HomeMy WebLinkAbout2227 Lindberg Rd - BuildingPORT4y
gi UN.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
MANTOOTH JAMES E
2238 E LINDBERG RD
PORT ANGELES
Permit
Additional desc
Permit pin number 112383
Permit Fee 120 00
Issue Date 10/10/07
Expiration Date 4/07/08
Qty Unit Charge Per
1. 00
Other Fees
Fee summary Charged
Permit Fee Total 120 00
Plan Check Total 00
Other Fee Total 1000 00
Grand Total 1120 00
T•\Policies \1102.15R [1/05]
WA 983628611
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
07 00001142
583642
2227 LINDBERG`RD
06 30 13 5 2 0500 0000
PUBLIC WORKS UTILITES
PLANNED RESDNTL DEVLPMENT
0
Contractor
OWNER
SANITARY SEWER HOOK UP
Extension
120 0000 EA SAN SEWER HOOKUP 120 0.0
SEWER SYSTEM DELV CHARGE 1000 00
Paid Credited Due
120 00
00
1000 00
1120 00
Plan Check Fee
Valuation
00
00
ob
00
Date 10/10/07
00
00
00
00
00
0
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 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
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T \1102.15R [1/05]
RESIDENTIAL
PERMIT INSPECTION RECORD
CALL 417 -4807 FOR UTILITY 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
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
Application Number
.Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
MANTOOTH JAMES E
2238 E LINDBERG RD
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
T \Policies \1102.15R [1 /05]
Permit Fee Total
Plan Check Total
Grand Total
WA 983628611
Charged
00
9/22/05
3/21/06
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
05 00000911
001441
2227 E LINDBERG RD
06 30 13 5 2 -0500 0000
QWEST
PUBLIC WORKS UTILITES
PLANNED RESDNTL DEVLPMENT
0
Contractor
OWNER
RIGHT OF WAY
BURIED PHONE LINE ON LINDBERG
60855
Plan Check Fee
Valuation
Paid Credited
00 00 00
00 00 00
00 00 00
Date 9/22/05
Due
00
00
00
00
0
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
CALL 417 -4807 FOR UTILITY 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
T' \Policies\ 1102.15R f1/05)
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
INSPECTION TYPE DATE ACCEPTED
YES 1 NO
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
I I I
I I I
I I
I I
PREPARED 2/18/05 12 36 40 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/18/05
ADDRESS 2227 E LINDBERG RD SUBDIV
CONTRACTOR TAYLOR MADE CONST LLC PHONE (360) 460 4271
OWNER MANTOOTH JAMES E PHONE
PARCEL 06 30 13 5 2 0500 0000
APPL NUMBER 05 00000076 RES ADDITION
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 01 2 18/ 5 JLL
PLUMBING ROUGH IN TIME 17 00
Warren 460 4271
COMMENTS AND NOTES
PREPARED 2/23/05 12 12 34 INSPECTION TICKET PAGE 10
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/23/05
ADDRESS 2227 E LINDBERG RD SUBDIV
CONTRACTOR TAYLOR MADE CONST LLC PHONE (360) 460 4271
OWNER MANTOOTH JAMES E PHONE
PARCEL 06 30 13 5 2 0500 0000
APPL NUMBER 05 00000076 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BAIR 01 2/18/05 JLL BUILDING AIR SEAL
2/18/05 AP Warren 460 4271
BL3 01 2/18/05 JLL BUILDING FRAMING
2/18/05 AP Warren 460 4271
BLI 01 2 23 5 J BUILDING INSULATION TIME 17 00
-11111t) Warren 460 4271
COMMENTS AND NOTES
PREPARED 2/18/05 12 36 40 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/18/05
ADDRESS 2227 E LINDBERG RD SUBDIV
CONTRACTOR TAYLOR MADE CONST LLC PHONE (360) 460 4271
OWNER MANTOOTH JAMES E PHONE
PARCEL 06 30 13 5 2 0500 0000
APPL NUMBER 05 00000076 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BA I R 01 2/18/Q5 c iI
BL3 01 2 18 5 JLL
BUILDING AIR SEAL
Warren 460 4271
BUILDING FRAMING
Warren 460 4271
CONTINUED ONTO NEXT PAGE
Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
MANTOOTH JAMES E
2238 E LINDBERG RD
PORT ANGELES
TAYLOR MADE CONST LLC
1820 WOODHAVEN LN
WA 983628611 PORT ANGELES
(360) 460 4271
Structure Information 240SF DECK
Construction Type TYPE V NON RATED
Occupancy Type SINGLE PAM CONGREGATES
Other struct info TOTAL LOT COVERAGE
CONSTRUCTION TYPE
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
05 00000076
742304
2227 E LINDBERG RD
06 30 13 5 2 0500 0000
RES ADDITION
PLANNED RESDNTL DEVLPMENT
52440
Contractor
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
ELECTRICAL NEW RESIDENTIAL
200 A SVC +BRANCH CIRCUITS
ANGELES ELECTRIC
78 70
2/15/05 Valuation
8/14/05
Qty Unit Charge Per
1 00 78 7000 ECH EL RM 0 200 1ST SRV FEEDER
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
121 EAST 5TH STREET PORT ANGELES. WA 98362
Plan Check Fee
Special Notes and Comments
When roof gutters are installed drains will located in dry
wells or piped to approved storm drain locations
The proposal 1s to remodel an existing s f res in the RS 9
for total lot coverage of 16% No land use issues are
noted
Public works electrical engineering has no requirements for
this plan review Connection Fee DOES NOT apply
Other Fees STATE SURCHARGE
Fee _summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged
78 70
00
4 50
83 20
COMMENTS /ACTION NEEDED
Paid Credited
78 70
00
4 50
83 20
00
00
00
00
Date 2/15/05
WA 98362
13 80
V N
2 00
907 00
14000 00
243 00
1832 00
1 00
Due
Extension
78 70
4 50
00
00
00
00
00
0
DITCH
CALL 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.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES 1 NO
ROUGH-1N COVER
SERVIC
FINAL
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
1fr /7 -o
1 1 1
1 1 1
1 1 1
1 1 1
Qvw1102.15 [4961
Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
MANTOOTH JAMES E
2238 E LINDBERG RD
PORT ANGELES
05 00000076
742304
2227 E LINDBERG RD
06 30 13 5 2 0500 0000
RES ADDITION
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983628611
PLANNED RESDNTL DEVLPMENT
52440
Owner Contractor
Date 2/14/05
TAYLOR MADE CONST LLC
1820 WOODHAVEN LN
PORT ANGELES WA 98362
(360) 460 -4271
Structure Information 240SF DECK
Construction Type TYPE V NON RATED
Occupancy Type SINGLE FAM CONGREGATES
Other struct info TOTAL LOT COVERAGE 13 80
CONSTRUCTION TYPE V N
HARD SURFACE AREA
NUMBER OF STORIES 2 00
EXISTING LOT COVERAGE 907 00
LOT SIZE 14000 00
PROPOSED LOT COVERAGE 243 00 ny
TOTAL LOT COVERAGE 1832 00 v
NUMBER OF UNITS 1 00 1
Permit BUILDING PERMIT RESIDENTIAL
Additional desc
Permit Fee 688 25 Plan Check Fee 275 30
Issue Date 2/14/05 Valuation 52440
Expiration Date 8/13/05
Qty Unit Charge Per Extension l` l`
BASE FEE 667 25
3 00 7 0000 THOU BL -50 001 100K (7 00 PER K) 21 00
Permit MECHANICAL PERMIT C
Additional desc 1/
jS...
Permit Fee 79 60 Plan Check Fee 00
Issue Date 2/14/05 Valuation 0
Expiration Date 8/13/05 Cr
3
Qty Unit Charge Per Extension
BASE FEE 47 00
1 00 14 7000 ECH ME INSTALL 100- FAU 14 70
1 00 7 2500 ECH ME VENT FAN 7 25
1 00 10 6500 ECH ME -GAS PIPE 1 TO 5 10 65
Permit PLUMBING PERMIT
Additional desc
Permit Fee 96 00 Plan Check Fee 00
Issue Date 2/14/05 Valuation 0
Expiration Date 8/13/05
Qty Unit Charge Per Extension
BASE FEE 47 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 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.
8 nature of Contr ctor or Authorized Agent bate Signature of Owner (if owner is builder) Date
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.
INSPECTION TYPE DATE ACCEPTED COMMENTS
FOUNDATION
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WAL��L/HOLD DO
WALLS ROOF C
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING/LIGHTING 1 ESA.
LANDSCAPING I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
BUILDING PERMIT INSPECTION RECORD
417 -4735 ELECTRICAL
LIGHT DEPT
C\Policies \1102_15 building permit inspection record05.wpd [1/4/2005)
YES
NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
1 BUILDING
OP PORT,,
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Page 2
Application Number 05 00000076 Date 2/14/05
Pin number 742304
Qty Unit Charge Per Extension
7 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 49 00
Special Notes and' Comments
When roof gutters are installed drains will located in dry
wells or piped to approved storm drain locations
The proposal is to remodel an existing s f res in the RS 9
for total lot coverage of 16% No land use issues are
noted
Public works electrical engineering has no requirements for
this plan review Connection Fee DOES NOT apply
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
T• \Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
STATE SURCHARGE 4 50
Charged Paid Credited Due
863 85 863 85 00 00
275 30 275 30 00 00
4 50 4 50 00 00
1143 65 1143 65 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
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 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
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
1 L —/s( -o I J
I'
1 -.13-1:).14 Vv
YES 1 NO
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING/LIGHTING 1 ESA.
LANDSCAPING I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
417 -4735 ELECTRICAL
LIGHT DEPT
I
IA I
I (2--
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
PLANNING DEPT
BUILDING
Architect/Engineer. DW✓AJ C72---
BUILDING PERMIT APPLICATION D t R 1 2e --0,-
TI
Contractor i -I E COAST 7�'WM
L L State License #•C 5 r Exp i!5
Address. 1 -O k tnluoa 'i 1 Lel r City C�w�` 7/ 1'-
PROJECT ADDRESS 2--27 t
LEGAL DESCRIPTION Lot:
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review If you have any questions, call Date Issued.
PERMITS (360) 417 -4815 FAX(360)417 -4711
CLALLAM COUNTY PARCEL NUMBER. 0(03 O I S 20 5
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA M
TYPE OF WORK.
g Residential New Constr
Multi- family Addition
Commercial ,yr Remodel
Repair
BRIEF DESCRIPTION OF THE
C
Re -roof
Move
Demolition
Sign
PROJECT
City.
T \RVESS\ BLDG forms brochures \2003 Buildingpermit.wpd Applicant:
FOR OFFICIAL USE ONLY
ae a
ermit CAS: 7
Date Approved
Applicant or Agent: 7 b
i /�i`.t( Phone
Owner. sl 0 1 4 Mitit/'T 7 1 Phone. �'f S 2 �y /s
Address 22 3 S( C Ll n/6 6C12_6 City S CZ—Er Zip 9Y..3 6 2-
Phone Gl S 7 serf r
Exp. Date:
SIZE/VALUATION
Stove 8-1 c( SF led" /SF SZ yY
Garage SF /SF
Deck SF /SF
Other TOTAL VALUATION NY 0
0,)elA o ter t A) 6r14r144 E.'/J T i4' 6 LA F1It aLtc tt.
Date:
Phone /60 6 (27
Zip 9 Z
fit iu g EY-4 (Z(7 P0/2- TANc(e S ZONING R-S Y
Block: 5 Subdivision. r4t S Ce-CaPD O
Ne Vied• Pk ns,o ADO CtiVeg.EN if) a/ rk LK u PA/ S. 1 1,41 AS u W New ✓a'Aft L 1 J r r.► Oo►J S.
COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type ._/,J UtN)
No of Stories: Z. Lot Size 7 Existing Sq Ft. Proposed Sq Ft._ z y t TOTAL Sq Ft. rd S
Total lot coverage_ tr
PLANNING USE ONLY
ESA/Wetland(s). Yes No SEPA Checklist required? Yes No Other
APPROVALS.
PLAN
BLDG
DPWU
FIRE
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 assistance
PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action -by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2
of the International Building/Residential Code, 2003) No application can be extended more than once.
1 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 thp? 1 must ob in such permits prior to work.
I
2136
Feet
Y6rc CL
2136
60
Horizontal Datum NAD 83/91 Area Map
Vertical Datum NA VD 88
1
2219
227
This map is not intended to be used as a legal description
This map/drin ng I produced by the City of Port Angeles fo its own use and purposes.
Any oth use of this map/drawing shall not be the sponsibilitv of the Citv
SHED„,
\20J
Site Plan
2221 E. Lindberg Road
Lot Coverage
Garage 600 Scj Ft.
I -louse 901 Scj Ft.
Covered porch addition 240 act Ft.
Existing Outbuildings 64 Scj. Ft.
(Lindbercl Road)
-lee, 9s
lig37`
c1: ~ORT ~
,,~~~
cl",.'"
"--~
~
~"Wii""
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
pin number . . . .
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation.
05-00000087
.856970
2227 E LINDBERG RD
06-30-13-5-2-0500-0000-
MECHANICAL PERMIT
Date
2/08/05
PLANNED RESDNTL DEVLPMENT
9050
Owner
Contractor
MANTOOTH JAMES E
2238 E LINDBERG RD
PORT ANGELES
WA 983628611
PENINSULA HEAT
502 W. 8TH ST.
PORT ANGELES
(360) 457-2775
WA 98362
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
61.70 Plan Check Fee
2/08/05 Valuation
8/07/05
.00
o
1.00 14.7000 ECH
BASE FEE
ME- INSTALL 100- FAU
Extension
47.00
14.70
Qty Unit Charge Per
Plan Check Fee
Valuation
.00
o
N
r-J
~
"'\.\ fir
--
.....
::p r-
r 6-,
N:
""t
lJJ
10
~
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER
THERMOSTAT
36.40
2/08/05
8/07/05
RESIDENTIAL
Qty Unit Charge Per
1.00 36.4000 EC EL-LOW VOLTAGE
Extension
36.40
Charged Paid Credited Due
Fee summary
---------- ---------- ---------- ----------
--------------
Total 98.10 98.10 .00 .00
Permit Fee
Check Total .00 .00 .00 .00
Plan
Total 98.10 98.10 .00 .00
Grand
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. f 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
~~;f~:~t:~2~ canc;e ;ov::, of any '''fe 0' local law ,egulaling con'tructlon 0' the pertoonance of
Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Date
T:\Policies\1102_15 building permit inspection record05.wpd [1/412005]
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 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 I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP / FURNACE / DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
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
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
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 if - I', -(') "i" Rk BUILDING
T:\Policies\1 102.15 bUlldmg penmt mspectlOn record05.wpd [1/4/2005]
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.: '2 ~ 8"' GS'
Permit#:D5-~B '7
Date Approved:
Date Issued:
Fill out COMPLETELY and in INK. Your application and site.plan MUST BE
COMPLETE to be accepted for review. Uyou have any questions, call
(360) 417-4815
Applicant or Agent:~Je ArvJe~
Owner: Jim /l1annz,H-r-
Address:;<;1b <9' G.Lr1t:l/;~-J J?t/ City: ~y/.t-~/rs
ArchitectJEngineer: Phone:
ContractorYeVl':'Vr1 ~IAJ~ 1-State License #:$NIV th~
Address: 502 vV SttL City:~3~lRs
PROJECT ADDRESS: ;;l ~ ':J1 7 b- LI n.:1 be-rq .< d
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
Phone:
467-2775-
'"/5 7-6~/ S-
Zip: q &"3~ 2.
Phone:
Phone:L{ f17-'d77
Zip: q ~b ?-
ZONING:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
o Reliidential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o CommerCial 0 Remo4el 0 Demolition
o Repair ,0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
."f
o Stove
o Garage
"0 Deck
~r
?,:/J.6D
~
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
Construction Type:
= TOTAL Sq.Ft.
%
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. TIlls 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 ofapplication, 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 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
T:\FO RMS\APPS\Buildingpermit.wpd
Applicant
correct. I am authorized to apply for this permit and
t lust 0 in such permits prior to work.
ate: c9/~~s-
,
-
clI'ORT~.
l~~
"...a
... --
"'C~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
o7-IJ1:~
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER;
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
07-00001142 Date
583642
2227 LINDBERG RD
06-30-13-5-2-0500-0000-
PUBLIC WORKS UTILITES
10/10/07
Owner
Contractor
22.-7..-1 Ll~7
rn~
PLANNED RESDNTL DEVLPMENT
o
MANTOOTH JAMES E
2238 E LINDBERG RD
PORT ANGELES WA 983628611
OWNER
Permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
112383
120.00
10/10/07
4/07/08
plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
1.00 120.0000 EA SAN SEWER HOOKUP
Extension
120.00
Other Fees
SEWER SYSTEM DELV CHARGE
1000.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permi t Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1000.00 1000.00 .00 .0'0
Grand Total 1120.00 1120.00 .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 construclion 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. Ail 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:\Policies\1102.1sR [1/05]
-
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. INSPECTION REPORT.
;# 1()527b
REQUEST:
Date It) - I D ~ Dj
Time
Received by
RV
(phone, person)
Location of Work to be inspected "'2. :11.7
Name of person requesting inspection ~"'r:S
Address of person requesting inspection
Type of Inspection (circle appropriate one):
L.1'.-,J("~"'5 i?d
c.r-e "i>c...Q.""i ])e.v'
Phone No.
Permit No. 07- IIl/Z
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date I D - I b - 07 Time By 1< V
Remarks: NJ2.'V r;.,11 ?V~ 5e.>.D",v '("c",,,,,,c-I:Ovl ~\rD"'^- fC'r~"'o,^sly ;",&fo-lled f:-,/J/>vC
wy<<.. +0 22'y2Q-~d""o '1// recl"'-c.e~ ctvtJ I(.//?VC G/lo C/O
""r~
.Pel GIl2-Z-' }I
RESTORATION REQUiRED...... YES
NO ><---
<;: rO"^ , J Ioer~ ~J
t-,,,
2,,1"1 '
I E,,;sj,'wJ
IE 110/-
.
Gidsi-/Yl9
W>,e
C/o
I
,.o,S
'1' NO'
/" .....1Aj
6 /J","- .
,.
~:i-6, 4"-/0&") ~~C'-'<<Y'
~' 'I"Ne...:
<:10 ,'J....p
-11'1' ~
~.....OW\
2.23'0
L""R~"3
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt
;;l-~
:J::L
Y ~ ,Co
OPCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
. --. '.. - - ----.......ua.re;l:u::.irJe.if.necessaLV)
STREET SUPERINTENDENT
(DATE)
-
2-02-205 11 ,2dAM
FROM ANGELES ELECTRIC INC 360 d52 9265
P.1
~
/' .~
e2YElectrical Contractor D Owner '~'IIoiO;;;.o;r
D Annual Permit 0 Alarm D Carnival 0 Commercial ~dential
~,F)\
ELECTRICAL WORK PERMIT APPLICATION
v.>1~ 0 Request Inspcction
o Residential Maint. D Sigmo 0 Thermostat a Telecom.
5
Inst<lllatitJD description
2t:O ~ ~u:..
47<j~ ~tWt!J/'( ~
Job wired by
o Electrical Contractor 0 Owncr
eD
.;;../; ,,/0 ->
/ I
I hereby ccnify that I am the owner of the above named property or a. \\cen!>ed
electrical contractor (or the firm's authorized agent) and am making: the electrical
iostallation or alteration in compliance with the clectTicallaw, Chapter 19.28 RCW,
o Cash 0 Check #
~edit Card Visa (FJaslcrca~
Discover
Card #
-~~--_.......------
Sieoature of owner, electrical contractor or electrical sdministrator
Expiration Date
of card
78; :w-
$nspccti~
x
WAlLS
Insulation Only
D~tc "['lpro~ed. By
Cover
Oall: ApproyQ(J B)'
/ CEILING
lnsul<ltion Only
))IIC Approvc4By
Covor
D~l.. Allrmvcd&y
'-
/ THERMOSTAT
Oll'e ^Pflrov~d By
/ DITaI
O.'C ^ppmvcd By
z
SERVICE
8
FEfDER
.j}
('.
Dale
Appr(lve(l ~y
I ~
\/'
a
~d ~~dltl~ns and or subtractions
U E;U; o.....^"
o Baseboard KW ~/Ajt. ~."..,-""":>
~ce - KW
~at pump Ton LAR
'J-~f
~~head Service
o Tamp Sarvic"
Senllce Information,
Voltage /:?,Ok'lf)
Phase ~
Service Size' ~
--- - uJ/r.
o Fan~Wall KW o Underground Service Feeder Size:
Jl1speclion At'e3, Building or Equipment Inspected Action Ta.\::'en ' Electrical
Pate Inspector
'1.-/3 Of.:;-
~rlec-+ p~ "D"€.S' NUl A-Dn /-; ~
;/} '7/',,( /f /"1 -/1-1 Ah~~./<Pr" --rr:,;" /_ ~ /feJ)
/ I 7
~- 2~_".R /c. ^(..~^
r1CO ?hAs-
Application Number . . . . . 23-00001067 Date 10/11/23
Application pin number . . . 894743
Property Address . . . . . . 2227 LINDBERG RD
ASSESSOR PARCEL NUMBER: 06-30-13-5-2-0500-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PLANNED RESDNTL DEVLPMENT
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Furnace / Heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
LEE STRUCKER / DIANA ERICKSON BLACK DIAMOND ELECTRICAL CONTR
2227 LINDBERG RD 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(206) 300-0468 (360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 10/11/23 Valuation . . . . 0
Expiration Date . . 4/08/24
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
Application Number . . . . . 23-00000245 Date 3/14/23
Application pin number . . . 264750
Property Address . . . . . . 2227 LINDBERG RD
ASSESSOR PARCEL NUMBER: 06-30-13-5-2-0500-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PLANNED RESDNTL DEVLPMENT
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump system
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
LEE STRUCKER / DIANA ERICKSON ALL WEATHER HTG & COOLING INC
2227 LINDBERG RD 302 KEMP ST
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(206) 300-0468 (360) 452-9813
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 56.00 Plan Check Fee . . .00
Issue Date . . . . 3/14/23 Valuation . . . . 0
Expiration Date . . 9/10/23
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 56.00 56.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 56.00 56.00 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
EL1-2 SF 1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □ Single-Family Residential □ Duplex / ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Item 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 $
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.$64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional)$56.00 $
First 1300 Square 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-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□ Owner □ Electrical Contractor / Administrator)
Pe
r
m
i
t
#
:
New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
PREPARED 3/13/23, 7:51:36 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000245 2227 LINDBERG RD
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 56.00
TOTAL DUE 56.00
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
5/26/2023 23-245 TAP
OWNER
CONTRACTOR
All Weather Heating
PROJECT ADDRESS
2227 Lindberg Ave