HomeMy WebLinkAbout1517 W 14th St - BuildingPREPARED 7/26/11 8 39 18 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/26/11
ADDRESS 1517 W 14TH ST SUBDIV
TENANT NBR JOHN SUSAN LEE
CONTRACTOR VAN BLAIR BRENNAN PHONE (360) 417 8144
OWNER JOHN D SUSAN A LEE PHONE (360) 417 2701
PARCEL 06 30 00 0 4 0156 0000
APPL NUMBER 11 00000431 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 5/17/11 JLL BLDG FRAMING
5/19/11 AP May 16 2011 4 45 58 PM 1pangrle
BRENNAN VAN BLAIR 417 8144 PHONED IN THE INSPECTION
FRAMING
BRENNAN REQUESTS THAT YOU CALL THE OWNERS (JOHN SUSAN LEE)
AT 452 4010 BEFORE YOU GET THERE TO ENSURE THEY ARE HOME TO
LET YOU INSIDE
May 19 2011 4 49 41 PM jlierly
BL99 01 7/26/11 BLDG FINAL TIME 01 00
July 25 2011 10 24 09 AM 1pangrle
SUSAN 452 4010
BUILDING FINAL
AFTERNOON
ME6 01 6/17/11 JLL
6/17/11 AP
ME99 01 7/26/11
PERMIT ME 00 MECHANICAL P IT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
MECHANICAL GAS LINE TIME 01 00
June 16 2011 2 56 25 PM 1pangrle
SUSAN 452 4010
GAS LINE
AFTERNOON
June 17 2011 4 45 29 PM jlierly
MECHANICAL FINAL TIME 01 00
July 25 2011 10 24 45 AM 1pangrle
SUSAN 452 4010
MECHANICAL FINAL
AFTERNOON
COMMENTS AND NOTES
PREPARED 6/17/11 8 41 18 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/17/11
ADDRESS 1517 W 14TH ST
TENANT NBR JOHN SUSAN LEE
CONTRACTOR VAN BLAIR BRENNAN
OWNER JOHN D SUSAN A LEE
PARCEL 06 30 00 0 4 0156 0000
APPL NUMBER 11 00000431 RES REMODEL
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESUL RESULTS /COMMENTS
ME6 01 6/17/11
SUBDIV
PHONE (360) 417 8144
PHONE (360) 417 2701
MECHANICAL GAS LINE TIME 01 00
June 16 2011 2 56 25 PM 1pangrle
SUSAN 452 4010
GAS LINE
AFTERNOON
COMMENTS AND NOTES
PREPARED 5/17/11 8 24 45 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/17/11
ADDRESS 1517 W 14TH ST SUBDIV
TENANT NBR JOHN SUSAN LEE
CONTRACTOR VAN BLAIR BRENNAN PHONE (360) 417 8144
OWNER JOHN D SUSAN A LEE PHONE (360) 417 2701
PARCEL 06 30 00 0 4 0156 0000
APPL NUMBER 11 00000431 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 5/17/11
JLL BLDG FRAMING
n r May 16 2011 4 45 58 PM 1pangrle
J-� BRENNAN VAN BLAIR 417 8144 PHONED IN THE INSPECTION
'FRAMING
BRENNAN REQUESTS THAT YOU CALL THE OWNERS (JOHN SUSAN LEE)
AT 452 4010 BEFORE YOU GET THERE TO ENSURE THEY ARE HOME TO
LET YOU INSIDE
COMMENTS AND NOTES
Cyd(L
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
4 circuit kitchen remodel
Owner
LEE SUSAN A
1517 W' 14TH ST
PORT ANGELES
Unit Charge
73 5000
2 6000
Qty
1 00
3 00
Fee summary Charged
WA 983636884
Permit
Additional desc
Permit pin number 185140
Permit Fee 81 30
Issue Date 5/06/11
Expiration Date 11/02/11
Permit Fee Total 81 30
Plan Check Total 00
Grand Total 81 30
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
Signature of owner or Electrical Contract6r X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
11 00000429
661058
1517 W 14TH ST
06 30 00 0 4 0156 0000
ELECTRICAL ONLY
Contractor
OWNER
ELECTRICAL ALTER RESIDENTIAL
Per
ECH EL BRANCH CIRCUIT WO /FEEDER
ECH EL -ECH ADDNT BRANCH CIRCUIT
Paid Credited
81 30 00
00 00
81 30 00
DATE.
61 cilkv
i is
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
4: i
Plan Check Fee
Valuation
Date 5/06/11
Due
RESULTS
00
00
00
00
0
Extension
73 50
7 80
INSPECTOR.
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Date.
�1
Application Number 11 00000431
Application pin number 697441
Property Address 1517 W 14TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 4 0156 0000
Tenant nbr name JOHN SUSAN LEE
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
REMOVE INT WALL /TANK SET /GAS LINE /COOKTOP
Owner Contractor
JOHN D SUSAN A LEE
1517 W 14TH ST
PORT ANGELES WA 98363
(360) 417 2701
Structure Information 000 000
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty
BASE FEE
3 00 14 0000 THOU BL -2001 25K
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
1 00
1 00
1 00
Other Fees
Fee summary Charged
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Date Print Name
Unit Charge Per
10 6500 EA
10 6500 EA
50 0000 HR
TForms /Building Division /Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
BUILDING PERMIT RESIDENTIAL
KITCHEN REMODEL
185215
137 75 Plan Check Fee 89 54
5/06/11 Valuation 4500
11/02/11
MECHANICAL PERMIT
185223
121 30
5/06/11
11/02/11
Per
259 05
89 54
4 50
353 09
RS7 RESDNTL SINGLE FAMILY
4500
VAN BLAIR BRENNAN
635 E 11TH ST
PORT ANGELES
(360) 417 8144
KITCHEN REMODEL
(14 PER K)
Plan Check Fee 00
Valuation 0
BASE FEE
ME STOVE /FIREPLACE /MISC APP
ME FUEL GAS PIPING 1 5 OUTLETS
ME INSPECTION MIN 1 HR
STATE SURCHARGE 4 50
Paid Credited Due
259 05
89 54
4 50
353 09
00
00
00
00
Date 5/06/11
WA 98362
Extension
95 75
42 00
Extension
50 00
10 65
10 65
50 00
00
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 has 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
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Signatur- o ontractor otAuthorized Agent Signature of Owner (if owner is builder)
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
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 Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
T Forms /Building Division /Building Permit
E
Date Accepted By
11
-I t
PLANNING DEPT Separate Permit its SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
Comments
FINAL Date Acceoted by
Z19'
FINAL Date 1 Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
tto
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
0
Building 417 -4815 1 -24)-- I I zLV
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof
Heat System
,(Other
Floor Areas
Basement
1St Floor
2 Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
Site Coverage the amount o
and other impervious surfaces.
Max. height of proposed str Lure
Will a lawn sprinkler syste be installed?
Will a fire sprinkler system be installed?
BUILDING PERMIT APPU ATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant c /7
Property Owner
Property Owner's Address
Contractor 1
Phone
�2.
Phone
Contractor's Address T I ;IA 'Q,,,f l;rc (AA-
License V R 0 R 1 4 7 Expires 2- 2 Y- IZ E -mail
'r
PROJECT ADDRESS
Parcel Number U 630 0004 015 Lot Zoning
Residential Multi- family Commercial Industrial
,z!,Y('r
New I-10ot /uewl- mrw-_ Gfrm
House garage other
Heat pump .0 wood burning stove gas fireplace pellet stove other
t40 P Lt wt v►,a c h all a es
Existing (sq. ft.)
Pposed (sa. ft.)
sq ft. Lttsize
ious surface on a parce
ee PAMC 17 94 135 for e
ft. Occup cy gr••p
Occupan -d
Constr io ype
I have read and completed this application and know it to be true and correct. lam authorized to apply for this permit andunderstand
that it is my responsibility to determine what permits are required, to. obtain permits prior to working on prof
Date 1 I Print Name�f'I`/
T Forms /Building Division /Building permit application
Ph
sq ft.
uding structures paved drive
ptions)
Signafre- _--.4;
For City Use Only
Date Received
Permit
..../Date Approved
I gg
b t444,“:3 Opt
tear off re -roof lay over one layer
per sq ft.
i�"
h
TOTAL VALUATION 1) D UU D O
Lo overage
ys sidewalks patios
coverage
of bedrooms
of full baths
of half baths
r
inkt
Clallam County Assessor Treasurer Property Details 60204 JOHN D AND SUSAN Page 1 of 2
Clallam County Assessor Treasurer
Property Search Results 60204 JOHN D AND SUSAN A LEE for Year 2011 2012
Property
Account
Property ID' 60204 Legal Description. LT 16 BL 401
SURVEY V24 P79
Geographic ID 0630000401560000 Agent Code:
Type. Real
Tax Area 0010 PA 121 PORT ST CNTY H2 L VVMP Land Use Code 11
Open Space N DFL N
Historic Property' N Remodel Property N
Multi- Family Redevelopment: N
Township' Section:
Range:
Location
Address.
Neighborhood
Neighborhood CD
Owner
Name:
Mailing Address.
Taxes and Assessment Details
Property Tax Information as of 05/05/2011
Amount Due if Paid on
1517 W FOURTEENTH ST Mapsco
PORT ANGELES WA
Cycle 5 Res Map ID' 3
10955130
JOHN D AND SUSAN A LEE Owner ID 193194
1517 WEST 14TH STREET Ownership 100.0000000000%
PORT ANGELES WA 98363
Exemptions.
NOTE. If you plan to submit payment on a future date make sure you enter the date and
click RECALCULATE to obtain the correct total amount due
First Second l
Half Half 1
Base Base 1 1
I Year i Statement ID Taxing Jurisdiction Amt. Amt. 1 Penalty i Interest Base Paid Amount Due
2011 154796 ST SCH STATE SCHOOL $179.53 $179.52 $0.00 $0 00 $179.53 $179.52
2011 154796 _ST
COUNTY CLALLAM $99 11 $99 10 $0.00 $0 00 $99 11 $991
2011 154796 SD #121 SCHOOL DISTRICT #121 $234.67 $234.67 $0.00 $0 00 $234.67 $234.671
2011 154796_ CITY PORT NG CITY OF PORT ANGELES $22_8.81 $228.78_ $0.00 $0 00 $228.81 $228.78 i
2011 154796 PORT PORT OF PORT ANGELES $13.95 $13.95 $0.00 $0.00 $13.95 $13.951
2011 154796 NTH OLY LIB NORTH OLYMPIC LIBRARY $41.57 $41.56 $0.00 $0.00 $41.57 $41.56
2011 154796 HOSP #2 HOSPITAL #2 $40.69 $40.68 $0 00 $0 00 $40.69 $40.68
2011 154796 WSMET PK DIST WILLIAM SHORE MET PARK DIST $12.37 $12.36 $0.00 $0.00 $12.37 $12.36
1 2011 154796 CITY STORMWATER CITY STORMWATER $36 00 $36.00 $0 00 $0.00 $36.00 $36 00
12011 154796 WEED CONTROL WEED CONTROL $0.82 $0.81 $0 00 $0 00 $0 82 $0.81
2011 1547 TOTAL. 5887.52 $887.43 $0.00 $0.00 $887.52 $887.43
2010 43_079 ST_ SCH_ STA_T_E SCHOOL $177 73 $177 73 $0 00 $0.00 $355 46 $0 00
2010 43079 CC -GEN COUNTY CLALLAM $94.59 $94.58 $0.00 $0 00 $189 17 $0.00
20_10 43079 SD #121 SCHOOL DISTRICT #121 $230.21 $230.21 $0 00 $0 00 $460 42 $0 00
2010 43079 CITY PORT ANG CITY OF PORT ANGELES $218 99 $218 98 $0.00 $0.00 $437 97 $0 00
2010 43079 PORT PORT OF PORT ANGELES $13.30 $13.29 $0 00 $0.00 $26.59 $0.00
2010 43079 NTH OLY LIB NORTH OLYMPIC LIBRARY $27 48 $27 49 $0.00 $0.00 $54 97 $0.00
2010 43079 HOSP #2 HOSPITAL #2 $38.80 $38.80 $0.00 $0.00 $77.60 $0.00
2010 43079 WSMET PK DIST WILLIAM SHORE MET PARK DIST $12.34 $12.35 $0.00 $0.00 $24.69 $0.00
2010 43079 CITY _STORMWATER_CITYSTORMWATER $36.00 $36.00 $0 00 _$0 00 $72.00 $0 001
2010 43079 WEED_ L CONTROL WEED CONTROL $0.82 $0 81 $0.00 $0.00 $1.63 $0.001
http. /websrv8 clallam. net propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop_id =60204 5/5/2011
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FR 72) 47i it k.?
All dimensions size designations
given are subject to verification on
job site and adjustment to fit job
conditions.
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CITY OF PORT ANGLES Construcuon Plans t o
The issuance of this permit based upon these plans, specifi-
cations and other data shall not prevent the building official
thereefter–requiring–the–curection of errors in said
plar specifications and other data, or from preventing
Uhl carrbron thereunder when in
des and ordinances of this jurisdiction.
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TECHNOLOGIES EA not be released or copied unless
applicable fee has been paid or job
order placed.
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from theLeaftnr requiring he .C9Feclji*df. !agora in said
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections 5 2011
321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362
Ph. (360) 417 -4735 Fax. (360) 417 -4711 ELECTRICAL
INSPECTIONS
D `7
7 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair*
Plan Review May Be Requ�ir d, Please Corny t lectrical Plan Review Information Sheet
Job Address: 7 /73. //C_ "5
Building Square Footage:
Description of above
Owner Information
Name mod
Mailing ddress: tate:
City e: F a
Phon x:
e:4�i Fax:
License #1 Exp
Item
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/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp.
Temp. Service/Feeder Amp.
Temp. Service /Feeder 601 1000 Amp
Portal to Portal Hourly
Sign /Outline Lighting
Signal Circuit/ Limited Energy First 1500 sf Commercial
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited. Energy Multi Family Dwelling
Manufactured Home Connection
Renewable. Electrical Energy 5KVA System or Less
Thermostat
NEW CONSTRUCTION ONLY.
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Zip: et'.
J i
Unit Charge
119.90
$145.50
204.60
262.20
372.50
2.60
73.50
2.60
92.70
$110.30
$148.70
167.90
95.90
88.20
95.90
63.90
63.90
119.90
102.30
56.00
$110.30
35.20
73.50
$110.30
Dated:
o
Qty
Credit Card
EC1E5
Contractor Information
Name:
Mailing Address:
City
Phone:
License Exp.
State: Zip:
Fax:
Total (Qty Multiplied by Unit Charge)
S
U
&i ...1.!2 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.0 RCW Chapter 19.28, WAC Chapter 296 -46B, The 'City of Port
Angeles Municipal Code, and. Utility Specifications and PANIC 14.05 050 regarding Electrical Permit Applications.
Sign ur.e of owner electrical contractor or electrical administrator Cash Check
01/01/2010
Aoolicatinn lTnmha-
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
nnnnnl7r
671500
1517 W 14TH ST
06 30 00 0 4 0156 0000
RES ADDITION
RS7 RESDNTL SINGLE FAMILY
18000
Contractor
LEE SUSAN A WAYNE BILLMARK
1517 W 14TH ST PO BOX 1296
PORT ANGELES WA 983636884 SEQUIM
(360) 683 2753
Structure Information 000 000 306 SF ADDITION
Construction Type TYPE V NON RATED
Occupancy Type SINGLE FAM CONGREGATES
Other struct info TOTAL LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Permit
Additional desc
Permit. pin number
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
OWNER/ 1 4 CIR T STAT LV AD
48983
48 10
5/13/05 Valuation
11/09/05
Plan Check Fee
Qty Unit Charge Per
1 00 48 1000 ECH EL -R OR RM 1 4 ALT CIRCUITS
00 36 4000 ECH EL LVT FIRST THERMOSTAT
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc OWNER/ LV AUDIO
Permit pin number 48991
Permit Fee 42 20 Plan Check Fee
Issue Date 5/13/05 Valuation
Expiration Date 11/09/05
Qty Unit Charge Per
1 00 42 2000 EL LOW VOLT SYS =2500 SQFT
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
VN
Special Notes and Comments
When roof gutters are installed drains will located in dry
wells or piped to approved storm drain locations
Proposal will result in 306 sq ft addition in RS 7 for
total lot covereage of 24% No land use issues noted
Electrical load calculations and elctrical permits are
required
Other Fees
COMMENTS /ACTION NEEDED
WA 98382
23 50
1 00
1344 00
7000 00
306 00
1650 00
1 00
00
0
Extension
48 10
00
00
0
Extension
42 20
STATE SURCHARGE 4 50
r
FINAL
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS: PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES 1 NO
DITCH I I I
ROUGH -IN COVEk I I I
SERVICE I I
I I I
I I I
1 I I
I I I
I I I
COMMENTS
PAL 1102.13 (496)
Application Number
Application pin number
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
COMMENTS /ACTION NEEDED.
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
05 00000178
671500
Charged Paid Credited
90 30 90 30 00
00 00 00
4 50 4 50 00
94 80 94 80 00
Page 2
Date 5/13/05
Due
00
00
00
00
FINAL
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
s 'I l .:ALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES I NO
DITCI4 I I I
ROUGH-IN COVEk
SERVICE I6 4 -e I
1 I I
I I I
I I I
I I I
I I I
PW.1102 13 14/961
COMMENTS
E.% Pl k D /2 -13-o5
10- itb`s
Electrical Contractor Owner�14 r/ F
Annual Permit Alarm Carnival Commercial Residential Residential Maint. Signs Thermostat Telecom.
tom/ (Installation description
Job wired by Electrical Contractor ,�Q Owner —1
4/
contractor name
Purchaser's mailing addre
/7
tt it>n
Telephone number
Premises oyy.e
7 „7 WALLS
Insulation Only
Date
Inspection
Date
Cover
n me
4-"---)
Approved By
Date
Electrical Load Additions and or subtractions
NO LOAD CHANGES
Baseboard KW
Furnace KW
Heat Pump Ton LAR
Fan -Wall KW
License number
State C ZIP
FAX number
Address of inspectio —f.r
Cit
l 4,2, i
I hereby certify that I am the owner of the above named property or a licensed
electrical contractor (or the firm's authorized agent) and am making the electrical
installation or alteration in compliance with the electrical law Chapter 19.28 RCW
/Signature of owner, electric�,tntractor o lectrical administrator
G
Insula
Cover
Approved By ate Appr ved By
I
ELECTRICAL WORK PERMIT APPLICATION
Request Inspection
Overhead Service
Temp Service
Underground Service
Area, Building or Equipment Inspected
40/7715 4/
1
d /a2.
D,
3; 0 4.2 6P la
Cash Check
Credit Card
Card
Expiration Date
.of card
Date
THERMOSTAT
Visa
Action Taken
v
Mastercard Discover
Insnection fee
SERVICE
Date Approved By Date Appr ed By
Appr ed By DITCH FEEDER
Approved By Date Appr ed By
Service Information
Voltage
Phase 1 3
Service Size:
Feeder Size:
Electrical
Inspector
f tlORT ~
!::-4.0~~~
"ha~
"--~
~
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
05-00000178 Date
.671500
1517 W 14TH ST
06-30-00-0-4-0156-0000-
RES ADDITION
3/31/05
Application Number
P~n number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivis~on Name
Property Use
Property Zoning . . .
Application valuation
RS7 RESDNTL SINGLE FAMILY
18000
Owner
Contractor
LEE SUSAN A
1517 W 14TH ST
PORT ANGELES
WAYNE BILLMARK
PO BOX 1296
SEQUIM
(360) 683-2753
306 SF ADDITION
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 983636884
WA 98382
Structure Information
Construction Type
Occupancy Type
Other struct info
23.50
VN
1. 00
1344.00
7000.00
306.00
1650.00
1. 00
Permit
Additional desc
Perm~t Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
306 SF ROOM ADDITION
316.75 Plan Check Fee
3/31/05 Valuation
9/27/05
126.70
18000
Qty Unit Charge Per
Extension
92.75
224.00
16.00
BASE FEE
14.0000 THOU BL-2001-25K (14 PER K)
Spec~al Notes and Comments
When roof gutters are installed, drains will located in dry
wells or p~ped to approved storm drain locations.
Proposal will result in 306 sq. ft. addition in RS-7 for
total lot covereage of 24%. No land use issues noted.
Electrical load calculations and elctrical permits are
required.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ...--------- ---------- ----------
Permit Fee Total 316.75 316.75 .00 .00
Plan Check Total 126.70 126.70 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 447.95 447.95 .00 .00
~
~
EXPIRED
(;<:/17/0$
U\
-
~
t
--.
.:t:.
~.
.::s
~
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
con~tloy, w/wk 3-3/-05
Date
Signature of Owner (if owner is builder)
Date
T'\Pohcles\1102_15 bUlldmg permit mspectlOn record05 wpd [1/4/20051
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTIN~S
WALLS '<..:lII......c.4 olo ... L_ ~
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL .
WALLS ""/lLf/O~ ~V~
CEILING I
FRAMING
JOISTS 1 GIRDERS ~/q /Ot5 .1\..-1,.-
SHEAR WALL/HOLD DOWNS
WALLS / ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB , ,
WALL 1 FLOOR 1 CEILING Iblt&? IO~ I J fA".
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA
PARKINGILIGHTING ESA-
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417.4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W 1 PW 1 CONSTRUCTION - R W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 4 I 7-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T:\Pohcles\1102_15 bUlldmg penmt mspectlon record05 wpd [1/412005]
PREPARED 6/16/05, 13'36 41
CITY OF PORT ANGELES
2
6/16/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR, JAMES L LIERLY
PAGE
DATE
1517 W 14TH ST
WAYNE BILLMARK
LEE SUSAN A
06-30-00-0-4-0156-0000-
05-00000178 RES ADDITION
SUBDIV,
PHONE (360) 683-2753
PHONE
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLM 01 4/07/05 JLL
4/07/05 DA
BLM 02 4/08/05 JLL
4/08/05 AP
BL3 01 6/09/05 JLL
6/09/05 AP
BAIR 01 6/14/05 JLL
6/14/05 AP
BLI 01 ~~
BUILDING FOUNDATION MONO SLAB TIME 17 00
Fred 460-8063
repalr down spout draln In slab, clear draln of
constructlon debrls and replace
BUILDING FOUNDATION MONO SLAB TIME 17 00
/
BUILDING FRAMING
06/09/2005 10 56 AM DYASUMUR
WAYNE 460-3128
06/09/2005 04 26 PM JLIERLY ----------------------------
BUILDING AIR SEAL
06/14/2005 01 19 PM JLIERLY ----------------------------
460-3128
06/14/2005 03 57 PM JLIERLY ----------------------------
BUILDING INSULATION
06/16/2005 08 33 AM DYASUMUR
WAYNE 683-2753
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 6;14;05, 13 35 55
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
5
6/14/05
1517 W 14TH ST
WAYNE BILLMARK
LEE SUSAN A
06-30-00-0-4-0156-0000-
05-00000178 RES ADDITION
SUBDIV:
PHONE' (360) 683-2753
PHONE
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLM 01 4/07/05 JLL
4/07/05 DA
BLM 02 4/08/05 JLL
4/08/05 AP
BL3 01 6/09/05 JLL
6/09/05 AP
BAIR 01 ~~
BUILDING FOUNDATION MONO SLAB TIME. 17:00
Fred 460-8063
repa1r down spout dra1n 1n slab, clear dra1n of
construct1on debr1s and replace
BUILDING FOUNDATION MONO SLAB TIME 17 00
BUILDING FRAMING
06/09/2005 10 56 AM DYASUMUR
WAYNE 460-3128
06/09/2005 04.26 PM JLIERLY ----------------------------
BUILDING AIR SEAL
06/14/2005 01.19 PM JLIERLY ----------------------------
460-3128
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 6/09/05, 13:32 35
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR' JAMES L LIERLY
PAGE
DATE
1
6/09/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1517 W 14TH ST
WAYNE BILLMARK
LEE SUSAN A
06-30-00-0-4-0156-0000-
05-00000178 RES ADDITION
SUBDIV'
PHONE (360) 683-2753
PHONE
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLM 01
4/07/05 JLL
4/07/05 DA
BUILDING FOUNDATION MONO SLAB TIME 17 00
Fred 460-8063
repa1r down spout dra1n 1n slab, clear dra1n of
construct1on debr1s and replace
BUILDING FOUNDATION MONO SLAB TIME 17 00
BL3 01
4/08/05 JLL
4/08/05 AP
~+r-
-------------------------------------- COMMENTS AND NOTES --------------------------------------
BUILDING FRAMING
06/09/2005 10.56 AM DYASUMUR
WAYNE 460-3128
BLM 02
PREPARED 4/07/05, 12.56 11
CITY OF PO~=_~~~~~~_
- 1517 W 14TH ST
ADDRESS WAYNE BILLMARK
CONTRACTOR LEE SUSAN A
OWNER 06-30-00-0-4-0156-0000-
PARCEL 05-00000178 RES ADDITI_O_N___
APPL NUMBER
-------- ----- PERMIT - RESIDENTIAL
PERMIT: BPR 00 BUILDING DESCRIPTION
REQUESTED INSP RESULTS/COMMENTS
COMPLETED RESULT ________
BUILDING FOUNDATION MONO SLAB
Fred - 460-8063
TYP/SQ
BLM
01__~~~___
~6-W
~Vfl~
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
SUBDIV'
PHONE
PHONE .
(360) 683-2753
TIME. 17:00
COMMENTS AND NOTES -
~iA{ ~faJr- ~ ~0
"~+-0lIL-g- ~)u{\
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7
4/07/05
UU~
7
S- 0 II--r/7
s-~
lf/~/6~
BUILDING PERMIT - APPLICATION
------ --- --- -- -- - FOR OFFICi~L-USE ONLY:-t- ---
ate Rec....5- J l../ ~C S'l\
_l#'05-1~
ate'Approved' ~ I ~-
ate Issued:
-Fill-out.GOMl!LETEL Y.and-in.INK. ~our_application.and_site.plan,MUST B
C'OMPLKri: to be accepted -for review. If you have- any qu-estions, call
PERMITS (360) 417-4815 FAX(360)417-4711
--~": ~Al'plicant-'or ~gent:- .-AlIkI /1J~-.fl>)U-m-ftl} -k-.,._-,-,wp.hene:-",3~().:::- !//;.(X--::...'3/~. . ..
Owner: ___\ (~h f\ c!t ~ {/~ J4 III Lt?~ Phone: L/:~~ - ~ cJ / ()
Address: is- / '7 W /4 f- " City: fJ n- Zip: 1JY~ Ct ^
ArchitectJEngineer: , Pho~
___ -Gentractor YAt&:. ,U/flI9( KStateLicense_#::h1fr1lJj~/;7~xp: ;J- 0 "-
r tJ ox: ~9 (P City:,,~ tJ J Lv.
PROJECT ADDRESS: J S) 7 h.) 1,/-1-1-..-
LEGAL DESCRIPTION: Lot--1 y Block: 1.; 0--' Subdivision:
CLALLAM COUNTY PARCEL NUMBER: 0 & "30 ()6 0 Lf 0 IS (p
Address:
Pl1Qn.e: q6t1- 3 /W
Zip: q~33Q.
ZONING:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
}}'PE OF WORK:
()l.Residential 0 New Constr. 0 Re-roof
o Multi-family ~ddition 0 Move
o Commercial 0 Remodel 0 DemohtlOn
-- --- -- - , - D--Reparr---D-Sign- -
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
o Stove
o Garage
o Deck
o Other-
< i.J YJ I^~
-
SIZENALUATION:
3() (p SF. @$ /SF. = $ 18 O:::r\ ~ <J
SF. @ $ /SF. = $
SF. @ $ /SF. = $
__. TOTAL VALUATION $
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stones: Lot Size: 7DOO Existing Sq. Ft. J ~ l../Lj & Proposed Sq. Ft. '3/J h = TOTAL Sq. Ft. I ~<>(:j
Total lot coverage "2. ~ . S; %
ESNWetIand(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
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: IF a plan check fee is due it must be submitted at the tlme the buildmg permit application and construction plans are I
submitted. All other permit fees are due at the time of permit issuance. I
-EXPIRA-TION-OF-PL-.AN-REVIEW:-Ifnollermitisissued-within-1-80-days-of-the-date-of-application,-the-application-will-expire;-'Fhe--
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2
of the International BuildinglResidential Code, 2003). No application can be extended more than once.
f 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 responsibifity to determine what permits are required ,not th City's, and that I must obtain such permits prior to work.
Date: ~ -/'l-~0
Applicant:
T:\RVESS\BLDG-forrns-brochures\2004-Buildmgperrmt.wpd
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VertIcal Datum = NA VD 88
I HOrIZontal Datum = NAD 83/91
N
Area Map
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This map IS not Intended to be used as a legal descnptlon ~
This map/drawmg IS produced by the OIl' of Pori Angeles for 1/s ~~n :iSr ~nd!,~,poses ,~ I
Any other use of this map/drawing shall not be the responsl I f!1 0 t e
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--
CITY OF PORT ANGELES - Construction Plans
The Issuance of this permit based upon these plans, specIfi-
cations and other data shall not prevent the bUlldmg official
from thereafter reQuiring the correction of errors in said
plans, specifications and other data, or from preventmg
bllllrlmg oper~llons iJeon:: carried on thereunder when In
, '0 of all codes anO or(dOances of thiS Jurisdiction.
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16'-6 1/2"
1'-5"
5'-0"
10'-1 1/2"
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Existing house wall
I
I
ILIVING AREA
I 310 sq ft/
I BWP
I ~I I
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5682 5682
2'-8"
5'-6"
8"
5'-6"
2'-8"
\,
17' -0"
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-------PREPARED--4/08/05, 13 04 19
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
12
4/08/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER-
1517 W 14TH ST
WAYNE BILLMARK
LEE SUSAN A
06-30-00-0-4-0156-0000-
05-00000178 RES ADDITION
SUBDIV
PHONE
PHONE
(360) 683-2753
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLM
01
4/07/05
4/07/05
JLL
DA
TIME
17 00
BUILDING FOUNDATION MONO SLAB
Fred 460-8063
repalr down spout draln In slab, clear draln of
constructlon debrls and replace
BLM 02 ~ ~ BUILDING FOUNDATION MONO SLAB TIME 17 00
-------------------------------------- COMMENTS AND NOTES --------------------------------------
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
SL.~'17
//-;)4-'73
DATE
Site Address:
ELECTRICAL PERMIT
rr-r
o READY FOR
INSPECTION
License Number:
WILL CALL FOR
INSPECTION
Phone:
Installed By:
OwnerfBusiness:
Phone:
Owner/Business Address:
Sq. Ft.
hi RESIDENTIAL
I'f COMMERCIAL '11_.''--
~ BASEBOARD KW ~.5
tl FURNACE KW _
o FAN/WALL KW
o HEAT PUMP KW_
D SIGN
o TEMPORARY SERVICE
1& PERMANENT SERVICE
.1St NEW CONSTRUCTION
tJ REMODEL
o ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
~. OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
D SINGLE PHASE
o THREE PHASE
SERVICE SIZE :ODD AMPS
Details/Description:
Y/p} Lf.1.u.-t!........-
"X G, 4 ,Qe; a-
e
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
~HOUgh-in/cover O.K.
IfI'O.K. to connect service
.iIJi\,Vip Final O.K.
Site Address:
Installer:
LJ
111
Permit/Receipt No.
'17
~~'~l
New Meters
Date:
I j-J,(f-?3
.
Notify Port Angel s City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building ermi!. PHONE 457-0411, EXT. 224.
.---r:;;" NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 5!J , 0 0
Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PAINTERS INC
Application Number . . . . . 22-00001428 Date 11/15/22
Application pin number . . . 022660
Property Address . . . . . . 1517 W 14TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-0156-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
SUSAN ASPELUND EXTRA MILE TECH & ELECT., LLC
1517 W 14TH ST 418 N. RACE ST.
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 927-4295 (360) 457-5222
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 11/15/22 Valuation . . . . 0
Expiration Date . . 5/14/23
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Pub! ic \Yorks and ULili ties Department
32 l E. 5th Street. Port ;\ngeles. WJ\ 98362
300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us
Project Address:--------------------------------------
Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _
OWNER JNFORMATtON
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRfCAL CONTRACTOR fNFORMATION
Name: ___________________________ License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp. $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/ Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp. Service/Feeder 200 Amp. $93.00 $
Temp. Service/Feeder 201-400 Amp. $110.00 $
Temp. Service/Feeder 401-600 Amp. $149.00 $
Temp. Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal CircuiULimited Energy - 1 &2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Ren ewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional) $56.00 $
First 1300 Sql;Jare Feet $120.00 $
Each Additional 500 square feet" $40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool/ Hot Tub $110.00 $
TOTAL $
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
'"'CJ CD
PREPARED 11/14/22, 7:29:46 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
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APPLICATION NUMBER:22-00001428 1517 W 14TH ST
FEE DESCRIPTION AMOUNT DUE
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ELECTRICAL ALTER RESIDENTIAL 63.00
TOTAL DUE 63.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
DHP
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
11/17/2022 22-1428
TAP
OWNER
CONTRACTOR
Extra Mile Electric
PROJECT ADDRESS
1517 W 14th St