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ELE!CTRICAL WORK PERMIT APPLICATION
(1-
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All \'Jtcdfln Hr(\-\.;~ 4-(',.,d,,,O
Purchaser's mailing addr s
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Telephone numbe;
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o Electrical Contractor 0 Owner
Installation description
o Commercial )ll Residential
Electrical contractor name
License nUJllber
/\u-"J~\\r \9")'L\\
Date Expires
ert, / bfo
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o New 0 Altered/Addition
State ZIP
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FAX number
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Owner as defined by RCW.19.28.261:(I) Owner will OCC/lpy the structure for two
years after this electrical pemlit is finalized. (2) Ow/ler is required to hire an electrical
contractor if above said property is for sale. rent Dr lease.
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 instal-
lation or 'alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and
Utility Specifications..
Signature of owner, ehietrlcal contractor or electrical administrator
X' ..' ~-1/c5 Date: Z-'1.
I I
o NO LOAD CHANGES
o Baseboard _ KW
o Furnace KW 0 Overhead Service
o Heat Pump _ Ton _ LAR 0 Temp Service
o Fan-Wall _ KW 0 Underground Service
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
THERMOSTA:
'1- -s-:.-ol:,
o Cash )it Check #
o Credit Card VISa
Mastercard
Discover
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$
Service Information
Voltage
Phase 0 1 0 3
Service Size:
Feeder Size:
t
f
Date
SERVICE
Dale
Approved By
"
DITCH
FEEDER
Dale
Approved By
Dale
Approved By
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Date Inspector
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DMSION
321 EAST51HSTREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
Owner
4/07/06
06-00000222 Date
852464
316 VIEWCREST AVE
06-30-15-5-1J2800-0000-
CHRIS ANDERSON
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
126244
Contractor
GRANT'S VIEW, LLC.
2432 267TH COURT SE
SAMMAMISH WA 98075
C. ANDERSON HOMES & DEV.
8215 184TH DR. BE
SNOHOMISH, WA. 98290
SEBRING
(425) 770-1477
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
INC.
Other struct info . . . . .
FL
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
27.20
1. 00
7000.00
1906.00
1.00
DRIVEWAY INSTALLATION
72462
170.00
Plan Check Fee
Valuation
.00
o
10/04/06
Qty Unit Charge Per
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BASE FEE
Extension
, 170.00
PUBLIC WORKS RES WATER SERV
72488
715.00
Plan Check Fee
Valuation
.00
126244
10/04/06
Qty Unit Charge Per
1.00 715.0000 EA PW W/M 1" SERV 5/8" METER
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
Extension
715.00
RIGHT OF WAY
72470
50.00
Plan Check Fee
Valuation
.00
126244
10/04/06
Qty Unit Charge Per
1.00 50.0000 ECH RIGHT OF WAY PE~IT
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
,Extension
50.00
SANITARY SEWER HOOK UP
72496
110.00
Plan Check Fee
Valuation
.00
126244
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 t i autho 'ty to violate or cancel the provisions of any state or local law regulating constructio'n or the perforiTlance of
construct'
Signature of Contractor or Authorized Agent
T:\Policies\II02.15R {1I05]
Signature of Owner (if owner is builder) ,
Date
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
I INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES 1 NO
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKlNG
SIDEWALK
CURB & GUTTER
DRlVEW A Y APPROACH
BACK-FLOW DEVICE I
I I
I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
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:\Policies\1102.15R [1/05]
,---
t~
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DNISION
321 EAST'STHSTREET, PORT ANGELES, WA 98362
Application Number . . . . .
Application pin number
Expiration Date . .
06-00000222
852464
10/04/06
Page
Date
2
4/07/06
Qty Unit Charge Per
1.00 110.0000 EA SAN SEWER HOOKUP
Extension
110.00
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
03/09/2006 04:50 PM SROBERDS - The proposal will result
in a new s.f. res in the RS-7 zone for total lot coverage
of 27%. Property corners MUST be staked to determine
setbacks.
Electrical load calculations and elctrical permits are
required.
There is no power to these lots. Cost estimate sent to
owners. Waiting for payment & easements for line extension.
03/06/2006 03:47 PM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway at alley and 6" wide Sidewalks along
Viewcrest to City Standards. No concrete with exposed
aggregate allowed in the Cityroad right of way. An
inspection by Public Works Engineering is required prior to
prouring concrete. A survey will be required to establish
property line along Viewcrest.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
870.00
4:50
1200.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1045.00 . 1045.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2074.50 2074.50 .00 .00
Grand Total 3119.50 3119.50 .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 Owner (if owner is builder) .
Date
Signature of .contractor or Authorized Agent
Date
T:\Policies\1102.1SR [1I0S]
PERMIT INSPECTION RECORD
.-
CALL 417-4807 FOR UTILITY INSPECfIONS. 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
I INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
PW UTILITIES (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH I
BACK-FLOW DEVICE I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING c
T:\Polic:ies\1 I02.15R [1/05]
l~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DWISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
06-00000222 Date
852464
316 VIEWCREST AVE
06-30-15-5-1-2800-0000-
CHRIS ANDERSON
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
126244
Owner
Contractor
Other struct info . . . . .
C. ANDERSON HOMES & DEV.
8215 184TH DR. SE
SNOHOMISH, WA. 98290
SEBRING
(425) 770-1477
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
GRANT'S VIEW, LLC.
2432 267TH COURT SE
SAMMAMISH WA 98075
Permit . . . . .
Additional desc .
Permit pin number
permi t Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
72611
1171.45
Plan Check Fee
Valuation
10/04/06-
Qty Unit Charge Per
BASE FEE
27.00 5.6000 THOU BL-100,OOl-500K (5.60 PER K)
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit pin number 72637
Permit Fee 36.40 Plan Check Fee
Issue Date Valuation
Expiration Date 10/04/06
Qty Unit Charge Per
1:00 36.4000 ECH EL-LVT-FIRST THERMOSTAT
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
72629
111.60 Plan Check Fee
Valuation
10/04/06
Qty Unit Charge Per
BASE FEE
1. 00 14.7000 ECH ME- INSTALL 100- FAU
5.00 7.2500 ECH ME-VENT FAN
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5
Permit
PLUMBING PERMIT
4/07/06
INC.
FL
27.20
1. 00
7000.00
1906.00
1. 00
468.58
126244
~
Extension
1020.25
151.20
.00
o
Extension
36.40
.00
o
~
~ 2
'- ~
~~
qp
Extension
50.00
14.70
36.25
10.65
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 goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to iv uthority to violate or cancel the provisions of any state or local law regulating construction or the performance of
constructio .
u - {,-06
Signature of Contractor or Authorized Agent
Date
T:\Policies\1102_l5 building permit inspection record05.wpd [1/412005]
L
Signature of Owner (if owner is builder)
Date
,
BUll.,DING 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:
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLOG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULA nON
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKlNGILIGHTING 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. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
LJ.
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll..DING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 06-00000222
Application pin number 852464
Additional desc .
Permit pin number 72645
Permit Fee 149.00 Plan Check Fee
Issue Date valuation
Expiration Date 10/04/06
Page
Date
2
4/07/06
.00
o
Qty Unit Charge Per
BASE FEE
10.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE
1. 00 15.0000 ECH PL- EA. BLDG SEWER
1. 00 7.0000 ECH PL- EA.WATER HEATER
Extension
50.00
70.00
7.00
15.00
7.00
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background. "t- --. ~~'....'
03/09/2006 04:50 PM SROBERDS - The proposal will ~e-s\!lt .: ~ ,i IT
in a new s.f. res in the RS-7 zone for total lot coverage
of 27%. Property corners MUST be staked to determine
setbacks.
Electrical load calculations and elctrical permits are
required.
~here is no power to these lots. Cost estimate sent to
owners. Waiting for payment & easements for line extension.
03/06/2006 03:47 PM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway at alley and 6" wide Sidewalks along
Viewcrest to City Standards. No concrete with exposed
aggregate allowed in the Cityroad right of way. An
inspe~tion by public Works Engineering is required prior to
prourlng concrete. A survey will be required to establish
property line along Viewcrest.
Other Fees . . . . . . . . . SEWER SYSTEM DELV CHARGE
STATE SURCHARGE _rA'~
PW WATER SYSTEM USE FEE'
870.00.
~\5()' ~
1200.'OO'~ ,
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1468.45 1468.45 .00 .00
Plan Check Total 468.58 468.58 .00 .00
Other Fee Total 2074.50 2074.50 .00 .00
Grand Total 4011.53 4011.53 .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 Jaw regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005]
,----
BUILDING PERMIT INSPECTION RECORD
CALL 4 I 7-48 IS 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.
~
I
~
~
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION: , o"(f~/b <a/fH/fJ6 J.u-
FOOTINGS ~ul'141AS/-11f'Y-" J/I !f)fp ~
SHEAR1V!LLS 1 WALLS I ~t~ ~<4 V~/o~
-FOUNDATION) DRAINAGE 1 DOWN SPOUTS .5./S./0G, \/'^' \/2-.
PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN "IV(. .he. V2--
WATER LINE (METER TO BLOG) Ihlll /tJ~ \TW FINAL! /5'/0 7
GAS LINE I DATE J.-Ll- ACCEPTED BY:
BACK FLOW 1 WATER I
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING (pj'2-( lOr;, JtA-- 7/7/at W
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB I ,
WALL 1 FLOOR 1 CEILING 7/ III fJ(, T 7111/ I
MECHANICAL 7 f<l- 7!t{Ofo Vl/
HEAT PUNWI FURNACE 1 DUCTS
GAS LINE ANAL I ls-f'7 DATE
WOOD STOVE 1 PELLET 1 CHIMNEY J 1/1..,/ ACCEPTED BY:
r
COMMERCIAL HOOD 1 DUCTS I
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEP ARA TE PERMIT #'s SEPA:
P ARKING/LlGHTlNG 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.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 ~-, l,oQ "1i..L,~ BUILDING
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T:\Policies\1102_15 builaing permit inspection record05.wpd [1/4/2005]
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-...- .,-.-.....:.,)
-C' 1
"' I
~
l.J '-'..........,. I ......,. . -..........
Fill out COMPLETELY and in INK. Your application and site plan MUST
COM..rLETE. Tn he accepit:u for review. Ifyuii have an}' questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent--C I A{\()f(~ul'\ &11')"'\ 6 i)~velF~.d
Owner: l?\~~, ',v:~~. LL.G
Address:14o()IV,'Ab"ki()~" S-r,c,ude Jo)j./7~ City: S r ~(lj,,,,,
Architect/Engineer: <:'oullJ <::,+rv(fv~t <;o)uhl>l1\
Contractor G .~~e""lll"\ ~/') ~ Deli. State License #:
Address: ; l.fll<>L,J. WQS~ID .j.,,, Su;fe)O'-/-17'ir City:
PROJECT ADDRESS:~& V~ctz~T AtE ZONING: /JS -7
LEGAL DESCRIPTION: Lot~ Block: Subdivision: Crrc-.. t-~ Add,' I-t (J I"')
CLAILAMCOUNTYPARCELNUMBER .t10/~o//..~0 /3-e~/ooa-O
S 1"'1 v,',~
Phone: lid~ 770 -(Y7J
Phone: Lf J- S-- 770 "IIt 7 7
Zip: q q-?'Y-;2
Phone: l1d 5- 7'f,{-/ 0;)3
Phone: Liz - )70 -/y 77
Zip: . 9 g-- s&-.,2.
Exp:
TYPE OF WORK:
~Residential )Q..New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial D. Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRll'TION OF THE PROJECT:
o Stove
~Garage
~ Deck
o Other
I y .h c:::
SIZENALUATION: 0'"
1'-/ (, S SF. @ $ <60 /SF. = $ / J 11.) OU (J';>
'\-bO SF. @ $ '2../.3e /SF. = $ ~. '!Jbl.. -
4\ SF.@$ (2.ClO /SF.=$ 4Q':l--
TOTAL VALUATION $_/2(,1 2..44 \
~ ~ +- j...) ~.,v S FI2. CO" '> /..r._( h ~. -
COMMERCL<\LIRESIDENTIAL: Occupancy Group:
No. of Stories: Lot Size: 10- () 0 Existing Sq. Ft.
Totallat coverage '1.1- ').- %
Occupant Load: Construction Type:
~ & Proposed Sq. Ft. \qO,C. = TOTAL Sq. Ft.J:1o Co
ESAfWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
AYPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
VALUATION OF CONSTRUCTION: In all cases, a valuation aIDount IDust be entered by the applicant This :figure will be reviewed
and may be revised by the Building Division to comply.with current fee schedules. Contact the Permit Coordinator at 41 7-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee.is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The
Building Official can e),."tend the time for action by the applicant up to 180 days upon written request by the applicant (see Section Rl 05.3.2
of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined t . application and know the same to be true and correct. I am authorized to appJy for this permit and
understand that it is my responsibility to determi t . required ,not the City's, and that J must obtain such permits prior to work.
T\P?r9i~~-13WPd ~~
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Applicant Project Review Sheet
Applicant:
Owner:
L,. MeJJu'" J-J-o/VS. tJ. ~lf.
L:-" n<,. ~,\uS.)"
Property Address:
. Proposed Use:
Zoning: 9.5 -,
JJ ~IAJ ~ F' f2..
Is the proposed use listed as a "permitted use" or an "accessory use" in this zone?
Is this the only use (business, residence, etc.) on this site?
Has there ever been a subdivision, shortplat, or PRD approved for this site, or has one been
submitted and is pending approval?
Does the proposed use require a new buisiness license?
Does the project extend into any required setbacks or cross any lot lines (interior or
exterior)?
Does the project exceed the pennitted height allowance or cause the property to exceed
the allowed lot coverage in this zone?
Does the project require any additional parking or special design/landscape
improvements in this zone?
Does the project eliminate any existing parking spaces?
Is the project located within 200' of the shoreline?
Are there any enviromnentaIly sensitive areas on or within 200' of the property, including:
. wetlands or areas of standing water (year round or seasonal);
. streams (year round or seasonal);
. areas with a slope of 40% or greater; or
. areas that have evidence of past ground movement or erosion?
iave all the required submittals been provided by the applicant?
o Site Plan 0 Construction Drawings
o ParkinglDrainage Plan 0 Civil Drawings
o Energy Calc 0 Supporting Engr. Calc
o Landscape/Lighting Plan 0 Other
~yes: ok
~yes: ok
Dyes: requires PD
D yes: requires CC
reVIew
D yes: requires PD
review
D yes: requires PD
review
D yes: requires PD
review
D yes: requires PD
reVIew
D yes: requires PD
reVIew
o yes: requires PD
review
Dno: requires PD
review
Dno: requires PD
'(! no: ok
Xl no: ok
~ no: ok
~ no: ok
')Q no: ok
~ no: ok
~ no: ok
):;J no: ok
The information provid
the City to be inc t.
subsequently re i
abov is true to the best of my knowledge. I understand that in the event that any of this information is determined by
is pl1 ect will be stopped until such time the City detenmines the correct information is provided and any!
d approvals are completed and granted. ') ,
~- ).-7-0h
Applicant
Date .
Permit Category #
Route to: 0 BD
Staff Initials
(see reverse side)
OCC OPD OLD
Building Permit # Master Tracking #
o PD 0 PW 0 File 0 Other
Date
Completion ofthisform is required lOr all catef!orv lb. 2 & 1 nprmit" r"...nTn';n_:_ ___ ___u'_ ,,.
,---
Prescriptive Approach-Simple Fonn
For the Washington State Energy Code (2003 Edition)
Climate Zoue 1
City: PrJr+- ~9 P (fS
State:~Zip:
Contact: c.. ~ r 1-<'" ~ C\ f'r:s 0,\
Phone:~ J.- S- -7 .., () -/4,,-,
Building Department Use Only:
Permit #
Notes:
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Site Information
Lot: ,"
Address: .
Phone 2:
FAX: ~ 6 0 - ~ y 2, - ~3 q 8'
Table 6-1
PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
( Unlimited azIDJ1; GotIon Onlv ) i
Option Glazing Glazing tv-Factor Door Wall Wall Wall Slab I
Area % U- Vau:lted Above Interior Exterior I
on i
Overhead Ceiling Ceiling Grade I
of Floor Vertical Factor Below Below Floor Grade
Grade Grade I
I
Unlimited i
I
III Group R-3 0.40 0.58 0.20 R-38 R-30 R21 R-21 R-I0 R-30 i
R-lOi
Occupancy !
i
Only i
Gl'
This Project complies with the following:
,/ The Project is a single family residence or duplex.
,/ The Project is wood frame OR all of the insulation is interior or exterior of the framing.
,/ All building components meet the requirements listed in Table 6-1, Option III.
,/ The Project will meet all other provisions of the WSEC and VIAQ.
The Proj ect will take advantage of the following exceptions to the prescriptive option .
o 602.6 Exception 1. One door, that is 24ft. Or less, that does not meet the standards allowed.
Location of the door taking this exception
o 602.6 Exception 2. Doors with a U-Factor of 0.40 allowed without calculations, Option ill only.
Location of the Door (s) taking exception
Type of Heat Source:
EleG+((G-
Fa ,e t" () Air.
EXHIBIT A
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CITY OF PORT ANGELES
PUBLIC WORKS . ELECTRICAL DIVISION
nl EAST 5TH STREET. PORT ANGELES. WA 983()2
.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER'
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning .
Applicatlon valuation
,06-00000222' ",:..'~,;~;" Datell/16/06
852464
316 VIEWCREST AVE
06-30-15-5-1-2800-0000-
CHRIS ANDERSON
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
126244
Owner
Contractor, '.
-------------~----------
~ ~., , , ~....
GRANT'S VIEW, LLC.
2432 267TH COURT SE
SAMMAMISH
C. ANDERSON HOMES & DEV INC
8215 184TH DR. SE
WA 98075 SNOHOMISH, WA 98290
SEBRING FL
(425) 770-1477
TOTAL % LOT COVERAGE 27.20
NUMBER OF STORIES 1.00
LOT SIZE 7000 00
TOTAL LOT COVERAGE 1906 00
NUMBER OF UNITS 1.00
----------------------------------------------------------------------------
Permit ELECTRICAL NEK RESID?NTI~~~~. "~;'__.,_
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
72637
ALL WEATHER
36.40
4/07/06
5/02/07
HTG & COOLING INC
Plan Check Fee
Valuation
.00
o
LasereC!
CEO
~
~
~
t
~
'l
t
Other struct info
Qty
1 00
Unit Charge Per
36 4000 ECH EL-LVT-FIRST THERMOSTAT
Extension
36.40
Special Notes and Comments .". .,' W ~-. . .~
Address numbers shall be plainly yj.s.tb:).~*r.Q..m -tii~tregL-_.
Address numbers shall be a minimum of six inches.high and be
of contrasting color from the background. ':,;, , F,..
03/09/2006 04:50 PM SROBERDS - The proposal will result
in a new s.f res in the RS-7 zone for total lot coverage
of 27% Property corners MUST be staked to determine
setbacks
Electrical load calculations and elctrical permits are
required.
There is no power to these lots. Cost estimate sent to
owners Waiting for payment & easements for line extension.
03/06/2006 03 : 47 PM GMCLAIN -- - - - - -- - - - - " - - -- - -- - - -,' -- --
Sanitary sewer .connection inspecti2~..,is'Treqi1f!:i!df~4J. ~: -'-_ ....;;;..._
Public Works prior to back fill-of ditc~~2~hour advance J
notice is required .
Construct driveway at alley and 6" wide Sidewalks along
viewcrest to City Standards. No concrete with exposed
aggregate allowed in the Cityroad right of way. An
inspection by Public Works Engineering is required prior to
prourlng concrete. A survey will be required to establish
property line along viewcrest
Other Fees
RES UNDERGRND SERVICE FEE
713 00
~--~.-
J" I
COMMENTS/ACTION NEEDED
"""~~,~:,, ',',",
- I -,~ '-"''i-'T''1''''I''fl'T" "'~fTHi~i}"'~lt ~ '~~<rT~ _J J...._ ~",.
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~
CITY OF PORT ANGELES
PUBLIC WORKS ~ -, ELECTRICAL DIVISION
J21 EAST'S'THstRE€i~'PORT ANGELES..WA 98362
~
Application Number
Application pin number -
06-00000222
852464
Page 2
Date 11/16/06
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
870.00
4.50
1200 00
Fee summary Charged Paid " Credited Due
, .--...'!1>,;.=
----------------- ---------- - - - - -.- - - - - ---------- ----------
Permit Fee Total 36.40 36.40 .00 .00
Plan Check Total .00 00 .00 .00
Other Fee Total 2787 50 2787.50 .00 .00
Grand Total 2823.90 2823.90 00 .00
, t ~ _, ~ .
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1.1.I'l ~f'.V4;- .~ '}_
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COMMENTS/ACTION NEEDED
..J_~_~~,
';,
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. "
ELECTRICAL PERMIT INSPECfION RECORD
.,
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE. n IS UNLA WFUL TO COJlER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INsPECTION TYPE DATE ACCEPTED COMMENTS
, I YIS NO
III IH
IlflIICTH_IN f l,;UV,hK
ShK V lCH
, A
RTNA T IJ/-jl,.-h/~ T ..k./~
,
GENERAL COMMENTS:
PW-II02.1514I96J
$~
VJ!
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
J2\ EAST 5TH STREET. PORT ANGELES. WA 98362
'"
"
Appllcation Number
Appllcation pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
GRANT'S VIEW, LLC.
2432 267TH COURT SE
SAMMAMISH
Other struct info
Permlt
Additional desc .
Permlt pin number
Sub Contractor
Permlt Fee
Issue Date
Expiration Date
6/29/06
06-00000222 Date
852464
316 VIEWCREST AVE
06-30-15-5-1-2800-0000-
CHRIS ANDERSON
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
126244
Contractor
C ANDERSON HOMES & DEV INC
8215 184TH DR SE
WA 98075 SNOHOMISH, WA 98290
SEBRING FL
(425) 770-1477
TOTAL % LOT COVERAGE 27.20
NUMBER OF STORIES 1 00
LOT SIZE 7000 00
TOTAL LOT COVERAGE 1906 00
NUMBER OF UNITS 1 00
Lasered
CED
U
""-.
~
ELECTRICAL NEW RESIDENTIAL
DISCOVERY BAY EL./ 1406 SQ FT
81075
DISCOVERY BAY
96 40
6/29/06
12/26/06
.00
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ELECTRIC, INC.
Plan Check Fee
Valuation
Qty
1. 00
1 00
Unit Charge Per
73 0000 ECH
23 4000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
73.00
23 40
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background
03/09/2006 04 50 PM SROBERDS - The proposal will result
in a new s f res in the RS-7 zone for total lot coverage
of 27% Property corners MUST be staked to determine
setbacks
Electrical load calculations and elctrical permits are
requlred
There is no power to these lots Cost estimate sent to
owners. Waiting for payment & easements for line extension
03/06/2006 03 47 PM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Publlc Works prlor to back flll of ditch 24 hour advance
notice lS requlred.
Construct driveway at alley and 6" wide Sldewalks along
Vlewcrest to City Standards No concrete with exposed
aggregate allowed in the Cityroad right of way. An
inspection by Public Works Engineering is required prior to
prouring concrete A survey will be required to establish
property line along Viewcrest.
Other Fees
t
rt
SEWER SYSTEM DELV CHARGE
870 00
COMMENTS/ACTION NEEDED
"t;
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:m EAST 5TH STREET. PORT ANGELES. WA 983()2
....
i,.,
Application Number
Application p~n number
06-00000222
852464
Page 2
Date 6/29/06
Other Fees
STATE SURCHARGE
PW WATER SYSTEM USE FEE
4 50
1200.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 96 .40 96 .40 00 .00
Plan Check Total 00 .00 .00 00
Other Fee Total 2074 50 2074 50 .00 .00
Grand Total 2170 90 2170.90 .00 00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
'"
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
iSPEC110N TYPE
I
I
DATE
COMMENTS
NO
I
I
I
I
I
I
I
I
I
I
GENERAL COMMENTS:
I
PW-IID2 15 (4196)
Application Number . . . . . 22-00001260 Date 10/07/22
Application pin number . . . 927140
Property Address . . . . . . 316 VIEWCREST AVE
ASSESSOR PARCEL NUMBER: 06-30-15-5-1-2800-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLARK E & LYNNEA J TANNER BLACK DIAMOND ELECTRICAL CONTR
316 VIEWCREST AVE 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 808-7437 (360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 10/07/22 Valuation . . . . 0
Expiration Date . . 4/05/23
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 10/06/22, 7:59:01 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001260 316 VIEWCREST AVE
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
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
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
11/14/2023 22-1260
TAP
OWNER
CONTRACTOR
Black Diamond Electric
PROJECT ADDRESS
316 Viewcrest Ave