HomeMy WebLinkAbout417 N Liberty St - Building
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Property Zoning . . .
Application valuation
03-00000206 Date 3/04/03
417 N LIBERTY ST
0630007803150000
RES ACCESSORY BUILDING
@
12000
Owner
Contractor
TRAVIS D/GARRY W/CHERYL A BEAR
417 N LIBERTY ST
PORT ANGELES WA 983624226
OWNER
Structure Information DETACHED GARAGE 672 SQ FT
Construction Type . . . . . TYPE V NON-RATED
Occupancy Type . . . . . . GARAGES. CARPORTS. SHEDS
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
232.75
3/04/03
8/31/03
Plan Check Fee
Valuation
93.10
12000
Qty Unit Charge Per
Extension
92.75
140.00
..:t::
--
BASE FEE
10.00 14.0000 THOU BL-2001-25K (14 PER K)
--
'..J
Other Fees
STATE SURCHARGE
4.50
Fee swmnary Charged Paid Credited Due
----------------- ---------- ---------- ----------
----------
Permit Fee Total 232.75 232.75 .00 .00
Plan Check Total 93.10 93.10 .00
.00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 330.35 330.35 .00 .00
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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 ordir;tances 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
4 0.-- ~
Signature'of Owner (If owner is builder)
3~i~o3
Date
T \PLANNING\FORMS\II02 15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING 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 I ACCEPTED COMMENTS
, "
YES NO
FOUNDATION: tl10HI? (l{Jv'r oJ.::!- /f-')..-OO
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT. #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING I q ~)..) - 0 ? R\I
DRYWALL ,
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I 'i-j, q ,e>~ RV
MECHANICAL
HEAT PUMP
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 OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT 417-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R W / PW/ CONSTRUCTION - R W
ENGINEERlNG 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT. 417-4750 7 PLANNING DEPT
BUILDING 417-4815 i.{- ZQ'03 r,v BUILDING
T \PLANNING\FORMS\1102 15 [4/2002]
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY
Date Rec '2- .k8-o~
Pennlt # Ot;.:>
Date Approved
Date Issued
"'t&i.;~{!i>
The BUIldzng Permit Applicatwn must be filled out completely.
Please type or print in ink. If you have any questions, please call 417-4815
Address: l} 17
N . L:b t0J
City: Vor-t ~,.J"7
Phone:
Phone: ,+5 Z -I/} II 7
Zip: 1&3b 2.
Applicant or Agent:
Owner: lfA.J'\. \)ettv-
Architect/Engineer:
Contractor
Phone:
License #:
Exp:
Phone:
Address: City: Zip:
PROJECT ADDRESS: till IV. L'/x,~ti ZONING:
LEGAL DESCRIPTION: Lot: 1% .,"3> lock: .3 ~ Subdivision: c.,..) "" Sl.Ilb ~..,.. K6
CLALLAM COUNTY PARCEL NUMBER:~~ .'ltlO~15 redit Card Holder Name:
Billing Address: City:
Credit Card #: Exp. Date: VISA Me
SIZEN ALUATlON:
2.1/ X'Z~ SF. @ $ /SF. =.$
SF. @ $ /SF. = $
SF.@$ /SF.=$
TOTAL VALUATION $ 'Z~~
TYPE OF WORK:
o ResidentIal JiZl New Constr.
o MultI-family 0 AdditIon
o Commercial 0 Remodel
o Repair
ORe-roof
o Move
o Demohtion
o SIgn
o Wood-stove
>i Garage
o Deck
o
-'"
BRIEF DESCRIPTION OF THE PROJECT: 1\)~u) A~.~.~\.t~ci.. 3~.lu'~"CL.~c?
COMMERCIAL/RESIDENTlAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stories: -L- Lot SIZe: IS 2 S- % L?t Coverage. '2 b, I %
Existmg Lot Coverage: /"1..' ~ /sq. ft. + Proposed Lot Coverage: ~ 72.. /sq. ft. = TOTAL LOT COVERAGE: J Cf ~a /sq. ft.
PLANNING USE ONL Y: APPROVALS: PLAN
Notes: BLDG.
DPW
FIRE
ESAlWetland(s): 0 Yes 0 No SEPA Checklist requrred? 0 Yes 0 No Other: OTHER
BUILDING PERMIT APPLICATION SUBMIl'TAL: Your application and site plan must be filled out completely to be acceptedfor
review. The Buildmg DIvision can provide you with more detaIled information on the application and plan submittal requrrements. Your
completed application, site plan (for additions) and bUIldmg construction plans are to be submitted to the Building Division
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 BUIldmg DiVISIOn to comply WIth current fee schedules. Contact the Permit Coordinator at 417-4815 for aSSIstance.
PLAN CHECK FEE: Your plan check fee is due at the tIme the buddmg permIt apphcatIon 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 withm 180 days of the date ofapphcatIon, this application will expire. The
Buildmg 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 Buildmg Code, current edition) No apphcatIOn can be extended more than once
/ hereby certify that / have read and examined thIS applzcatlon and know the same to be true and correct, and I am authorized to apply for
this permit. I understand it IS not the City's legal responslbllzty to determme what permits are required, it remams the applicant's
responslbllzty to determme what permits are required and to obtazn such
~ !1--
Applicant:
Date: 0';;" /;e, 10 3
T \FORMS\APPS\Bulldmgpennlt
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ORTANGELES
WAS H I N G TON, U. S. A.
DEPARTMENT OF COMMUNITY DEVELOPMENT
DATE:
February 27,2003
To:
Roger Vess, Permit Coordinator
Sue Roberds, Assistant Pl~
Building Permit Applications - Week of February 24,2003
FROM:
RE:
1.
Property Owner:
Address:
Travis Bear
417 N. Liberty Street
The site is 7,525 square feet in area and is located in the RS-7; Residential Single Family zone. The
proposal will result in the construction of a detached garage structure for a total square footage of 1968
square feet or 26% lot coverage. The rear setback must be a minimum of 10 feet - not the 3 feet
as shown which would be for a side yard. Other thanthe revis'ion to the'rear setback, the Department sees
no concerns with the proposal. .
2.
Property Owner:
A~dress:
Doug Parent
225 West 13th Street
The site is 7,000 square feet in area and is located in the RS-7, Residential Single Family zone. The
proposal will result in the remodel/addition of the second floor of a detached garage into an accessory
residentialli.nit. The activity is permitted under Conditional Use Permit CUP 03-02, issued on February
12,2003. The size ofthe accessory unit as shown exceeds the total lot coverage of2100 square feet for
the property. The carport must be demolished and the unit somewhat reduced to meet the maximum 21 00
square foot coverage requirement. Four off-street parking spaces must be shown on the final plan in order
to meet the CUP requirements.
3.
Property Owner:
Address:
Clallam County YMCA
302 South Francis Street
The site is approximately 67,000 square feet in area and is located in the PBP, Public Buildings and Parks
zone. The proposal will result in a 2816 square foot remodel and the construction of a 3920 square foot
addition for a total square footage of 23,700 or 35% lot coverage. Maximum lot coverage in the PBP
zone is 50%. There is no specified setback for the proposed building off Francis Street because the
adjacent zoning is PBP, however, a vision triangle of 20' in each direction from the comer of 3rd and
Francis Streets must be observed. No other issues are noted.
CITY OF PORT ANGELES /)/
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date 0: 1-0 ()--o 3 Time tJ.' -;s- /J.J1J Received b~~" 8ersonl
Location of Work to be inspected ~ L h h-t!'-r -b
Name of person requesting inspection : ~ -'f - ~/; '0
Address of person requesting inspection Phone No.J/frl) -413/
Type of Inspection (circle appropriate one): Permit No. ~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
7 flY/o -pvY Th{)ysJ~ ~n1,
INSPECTION NOTES: 0
Inspected: Date ~-3-o~
Remarks:
Time
By RLI
OK
''''
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
D Repaired by City
D Repaired by Permittee
D No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
~TRFFT ~IIPFRINTFNnFNT
/nATEl
"
/
CITY OF PORT ANGELES v/
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date 1-/ - {}x,,-- (Q"3 Time I Q! t!lV 4/V Received by S5Ie -'-'-- ~personJ
Location of Work to be inspected f/ ~ # ~t~~~
Name of person requesting inspection I (.0 S '
Address of person requesting inspection Phone NoltO ,-7~S--;..j{)-
Type of Inspection (circ riate one): Permit No. {)0h
Sewer Foundatio
Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date ..y~2S-03
Remarks:
Time
By
~v
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel D Asphalt D PCC
D Other
D Repaired by City
D Repaired by Permittee
D No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
C:::TRI=I=T C:::IIPI=RINTl=l\lnI=NT
InATI=\
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date t..j - -z t3 .- 03
/'
Time
Received by
I2v
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Lj/l
IV
l
L ~ be.r1y
Phone No. IItD )5~/c.
Permit No. ;>~C) ()
Sewer Excav. Other :Zh SL/Q,Y" &l..{
Sewer Foundation Framing Chimney Plumbing Final
INSPECTION NOTES:
Inspected: Date 9;-29'- O::s:
Remarks:
By
Rv
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel 0 Asphalt D PCC
D Other
D Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
~TRFFT ~I JPFRINTFNnFNT
IDATEI
!C'PORT~
lO~~~
rea
'L ~
...-
't&i:,,~
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:
Application description
Property Zoning . . .
Application valuation
03-00000417
417 N LIBERTY ST
0630007803150000
ELECTRICAL ONLY
Date 4/23/03
o
Owner
Contractor
TRAVIS D/GARRY W/CHERYL A BEAR
417 N LIBERTY ST
PORT ANGELES WA 983624226
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457-9270
WA 98363
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
EL-DETACHED GARAGE
46.70 Plan Check Fee
4/23/03 Valuation
10/20/03
.00
o
Qty Unit Charge Per
1.00 46.7000 ECH EL-R-OUTBD/DTCH GAR SEP
Extension
46.70
)::
-
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.70 46.70 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 46.70 46.70 .00 .00
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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 orwork 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
'/.~()._ ~.-A
Signature 6t Owner (if o~ner is builder)
1 hi /0 ?
I D~te
T \PLANNING\FORMS\1102 15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVIsIon) SEPARATE PERMIT II's
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 417-4735 I;;!S-t5 Azn 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\II02 15 [4/2002]
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
N?
15008
.' - :; U ?T
Port Angeles, Washington__m___:__________m__nmmmmmnmnm___________, 19nmm
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
1/" ,.' .. --
~::;S_j~~~::=t~~=:::~~:::~~:::i::~:::.::t.:::::::::::::----;~:~:~:::_n.~::~~_~_~:~::_~~~::::::::::::::::::::::::::::::
J ( ~ - .~ I '. (I (:;)
V\1iring Contractor ___~~_~~_:~'.~~__u:nm~_~:~::_______..:::__:..uon__..______ By ___nn___nm___________num______dm_mn__m_______.___un
I ',I'
LIght OutletB..._____~___________..........__._____...
.le
Receptacle Outlets....:...________________.......
(
Dryer, K\Vl.__u.__un__n__n..._n__.__n_n..
/:;L
Range, KW.. _un.___n_n____n "__unnn_n_...
Water Heater:
'I .-.
KW._______.______/___~?_...____.___...____._____.
H,." Rwm/,2__m___"tid.~g,/~__,,__'I
l\.:otors: size, volts and phase:
(_.:_~_.__._~~_:/-.~--.----._----h._--.----_--.------
/ /.... '-
'...n.______.__._..___________......__________.____.._....
Total Load.._..........................
)" .,;":: 1(.)
Service, volts _..._.__:'....._......~....m...........
No. wires __...,~__..............._.............
/ /1'1 t
Size wires.....~(L....~::::._.~........._..
" ~l , fI.
Main fuse ..!....on..mn.......n...n........
<:
Enclosure __..._..~...........__._...m..._._
Type of wiring:
Entrance Cable .............................
Rigid Conduit .............~mm.m....._.
Metall1c TUbing m........................
Current transformers:
No. & Size...__.n._......___................._..
Ser. No..._....___.........oo......__....__..........
Ser. No.-..__................___......._____.......__.
Ser. No....__................._......._.oo____.....___
Ser. NO................_n..._........................
Type of Wiling:
Armored Cable mn........m
Non-Metallic mm..n....nm..............
Knob & Tube_..m..___....mmm.m.....
Rigid Conduit m.m_m____.__._._mm__.
Metallic TubIng mm.mm..............
Raceway ................__.._.._.........__.......
Circuits, LtghLn:lnm..m._mn..m........
~
Utility ...1::.__..............._____...___..........
Heat .oo(~._.................................__.
Range ..__-:'::_____...n;......n_...............__
j-
Water Heater m.?mmm..m............
Motor ..._................................_...._._
Dryer...._..::~.............................._........
Furnace ....oo_................,..._..mnnm..___.
-)5
Total..2_.....____oo..._._.............._
F emarks: __nu.M.~~..~L.:,__"'__:::..UMU.__f:.::~=~-'__:::::.~:~._#__nd._n..._.....________...nudn__n__nnn.u___________Mnd____n_____M___.__d__U.
"
F ermit Fee Treas. Receipt J." " ,. ,
$mn:2...t__ZlLmmm_____.. N O..mum__________m____ By .;.,L_~;._~(~_/_~~_:.__~m~.~_!:.:n::::.~~~_:..~-'....J~~~~mnm..m
NOTICE-Current must n~ be turned on until Certificate of Inspection has been issued. If work is to be con.
e aled due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
I . I:,.,
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ELECTRICAL PERMIT
Nt?
15008
1: ate called fa; t~:p~;CtiO~!.~--.-..--...~.t-:.:.~......'...-.:....!.......-....____.._...........__.___________ ...__.......____.______......._.___.____........___...._:___:~_._~___.__..........._
PrelimInary inspection' d~~es...~......~.~:.:.....~~.C_::...:..:.-............__......b_____..___._...............______.___._.........._._..___.........__________..____........._......._
< ,t(_ 'f- (.
Ilspectioncompleted----:::.:...~..~....-.:~:-::---:-~-~_---_:______-.__:?"L________....~.._.__...____._____......__..........____m____..........._._______.__m___..............................._.
1M 3-72 Olympic Printers, Inc.
T Jtal Load .._..u_....n....oo.._..__.....n..._..._....._......n._.._n_n..u.___._..._..........
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Re~e~ 1t.~A.V '1-1Z,-oJ
ELECTRIC~PERMIT APPLICATION
The Electrical Pennit Application must be IlIIed out comoletetv.
Please type or reprint In Ink. II you have any questions, please call (360. 417-4735
Fax number; (360) 417-4711
FOR OfFICIAL USE ONLY
Dalt/RA";
f'rmliU: 4 , 7
[);a~ AilP'1~;
Dale luuaJ:
~ <?' .," / ,-+- (,r~c;L~D
Owner or Elec. Contractor Agent: ~5 ..). I"V-fSP"'-I'::;'CH,one: t~ / { I Fax:
Property Owner FI pp cA. n (' .r:. Z Phone:
Address:~~j7 -6v-T-b. 7;c",fn City: ~y-fAh_(C!c-.r
<? , -+- \.J
Electrical Contractor: ~ ""'- f" ZI keG. Ucense #: Exp:
Address: ') _ q.? 03 ~ fr' C/ j / Q I W City: p /.7 y -r A \.j e...! C s:
INSTALLATION WIRED BY: 0 OWNER 0 ELECTRICAL CONTRACTOR
Credit Catd Holder Name: IJ YI J d-
S tL ........C
t.; (, 0-7 ~ 72_
Zip: 9 r;? (.,7 _
Phone:
Zip: 1'F"su
~:'" f 5-7"0'1
,
Billing Address:
City:
/
,
Zip:
VISA:
Credit Card Number: /))/ Exp. Date:
MC~
PROJECT ADDRESS:
TYPE OF WORK:
Check all that apply: 0 New
o Alteration/Addition
~esidentaJ 0 Multi-family
o Commercial 0 Mobile Home . Sq. Ft. .r;? f)..
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic P,ump. 0 Low Voltage 0 Telecom. 0 S
Number of Circuits added or altered: f..... '. , .'/
DESCRIPTION OF THEELECTRI~~L PROJECT: /J e 4--/ ("1 e t-.",:~c;.). '. J ~ vcre /
Electrical Heat Load Additions
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 1 0 3
Service Size:
Feeder Size:
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
_t<:W
_t<:W
_ t<:W
_ t<:W
PAMC 14.05.060(B): For Industrial, commercial, & residential projects larger than a duplex. a one -line drawing of the Electrical Service,
Feeders, building size (sq. fl.), load calculations, and the type & of conductor:s and/or raceway is required and shall accompany the
Electrical Permit application.
I hereby certify that I have read and examined this application and know that same to be true and correct, and I .
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are req'fred; it remains the applicants responsibility to determine what permits are required and to obtain such.
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Owner or Elec. Cant., Signatur :
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lEJLlEC'fRlICAJL lINSJPlECUON
CORRlEC'flION lRJEJPOR'f
Department of Labor & Industries
E!ectrical Section
The correction~ listed below ere hereby ordered and must be completed
within 15 davs.
Refer to National Electrical Code or State Rules fOT Safety Standards.
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Is the permii fee correct 0 Yes 0 No Fee due $ WAC296-46,9IO i
SAFETY DEFECTS NEEDING CORRECTION
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NOTIFY INSPECTION OFFICE WHEN
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CITY OF PORT ANGELES
LIGHT DIVISION
FAX TRANSMISSION COVER SHEET
Date:
To:
Fax:
Re:
Sender:
4/24/03
L&I
417-2755
Inspections
Kathy Trainor
YOU SHOULD RECEIVE 1 PAGE, INCLUDING THIS COVER SHEET.
IF YOU DO NOT RECEIVE ALLTHE PAGES, PLEASE CALL (360) 417-4724.
Inspection request:
417 N. Liberty - detached garage
Permit #417
Contact:
Simpson Electric
457-9270
I
1\
"YOU WILL RECEIVE A COPY OF THE PERMIT SEPARATELY VIA FAX"
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CAL
ELE&J�! PERMIT
criy of'*T ANGELEs'
30417-4735
Application Number . . . . . 19-00001537 Date 10/04/19
Application pin number . . . 436007 REPORT S TATE SAL�S TAX
Property Address . . . . . . 417 N LIBERTY ST on your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-7-8-0315-0000-
-Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . . . . (Location Code 0502)
Property Use . . . . . . . .
'Property Zoning . . . . . . . RS7 RRSDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------
Application desc
Pickawatt heaters
----------------------------------------------------------------------------
Owner Contractor
------------------------ ----------------------- -
KATHY LYNN FRANTZ AND SHIRLEY ExTRA MILE TECH & ELECT., LLC
417 N LIBERTY ST 418 N. RACE ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 457-5222
------------------------------------------------7----------------- ---------
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 63.00 Plan Check Fee .00
Issue Date . . . . 10/04/19 valuation . . . . 0
Expiration Date 4/01/20
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
INSPBCTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL -A t.57
COMMENTS:
PERMIT WILL EXPIRE SDC(6)MONTHS FROM LAST INSPECTION_
Signature of owner or Electrical Contractor X Date:
2 SINGLE-FAMI
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
3 21 E.5th Street, Port Angeles, WA 983 62
360.417.4735 1 www.cityof*us I electricalperrnits@cityofpa.us
IT
ProjectAddresw fit/7
W_I I L Z-; b4,1
Proj!qt�tion:... A,),) AL-2 c4�-� 4- P, L�Znd�
UY-Single-FamilyResidential 0 Duplex/ARU Budding Square footage.
�ame: j Email:
Mailing Address: Phone: /i 7DZ
9 1 a IN VMS 1111
Name- EX-I OLf Ml I-E —1 E04 le-c-haced ___uoense:_---XT)e4Inr-'773R�,
Mailing Address: P-0- ISOA RA (07-- ExpirationDat: /-2-A(P-2017
Email: -Phone; 34,0-q6I - 13_39
Will Unit Chame 290ft J9M(Qu x Unk Charge)
Service/Feeder 200 Amp. $12D.00
Service�r=400A#np. $146.00
ServicafFeeder 401-600Amp $205.00 $
ServicafFeeder 6014000 Amp. $262.00 $
Servioe/Feeder over 1000 Amp. $373.00 $
Branch Circuit W Service Feeder $5.00 $
Branch Circuit WIO Service Feeder $63-00 $ (a
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75-00 $
Temp.Service/Feeder 200 Amp. $9300 $
Temp.ServiowfFeeder 201-4W Amp. $110.00 $
Temp.Servioe/Feeder 40"00 Amp. $149.0D $
Temp.Service/Feeder601-1000 Amp $168.00 $
Portal to Portal Hourly $96-00 $
Signal CircuitfUrnited Energy-1&2 Dti. $64.00 $
Manufacttired Home Connection $120.00 $
Renewable Elm Energy.5KVA System or less $102.00 $
Tbermostat(Note-$5 for each additional) $66-W $
Fkat 13W Square Feet $120-W $
Each Additional 5W equate be' $40-00 $
Each Ouftkft/Delachad Garage $74.00 $
Each Swimming Pod I Hot Tub $110.00 $
TOTAL i
Owner as defined by RCW.19.2&261:(1)Owner will occupy the sbucture fbr two years after Oft ekK*ical permit is finalized.(2)Owner is
required to hire an electrical contractor if above said property is for sale,rent or lease,PerrW*expires after six months of last inspection.
After reading the above statement I hereby certify that I am the owner orthe above named property or a licensed electrical contractor.I
am malting the elecftical installation or alteration in compliance with the electrical laws,N.EC..RCW Chapter 19.28,VMC.Chapter 2W
468,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
e7
Date Print Name Signature(0 Owner t�rElectrical Contractor/Administrator)
(Electrical Permit Applications may be submitted to City Hal or ete�a1permits@cityofpa.us or Wed to 360A17.47 11]
CAL
ELE&J�! PERMIT
criy of'*T ANGELEs'
30417-4735
Application Number . . . . . 19-00001537 Date 10/04/19
Application pin number . . . 436007 REPORT S TATE SAL�S TAX
Property Address . . . . . . 417 N LIBERTY ST on your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-7-8-0315-0000-
-Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . . . . (Location Code 0502)
Property Use . . . . . . . .
'Property Zoning . . . . . . . RS7 RRSDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------
Application desc
Pickawatt heaters
----------------------------------------------------------------------------
Owner Contractor
------------------------ ----------------------- -
KATHY LYNN FRANTZ AND SHIRLEY ExTRA MILE TECH & ELECT., LLC
417 N LIBERTY ST 418 N. RACE ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 457-5222
------------------------------------------------7----------------- ---------
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 63.00 Plan Check Fee .00
Issue Date . . . . 10/04/19 valuation . . . . 0
Expiration Date 4/01/20
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
INSPBCTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL -A t.57
COMMENTS:
PERMIT WILL EXPIRE SDC(6)MONTHS FROM LAST INSPECTION_
Signature of owner or Electrical Contractor X Date:
2 SINGLE-FAMI
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
3 21 E.5th Street, Port Angeles, WA 983 62
360.417.4735 1 www.cityof*us I electricalperrnits@cityofpa.us
IT
ProjectAddresw fit/7
W_I I L Z-; b4,1
Proj!qt�tion:... A,),) AL-2 c4�-� 4- P, L�Znd�
UY-Single-FamilyResidential 0 Duplex/ARU Budding Square footage.
�ame: j Email:
Mailing Address: Phone: /i 7DZ
9 1 a IN VMS 1111
Name- EX-I OLf Ml I-E —1 E04 le-c-haced ___uoense:_---XT)e4Inr-'773R�,
Mailing Address: P-0- ISOA RA (07-- ExpirationDat: /-2-A(P-2017
Email: -Phone; 34,0-q6I - 13_39
Will Unit Chame 290ft J9M(Qu x Unk Charge)
Service/Feeder 200 Amp. $12D.00
Service�r=400A#np. $146.00
ServicafFeeder 401-600Amp $205.00 $
ServicafFeeder 6014000 Amp. $262.00 $
Servioe/Feeder over 1000 Amp. $373.00 $
Branch Circuit W Service Feeder $5.00 $
Branch Circuit WIO Service Feeder $63-00 $ (a
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75-00 $
Temp.Service/Feeder 200 Amp. $9300 $
Temp.ServiowfFeeder 201-4W Amp. $110.00 $
Temp.Servioe/Feeder 40"00 Amp. $149.0D $
Temp.Service/Feeder601-1000 Amp $168.00 $
Portal to Portal Hourly $96-00 $
Signal CircuitfUrnited Energy-1&2 Dti. $64.00 $
Manufacttired Home Connection $120.00 $
Renewable Elm Energy.5KVA System or less $102.00 $
Tbermostat(Note-$5 for each additional) $66-W $
Fkat 13W Square Feet $120-W $
Each Additional 5W equate be' $40-00 $
Each Ouftkft/Delachad Garage $74.00 $
Each Swimming Pod I Hot Tub $110.00 $
TOTAL i
Owner as defined by RCW.19.2&261:(1)Owner will occupy the sbucture fbr two years after Oft ekK*ical permit is finalized.(2)Owner is
required to hire an electrical contractor if above said property is for sale,rent or lease,PerrW*expires after six months of last inspection.
After reading the above statement I hereby certify that I am the owner orthe above named property or a licensed electrical contractor.I
am malting the elecftical installation or alteration in compliance with the electrical laws,N.EC..RCW Chapter 19.28,VMC.Chapter 2W
468,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
e7
Date Print Name Signature(0 Owner t�rElectrical Contractor/Administrator)
(Electrical Permit Applications may be submitted to City Hal or ete�a1permits@cityofpa.us or Wed to 360A17.47 11]