp. $148.00 $
SenfkWFeeder 401-600 Arnp. $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 VWO Service Feeder $63.00
Each Additional Branch Circuit $5.00
Branch Circuit&1-4 $75.00 $
Temp.Ser*WFeeder 200 Amp. $93.00 $
Temp.Service/Feeder 201-400 Amp. $110.00 $
Temp.ServiceMeader401-b00Amp. $149.00 $
`temp.Service/Feeder l601-1o0oAmp, $168.00 $
Portal to Portal Hourly $96.00 $
Signal Circuitl"imiled Energy.15,2 OU. $54.00 $
Manufactured Nome Connection $120.00 $
Renewable Elec.Energy:5KVA System or less $102.00 $
Therrrrctatat(Note:66 tot each additional) $56-00
$$
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TOTAL $
Owner as defined by RCW..19.28.261:(1)Owner will occupy the structure for two years afterthis eleciri cal permit is finalized.(2)Owner is
required to hire an electrical contractor if above said property is for sale.Yom or lease.Permit expires after sire manths 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 e6otrical laws,N.E.C.,RCW,Chapter 19.28,'WAC.Chapter 296-
486.The City of Port Angeles Municipal Code,and utility Specifications and PAMC 144..0555..050 regarding Electrical Permit Applications-
Date Print flame Signature(❑ OwnerEIectricai Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Mall or elactricalperrnits@cityofpa-us or faxed to 360.417,47 11)
to 3'?4�d
S,"S .103-13 NV>lsV-1V
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1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Xkorks and Utilities Department
321 E. 5th Street, Port Anfzeles, WA 98362 d
360.417.4735 1 www.cityofpa.us ! clectricalpennitsL�,cityofpa.us
Project Address: 1037 W11th
Project Description: Ductless
n Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Happ Email:
Mailing Address: Phone:
a M - INFORMATION
Name: BDE License:blackec894d2
Mailing Address: Expiration Date:
Email: Phone: 360-461-3957
PROJECT DETAILS
)fgM Unit Charge- Quantity Total(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 1 $
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 DU. $6400 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy:5KVA System or less $102.00 $
Thermostat(Note: $5 for each additional) $5600 $
3^
TOTAL 5 3
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-
46B,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
12-1-2020 BenjaminShamp
Date Print Name Signature(;6 Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]