The URL can be used to link to this page

Home My WebLink About1018 Campbell Ave - Building ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 -.0 Application Number 11- 00000947 Date 8/30/11 TNS Application pin number 814798 REPORT SALES TAX Property Address 1018 CAMPBELL AVE our excise tax form ASSESSOR PARCEL NUMBER: 06-30-14-5-4-0620-0000- on y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 3 circuits laundry room. Owner Contractor MICHELLE L AND MARK C OSTROOT ALPINE ELECTRIC 1018 CAMPBELL AVE 7614 49TH AVE E PORT ANGELES WA 98362 TACOMA WA 98443 (253) 370 6282 Permit ELECTRICAL ALTER RESIDENTIAL O Additional desc Permit pin number 191924 Permit Fee 78.70 Plan Check Fee .00 Issue Date 8/30/11 Valuation 0 Expiration Date 2/26/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 2.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 5.20 �J Fee summary Charged Paid Credited Due Permit Fee Total 78.70 78.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 78.70 78.70 .00 .00 r I rt 5 ?d,c -no N e cs $5 bwN►Ifk. ei O T. 1413 dAt a5c#(Jw14l). fca o T tom., INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -1N 11 r Eill FINAL off, I COMMENTS: D 1 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING Rug 30 11 07:56a Alpine Electric LLC 360 457 -1785 p.l t/ Et: EWE i purtr.r l/ 1 :f 'r CITY OF PORT ANGELES PERMIT APPLICATION AUG 3 2011 j Building Division /Electrical Inspections f -E. 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 ELECTRICAL Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECTIONS Date: X_ 1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition 1 Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: in t`f Cm 11)0\ A02. Building Square Footage: Description of above TAX 'C fl- La_ i Lek r∎ O 2_ c. t T E NSi L l 640 >rt e ClA 1 4O4 ail PT O //U »Li 1 l V La VV'+2 ..t— Owner I it ormat Q.O Name. Contractor R atio .CQXG 1-LC 5 Name: \Ql'L V Name: fa1�l' Mailing Address: com jbY.l1 QAiP_ Mailing Address: �0 City: Vv,,, State: 1s p 4. Zip: lr 1/ City _Slate: __Zip: y Phone: _Fax: Phone: Fax: 1E 5 t 11$ S 1 .1 J License Exp. License f Exp. R� f Ce,LL "1 1 Item Unit Charge ay Total (Qty Multiplied by Unit Charnel Service /Feeder 200 Amp. 119.90 Service /Feeder 201 -400 Amp. 145.50 Service /Feeder 401 -600 Amp 204.60 Service /Feeder 601 -1000 Amp. 262.20 Service /Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/0 Service Feeder 73.50 __I- 13 .`+O Each Additional Branch Circuit 2.60 L 5 ..D Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service/Feeder201 -400 Amp. 110.30 Temp. Service /Feeder401 -600 Amp. 148.70 Temp. Service/Feeder601 -1000 Amp 167.90 Portal to Portal Hourly 95,90 Sign /Outline Lighting 88.20 S._ Signal Circuit/ Limited Energy First 1500 sf- Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 8 2 Family Dwelling 63.90 Signal CircuiU Limited Energy Multi Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square Ft. $110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 --tv`vp 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 19.26, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator. Cash Cheek Credit Can't OP) Q X YA— :It6h.k 1 Dated: 0110112010 i ~ .... ~ ~ORT ~ ,40~~.... i1,.~ ...~ ~ ~IC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property zoning . . . Application valuation 03-00001023 Date 11/21/03 1018 CAMPBELL AVE 06-30-14-5-4-0620-0000- LOT 9, BLOCK 6, ILL ADD RES NEW SFR RS9 RESDNTL SINGLE FAMILY 76158 Owner Contractor E G ENTERPRISES INC E G ENTERPRISES INC. 1324 JAMESTOWN RD 1324 JAMESTOWN RD. SEQUIM WA 98382 SEQUIM WA 98382 (360) 461-2744 (360) 683-5731 Structure Information 1203 SF SFR W/ATT 230 SF GARAGE Construction Type TYPE V NON-RATED Occupancy Type . . . .. SINGLE FAM & CONGREGATES Other struct info. . .. NUMBER OF UNITS 1.00 Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 76.00 Plan Check Fee 11/21/03 Valuation 5/20/04 .00 o - 0 CO () '\\ S> 5 '-- -.L " ~ \ cr (t) e- ~ ~ <.. (\) 856.25 11/21/03 5/20/04 Plan Check Fee Valuation 342.50 76158 Qty Unit Charge Per Extension 667.25 189.00 BASE FEE 27.00 7.0000 THOU BL-50,OOl-100K (7.00 PER K) Permit Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT Qty Unit Charge Per Extension 47.00 29.00 BASE FEE 4.00 7.2500 ECH ME-VENT FAN Permit Additional desc Permit Fee Issue Date Expiration Date PLUMBING PERMIT 153.00 11/21/03 5/20/04 plan Check Fee Valuation .00 o Qty Unit Charge Per 11. 00 1.00 1. 00 1. 00 7.0000 ECH 7.0000 ECH 15.0000 ECH 7.0000 ECH BASE FEE PL- EA.FIXTURE ON ONE TRAP PL- EA. INSTALL WATER PIPE PL- EA. BLDG SEWER PL- EA.WATER HEATER Extension 47.00 77.00 7.00 15.00 7.00 Special Notes and Comments Ditches and culverts will be installed to City Stanards. See Public Works Engineering for Standards. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE 745.00 4.50 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 wlthm 180 days from the last inspection. I hereby certify that I have read and exammed 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 herem or not. The grantmg of a permit does not presume to give authOrity to viola e or cancel the prOVISions of any state or local law regulating construction or the performance of construction. Signature of Owner (If owner is builder) Date T \PLANNING\FORMS\1102 15 [11114/2003] 0< .0Rr ~ /~~ ~ "- w:::;..or ~ '4i~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number 03-00001023 Page 2 Date 11/21/03 Other Fees PW WATER SYSTEM USE FEE 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1085.25 1085.25 .00 .00 Plan Check Total 342.50 342.50 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 3202.25 3202.25 .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 \PLANNING\FORMS\1102 15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS 1- Z ()~Citt I ~ L [.... WALLS J.- .9.7 -nN , 1- L FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN I ~-IJIJ~IJ J{ I~J L WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS 111 - ~~.../ 1-1.1_ CEILING , , FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS 1~--111..-o4 ,J, j., WALLS / ROOF / CEILING IJJ:?~ () J..j -L1. DRYW ALL (INTERIOR BRACED PANEL ONLY) , T-BAR INSULATION SLAB WALL / FLOOR / CEILING I ,..". /l'I-6R LJ.v MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIVIsIOn) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM 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 <{ - H-ol-I ji-t- BUILDING T \PLANNING\FORMS\1102 15 [11114/2003] PREPARED 8/04/04, 12'25,04 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 3 8/04/04 ------------------------------------------------------------------------------------------------ ADDRESS TENANT, NBR, CONTRACTOR OWNER PARCEL . APPL NUMBER, 1018 CAMPBELL AVE LOT 9, BLOCK 6, ILL ADD E G ENTERPRISES INC. E G ENTERPRISES INC 06-30-14-5-4-0620-0000- 03-00001023 RES NEW SFR SUBDIV, PHONE PHONE (360) 683-5731 (360) 461-2744 PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BI2 ------------------------------------------------------------------------------------------------ BUILDING AIR SEAL FRED 461-2744 BUILDING FRAMING FRED 461-2744 BUILDING INSULATION Insu1at1on Inspect10n for fred Gr1nne11. Ph#461-2744 BL99 01 !!fB1!. 4/.04 ~ BUILDING FINAL ~ Fred 461-2744 Key 1S on meter base -------------- --- ------------------- COMMENTS AND NOTES ------------------------______________ BL1 BL9 BAIR 01 BL3 BLI 01 1/20/04 1/20/04 1/27/04 1/27/04 3/22/04 3/22/04 4/09/04 4/09/04 4/09/04 4/09/04 4/14/04 4/14/04 01 01 01 01 JLL AP JLL AP JLL AP JLL AP JLL AP JLL AP BUILDING FOUNDATION FOOTING REX 460-7317 LATE AFTER NOON BUILDING FOUNDATION WALL Dan 460-2485 BUILDING SHEARWALL PREPARED 4/14/04, 11 36 15 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER, INSPECTION TICKET INSPECTOR JAMES L LIERLY 1018 CAMPBELL AVE LOT 9, BLOCK 6, ILL ADD E G ENTERPRISES INC. E G ENTERPRISES INC 06-30-14-5-4-0620-0000- 03-00001023 RES NEW SFR PHONE PHONE (360) 683-5731 (360) 461-2744 SUBDIV, PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLl 01 1/20/04 JLL 1/20/04 AP BI2 01 1/27/04 JLL 1/27/04 AP BL9 01 3/22/04 JLL 3/22/04 AP BAIR 01 1ff/ ti-r:. BL3 01 o r. 4 J!;p BLI 01 ~ /04 Xi!- 'It tf(at{ J BUILDING FOUNDATION FOOTING REX 460-7317 LATE AFTER NOON BUILDING FOUNDATION WALL Dan 460-2485 BUILDING SHEARWALL BUILDING AIR SEAL FRED 461-2744 BUILDING FRAMING FRED 461-2744 BUILDING INSULATION Insulatlon Inspectlon for fred Grlnnell Ph#461-2744 PAGE DATE 1 4/14/04 -------------------------------------- COMMENTS AND NOTES -----------------------------------___ PREPARED 4/09/04, 12 29 28 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 1018 CAMPBELL AVE LOT 9, BLOCK 6, ILL ADD E G ENTERPRISES INC E G ENTERPRISES INC 06-30-14-5-4-0620-0000- 03-00001023 RES NEW SFR INSPECTION TICKET INSPECTOR JAMES L LIERLY SUBDIV, PHONE (360) 683-5731 PHONE (360) 461-2744 PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 BAIR 01 JLL AP JLL AP JLL AP BI2 01 BL9 01 BL3 01 BUILDING FOUNDATION FOOTING REX 460-7317 LATE AFTER NOON BUILDING FOUNDATION WALL Dan 460-2485 BUILDING SHEARWALL BUILDING AIR SEAL FRED 461-2744 BUILDING FRAMING FRED 461-2744 PAGE DATE 2 4/09/04 AND NOTES -------------------------------------- PREPARED 3/24/04, 12 19 01 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 5 3/24/04 -------------------------------------------------------------- --------------------------------- ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 1018 CAMPBELL AVE LOT 9, BLOCK 6, ILL ADD E G ENTERPRISES INC. E G ENTERPRISES INC 06-30-14-5-4-0620-0000- 03-00001023 RES NEW SFR SUBDIV PHONE PHONE (360) 683-5731 (360) 461-2744 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS PL2 3/22/04 3/22/04 3/24/% -;t-U7 ~ -------------------------------------- COMMENTS 02 PLUMBING ROUGH-IN MARK 808-0174 TIME 17 00 01 JLL AP r5, PLUMBING ROUGH-IN TIME. 17 00 PL2 AND NOTES -------------------------------------- PREPARED 1/27/04, 8 50-51 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 3 1/27/04 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 1018 CAMPBELL AVE LOT 9, BLOCK 6, ILL ADD E G ENTERPRISES INC E G ENTERPRISES INC 06-30-14-5-4-0620-0000- 03-00001023 RES NEW SFR SUBDIV PHONE PHONE (360) 683-5731 (360) 461-2744 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 1/20/04 JLL BUILDING FOUNDATION FOOTING 1/20/04 AP REX 460-7317 LATE AFTER NOON BI2 01 1/27/04 JLL BUILDING FOUNDATION WALL ____________________~~___~:~_::O~::::NTS AND NOTES ______________________________________ PREPARED 1/20/04, 13 11 57 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 5 1/20/04 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 1018 CAMPBELL AVE LOT 9, BLOCK 6, ILL ADD E G ENTERPRISES INC E G ENTERPRISES INC 06-30-14-5-4-0620-0000- 03-00001023 RES NEW SFR SUBDIV PHONE PHONE (360) 683-5731 (360) 461-2744 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 1/20/04 ~LL BUILDING FOUNDATION FOOTING REX 460-7317 LATE AFTER NOON ------------------------- ----------- COMMENTS AND NOTES -------------------------------------- " CITY OF ~i ~O", lR~TII~V NI iG,EiLi' Hi iSI I" ~ I ~" ~ I' I' .1 !' v-" !'/ ., , coPY t ", l ,~,: '., e'" "'~ , ..-- - ~, ,\" .. u~ '. "} ;,. \ .~ ,,<: < ,: ,,lJ.. . . l' , - . r i " , ~,-" , ..' , . ,J \. , , '- . ", . '.~ ~ }. . . ~ ; " , , ~ j. ~ \0 ,:' " , ,. ., ,'~ " . i ~ : t ~ ~ . ~ ' ," , " . \" . ,~:;: J ,', "'1 '; " - -, J ~ . ' . , , ~ . , r , ',~ . , , .' , "T" '\ ,f',,- . <~,'..... ~ ! " , ,(: ~,! , i ~, ~: t ~' .,,', {, .! 't: ~ ~ . ,,~ " . . , ,^ '" WAS H I N G TON, U. S. A. PUBLIC WORKS & UTILITIES DEPARTMENT ., November 12, 2003 " " , E.G. Enterprises, Inc. C/O Fred Grinnell 1324 Jamestown Rd Sequim, WA. 98382 '.'< . .. ~ '. ~ ... i Subject: 1016 & 1018 CAMPBELL AVE Job# 9717 " . , Dear Fred: " : The estimated cost for labor and materials supplied by the City to provide electrical service to your property is $363.00. This estimate was based on the data you provided is subject to review. This quote and is good for 180 days. ,>(: .; j The City will be responsible for the following: 1) Upgrading the secondary wire from the transformer pole to the service pole. 2) Providing and installing the 120/240v meters. .'\ ; ~ The owner/contractor will be responsible for the following: 1) Payment of $363.0. 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 at 360-417-4706. ,'^ )1 John G. Hebner .' ' . Electrical Engineering Specialist ~" \ i, . . " ".-"'::. " I. - " '~ . . " , . h ". -, ",":t" I " -', .'-,. ',~ Cc' James Harper, Electrical Engineering Manager AI Oman, Electrical Inspector Roger Vess, Permit Tech Attachments: 3 Ref: WF00011371/002 321 EAST FI FTH STREET · POBOX 1 150 · PORT ANGELES, WA 98362-0217 ' PHON E 360-417-4805. FAX 360-417-4542. TTY 360-417-4645 .).~ " "~A lu .,....:~ ~ , ," ,,"','" '" E-MAIL PU BWORKS@CI PORT-ANGELES WA US " ' '>.- ,--.. ... v ~::' , fJ .~~~~ ,~ ttii" '"tti~ ;fF ID57 ( 8> BUILDING PERMIT. APPLICATION FOR OFFICIAL USE ONLY Date: Rec 7 - ':1"."., PermIt # I 0"2 '3 Dale: Approved Date bsued The BUIlding Permll App/zcatlOn must be filled out completely. Please type or print in ink. If you have any questions, please <:aIl417-4815 , Phone: ~ t; / ~ .,;l 7 t/</ Phone: ~ / - .2 7 ycj Address: /1 ",-y,JAM I-:r~ I( c:l City: 5 egLl/:~ ~0- Zip: 9PsPz--- ArchitectlEngineer:~.A.Jd j~VG- ~ . CA--?/~ Phone: IS) ,- b / / Co - /' J _ /l_' r EGe;v rz . / / Contractor L: L~ ~ /"V;rvr, l.fe: J kicense #: 033 () ~ Exp: If /IJ tJ<: Phone: t/b 1- ;;. 7Y-'-t Address: / ~~;}. y \.~ (-I -k"-,,v k!clcity: ~ Zip: C( r3P~_ PROJECT ADDRESS /0 I ZO~ING: I? s,- q LEGAL DESCRIPTIO~: Lot. lock. (;., SUbdIvisIOn: 1 L L /" A.J' ~.)~ Acid. CLALLAI\1 COUNTY P~CEL U~ER: ~ Credit Card H'?lder Name: Billing AddreS5~_{;t ~ (J t; fL N :ct J, City: 5' ccg II.. I ---- tv t1 q r3 p 2- ~ull;t{:_.d#. __3_ '_____0 a__ Exp.Date: VISA MC Applicant or Agent: 6' G e::::--:,v Trr,Pr / f t -J _ / M- ...... Owner: ~ r::- ~AJ7-er-jJr/.rrJ /~ "fY>>E OF WORK: /' g/'Residennal rzVNew Constr. 0 o Multl-fanuly 0 Addmon 0 o CommercIal 0 Remod~1 0 o Repair 0 SIZENALUATION: (1)..o 3 SF. @ $ SlJ e /SF. =.$ '10 SF.@$ '-, .,,. /SF.=$ SF. @ $ /SF = S- TOTAL VALUATION $ / ~O ~ 45 A?c;'-~ tA.///-~ ?/.f)J./). - J.('1/? uc) ? (;, JIST. c:o ~,. AJ'c / t/- , Re-roof Move Demolition Sign o Wood-stove o Garage o Deck n / 7,PC~ % !i'3(, Isq. ft. ~ TOTAL LOT COVERAGE,_ !?'_~ ft APPROVALS: PLAN BLDG. DPW FIRE ESAlWetland(s)' 0 Yes 0 No SEPA ChecklIst required? 0 Yes 0 No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be fiUed out completely to be accepted for review. The Building DIVISion can provIde you with more detailed Information on the apphcation and plan subltUttal reqUirements. Your completed applIcatIOn, SIte plan (for additions) and bUIldmg constructlCD plans are to he subnutted to the BuIldmg DIVISIon. BRIEF DESCRIPTION OF THE PRg,IECT. ,t(/€-tiJ (' /fY C';F1Y. (d30 ~) COMMERCIALIRESIDENTIAL: Occupancy Group o No. of Stones;2 Lot Slze'.jIJ 'ill 7 .; ~lfO % Lot Coverage: EXIstmg Lot Coverage' /sq. ft. + Proposed Lot Coverage. PLANNING USE ONLY: Notes: Occupant Load ConstructIOn Type: VALUATION OF CONSTRllCTION. In all cases, a valuation amount must be entered by the applIcant. Thts figure will he reviewed and may be reVIsed by the BUlldmg DiVIsion to comply With current fee schedules. Contact the Penmt Coordmator at 417..4815 for assistance. PLAN CHECK FEE: Your plan check fee IS due at the time the bUlldmg perrrut applicatIOn and construchon plans are subrmtted. All other pernut fees are due at the tIme ofperrrut issuance EXPlRATlOi\ OF PLA.~ REVIEW: Ifno permIt IS Issued wlthm 180 days of the dale ofapphcatJon, tlus application will upire. The Buildmg OffiCIal can extend the tune for actIon by the applIcant up to 180 days upon Ymtten request by the applicant (see SectIon lOi 4 of the Umform BUIlding Code, current edltlon). No applIcatIOn can be extended more than once. J hereby certifY !nm I have read and exammed thIS applIcation alld know the same to be true and correct, and I am authorzzed to apply for thIS permll. I understand It IS not the CIty's legal responslb!/zty to determine what permIts are reqUIred. It remal7lS the applicam's respon"bd"y 10 determine whol perm.,s are requ,red and 10 oblam ,ucy~,.. /d ApplIcant. '\.~~ate: 7 -,.:2 9-t2:i. T \F-OR.\1S\APPS'Bl.lldmgpermn 1&' -1'~!or/~ 6 , ~ Z~,uc-J::) l<.s Clio? '':':0~ ~, ;25' ~~ Il'[ /' G f!.7/v h",.. ;::.,,", j- (': fA.; c.... / S ;2"; V,;/Mt.r/OZ) t,...IA/ /..?d i " . ~ ~, 1\ ~~ fj ,-. ' t --e.- 1(;' f'-! 'I i'"'~;': l I ,/, 1- ,1..7..;'1 r -, - , -; / 1/ I : /Ii ~1f ;;,~ ~ I 1\)// . I //" , I ". I' . / /1 I r---; i , I I",,? I d . ,.1 ,? ;J'- :15 I I i _1.. I _-- ~ C . rt ~,. I L <1 / , potU" ,..'..- 7j .' I' J ~ . , I I ' I I II - p wI' c: d \' ~ , : ~ I , , . . - rt_t' ,St"': (' (.y' '- , Ie '/ , f'... I I'" il'- 1~ i , i I I i 1 1 .:)f '- "" I i !' , I 1 I ' ! \ I : \ ; I I L ; ~ I 1./, i J 7.~:~' Src'" CfiG.-(,. r ,t:,!./ lb\b ,/' ~'- ,rJ L__ 10' ( I ., / I ~' .... 'P fI, 1 / ' , I I /,1 '. V II\) x~\~\ ,I ,,)t- / I \f ,- .,' .L " / , ( , : g' Ii '(j'10 I "LI". I . '3 I \/101' I I - .." " I I - ILl I I ~ K-;-' ! /0 II ~\J~ I lit; ,11 I I ~ I- '~~~ ')':' I : I i 11)1,.1 ! ill1" _ll I ~-- Iq'~ r<',1 ... I"-. ~ .l _I ;;r---- ~- -- -- i I ) \0 \~ ;:;) I ,I I \ J ~ z _1 ~' ,/ ~ /' , gilt {; ../ //{ ^"C- I I ",-1:-1:; , ... 1/1. liE '/ / 6 t:v~ t:. r: ..., LoT '1 Ifl,t b '-- ~ 0<11 22t, II ~ D I ~ ..::z- CL.. /6{-:9 4/~(.. /I])]). .... PW'w e...... -..,..... fIIIItng Mdlcwl or ~. ......1CNCtuIe to ttIIt CIhed_ lnIpec:lOr _ ~....... totma~on during fMlld ~. 1nc:rludI1kytIDt*, gin. doorslnd at! othlf ~ on .. Iorm u.. rouoh CII**'O ......or ~""Iflrw. ?\J Q 77 iV-- au.ntlty Area I c-/V ~ II: .... CtIeakI... & _--..a - Iv.mAlld d. 9, ff - Ir /'1 r-r . ~,.,.... .' ,'" . ,..... ~.... ~ /.3-5.!; () ~ 4 Totat 00RdItI0Md ...: ~ 03 ~.....: /(% v.-.cs - i \ t . ! . .. ~ . P\aw bIminef - iIt ~.. docn br ~ c.o&d .....InIUI.1d.. *). ~. UowIIu8. n\i ~'"'. nspecs<< - \1Idty door~ duItnO iIId II~ v......ed U-VaJue/ManutecturW ~J-{) &,)-0 S6gNltun of I"'flng 0ftkUI: '!J r~Ji E.a .;~ ,..,j;.,. 0... of fWII....'. alIR: ~ 9'ORT..vv. $'4.0~~~ rea W- ~ ~ '\oii:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 03-00001023 Date 3/25/04 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application descriptlon Subdivision Name Property Use Property Zoning . . . Application valuation .7568 1018 CAMPBELL AVE 06-30-14-5-4-0620-0000- LOT 9, BLOCK 6, ILL ADD RES NEW SFR RS9 RESDNTL SINGLE FAMILY 76158 Owner Contractor E G ENTERPRISES INC 1324 JAMESTOWN RD SEQUIM (360) 461-2744 Structure Information Construction Type Occupancy Type Other struct info E G ENTERPRISES INC. 1324 JAMESTOWN RD. SEQUIM (360) 683-5731 1203 SF SFR W/ATT 230 SF 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 WA 98382 Permit Addltional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL 1433 SQ FT SFR. KIRSCH ELECTRIC 93.50 3/25/04 9/21/04 INC. Plan Check Fee Valuation Qty 1. 00 1. 00 Unit Charge Per 70.8000 ECH EL-R-SQFT FIRST 1300 22.7000 5C EL-R-SQFT ADDITIONAL 500 WA 98382 17.86 V-N "- ~ ......... ~ ~~ ~ ~~ ~~ 2.00 1. 00 4680.00 836.00 836.00 1.00 .00 o Extenslon 70.80 22.70 Speclal Notes and Comments Ditches and culverts will be installed to City Stanards. See Public Works Engineering for Standards. Other Fees . . . . . . . . . SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 ~ Fee summary Charged Paid Credited Due ---------------- ---------- ---------- ---------- ---------- Permlt Fee Total 93.50 93.50 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1868.00 1868.00 .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 \PLANNING\FORMS\1 10215 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS 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 I NO FOUNDATION. FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIVIsIOn) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA PARKINGILIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ~!7~# J'fd) 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 [I 1/14/2003] FROM: KIRSCH ELECTRIC FAX NO. : 3606830869 Mar. 232004 03:12PM P2 iUUi/lllM/UJ/!!i UI:j~ fM ~IJY UF PA HL[,(; DEn FAX IIv.36G 41747/; '. UG3/003 ,I., . fibtA EL.ECTRICAL PERMIT AF'F'L1CATION fDR C1/1C1A.,!.. !JSE: ONLY DaCI'Jw:: ,CNIIlt,,: Plllc.~:n'wl: -...... 1ha EJeCb)cal ParmU ADpllcatiOfl mUg! Ill! rllhtd cut cQmblatel\t P_typo.rroprim In In~. Ifyoullali. onyq...u..., pl....C<>li (300)417-4735 03 -10:2. 3 Fax nll1nbor: (31lO) .11-4711 03 - /0 .2-2-... .O".'.r EI.,. Cenlnootor"';'.n~ -Soe ~ ("~ .... .... .. Ph.n.: (,; t ~b&'i F';" G:,8 Z, 6 ~~ F'roporlyO"",er. :E.C-::> -:f.~~~s....e.~ Phone: b~3 C;:;I~ { .Add"",: \~:>L.\: ~~'CIIlr. '~\'Y\ . .' ZIp: ~'62- E1.cl1l..lc;onlraol.r. ~rs~ -:t;\:ec*,ic; U-oell: t<-!('<'SC~?3~'-\J Pti""":b'6:::''''~~ All;""': 'P0f'51JX-639.to '" 'Ci~:..' 'sP'{'i:M"1'"\i1 Zip:DJ<6-3~ ,INSTALl.ATION WIREc BY: o OWNER' ~=-CTRICAl.COmllA~" I -..... . CtedItCsrrlHolderN__.: . ,YBl.r--n f-' ..~ ~ . . H,~t.\-e.d---r(C &7lIngAddrIlss: .pO Rtri 3'316 City; s,~'fY\ .... . .'Z/p/=J%3%d- . , . VISA: <J!!.C; ~ 03:/~-;l-2-l0 \\0 .~~?B~u.... ~(5~;ifr(n~/O ." ~ plWoIEcfJer&C3 _ D \ S l.:..adrY'i . . O~, . '. '. ""..""'" -...."'. .-/fiJ<~- D_""",,~: .. . . .1'133 Sl>;<r ~dentia/ 0 M~D~ D Comme~ia/ 0 MOOqaHome. '. Sq. Ft~iftf? DRemoteMeler OOelachsdg!ll'2llle. DHoITut> trSwlmPoolOSeptlcPump ClLowVoi~ge' o Telecoin, aSh;!1 . Numbel 01 Cirl:ulb"!Idded or altaNlll: . DESCRIPTION Of Tf:IE ELECTRlc:IU. PROJECT; . Electrica' Heal L"ad Additions and or Subtrac:tl"nc . 'Servlcalllformatlon o !laseoOatl/ o Flimac:a ci Heel F\mp o F:al\oWaJl _KW ~~N_lR.4 _KW jJ ClIIeIh..d S~c:e cTemp$wvi.. .. 'O'Unde~round S.lVa. . . Voltage; . Phase: If, 1 Cl 3 '. $eNi"" ;ie: ~IJ A.?YJ Feeder siZe'-' . I hereby certif)' /het I have ffjad and axeml"ed this application and know that .sama to be true and correct, and I em avthorizedto applyforthis permit I understand it Is nrJtthe"CIty's legal responsiblUty to determine whet pfJrmlts :ue required: it remains the appl/r;ants raspanslbility ta de' fna what ps ' ar, reqllired snd to obtain SUch. ~i!I~: 5{~o4- J., /. Cr'tdlt Can! HDlder's Signature: ~( l--{ /l>4- Owner or EJac. Cent Signatu 11 /~ I' ~..(ld- ,j l,!E.c/ ()-h t'lz, ~ ofc- AS [:C;,- ./ / -~ ','f {-VI/PERMIT FEE: $ :;IEl.ECTRICAlJ'ERMlTAPPLlOATlON j'ft.-<-- (e~ s ... e.. Z:, ' , Hrwe. ~" 'K~c21- Yf">lee T 3/;l.'I/ocf wl:::- II ~ 7 t/o I Ji; ~ .J