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Home My WebLink About524 Golf Course Rd - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner THOMAS MIKE 524 GOLF COURSE RD PORT ANGELES Construction Type Occupancy Type Other struct info COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000089 918605 524 GOLF COURSE RD 06 30 11 4 4 9030 0000 RES NEW SFR RS7 RESDNTL SINGLE FAMILY 104354 Contractor REALITY HOMES INC 1308 ALEXANDER AVE SUITE B WA 98362 TACOMA WA 98424 (253) 926 6330 Structure Information 000 000 NEW 1767SF SFR W /ATT 480SF GARAGE TYPE V NON RATED SINGLE FAM CONGREGATES TOTAL LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Permit ELECTRICAL NEW RESIDENTIAL Additional desc PHILLIPS/ 2247 SF SFR Permit pin number 61432 Sub Contractor PHILLIPS AND SON S ELECTRIC Permit Fee 119 80 Plan Check Fee Issue Date 10/03/05 Valuation Expiration Date 4/01/06 Qty Unit Charge Per 1 00 73 0000 ECH EL R SQFT FIRST 1300 2 00 23 4000 5C EL R SQFT ADDITIONAL 500 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) When roof gutters are installed drains will located in dry wells or piped to approved storm drain locations The proposal will result in the construction of a single family residence in the RS 7 for total lot coverage of 25% Setbacks are good No land use issues are noted Residential Electric Service Connection Fee DOES NOT apply Any modifications to the City s electrical facilities will be at the customer s expense Ref 9849 WF 27072/01 All Electric Utility Payments have been made Sanitary sewer .connection inspection is required by Public Works prior to back fill of ditch Construct driveway to City Standards No concrete with exposed aggregate allowed in the City road right of way Date 10/03/05 25 20 V N 1 00 1 00 8970 00 2262 00 2262 00 1 00 00 0 Extension 73 00 46 80 rALL 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. DITCH N 1 ROUGH -IN COVER N 1 SERVIC: 1 I FINAL 1 1 1 1 M N 1 GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO COMMENTS PW- 1102.15 W96] CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 Application Number Application pin number Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total COMMENTS /ACTION NEEDED 05 00000089 918605 SEWER SYSTEM DELV CHARGE 745 00 STATE SURCHARGE 4 50 Charged Paid Credited 119 80 119 80 00 00 00 00 749 50 749 50 00 869 30 869 30 00 Page 2 Date 10/03/05 Due 00 00 00 00 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, S INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH ROUGH -IN COVER SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO ,p' COMMENTS PW4102.I5 0/96] Telephone number Premises owner's name /YI ie£ 9740 /44 Address of inspection .47 e.toGnSf_. .D City pr Phone number to schedule inspection X Inspection Date Date FINAL UGH -IN 05" Approve By J Da e Approved By 97s045-- Job wired by Electrical Contractor Owner Ele rical contractor name Lice ,we /l f' 5.04 7 c/Z( eee number Date Expires H/1/.Sf0 1'14 Purchaser's mailing address j n om I C°7 City State ZIP '4/4 9K FAXnumber 77 597s 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. 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 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 electric rac o r electrical administrator�,�\ Expiration Date 7 .,.....F0—.C6 `f card Date. 7 THERMOSTAT ELECTRICAL WORK PERMIT APPLICATION (Installation description Commercial .Eir Residential 'New Altered /Addition Date Approved By Date DITCH Date Area, Building or Equipment Inspected /777so tleoGAv- //fit) C).) c 7 Cash Check Credit Card Mastercard Discover Card Electrical Load Additions and or subtractions Service Information NO LOAD CHANGES Baseboard KW Voltage Furnace KW Overhead Service Phase 1 3 Heat Pump Tort LAR Temp Service Service Size: Fan -Wall KW Underground Service Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360 417 -4735 SERVICE �y�+�y+��+pp By J FEEDER Approved By Date Appr ed By Action Taken Inspection fee Electrical Inspector r 1 d: ,ORT ~~ ,,~~ ~~ ,. 'E!iiI 1\:.-- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH S'FREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property Zoning . . . Application valuation 05-00000089 Date .918605 524 GOLF COURSE RD 06-30-11-4-4-9030-0000- RES NEW SFR 2/23/05 RS7 RESDNTL SINGLE FAMILY 104354 Owner Contractor SHORT, ALISON M 342 BILLY SMITH RD PORT ANGELES (360) 417-8116 Structure Information Construction Type Occupancy Type Other struct info WA 98362 REALITY HOMES INC. 1308 ALEXANDER AVE, SUITE B TACOMA WA 98424 (253) 926-6330 NEW 1767SF SFR W/ATT 480SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 25.20 V-N 1. 00 1. 00 8970.00 2262.00 2262.00 1. 00 Permit MECHANICAL PERMIT Additional desc Permit Fee 76.00 Plan Check Fee Issue Date 2/23/05 Valuation Expiration Date 8/22/05 Qty Unit Charge Per BASE FEE 4.00 7.2500 ECH ME-VENT FAN .00 o ~ U\ \"J ~ .(: ~ 0''' 0 ~ ...- -1J ~ r 0 ...j (" ~ {' L.. I iii (C Jd ,D- Permit . . . . Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 1767SF SFR W/ATT 480SF GARAGE 1045.25 Plan Check Fee 2/23/05 Valuation 8/22/05 418.10 104354 Qty Unit Charge Per Extension 1017.25 28.00 BASE FEE 5.00 5.6000 THOU BL-100,001-500K (5.60 PER K) Extension 47.00 29.00 Permi t . . . . Additional desc Permit Fee Issue Date Expiration Date PLUMBING PERMIT 139.00 2/23/05 8/22/05 Plan Check Fee Valuation .00 o Qty Unit Charge Per BASE FEE 9.00 7.0000 ECH PL- EA. FIXTURE ON ONE TRAP 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1. 00 15.0000 ECH PL- EA. BLDG SEWER Extension 47.00 63.00 7.00 15.00 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. ~ ~/1 1""'1 I ,---( (~~~ Signature of Contractor or Authorized Agent -2/ 2.3/ {f::, Date Date Signature of Owner (if owner is builder) T:\PoIicies\1 102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL .,., ... WALLS .. I CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I 1 MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTlNG 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.I PWI 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:\Po1icies\1102_J5 building permit inspection record05.wpd [114/2005] ;,.,~\i'';l~~~_17t.~~'ig~"Jtioi;'l'~/;~~'''!:i.;'\;~iii'~~~_~.~~~~~~,:ii;y~;.t;~($;'~~~~~~1i1;liliiii-'k;ij~i~;,jj,''''''JJt<@;<<oi!;;;06a",iji~":",t.~iIi.;:~'~',:';:~,j,,,~.:i;',":J<':"',,I:i,,,~j, CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number . . . . 05-00000089 .918605 Page Date 2 2/23/05 Qty 1. 00 Unit Charge Per 7.0000 ECH PL- EA.WATER HEATER Extension 7.00 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) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. The proposal will result in the construction of a single family residence in the RS-7 for total lot coverage of 25%. Setbacks are good. No land use issues are noted. Residential Electric Service Connection Fee DOES NOT apply. > Any modifications to the City'S electrical facilities will be at the customer's expense. > Ref 9849 WF 27072/01. > All Electric Utility Payments have been made. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE 745.00 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1260.25 1260.25 .00 .00 Plan Check Total 418.10 418.10 .00 .00 Other Fee Total 749.50 749.50 .00 .00 Grand Total 2427.85 2427.85 .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. Date Date Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:\Policies\1 102_15 building permit inspection record05.wpd [1/412005] BUILDING PERMIT INSPECTION RECORD o,s - BGJ CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES 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. I INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS ~-'7-o..s JI-}... WALLS ~ fc Illl..J () C7 Jl/V FOUNDATION -(DRAlNAGIO DOWN SPOUTS) I ca/7tJ /oh -JW PIERS ~ ( POST HOLES (POLE BLDGS.) PLUMBING PzM.l- \ ((''1 fp(, 1tt, UNDER FLOOR 1 SLAB ROUGH-IN .1 n- '7-t0_c::. ..J 1.. \.--- WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS II/?_ '7...1"'")5\ 1.\ I..l. CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS II5/z4l or JLL- WALLS 1 ROOF 1 CEILING II iJ- ; '):-0.' 1_\ I-l. DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING T1c;--;2/- c2~ I .) 1 L MECHANICAL ~- ;11/00 \Jw HEAT PUMP 1 FURNACE 1 DUCTS IIO-6-0.C; ~\ J-l GAS LINE WOOD STOVE 1 PELLET 1 cmMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING 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.I PWI CONSTRUCTION - R.. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 / I PLANNING DEPT. BUILDING 417-4815 \T/\1 'or'? J (IV BUILDING T:\policies\1102_15 building permit inspection record05.wpdlIl4/2oo5] '0 3: 3: ~ '" '" \0 ll' \0 .... ..; 0 0 >-' >-' '0 t" >-'>-' 00 .......... 0 00 0 -.J-.J .......... 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H ..., ..... 0 "'''' Prescriptive Approach - Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 Site Information Building Department Use Only Lot: Address: ~?4 G-...o \~ Co'u./,"-,-€" 1<0\. . City: VOy+ A'j~ l0A State: WA zip:gS3lo2- Contact: RI LSOYl Sh..ov-t Phone:--Yli - ~ ilL? Phone 2: 4'52-- 111l 0 lo Fax: 451- - ~-:rUL- Permit#: Notes: Table 6-1 PRESCRIPTIVE REQillREMENTS 0,1 FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing 0 tion On y Glazing Glazing U-Factor Door9 Wall Wall Wall Slab4 Option Area 10 U- Ceiling2 Vaulted Above Int4 Ext4 FloorS On % of Floor Vertical Overhead 11 factor Ceiling3 Grade Below Below Grade Grade Grade ill Unlimited Group R-3 0.40 0.58 0.20 R-38 R-30 R-21 R-21 R-IO R-30 R-lO Occupancy V \/ Only I ) See the code text for footnote references This project complies with the following: ./ The project is a single family residence or duplex. ./ The project is wood frame OR all of the insulation is interior or exterior of the framing. ./ All building components meet the requirements listed in Table 6-1, Option III. ./ The project will meet all other provisions of the WSEC and VIAQ. The project will take advantage of the following exceptions to the prescriptive option: o 602.6 Exception 1. One door, that is 24 ft.2 or less, that does not meet the standards is allowed. Location of the door taking this exception o 602.6 Exception 2. Doors with a U-factor of 0.40 allowed without calculations, Option III only. Location of the door(s) taking this exception Copyright 2002, WSUCEEP02-056 Copied by permission from the Washington State University Extension Energy Program Prescriptive - Simple Form - Climate Zone 1 7/26/2004 T ' '. :"., .k 1-". .....+- ,..---. --.,. ;:Cl?~ nnl i I i . ,",7-f...-1 \--7++. -l H ou-:'e.. ~s >( 5'5 c: In l.n -+- <:+ O? , 'lI , - 1-" ~ " .00' 1--1 ,- I I I I....:: (,i 4,\,-. , I ! L I, 'i "l( '2.\ , 'r) i I 1 I j... .. '+ l) \rJ ... ..... , j (>.) .J- -'- I -"- 90l ( c.. OLL~' So ~ 5th S1. 506 Nancy_l,.n, "0 a:::: CD ~ :J o () '+- (5 C) ? r Q f'oc;e d. S~-te-. Lauridsen alvd. ( N Area Map This map is not intended to be used as a legal description. This map/drawing is produced by the Ci~v of Port Angelesfor ils own use and purposes. Any other use qf this map/drawing shall not be the responsibili~l' of the City. ~ W Feet BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: 2. - Z - 0 S- Permit #:05 - Q Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Date Approved: Date Issued: Applicant or Agent: A\ i~n Shoji'+- V- n~ i ~ lYlOVYlo.5 Phone: t;x.OO) L\\ -:t- - f~, ~ ll..o Owner: ~~ Phone: City:]:br+ A~eA~ Address: 2, CkJ E LJ. t-:lr) Av.€- Zip: clf2,3Lv'L Architect/Engineer: Phone: ContractorKenll+, i l-loYY'e~ I n<-. State License #:Ktf\ LI 14 \ 98<-t~: 2../ I S" I OltJ Address: J 3 o~) A ~x..c~ Av--e.... -E City: h'te_ PROJECT ADDRESS: S2. Y C-:lO l t- C:uLv-~ R.cl . Phone: 253-QZIo-e,SIS- Zip: 964 2.. Lf ZONING:KS+ LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAMCOUNTYPARCELNUMBER: OLD'~O\ )Y4 q CJ~~I..:~ Credit Card Holder Name: A II ~ M . :S'V\..O Y"-t- Billing Address: 342. B,lL.l 'S-YV\\-}-\'.u Kd. Credit Card Type VISA )( MC #._______ TYPE OF WORK: ~ Residential ;& New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: ~,\\ \\ec.&e.,.<; \2z.c.,id~..V'd-\a 1 SiY'\j\l ~OXYI\\~ koVV\...Q COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: L Lot Size: :..P~ ":1\';0 -=- Existing Sq. Ft. fdj & Proposed Sq. Ft.ZZ 4> 2. = TOTAL Sq. Ft. 22..lD L Total lot coverage Z~. L % City: Po ,"-i:- A l""\O;e Ae ~ Exp. Date: o Stove ~ Garage o Deck o Other SIZENALUATION: 1"1-u>i- SF. @$ 53.ZS /SF. = $ qy 99 \ .LDl..o t.+Qx.j SF. @$ Zl.3B /SF. = $ lOL.lJ>2.40 SF.@$ /SF.=$ TOTAL VALUATION $ (0425'-1,00 APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESNWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No 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 tance. 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 written request by the applicant (see Section RI05.3.2 of the International Building/Residential 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 it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. T:\RVESS\BLDG-forms-brochures\2003-Buildingpermit.wpd Applicant; ~ ~ Date: 7...j i I D'S"" III H N o H t.~ \ *~ n o 3: 3: t'l Z >-l Ul woo:l::lOt1l"IjotJj O'\O'\COO'\Homc: O...........H -......:s:O...........H I t-'t"lQo .,ot-l lJl.f:>.t:lti-J H....Jt::l O..........HO.......... 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Z c.,>-3 5:8 01:0< enOl >-3 t< t< H 01 ~ I:""' ~ 0'" :P:P >-3Gl 0101 H o ...... '" H ...... o "'H <t:.A ~ORTANGELES t8\P1 WAS H I N G TON, U. S. A. PUBLIC WORKS & UT-ILlTIES DEPARTMENT October 29, 2004 Alison Short 342 Billy Smith Rd Port Angeles, W A. 98362 Subject: New Service-524 Golf Course Rd Job# 9849 Dear Alison: ~ -...r.. The estimated cost of labor and materials suppli~d by the City to provide electrical service for your property is $1,702.03. This estimate was based on the data you provided and is subject to review. This quote is good for 180 days. S\ c - The City will be responsible for the following: 1) Providing and installing the power pole. 2) Providing and installing the pedestal. 3) Providing and installing the 120/240v meter. <..\\ o c J.. (\ ::\) 0-. The owner/contractor will be responsible for the following: 1) Providing, installing and future maintenance of the underground service wires in conduit from the pedestal to the house and/or.meter base. (Ref: Trenching Specifications UM 001-S) 2) All Required Permits. (Building, electrical, etc.). 3) Payment of $1,702.03. If the actual cost of construction exceeds the estimated amount, there will be no further billing. If the actual cost is les~ than the estimate, the difference will be refunded to you. 32 t EAST FI FTH STREET · P. O. BOX t t 50 · PORT ANGELES, WA 98362-02 t 7 PHONE: 360-4 t 7-4805 · FAX: 360-4 t 7-4542 · TTY: 360-4 t 7-4645 E-MAIL: publicworks@cityofpa.us Payment of the estimated amount will authorize the City to schedule the work. If .you have any questions or concerns, feel free to contact me at 360-417-4706. ohh G. Hebner Electrical Engineering Specialist Cc: James Harper, Electrical Engineering Manager Rich Kendall, Electrical Inspector Roger Vess, Pennlt Tech Attachments: 3 Ref: WF27072101 ~ORT ANGELES \, /' 'I- <'''''''-:, (...:fT t(Q)[P)Y WAS H I N G TON, U. S. A. PUBLIC WORKS & UTILITIES DEPARTMENT January 7, 2005 Alison Short 342 Billy Smith Rd Port Angeles, W A. 98362 ,Subject: New Service-524 Golf Course Rd Job# 9849 Dear Alison: c., ( ~ i- --- The 'Residential Electric Service Connection Fee' Does Not apply to your property, because your original request was prior to January 1, 2005. Please provide your electrical contractor the enclosed copy for when applying for permanent service. (Ref.: Cost Letter dated October 29,2004). The estimated cost of labor and materials supplied by the City to provide electrical service for your property is $1,702.03. This estimate was based on the . data you provided and is subject to review. This quote is good for 180 days. :J\ ~ ........... '+) 1\ 0' C ""\ C, ~ The City will be responsible for the following: 1) Providing and installing the power pole. 2) Providing and installing the pedestal. 3) Providing and installing the 120/240v meter. The owner/contractor will be responsible for the following: ~ n ~ 1) Providing, installing and future maintenance of the underground service wires in conduit from the pedestal to the house and/or meter base. (Ref: Trenching Specifications UM 001-S) 2) All Required Permits. (Building, electrical, etc.). . 3) Payment of $1 ,702.03. 321 EAST FIFTH STREET · P. O. BOX 1150. PORT ANGELES, WA 98362-0217 PHON E: 360-417-4805 · FAX: 360-417-4542 · TTY: 360-417-4645 E-MAIL: publicworks@cityofpa.us .~ .-: 1 " "":'1 ..";.1-' , ,h If the actual cost of construction exceeds the estimated amount, there will be no further billing. If the actual cost is less than the estimate, the difference will be refunded to you. Payment of the estimated amount will authorize the City to schedule the work. If you have any questions or concerns, feel free to contact me. Joh' G. Hebner Electrical Engineering Specialist ihebnerCli>.citvofoa.us 360.417.4706 Cc: James Harper, Electrical Engineering Manager AI Oman, Electrical Inspector Roger Vess. Permit Tech Enclosures: 2 Ref: WF27072101 ~.:,.."~..,..._'e"~"~"^"~'''" "'.'" ."'."'"'.,.....".,",.-..~"'__..~~it<,,'".......>i. ~ORTANGELES '.";) V~...0/ '\")"\ CC~\p)f WAS H I N G TON, U. S. A. PUBLIC WORKS & UTILITIES DEPARTMENT November 18, 2004 Gary Schoessler 1317 Lakeside Drive Moses Lake, WA. 98837 Subject: OLYMPIC YIEW PRO - Electric Service Job# 9856 (.70 { ~ (o>ur<>- c-( ). II \ d b...(t The customer/developer will be responsible for the followino: 1) Surveying and staking the property. Clearing, grading and bringing the area to final grade before installation of the electrical facilities. 2) . Easements as required via the Planning Department for placement of the transformer vaults/pedestals and conduit routes. 3) ,Providing a 24/7 all-season road for maintenance. 4) Trenching, backfilling and restoration of the entire job. The primary cable trench must be a minimum of forty-seven (47) inches deep tre'nch, twenty-four (24) inches wide. The trench must meet the requirements of: WAC Chapter 296-1551/ "Excavation, Trenchina and Shorina". The service cable trench(es) must be a minimum of thirty-three (33) inches deep and eighteen (18) inches wide from the transformer/secondary pedestal(s) to the meter location. All excavated material shall be placed no closer than two (2) feet from the back edge of the excavation and any excavation over forty-seven (47) inches in depth will need shoring. . Trenching, backfill and compaction will be in accordance with SpeC# UM 0 01-P and UM 0 01-S (enclosed). 5) Excavation and backfill to grade for the concrete transformer vault(s) 32"x44"x36"dp. Transformer Vault Std# U 1 04 (enclosed). 321 EAST FIFTH STREET · P. O. BOX 1150 · PORT ANGELES, WA 98362-0217 PHONE: 360-417-4805. FAX: 360-417-4542. TTY: 360-417-4645 E-MAIL: publtcworks@cityofpa.us 6) Coordination with Qwest, Capacity Provisioning and W AVE Broadband for installatido.;Qf their equipment. They may share the trench with the electrical facilities. 7) Installation and future maintenance of the underground cable in conduit from the secondary pedestal(s) to the meter base(s). 8) All required permits. (Trenching in the R1W, Electrical, etc.) 9) Payment of $19,859.81. The'Citv will be responsible for the followina: 1) Setting the pole(s), setting the anchor(s), installing conduit riser(s) with primary termination(s). 2) Providing and installing the transformer vault(s), secondary pedestal(s) and associated equipment. 3) Pulling in and terminating the primary cable(s), secondary cables and street light wire. 4) Providing and installing the electric meter(s). If the actual cost of-construction exceeds the estimated amount, there will be no further billing. If the cost is less than the estimate, the difference will be refunded to you. Work will be scheduled in five (5) to six (6) weeks after the receipt of the payment for $19,859.81. This allows for engineering design, scheduling the City Light crews and the requisitioning of materials. Note: The New Residential Electric Service Connection Fee letter will apply to your development. A copy of the letter, dated October 25, 2004, is enclosed. If you have any questions or concerns, feel free to contact me.. Cc: James Harper, Electrical Engineering Manager Rich Kendall, Electricat Inspector Roger Vess, Permit Tech File Attachments: 5 Ref. WF 27929/01 . ~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ]21 EAST 5TH STREET. PORT ANGELES. WA 91l3(J2 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000089 Date 918605 524 GOLF COURSE RD 06-30-11-4-4-9030-0000- RES NEW SFR 9/27/05 RS7 RESDNTL SINGLE FAMILY 104354 Owner Contractor SHORT, ALISON M 342 BILLY SMITH RD PORT ANGELES (360) 417-8116 Structure Information Construction Type Occupancy Type Other struct info 000 REALITY HOMES INC. 1308 ALEXANDER AVE, TACOMA (253) 926-6330 000 NEW 1767SF SFR W/ATT 480SF TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS SUITE B WA 98424 WA 98362 GARAGE 25.20 V-N 1. 00 1. 00 8970.00 2262.00 2262.00 1. 00 ~ ~ ---------------------------------------------------------------------------- permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL OLYMPIC/ SERVICE ONLY 61036 OLYMPIC ELECTRIC 78.70 9/27/05 3/26/06 Plan Check Fee Valuation .00 o G' '\)- I" 1\ Qty 1.00 Unit Charge Per 78.7000 ECH EL-RM-0-200 1ST SRV FEEDER Extension 78.70 o ~ ~ -----------~---------------------------------------------------------------- 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) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. The proposal will result in the construction of a single family residence in the RS-7 for total lot coverage of 25%. Setbacks are good. No land use issues are noted. Residential EI'ectric Service Connection Fee DOES NOT apply. > Any modifications to the City'S electrical facilities will be at the customer's expense. > Ref 9849 WF 27072/01. > All Electric Utility Payments have been made. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. ~ --------------------------------------------------- Other Fees SEWER SYSTEM DELV CHARGE 745.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD . CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE 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 T NO UITCH Dn~U~U_IN I CUV-hK SERVICE [;'-0..1 AT I I GENERAL COMMENTS: PW-1I02.1HI/961 '~ w CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ]21 EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number . . . . . 05-00000089 Application pin number 918605 Page Date 2 9/27/05 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 78.70 78.70 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 749.50 749.50 .00 .00 Grand Total 828.20 828.20 .00 .00 COMMENTS/ ACTION NEEDED ELECfRlCAL PERMIT INSPECfION RECORD ~ .. CALL 4 I 7-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. rr IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW.lI02.I' (4'96) ,sa; '" r..? CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :\21 EAST 5TH STREET. PORT ANGELES. WA 98:\62 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000089 Date .918605 524 GOLF COURSE RD 06-30-11-4-4-9030-0000- RES NEW SFR 3/14/05 RS7 RESDNTL SINGLE FAMILY 104354 Owner Contractor SHORT, ALISON M 342 BILLY SMITH RD PORT ANGELES (360) 417-8116 Structure Information Construction Type Occupancy Type Other struct info WA 98362 REALITY HOMES INC. 1308 ALEXANDER AVE, SUITE B TACOMA WA 98424 (253) 926-6330 NEW 1767SF SFR W/ATT 480SF GARAGE TYPE V NON-RATED SINGLE ~ & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 25.20 V-N 1. 00 1. 00 8970.00 2262.00 2262.00 1. 00 \ ,., ,>..,cl. "'.\ ........ Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE OWNER/ 60 A TEMP. 42.20 3/14/05 9/10/05 Plan Check Fee Valuation .00 o ~\ '\' ," Qty 1. 00 Unit Charge Per 42.2000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 42.20 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. lOrd. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped. to approved storm drain locations. The proposal will result in the construction of a single family residence in the RS-7 for total lot coverage of 25%. Setbacks are good. No land use issues are noted. Residential Electric Service Connection Fee DOES NOT apply. > Any modifications to the City'S electrical facilities will be at the customer's expense. > Ref 9849 WF 27072/01. > A~ Electric Utility Payments have been made. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway to City Standards. No concrete with eKposed aggregate allowed in the City road right of way. " "', Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE 745.00 4.50 COMMENTS/ACTION NEEDED ELECI'RICAL PERMIT INSPEQ'JON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINlMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEC110N TYPE DATE I ACCEPTED COMMENTS YES NO UnC.l1. llOTTr.-H.IN I CUVbK ~bK V lCb FIN A T I GENERAL COMMENTS: PW-I102.U (4'96] d'O"'~. ~~ 'gJ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :121 EAST 5TH STREET. PORT ANGELES, WA 98J62 Application Number . . . . . 05-00000089 pin number . . .918605 Page 2 Date 3/14/05 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42.20 42.20 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 749.50 749.50 .00 .00 Grand Total 791.70 791.70 .00 .00 COMMENTSI ACTION NEEDED ELECTRICAL PERMIT INSPEcrrJON RECORD 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 IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO I JI l:H Will 11TH-IN I CUVbK ~bK VICh 1 FINAL ,:J I L /,-. ~', 1~*l'A, )1 / I GENERAL COMMENTS: PW-II02.lS [<lI96] d''''''~~ a~~~ D! ~r';~ Application Number Appl~cat~on p~n number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 9RJ62 fll:;,_()("l(j(j()nRQ T"'l.:::d"'c t: JAC:: I^~ 918605 524 GOLF COURSE RD 06-30-11-4-4-9030-0000- RES NEW SFR RS7 RESDNTL SINGLE FAMILY 104354 Owner Contractor SHORT, ALISON M 342 BILLY SMITH RD PORT ANGELES (360) 417-8116 Structure Information Construction Type Occupancy Type Other struct info 000 REALITY HOMES INC. 1308 ALEXANDER AVE, 'TACOMA (253) 926-6330 000 NEW 1767SF SFR W/ATT 480SF TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTR_UCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS SUITE B WA 98424 WA 98362 GARAGE 25.20 V-N 1. 00 1. 00 8970.00 2262.00 2262.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY TRIP FEE PENALTY 47894 36.40 5/05/05 11/01/05 SERVICE Plan Check Fee Valuation .00 o Qty Unit Charge Per BASE FEE Extension 36.40 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) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. The proposal will result in the construction of a single family resiclence in the RS-7 for total lot coverage of 25%. Setbacks are good. No land use issues are noted. Residential Electric Service Connection Fee DOES NOT apply. > Any modifications to the City'S electrical facilities will be at the customer's expense. > Ref 9849 WF 27072/01. > All Electric Utility Payments have been made. Sanitary sewer connection inspection is required by Pwblic Works prior to back fill of ditch. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. Other Fees SEWER SYSTEM DELV CHARGE 745.00 COMMENTS/ACTION NEEDED ELECfRlCAL PERMIT INSPEQ'JON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEC110N TYPE DATE ACCItPTID COMMENTS I YIS NO UnCH tUH fCyH_IN / l,;UV,bK ~b.K V lCb FINAL I I I GENERAL COMMENTS: PW.I 102.1' 14'96] fi '\olr......;- CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98J62 rcl~t:: ~ 5/05/05 Application Number . . . . . 05-00000089 Application pin number 918605 Date Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 36.40 36.40 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 749.50 749.50 .00 .00 Grand Total 785.90 785.90 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPEg,ION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS: PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCItPTED COMMENTS YES I NO 1)1 '1 'H !H)llnJ.l-IN /l.:UVbK ~J:,K VJCb i /ro -1 ~..,. /? 1:.-<" -7f,/.. "f 7 / ; GENERAL COMMENTS: PW-II02.U (4196) 09/22/2005 13:13 3604523498 CoV~ 8 Job wired by o Electrical Contractor a Owner Electrical COf1traclor "amc LicCI'J!lc n\lmbcr Dine Expires (?!t::;fh~ IS/"rh-,,,~ ('JLY.#!?/f2Y~OJ pure er's \ailing address Ij 270 J7//'1' t:r/ An=k' c~ Sta," ZIP yf,49",{J //..7, 7%7/5:5: Telephone ftlU'T'Ibc FAX numbe, A -7 FT(:mise~ nwner~ll nAme M,/(;o l"fIbJ.R1..4:" AddreSll of' in,~ection i2-'1 .6I?Lr /a-//? Fe /1:..-/ c/~.,dY1~r/" /r:r Phone numbtr to ;olc::hedlllE! htspeC'.tlnn: '&1- f/..2- OW""'T as dc/fPled by RCW.J.Q,J.R.26.1:(l) Owner will oeer/p.}' IIIE .~trucJllre fur Iwn yeaf$ alter ,his electrical permit is fin.alized. (1) Owner iJ ,.(!qltir~ to flire all elt:errico! COlllracldr tf above sfltd pr-opCf1y is for J<'.le. rrml 0" lea.~e. Ancr reading the above statement. 1 hereby ccT1ify that I om the owner' of the above named properry or B liccn!>cd electricnl contracle.T, I lm1 m(\ki11S the electrical instal- lation or alteration in eompli3nee with. the electrical laws. N.E.C.. RCW. Chaptcr 19,28, WAC, Chapter 296-46D, Thc City of Porl Angeles Munidllal Code, and Utility Specifications. Si~n,.turr: of owner. electric!1 contractor pr electric:"" Ildmlnbtr.ntor ';P? - Date: OLYMPIC ELECTRIC PAGE 01 . ELECTRICAL WORK PERMIT APPLICAT10~ Inst:tllatioT'l dc!\cri'PtiOTl o C011lm.erti~' ~lridentia1 I;J New I;J AltercdlAddltfon &2c/r"1'''Y fr/"nc..c. , a c..,h 0 Check # ijr(rtditCard Visa Card # Mastercard Discover -------------~-- E"piratioD Date of card EI c Load A!!.dltions 8~ubtracllo.nl D NO LOAD CHANGES D Baseboard KW o Furnace KW o Hoat Pump _ Ton _ LAR D Fan-Wall KW ~ ..s:: J(9 o Overhead SeIVlc9 a Temp SeNiee B"'Underground Sel\llce Servl~l\Iatlon voltage~_ Phase 0(1 1:1 3 Service Site: ~# Feeder Size: ~ ~ SAME DAY INSPECTION CALL BEFORE 7'00 AM 360-41 7-47~S - ~ - ( ROUGH~lN ( THERMOSTAT I /. SERVICE '\ VU.hq hW D~(c ^'llflnm:dRy ~ !lnlc: . ^Pl:',""c:d Dy . DAle: J\pto..,ved Dy-.J / aJ. FINAL "- / ""- Jll;EDER DITCH e D:' L - <.tR~1 "- 'Dale .I\pprt>\lC(I '4)' """ Appro~ ~y Inspection Area. Building or Equipment Jn~pec;tcd Actinn Taken Electrical D:t,u: ,I Inspector "J (V17~ 1)f:- --- W-9~ v.rF 2-7D72-/0/ ..1&[ 0 c..Y ~ I 9/JZ-- ...,-;"". ..i r- (.~_._~.:. r\ y.: \ \. \. '.~ I ; __.;,r,_'" '., j \_-~:./ !~_.: .2 ",/el -- . .. , ' ....-,- .' j!fi'P }i ft c>~..) - ~v? o Request Inspection ELECTRICAL WORK PERMIT APPLICATION I o Electrical Contractor )l(Owner CJ Annual Permit 0 Alarm 0 Carnival o Commercial 0 Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom. Job wired by o Electrical Contractor Installation description Owner E~trical contractor name License number -Bli:":i\{\ ~'V\[)y+ ..J- milLQ IIfLO\'YV1/) Purchaser's mailing address (\ ZI()0l E L\-'(YI o'v-e... -PDA-~ iJi\ 'i6slo City State ZIP ~\D[) - LJli- 8\ Il/l Telephone number FAX number I~ t=>~ Premises owner's name ~ Address of inspection 574 Colt- C",,,.A.I! ed <163LD'2. o Cash 0 Check # I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. o Credit Card Card # Visa Mastercard Discover Signature of owner, electrical contractor or electrical administrator x Expiration Date of card 2..-. 2--0 WALLS Insulation Only Date Approved By Cover Dale Approved By " CEIUNG Insulation Only Dale Approved By Cover Dale Approved By THERMOSTAT " Dale Approved By DITCH Date Approved By SERVICE Dale Approved By FEEDER Dale Approved By a) I ~ '0 Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan-Wall KW IJ/r., Service Information Voltage ;1.10 !t2-0 Phase tJ 1 0'3 Service Size: C;o Feeder Size: o Overhead Service ~ Temp Service o Underground Service . Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector "3 (~ 1(,"- "f1;M.{I #-L- JJffL 5: ," 4tt9 3/; L( /~5 .~ --- '- ,.., ~ ELECTRICAL INSPECTION WIRING REPORT 417-4735 05'- PERMIT # o.v/v~ ADDRESS 5~ 6"L~: a-4< ~ APPROVED NOT APPROVED o .... 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 DITCH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Do 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ROUGH IN/COVER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Do 0 0 0 0 orfl41/.>o 0 0 0 0 0 0 SERVICE 00000000000000000 0 o~o Do 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FINAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CORRECTIONS NEEDED: {!J w/' {'.tJi/M.. ~X" A"u- C~'''.ov,r- ./"-77~./""S ;J~/', D.s~ (3J ~ - DX 6.1f..-~/D' /?'/1~ 0/0-1 A/~..../~J"7? .A/l~~ .'..j..:r~ (j) t14AL.LbA <!..7V A" 7l> "'.dv~ ~3 -m ~./A/~ ~ T/€./ ~ ,? 6L- / S /?c:..CJ.6.:>.:> (!....to O.hl . 7Zhr /Mr~f/I).A/ /36. 'to . R~ .P/).e~ )"Co' H/./J,../jN h .A./",I: k.7' /.(/ "j.P"/'77t),N.. C(7">:;';/?N~.77f . .c~-€_ 0 . 0 Az!J-r-JJ/~ /7/~ oS .,i- p~ T~p NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS ~ - DO NOT REMOVE- ----.. ~ IEllE<crRl~<CAl ~INISIPIE<C1r~OINl W~IRl~INIG IRllEiPlOlRll 417-4735 L~~ f2~ l-r 0:5' -8~ 5;Z~ Go~ ~L Rd. -.e:---,P .5vc-. /,N;>~6G77.A/ APPROVED /1C--r'1/ 7 NOT APPROVED o ................... DITCH ................... 0 o .............. ROUGH IN/COVER.............. 0 o ........ T!!:/!7f? : .. SERVICE ..................}sf' o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0 CORRECTIONS NEEDED: @ ~('?) ~ . /T/i.-4-A/ A-~ #U- S '.o:>/,,"-ef , ,/~p <vr /,j~ ~ eo viM'" AL . ~/"'~ @ #,{, /J~ - Ole 6~.NO a.o~~~..I.;'~ - ~/,C)I:- ~I''''''./JS i>'D a.o.vO",<!.7';j~ 7Z> ....5r.h>~ - ~ A!,C)/S77f-L) ,...t~ ,~ 11'1 ~p ~~~ L NOTIFY INSPECTOR WHEN CORRECTIONS ~ ARE COMPLETED WITHIN 15 DAYS ~lbt1r' .5iOE 1I1~ ) - DO NOT REMOVE - ~"'~NC' (""')....1381 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . 15-00001350 Date 10/26/15 Application pin number886950 Property Address 524 GOLF COURSE RD ASSESSOR PARCEL NUMBER: 06 -30 -11 -4 -4 -9030 -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 PAUL M HORIUCHI BLACK DIAMOND ELECTRICAL CONTR 524 GOLF COURSE RD INSPECTOR: 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 457-2.851 (360) 565-1035 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee 63.00 Plan Check Fee . OG Issue Date 10/26/15 Valuation 0 Expiration Date 4/23/16 Qty Unit Charge Per Extension 1.00 63.0000 ECH 'EL -R- BRANCH CIR WO/ SER FEED 63.00 Fee summary CYaarged. Paid Credited Due Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 o0 Grand Total 63.00 63.00 00 .00 0 REPORT 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 COMMENTS: N PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X„ Date: G:\EXCHANGE\BUILDING CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: /0 — �-3 — ( �& 2 Single Family Dwelling * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: er Gam_ Building Square Footage: Description of above Owner Information Name: rm En I V.1r 1 t Mailing Address: g_!6&j_E 2D City: State: Zip: Phone: Fax: License # I Exo, Contractor Information Name: �'&A41_). _ .. Mailing Address: City: State: Zip: Phone:-.--- Fax: License # I Exo. Item Unit Charge Total Multiplied by Unit Charge) Service/Feeder 200 Amp. $120.00 u Service/Feeder 201-400 Amp. $146.00 ............ $,,,,,,mm_ Contractor Information Name: �'&A41_). _ .. Mailing Address: City: State: Zip: Phone:-.--- Fax: License # I Exo. Item Unit Charge Total Multiplied by Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 ............ $,,,,,,mm_ 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 Branch Circuit W/O Service Feeder $ 5.00 _ $ 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 -,,,,,,,,,,,,,,,,,,,,,,,_„_ $, '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 installatn or alteration in compliance with the electrical laws, N.E.C., RCK Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Munid at C e, a tility Specifications and PAMC 14.05.050 regarding Electrical Permit pplications. Signature wn ele ri al contractor or electrical administrator: ❑ cash heck � ❑ Credit Card # xbaled: �� 66666 _ 0110112012 ` . W...... W............ - www