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Home My WebLink About2710 W 14th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner DAVID PAMELA STOFFERAHN 54 CLARY LANE SEQUIM (360) 477 Structure Fee summary Charged Permit Fee Total Plan Check Total Grand Total T•\Policies \1102.15R [1/05] WA 98382 140 00 00 140 00 CITY OF PORT ANGELES. PUBLIC WORKS. UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00001269 163607 2710 W 14TH ST 06 30 00 1 0 8300 0000 PAUL CRONAUER CLEARING GRADING RESIDENTIAL MEDIUM DENSTY 0 Contractor OWNER 5542 Information 000 000 CLEARING GRADING FOR SUBDIVISION Permit CLEAR GRADE Additional desc ROSE GARDEN SUBDIVISION Permit pin number 114462 Permit Fee 140 00' Issue Date 11/01/07 Expiration Date 4/29/08 Qty Unit Charge Per Plan Check Fee Valuation BASE FEE Paid Credited ,140 0'0' 00, 00, 00 140 00 00 Date 11/01/07 00 0 Extension 140 00 Due 00 00 00 Separate Permits are required forelectrical 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 fora 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 tha provisions of any state or local law regulating construction or the performance of co str ction. al /mil/ //-0/-- Signa i e of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 0 N 6 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T•\Policies \1102.15R [1/051 RESIDENTIAL CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT I BUILDING OF PORT, CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 0 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00000536 Date 5/14/07 Application pin number 598688 Property Address 2710 W 14TH ST ASSESSOR PARCEL NUMBER 06 30 00 1 0 8300 0000 Tenant nbr name DAVID STOFFERAHN Application type description DEMOLITION Subdivision Name Property Use Property Zoning RESIDENTIAL MEDIUM DENSTY Application valuation 165000 Owner Contractor STOFFERAN DAVID /PAMELA MONROE HOUSE MOVING INC 54 CLARY LANE PO BOX 686 SEQUIM WA 98382 QUILICENE WA 98376 (360) 477 5542 (360) 765 3917 Structure Information 000 000 MOVE HOUSE DEMO FOUNDATION Permit DEMOLITION Additional desc MOVE HOUSE DEMO FOUNDATION Permit pin number 101816 Permit Fee 50 00 Plan Check Fee 00 Issue Date 5/14/07 Valuation 165000 Expiration Date 11/10/07 Qty Unit Charge Per Extension BASE FEE 50 00 C> Fee summary Charged Paid Credited Due Permit Fee Total 50 00 50 00 00 00 Plan Check Total 00 00 00 00 Grand Total 50 00 50 00 00 00 Separate Permits are required forelectrical work, SEPA, Shoreline, ESA, utilities, private and public improvements This permit becomes o null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned fora 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 C presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of 5 construction. f c o Signature of Contractor or Authorized Agent Date Signatlue o1 Owner (if owner is builder) Date T. \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] (Ce S FOUNDATION: FOOTINGS SHEAR WALLS 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 W ALL/HOLD DOWNS WALLS ROOF CEILING I DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING 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 UNLAM FUL 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. MECHANICAL INSPECTION TYPE DATE ACCEPTED YES I NO ROUGH -IN HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING R HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #1's PARKING /LIGHTING LANDSCAPING RESIDENTIAL BUILDING PERMIT INSPECTION RECORD FINAL FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I CONSTRUCTION R.W PW /ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I Mien I I I PLANNING DEPT I BUILDING 417 -4815 iii ,J■ I I BUILDING T \Policies \1102 15 building permit inspection record05 wpd /201 COMMENTS DATE ACCEPTED BY. DATE ACCEPTED BY. DATE ACCEPTED YES NO I I I I I I I I P Cron cuter /kg ewt BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent: e f Owner j d Address: x Architect/Engineer Contractor Yj1)n rc P /-49 s.e!"/` t atlLicense m C""14") Address: f I13 L 6 5f6 PROJECT ADDRESS g-7 J /I P/ LEGAL DESCRIPTION Lot: Block. CLALLAM COUNTY PARCEL NUMBER. 043 3 0 C9 c9 O Y 0 o r) TYPE OF WORK. Residential New Constr Re -roof Stove Multi- family Addition Move Garage Commercial Remodel Demolition Deck Repair Sign Other BRIEF DESCRIPTION OF THE PROJECT We; TV 9--v) r7 Rc.9 I/ 0 -.24'1 COMMERCIAL/RESIDENTIAL. Occupancy Group No. of Stones: Lot Size: Existing Sq. Ft. City City v. Ice_ ✓i Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Phone: Phone' Subdivision. qi7-o/Ls 1 477 -55L(Z Zip Occupant Load. Construction Type Proposed Sq Ft. TOTAL Sq Ft. FOR OFFICIAL USE ONLY DateRec. 05 14-01 Permit d? Dat, C Approved: 7 -11-- r Date Issued: 'J 14 –0 Phone: G p 5 6 76 37/7 Zip 9'R. F ZONING am!' SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALU h APPROVALS PLAN BLDG DPWU FIRE. OTHER. 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 apphcation, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon wntten request by the applicant (see Section R105.3.2 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.�FORMS\B1dgPerr itform.wpd Applicant: jr vso'fil Date: 1 7 Application Number 06 0000030b Application pin number 947100 Property Address 2710 W 14TH ST ASSESSOR PARCEL NUMBER 06 30 00 1 0 8300 0000 Application type description CLEARING GRADING Subdivision Name Property Use Property Zoning RESIDENTIAL MEDIUM DENSTY Application valuation 0 Owner Contractor Stofferahn David /Pamela OWNER •54 Clary Lane SEQUIM WA 98382 (360) 477 5542 Structure Information 000 000 C/G FOR SUBIVISION Fee summary Charged Paid Credited CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Date 6/13/06 Permit CLEAR GRADE Additional desc ROSE GARDEN SUBDIVISION #06 10 Permit pin number 73726 Permit Fee 98 00 Plan Check Fee 00 Issue Date 3/31/06 Valuation 0 Expiration Date 9/27/06 Qty Unit Charge Per Extension BASE FEE 98 00 Due Permit Fee Total 98 00 98 00 00 00 Plan Check Total 00 00 00 00 Grand Total 98 00 98 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 construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T \Policies \1102.158 [1/05] 0 V 0 0 0 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 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 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T \Policies \1102.I5R [1/05] RESIDENTIAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I I I CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING I I I I I I I I Permit . . . . . Additional desc . Sub Contractor Permit Fee Issue Date ,Expiration Date ELECTRICAL ALTER RESIDENTIAL HOT TUB SIMPSON ELECTRIC 46.70 Plan Check Fee 1/26/04 Valuation . . 7/24/04 .00 o ''''_,0' 'f.'.: ~" '. '::'~_':(~'~';}~~ 11 ~~ crwOF PORT ANGELES . .... '. . DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING.DIVISION 321 EAST 5TItSTREET, PORT ANGELES,WA 983.62 Application Number . . Prope,rty Address ABSESSORPARCEL NUMBER: Application description . Subdivision Name Property .use . . . . I'ropertyZOning . .. APplication valuation 04-00000047 Date 1/26/04 2710 if 14TH ST 06-30-00-1-0-8300-0000- ELECTRICAL ONLY RESIDENTIAL MEDIUM DENSTY o owner Contractor ------------------------ , -' , ELLIOTT JOEL/TAMARA POBOX 2951 PORT ANGELES WA 98362 SIMPSON ELECTRIC 243036 if HWY 101 .PORT ANGELES (360) 457-9270 WA 98363 Qty Unit Charge Per 1.00 46.7000"ECH EL-R OR RM 1-4 ALT. CIRCUITS Extension 46.70 Charged Paid Credited Due ---.------------.- ---------- ---------- ---------- ---------- Permit Fee Total 46.70 46.70 .00 .00 Plan Check Total .00 .00 .00 .00 ....Glr~d Total 46.7'0 46.70 .00 .00 Separate'Peimitsare required for electrical work, SEP A, Shoreline, E~~, lltilities, private and publicimproveroeflts>:Ibis~m1jt;~~c:t)ll'les null.anc:ivold if work or construction authorized is notcommencedwithin 180 daYs,if constrUctionbrwor~is:s9~P~~~~d'9~~~aht,lpij~ct fora period oU80days after the work as commenced, ori(required ins~ctlonshave not been requ~st~.~wit,PlrI)~~~~ritf?rn~la~t inspection: I hereby certify that I have read and examined thisappliqationand know the same fo~trU~aQtfcol1;eet:}\.lfpIjjYiSioflS 6f . laws ancfordinances gov~ming this typ~ of work will be compliedwithwheth~r specified herein ornot.Thf:lg~ntitig9f~~pn!~;(JO.~~QQt presume. to give authority to violate or cancel th~ provisions of any state or local law regulating' construction' o,.:the'performance. of construction. . . . . Signature of Owner (if owner is builder) T:\PLANNINGIFORMS\1102.JS [412002] F. ,",,' BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT ISUNLAWFUL 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 ELECTRICAL (LIGHT DEPl) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL .. " WALLS CEILING '" I FRAMING, JOISTS / GIRDERS SHEAR WALL WALLS / ROOF I CEILING DRYWALL T-BAR INSULATION , , SLAB WALL / FLOOR / CEILING MECHANICAL " HEAT PUMP J WOOD STOVE / PELLET / CHIMNEY . HOOD / DUCTS PW UTILITIES' SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKlNGILIGHTING ESA: LANDSCAPING SHORELINE: FINALIN.SPECTlONS REQUIRED PRIOR TO OCCUPANC:;V/lISE . ',' j ,', ". RESIDENTIAL DATE YEs NO COMMERCIAL' DATE ACCEPTED " YES NO -- z/9'/,;~ /&J 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 BUILDING T:\PLANNING\FORMS\1102.15 (412002) CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 I~UILI~IIYL~ I"t::l~MI I ISSUED: 3/25/2002 PERMIT NO: 13281 OWNER/APPLICANT PROPERTY LOCATION 2710 14TH STW JOEL ELLIOTT Lot: SUB LOT 83 P.O. BOX 2951 Port Angeles, WA 98362 Block: SL83 [] Long Legal 360/417-3063 Subdivision: TPA T: S: Parcel No: 063000108300000 CONTRACTOR ARCHITECT ANDERSON HOMES LLC N/A 618 S Peabody Port Angeles, 98362-0000 , 98360-0000 360/452-4641 360/000-0000 PROJECT INFO Project Value: $161,022.00 SFD Units: 0 Commercial: 0 Project Type: SFR NEW SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: R3 MFD Units: 0 /"3 Construction Type: MFD SQ FT: 0 _.j zoning Use: PROJECT NOTES CONSTRUCT NEW 2632 SQ. FT. SFR, 550 SQ. FT. ATTACHED GARAGE AND 144 SQ. FT. COVERED PORCH ~-~ PLANS--G-11 RECEIPT#8891 FEES ASSESSMENT Building Permit: $1,340.95 Misc Fee 1: $0.00 '+ Plan Check: $536.38 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $2,059.83 Plumbing: $111.00 AMOUNT PAID: $2,059.83 Mechanical: $67.00 BALANCE DUE: $0.00 Radon: $0.00 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 tree and correct. All provisions ot laws and ordnances gover, l:~this type of work will be complied with whether specified herein or not. The granting of a permit does not cProeSUme tOngiVe aut~:~to v~olate or cancel the provisions of any state or local law regulating construction or the performance of Signature of Contra~/tor or Authorized Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSUL/ITE OR CONCE/IL /tNY 14/ORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT 3OB SITE INSPECTION TYPE I DATE IYEsACCEPTED] NO COMMENTS ELECTRICAL (LIGHT DEPT) $EPA~TE PE~IT: ~ PLUMBING UNDER FLOOR / SLAB BACK ~OW / WATER DRYWALL T-BAR INSULATION ~WALS/FLmR/CEIL~G 1~- 2 MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY / INSERT PW UTILITIES / SITE WORK (Earning Division) SEPA~TE PERMIT 0's: SEWER CO~ECTION PLANNING DEPT. SEPA~TE PE~T ~'s SEPA: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY~SE RESIDENTIAL DATE YE$ NO COMMERCIAL DATE ACCEDED YES NO ELECT~CAL - LIGHT DEPT. 417-4735 ELECTRICAL CONSTRUCTION R.W. / PW/ CONS~UCTION - ~W. FI~ 417-4653 FI~ DEPT. PLANNING DE~. 417-4750 ~ ~ PLA~mG DEPT. BUILDING 4174815 Z r ~ BULLDOG C:~PPL.WPD Permit Conditions For: 13281 PLAN REVIEW COMMENTS FOR 2710 WEST 14TH. STREET LIGHT ENGINEERING: THE UNDERGROUND ELECTRICAL PRIMARY EXTENSION HAS BEEN DESIGNED AND PAID FOR AND NOW UNDER CONSTRUCTION. PUBLIC WORKS: 1. CULVERT REQUIRED AT DRIVEWAY, CONSTRUCT TO CITY STANDARDS. CUSTOMER TO PROVIDE CULVERT, CITY TO INSTALL. 2. IMPROVEMENTS TO MILWAUKEE DRIVE REQUIRED IF ACCESS IS TAKEN FROM MILWAUKEE DRIVE. SIGN NON PROTESR LID AGREEMENT. 3. WATER SERVICE TOBE INSTALLED BY CITY FORCESM IN MILWAUKEE DRIVE APPROXIMATELY 1' FROM PROPERTY. 4. SANITARY SEWER CONNECTION TO BE MADE BY LICENSED BONDED CONTRACTOR. CONNECT INTO MAIN IN MILWAUKEE DRIVE. MILWAUKEE DRIVE REIMBURSEMENT FEE $150.00. 5. STORM DRAIN PIPE TO DITCH. FIRE DEPT.: THIS STRUCTURE IS OUTSIDE OF THE FOUR MINUTE RESPONSE AREA AND WILL HAVE TO BE EITHER EQUIPTED WITH 13D RESIDENTIAL SPRINKLER SYSTEM OR THE DWELLING SMOKE DETECTORS WiLL HAVE TO BE iNTERCONNECTED TO AN OUTSIDE ALARM BELL THAT IS PAINTED RED AND LABELED "FIRE ALARM" ADDITIONALLY, ADDRESS NUMBERS WILL HAVE TO BE PROVIDED. NUMBERS SHALL BE A MINIMUM OF 6" IN HEIGHT, CLEARLY VISIBLE FROM THE STREET AND OF CONTRASTING COLOR FROM THEIR BACKGROUND. BUILDING PERMIT- APPLICATION Oate Approved: ~ TheBuildingPermtt - Pre-applicatton mustbefilledoutcompletely. Please type or print in ink. If you have any questions, please call 4174815 Applicant or Agent: ~*c [__ ~C~';/;'W) Phone: ~¢ ' Owner: ,~fl ,~ :L f /' I"~ ~' '~:~ ~ ~ /; Phone: Address: ~ '%~~x Zip:. LEGAL DESC~PTION: Lot: Block: ~Z Subdivision: ~ ~ ~iM ~ CL~L~ CO~ P~CEL ~ER: ~ ~ ~ ~&~ ~O~ Credit C~rd Holder Name: Bffi~ng Addr~s: CiW: Credi( Card ~: Exp. Dmte: VISA ~Residential ~'New Com~. m Re-roof D Woo~tove ~ ~o SF.~__$~/SF. = $ ~ Multi-h~ly ~ Addition ~ Move ~ G~age 5~ SF.~$ i/~ /SF.=$ ~ Co~ercial ~ Remodel ~ Demolition ~ Deck SF. ~ $ /SF. = $ D Repair D Sign ~ TOTAL VALUA~ON $ scm xxo oF e o cx: 5 i< , COMMERC1AL/RESIDENTIALL Occup~ff~ Group: Occupant Load: Construction Type: No. of Stories: c- Lot Size: '"7. > ,~c ~ % Lot Coverage: ' Existing Lot Coverage: O /sq. ft. + Proposed Lot Coverage: ~ I ~11~ /sq. ft. = TOTAL LOT COVERAGE: ~/_..~/sq.ft PLANNING USE ONLY: APPROVALS: PL.adN' Notes: BLDG, DPW ESA/Wetland(s): [] Yes [] No SEPA Checklist required? D Yes [] No Other: OTHER BUILDING PERM1T APPLI CATION SUBMI'ITAJL: Your applicatlon and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submitlal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all me.s, 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 cmrrent fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPII~TION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this 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 Unifom~ Building Code, current edition). No application can be extended more tban once. I hereby certify that I have read and examined this application attd know the same to be true and correct, and 1 am authorized to apply for this permtt I understand it is not the City's legal responsibdity to determine what pe~nits are required; it remains the applicant's rexpon.vihth'tv to determine ,a,hat permits are required and to obtain such. / / CITY OF PORT ANGELES J' DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: .~: ....... Date Time Received by ,-' (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing[ Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date ~-- ~ ~'(~ ~- Time By ~'~(_/ Remarks: ( C' RESTORATION REQUIRED ...... YES~ SURFACE RESTORATION: SURFACE TYPE: [] Unimproved {~Gravel ~-]Asphalt ~-IPCC [~Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUE,~T: ~_ Date-~- ~ ~-~ ~ Time Received by ~ (phone, person) Location of Work to be inspected ~ 7/~j ~{'-~ / ~/~ Name of person requesting inspection Address of person requesting inspection Phone No. Permit No. Type of~cle appropriate one): Sewer~raming Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTESi, Inspected: Date ~! ~--~ Time By Remarks: ~ ./ · RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~]Gravel []Asphalt r-~PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date zT/~ ~ ~ ~ Time Received by /\~_~/ (phone, person) Location of Work to be inspected 2 --~ /~ [.U [ L/'/- ~ ~. Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer ~ Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date '/' Time By Remarks: RESTORATION REQUIRED ...... YES NO ;URFACE RESTORATION: SURFACE TYPE: [] Unimproved ~lGravel ~]Asphalt [~PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~"' / ~- ~'~ Time ,ed by /~ j~ (phone, person) Location of Work to be inspected ~7/~ _)L//~, -- ~ ~ ~-~_~' - ~-~-~* ,~.~.. J. L.., ~---,'T'~ . - Name of person requesting inspection Address of person requesting inspection Phone No.<~ Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney ~umbing! Final Sewer Excav. Other INSPECTION N O~T~E S~ ,~ '~--~/~- Inspected: Date ~ ~ .... Time By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved I--]Gravel ~lAsphalt I--[PCC ~Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date '~- ~- (~ ~ Time Received by ~'~ (phone, person) Location of Work to be inspected ~- 7//(~) Name of person requesting inspection Address of person requesting inspection Phone No. Permit No. Type of Inspection (circ~=~opriate one): Sewer Foundation ~=ra_~ Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: · Inspected: Date ~ Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt I--]PCC [~Other [] Repaired by City Work Order # [] Repaired by Permittee [-~ COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date '~- '~/~) ~ ~_~T.:.~ Time Received by ///~J (phone, person) Location of Work to be inspected '2 '~ / 4~ ~,~ / ~L//~: J,[ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. t ~ ~C~ / Sewer Foundation (~2 Chimney Plumbing Final SewerExcav. Other INSPECTION NOTES: Inspected: Date ~-~' '~ ~ r D ~ Time By Remarks: ~ ,- RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: ~ Date .~'-- /~::>~ ~)'~-~ Time Received by (phone, person) Location of Work to be inspected ~_.*-~ 1~ 0 (-'~ /'/-/~{'~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date ~-~- ~ ~//- ~ '~- Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt {~PCC [--]Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 3/07/2002 PERMIT NO 7562 OWNER/APPLICANT PROPERTY LOCATION JOEL ELLIOTT 2710 14TH ST W P.O. BOX 2951 Lot: SUB LOT 83 Block: SL83 Port Angeles, WA 98362 ~J Long Legal 360/417-3063 Subdivision: TPA T: S: Parcel No: 063000108300000 CONTRACTOR ARCHITECT SHAMP ELECTRICAL CONTRACTING INC N/A P.O. BOX 383 Port Angeles, WA 98362-0000 , 98360-0000 360/452-1689 360/000-0000 PROJECT INFO Project Type: RES.NEW Project Value: $0.00 Occupancy Type: Construction Type: ~ Occupancy Group: Zoning Use: --J Electrical Heat: ~ [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 0 KW [] Overhead Service Voltage: 240,120 [] Heat Pump 0 KW [] TempService Phase: [] 1 [] 3 ~ [] Fan Wall 15 KW Service Size: 200 Feeder Size: 200 PROJECT NOTES 200 AMP W/TEMP. INCLUDED IN THIS PERMIT "~ FEES ASSESSMENT Service: $135.20 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $45.50 Misc Fee: $0.00 TOTAL FEE: $180.70 AMOUNT PAID: $180.70 BALANCE DUE $0.00 (?OMMI~NTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COFER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE ~SPgCTIOIV m'Y~'~ I OAm'~ I Y~S ACCgrrgOi ~0 COMMg-~rrs ROUGH-IN / COVER ~/zt/~ z_ SERVICE ,CF, f,~ z~ GENERAL COMMENTS: Pw-110215 [4,96] 01/21/2004 21:11 4579270 SIMPSON ELECTRIC PAGE 01 ~~ti EL.ECTRICAL PERMIT APPLICATION -- _OJ '01\ ai'l'lrl^" Ullll aN', v l)crt"'I\q\': ,_~ '_'M "'elfllk':____ 1)nlll^"'"",v(Il!:____..., tlnt~t'""""'___ 'O-~ -Zfr- TM EI..t,1aoI Pormlt AflPlIGlWllIlllUlllJklllllod "1II ..QIll"!lIlJlr. PI1t_ iII'I'" 0' 'op,lm In In., II lI". .'\IIl MY ....lIOna, .........11 (HQ. ~1'I"q1:l1!i PIIlt n.mbllr, (Sen) 41704'11 OWne, or lill., Oom~ Agent, .E/2~~.f;f!)::J, (;;/ec...J:r;rr pn.n.: ..!:1..~~'7 ,),29"", _,~ __". P,ClPIrlV Own..,; J Ot:J.. ...... rr- ~ _._~_.,_ Pha.lG: ,_tz.l. '7- 3 tJ 6, r , . AcIclrlll, ,,-f).7/{J ~. /':L.~- _Clly; /t;lGf /J(Lye/~'j ___._____Z!Q',J...i:.ql...1.._ IP.\RQIlIDIIIOo,,,oO\l:l,: ~<j,.rnp'i..rZ1:J. t/~~,,,, 1.la&no. .,__._".,__,e"":_oo_____,"'DO.:_.,____" ,>,QQ,..B:. ~'-/r1 ~ 3 k.....J.~~JU..16J. city: Pm:t. IV!f'f".~+-_.,1d..{~_.1.'P;f..J:3t:? ..., IN$TA~""'TIQN WIRED !IV, r:Jovv~mT" ~IJIOTf'IICA~ OONTRACTOR CrttllJt c.r" 1101f/Br N.ir/r. ,.,.__._..._..,'_~..~......_- $/I1IIIt A~_ City: ->___....~_.. .lIp: C,.dU Chlrd Nwnb,,: --.-...-___IIItP. 0."1 --'__.' VIBA!___MCI_.... PftOJIOT' AlI0IlUI: ;; 7/0 w /1".6. s r ..---.. -_._--,.....-.._~,_.._,'--.. -.....- p . TYPI! Q" WOA~ CheOk IIlU tnelllPply: [J New 0 AllerllllonfAdd/tlon o Realoanllll 0 MUIlI-femuy 0 OQltlmerolal C Mobile Homi Sq, F'l._..__,...__~~ o Flemol8 Mele, 0 OellUlhlla gerl\(l81 )2l1HOl Tllb 0 Swim Pool 0 Septla Pump 0 I.ow I/OltPI~1lI 0 fe/loom. Nwrn/,ler III Cll!Julla ~daed or allareo: _,,___ OSlg'1 DEIICRIPTION OF THIi ILIilCTRICA~. 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I -__."___R__.___ IIQ1r10lU HIM LolId Ad4ll!Qn1l J.oodaI.awlllCl.!mll o/~.70 c:1 6.../:IO$ro o FWrNIlI$ o He.1 Pump o FIIO-Wall --KW -KW -KW -..I<W CI Overheed Servloe i::l 'ftllRlp Iile"""o 'frl-U"rJ.rground Servloe Vollllg~: .._.".._.",.,_.. ~h8!Ul; 0 1 iJ:3 s$f\II'" Slz.: '._..___ I"'~(I~I' 8'~(\:___ PAMC 14.0ll,060CEl): 1"0' Indulln." ~IlMlm.ro'el, A Meldentlel pro)8O\JjIl\rgIIf lI,.n II i:li,lplllX, 8 Qnllf . line drllWIIIg flt ~llIl'illlotrlQI\' 8onlll:/1I & Feedl,., buUdtng 1lllleq, ~.), IlIIId oa/CUll\tlan&, IlI'Id Ihe type H, cl Qond.lllore andfor r~oe1Jl/llV Ie /$/11,".d M" ~hM pcccmpany Ulll 61eatrloal P*mlil "Ilfl/Ioallon, I h.1'fIby OtJrtlfy thet I hl'lVI/I Mad ana 9Jtsmln"rJ tllis appllcstlon I!In(i know dlat SlIme to plJ rf'Ufl aM correo~ Me I Rm Il/.llhor~d to apply frlr thI$ pSlmlt. 1 un"'f$Mna n I. not tIl, City" ItJg" "$ponSlblllty to def1srmlnll Mia' PfNfTIl&I /Are l'equlrer:t; II remains Ille llI'pllosntQJ rrtsponslo/J/ty to detllrmin6 what parml/$ llf19 required tiJnd to oi1tsln fll.IOfl. CMdll Clllrd HQld.r'. 81en.turo:a~L~I2.:::;JE:::DMR4llL:...;J:.~..!)tf i Ownlil!' or I!llll!. Cl;Int. "gnlnure' . rl~'''1 'W.Q01Q / . ~l'b1 ' .-.--"----,------~--...._-_..,... ~ . o'V ~,)\l'l-. . $1? 70 ~.'fJ th~/oy --I.. Application Number . . . . . 23-00000352 Date 4/13/23 Application pin number . . . 441536 Property Address . . . . . . 2710 W 14TH ST ASSESSOR PARCEL NUMBER: 06-30-00-1-0-8300-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RESIDENTIAL MEDIUM DENSTY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc T-stat ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RUSTIC ELEMENTS LLC/DOUBLE W G DAVE'S HTG & COOLING SRVC INC 333 CRESCENT BAY LN PO BOX 413 PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 460-2500 (360) 452-0939 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 56.00 Plan Check Fee . . .00 Issue Date . . . . 4/13/23 Valuation . . . . 0 Expiration Date . . 10/10/23 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 1 - 2 SINGLE-FAM ILY ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits@cityofpa.us Project Address: 2710 West 14th Street Project Description: Low voltage thermostat wire for thermostat as part of a ducless heat pump installation D Single-Family Residential □ Duplex/ ARU Building Square footage: _ ""O CD 3 ;:;: OWNER INFORMATION Name: Rustic Elements LLC Mailing Address: 333 Crescent Bay Lane, Port Angeles, WA 98363 Email: _ Phone:3607755450 ._ . ELECTRICAL CONTRACTOR INFORMATION Name: Dave's Heating & Cooling Service, Inc. Mailing Address: PO Box 413, Port Angeles, WA 98362 Email: davesheating@wavecable.com License: DAVESHC9912C Expiration Date: _5/_2_02_3 _ Phone: 360-452-0939 PROJECT DETAILS Imm Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/0 Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Signal Circuit/Limited Energy - 1&2 DU. Manufactured Home Connection Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) First 1300 Square Feet .-.-..----n....- Each Additional 500 square feet" Each Outbuilding / Detached Garage Each Swimming Pool / Hot Tub Unit Charge Quantjtv IQ1al (Quantity x Unit Charge) $120.00 $ _ $146.00 $ _ $205.00 $ ---- $262.00 $ _ $373.00 $ _ $5.00 $ _ $63.00 $ ---- $5.00 $ _ $75.00 $ ---- $93.00 $ ---- $110.00 $ _ $149.00 $ ---- $168.00 $ ---- $96.00 $ ---- ~.00 $ _ $120.00 $ _ $102.00 $ _ $56.00 _1---==-- _:::,$.;;;;5;;;;;;6;;;;;;.0;;;;;;0==------ $120.00 $ _ $40.00 $ ---- $74.00 $ ---- $110.00 $ TOTAL $ 56.00 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 o e of the above med property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance wit ectrical la s, .E.G., RCW hapter 19.28, WAC. Chapter 296- 46B, The City of Port Angeles Municipal Code, and Utility Specific nd PAM 14. 5 · 50 reg 411112023 Laci Williams Date Print Name Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4 711) PREPARED 4/12/23, 7:52:22 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000352 2710 W 14TH ST 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 4/21/2023 23-352 TAP OWNER CONTRACTOR Dave’s Heating PROJECT ADDRESS 2710 W 14th St ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 7/26/2023 23-352 TAP OWNER CONTRACTOR Dave’s Heating PROJECT ADDRESS 2710 W 14th St Application Number . . . . . 23-00000358 Date 4/17/23 Application pin number . . . 892244 Property Address . . . . . . 2710 W 14TH ST ASSESSOR PARCEL NUMBER: 06-30-00-1-0-8300-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RESIDENTIAL MEDIUM DENSTY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc New home ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RUSTIC ELEMENTS LLC/DOUBLE W G UPPER LEFT ELECTRIC LLC 333 CRESCENT BAY LN 1306 ROOK DR PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 460-2500 (360) 461-7720 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 160.00 Plan Check Fee . . .00 Issue Date . . . . 4/17/23 Valuation . . . . 0 Expiration Date . . 10/14/23 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL-R-SQFT FIRST 1300 120.00 1.00 40.0000 ECH EL-R-SQFT ADDITIONAL 500 40.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 160.00 160.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 160.00 160.00 .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)Permit #: New Construction Only [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] PREPARED 4/12/23, 9:22:40 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000358 2710 W 14TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL NEW RESIDENTIAL 160.00 TOTAL DUE 160.00 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 4/17/2023 23-358 TAP OWNER CONTRACTOR Upper Left Electric PROJECT ADDRESS 2710 W 14th St 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 5/30/2023 23-358 TAP OWNER CONTRACTOR Upper Left Electric PROJECT ADDRESS 2710 W 14th St ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 7/26/2023 23-358 TAP OWNER CONTRACTOR Upper Left Electric PROJECT ADDRESS 2710 W 14th St Application Number . . . . . 22-00001282 Date 10/13/22 Application pin number . . . 816800 Property Address . . . . . . 2710 W 14TH ST ASSESSOR PARCEL NUMBER: 06-30-00-1-0-8300-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RESIDENTIAL MEDIUM DENSTY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Temp service ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RUSTIC ELEMENTS LLC/DOUBLE W G UPPER LEFT ELECTRIC LLC 333 CRESCENT BAY LN 1306 ROOK DR PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 460-2500 (360) 461-7720 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL TEMPORARY SERVICE Additional desc . . Permit Fee . . . . 93.00 Plan Check Fee . . .00 Issue Date . . . . 10/13/22 Valuation . . . . 0 Expiration Date . . 4/11/23 Qty Unit Charge Per Extension 1.00 93.0000 ECH EL-TEMP SRV 0-200 SRV FDR 93.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 93.00 93.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 93.00 93.00 .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)Permit #: New Construction Only [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] PREPARED 10/11/22, 7:26:50 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001282 2710 W 14TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL TEMPORARY SERVICE 93.00 TOTAL DUE 93.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Temp service NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 10/26/2022 22-1282 TAP OWNER CONTRACTOR Upper Left Electric PROJECT ADDRESS 2710 W 14th St