HomeMy WebLinkAbout510 Orcas Ave - Building 77;. CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000661 Date 6/28/11
Application pin number 408418
Property Address 510 ORCAS AVE REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-10-5-0- 1605 -0000-
Tenant nbr, name ELSIE M MACDOUGALL on your state excise tax form
Application type description RE -ROOF to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 7050
Application desc
TEAR OFF RE -ROOF THE HOUSE GARAGE
Owner Contractor
ELSIE M MACDOUGALL PENINSULA CONTRACTING RFNG
660 W EVERGREEN FARM WAY 732 W 7TH ST
APT 6030 PORT ANGELES WA 98363
SEQUIM WA 98382 (360) 912 -2371
Structure Information 000 000 RE -ROOF THE HOUSE GARAGE
Permit BUILDING PERMIT NO PR FEE
Additional desc RE -ROOF THE HOUSE GARAGE
Permit pin number 188375
Permit Fee 179.75 Plan Check Fee .00
Issue Date 6/28/11 Valuation 7050
Expiration Date 12/25/11
Qty Unit Charge Per Extension
BASE FEE 95.75
6.00 14.0000 THOU BL- 2001 -25K (14 PER K) 84.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 179.75 179.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 184.25 184.25 .00 .00
ct 3
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.
Q
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS
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 Date Accepted By Comments
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 FINAL Date Accepted by
AIR SEAL: Q
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 FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By i
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653 fi
Planning 417 -4750
Building 417 -4815 S, 2-4' I Z U LV
T:Forms /Building Division /Building Permit
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PROJECT STATUS UPDATE zxklu ItI
Permit 1 Lib, Sldreas 2J 1
Date: 'lj- IT 19-
I phoned the: Applicant GV a I1 OrO W at 1 '2-' 2? 7 T
Property Owner at
Contractor at
I (left a phone message, r discussed
The permit (has expired, or will expire soon). What is the status of this projec
Please call and schedule a final inspection.
Or
Submit a "permit extension request" letter.
Or
Let me know if the project is abandoned.
Yu ooh' Wo (Y— ��d OVCI
T:Forms /Building Division/Project Status Update
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BUILDING PERMIT APPLICATION Print in ink 332 =509
CITY OF PORT ANGELES
Attn: Building Permit Technician For City Use Only:
Date Received 2 -1 L
321 E. Fifth St., Port Angeles, WA 98362 Permit
(360) 417 -4815 fax (360) 417 -4711
Date Approved
Applicant V ca---- Phone q 12r- Z31
Property Owner Incaeoketre„ Rte,, -E-, Phone
Property Owner's Address
Contractor dd II4,3"u /a 6111 4ete Fen Phone
Contractor's Address f7 /A/C ,1
License Expires E -mail
PROJECT ADDRESS 1 j' ,0 0 reexs
Parcel Number 0 630 i 050 i 60C Lot Zoning
Project Type Brief Description: Residential Multi- family Commercial Industrial
Check all that apply
New Construction
Addition
Remodel
o Repair
Demolition
Re- roof ouse garage other tear off re -roof lay over one layer
Heat System Heat pump wood burning stove gas fireplace pellet stove other
❑Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1st Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other —7
TOTAL VALUATION
Total footprint of structures sq. Lot size sq ft. Lot coverage
Site Coverage the amount of impervious su on a parcel, including structure :.ved driveways, sidewal s, patios,
and other impervious surfaces. (see PAMC .94.135 for exemptions) Site coverage
Max. height of proposed structures ft. Occupancy gro of bedroo r.
Will a lawn sprinkler system be insta -d? Occupant loan of full b s
Will a fire sprinkler system be inst. ed? onstruct t type of baths
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects.
Date 2.8/1 P Print Name rz4,�,, 1 Signature 0 __r
T:Forms Division /Bldg Permit.doc
Peninsula Contracting and Roofing
Evan Bradow
732 W. 7th
Port Angeles, WA 98363
May 25 2011 AQ'((N
RE: ROOF @yfOrcas
Peninsula Contracting and Roofing is licensed as a General Contractor in
Washington State. PENINCR890DM
I Evan Bradow, doing business as Peninsula Contracting and Roofing,
propose the following at 520 Orcas, Port Angeles, WA
There is a house and a garage. The house_has one layer of existing roofing
and the garage has two layers of existing roofing.
This bid will include removing the existing roofmg and replacing the built-
in gutters with new torchdown. The perimeter metal will be removed and
:reinstalled after the new torchdown is applied over the gutter area.
1) Tearoff the existing roofmg and dispose of at County Landfill
2) tistall new underlayrnent over entire roof.
3):Install new 3.0 year laminated roofing.
4) Install new plumbing pipe flashings
5) Install new ridgevent
6) Install new AF -50 square vents.
7) Re -flash chimneys with new stepflashing
8) Install new counterflashing on chimney as needed.
House 5,400.00
Garage 1,650.00
7050.00 plus tax and permit
Clallam County Assessor Treasurer Property Details 65065 ELSIE M MACDOUG... Page 1 of 4
Clallam County Assessor Treasurer
Property Search Results 65065 ELSIE M MACDOUGALL for Year 2011 2012
Property
Account
Properly ID: 65065 Legal Description: PUGET SOUND CO-
OP COLONY 2 ADD
TAX #7848 LTS 7 -8-
9 -BL 16
Geographic ID: 0630105016050000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use.Code 11
Open Space: N DFL N
Historic Property: N I Remodel Property: N
Multi Family Redevelopment: N
Township: Section:
Range:
Location
Address: 510 E ORCAS AVE Mapsco:
PORT ANGELES, WA
Neighborhood: Cycle 5 Res Map ID: 2
Neighborhood CD: 10955130
Owner r l b
Name: ELSIE M MACDOUGALL Owner ID: 38265 t
Mailing Address: 660 W EVERGREEN FARM WAY Ownership: 100.0000000000%
APT 6030
SEQUIM, WA 98382 -5090
Exemptions:
Taxes and Assessment Details
Property Tax Information as of 06/28/2011 A
Amount Due if Paid on: E. NOTE: If you plan to submit payment on a future date, make sure you enter the date and
dick RECALCULATE to obtain the correct total amount due.
First ,Second
Half Half
Base Base
ii
Year Statement ID Taxing Jurisdiction :Amt. Amt. Penalty Interest Base Paid Amount Due
2011 159034 ST SCH STATE SCHOOL $216.98 $216.97 $0.00 $0.00 $216.98 $216.97
2011 159034 CC -GEN COUNTY CLALLAM $119.78 $119.77 $0.00 $0.00 $119.78 5119.77
2011 159034 SD #121 SCHOOL DISTRICT #121 $283.63 $283.61 $0.00 $0.00 5283.63 $283.61
2011 159034 CITY PORT AN G CITY OF PORT ANGELES $276.52 $276.50 50.00 50.00 $276.52 $276.50
2011 159034 PORT PORT OF PORT ANGELES $16.86 $16.86 $0.00 50.00 $16.86 $16.86
2011 159034 NTH OLY LIB NORTH OLYMPIC LIBRARY $50.24 550.23 50.00 $0.00 550.24 550.23
2011 159034 HOSP #2 HOSPITAL #2 549.17 $49.17 $0.00 50.00 549.17 $49.17
2011 159034 WSMET PK DIST -WILLIAM SHORE MET PARK DIST $14.95 $14.94 $0.00 50.00 $14.95 514.94
2011 159034 CITY_STORMWATER CITYSTORMWATER $36.00 $36.00 50.00 50.00 $36.00 $36.00
2011 159034 WEED CONTROL WEED CONTROL $0.82 $0.81 50.00 $0.00 $0.82 50.81
2011 159034 TOTAL: 51064.95 51064.86 50.00 $0.00 $1064.95 $1064.86
2010 47331 ST SCH STATE SCHOOL $214.80 5214.80 $0.00 $0.00 $429.60 $0.00
2010 47331 CC- GEN COUNTY CLALLAM $114.31 $114.31 $0.00 $0.00 $228.62 $0.00 2010 47331 SD #121 SCHOOL DISTRICT #121 $278.22 $278.23 $0.00 50.00 5556.45 $0.00;
2010 47331 CITY PORT ANG CITY OF PORT ANGELES $264.66 $264.67 50.00 $0.00 $529.33 50.00 I
2010 47331 PORT PORT OF PORT ANGELES $16.06 $16.07 $0.00 50.00 $32.13 $0.00
2010 47331 NTH OLY LIB NORTH OLYMPIC LIBRARY $33 22 $33 21 $0.00 $0.00 $66A3 $0.001
2010 47331 HOSP #2 HOSPITAL #2 $46.90 $46.89 50.00 50.00 $93.79 $0.00
2010 47331 WSMET PK DIST WILLIAM SHORE MET PARK DIST $14.92 $14.92 $0.00 50.00 $29.84 $0.00
2010 47331 CITY CITY STOR $36 $36.00 50.00 50.00 $72.00 __$0.00 j
2010 47331 WEED_ CONTROL WEED CONTROL $0.82 50.81 50.00 $0.00 $1.63 50.00
2010 -47331 TOTAL: 51019.91 51019 91 50.00 50.00 $2039.82 $0.00 r Values
Improvement Homesite Value: N/A
Improvement Non Homesite Value: N/A
Land Homesite Value: N/A
Land Non- Homesite Value: N/A Ag Timber Use Value
Curr Use (HS): N/A N/A
Curr Use (NHS): N/A N/A
Market Value: N/A
Productivity Loss: N/A
Subtotal: N/A
Senior Appraised Value: N/A
Non Senior Appraised Value: N/A
http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =65065 6/28/2011
CITY OF PORT ANGELES
s mil DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001041 Date 9/21/11
Application pin number 639068
Property Address 510 ORCAS AVE REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-10-5-0- 1605 -0000-
Tenant nbr, name VIVIAN FISHER on your state excise tax form
Application type description MECHANICAL APPL. PERMIT to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 3500
Application desc
PELLET STOVE
Owner Contractor
VIVIAN FISHER THURMAN SUPPLY
510 E ORCAS AVE 1807 E. FRONT ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 460 -3610 (360) 457 -8591
Permit MECHANICAL PERMIT
Additional desc PELLET STOVE
Permit pin number 193003
Permit Fee 60.65 Plan Check Fee .00
Issue Date 9/21/11 .Valuation 0
Expiration Date 3/19/12
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 10.6500 EA ME- STOVE /FIREPLACE /MISC. APP. 10.65
Fee summary Charged Paid Credited Due
Permit Fee Total 60.65 60.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 60.65 60.65 .00 .00
r elVi 21‘ 17.
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 authorit o violate or cancel the provisions of any state or cal law regulating construction or the performance of
construction. Xvi/ 9l /7 P 2 /✓u,1.. w,U /r
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
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 Date Accepted By Comments
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 FINAL Date Accepted by
AIR SEAL:
Walls v
Ceiling Q
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only) 9
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date -I 1 2fccepted by6 LA"
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By 1Q)
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T:Forms /Building Division /Building Permit
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PROJECT STATUS UPDATE
Permit# 111°41 5 10 b rca4 AV
Date: 0 3 1 6 1 I 9
I phoned the: Applicant Da iy(,t n Pa er at 1 411 A0 (L4'
Property Owner at
Contractor at
(left a phone message, or discusses
The permit (has expired, or will expire soon). W .t is the status of this project?
Please call and schedule a final inspection.
Or
Submit a "permit extension request" letter.
Or
Let me know if the project is abandoned.
V) II( af(-m N,heluIP Iv$pca-1 'u
3 I v t v t. an i5.lnCI( Cat 1-eel boot pato v t4 not
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T:Forms /Building Division/Project Status Update
BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require plan review.)
Date Received c� 1 -I I
Permit 1 16
City of Port Angeles Please print in ink. Date Approved
Attn: Building Permit Technician Approved by
321 E. 5th St., Port Angeles, WA 98362
360 417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express)
Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm
Contact person:�h Phone:
J I Writs! W Y 7 Co 0 tz
Property owner: L/
Utc., do j -e Phone: T U G /0
Property owner's mailing address:
5 "C4 aP rt,S
Contractor's business name: i/p,t;z4_1: Phone:
(or property owner's name if he /she i§-doing/overseeing the work) S
Contractor's mailing addre s:
q6 Eot$ e, Contr's L &I license number:
'CC/ Expiration date:
Project Address:
SlO E oe cat75
Project Type: klResidential D Commercial m Industrial o Multi- family
Project Business Name:
(for commercial, industrial, or multi family projects)
The following permits are usually issued over the counter immediately, without the need for plan review.
Complete only the portions of this permit that are relevant to your project.
Re -roof: house garage other
tear off re -roof lay over one layer
Licensed contractor: Submit a copy of your re -roof bid.
Project Valuation (labor materials, not including sales tax)
Re -side: house garage other
Project Valuation (labor materials, not including sales tax)
Repair: (explain the protect)
Project Valuation
*Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the
cost of materials, to reflect the value the repair adds to your property.
Cost of materials x 2 Project Valuation
T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011)
Pagel of
Swimming Pool or Spa 24" deep): For prefabricated swimming pool or spa projects that
do not require plan review:
Obtain the City of PA handout entitled "Pools Spas" follow the requirements.
Project Valuation
Demolition: A demolition permit is needed when an entire building gets demolished.
What will be demolished? house garage a other
Note: some demolition permit applications need to be reviewed by various City departments, and may take
approximately two weeks to obtain.
Agree to ensure that all utilities are /will be properly turned off (and capped off if needed)
prior to demolition.
(1) Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to
be demolished. Submit the map with this application.
Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA)
Demolition Permit Application.
Contact ORCAA at 360- 417 -1466 to discuss whether or not an ORCAA Demolition Permit will also
be needed.
yes no Will the debris be going to the Regional Transfer Station in Port Angeles?
yes No If yes, will a licensed contractor be taking it there?
(1) If yes, obtain (from the City of PA) a copy of the Waste Disposal Application.
Complete and submit the waste disposal application to the Building Permit Technician, now
(or later if asbestos testing is needed).
Plumbing Permit: (explain the project)
Project Valuation
Mechanical Permit: (explain the project)
7 /6 /1 ,c/ &,6 6(m
et
C 2, 1 i t
Project Valuation 3 C�
I have read and completed this application and know be true and correct. 1 am authorized to apply for this permit
and understand that it is my responsibility to de e what permi are required, and to obtain permits prior to
working on projects.
Date 's 1 Signature
Print Name 0 1 0,. /C1/14 Lb. 10,i/ix
Page 2 of 2
Clallam County Assessor Treasurer Property Details 65065 VIVIAN FISHER for Y... Page 1 of 1
Clallam County Assessor Treasurer
Property Search Results 65065 VIVIAN FISHER for Year 2011 2012
Property
Account
Property ID: 65065 Legal Description: LOTS 7 9 BL 16
PUGET SOUND CO-
OP COLONY 2 ADD
TAX #7848
Geographic ID: 0630105016050000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi Family Redevelopment: N
Township: Section: A
Range: I
Location
Address: 510 E ORCAS AVE Mapsco:
PORT ANGELES, WA 98382
Neighborhood: PA East Res Map ID: 2 ^n
Neighborhood CD: 5001000
Owner
Name: Owner ID: 210091
Mailing Address: 510 EAST ORCAS Ownership: 100.0000000000%
PORT ANGELES, WA 98362
Exemptions:
Taxes and Assessment Details
Property Tax Information as of 09/21/2011
Amount Due if Paid on: 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.
Click on "Statement Details" to expand or collapse a tax statement.
First Half Second Half
Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due
F Statement Details
2011 159034 $1064.95 $1064.86 $0.00 $0.00 $2129.81 $0.00
Statement Details
2010 47331 $1019.91 $1019.91 $0.00 $0.00 $2039.82 $0.00
Values
Taxing Jurisdiction
I Improvement Building
Sketch
Property Image
Land
Roll Value History
Deed and Sales History
Payout Agreement
This year is not certified and ALL values will be represented with "N /A
Website version: 9.0.32.2200 Database last updated on: 9/21/2011 4:12 AM 2011 True Automation, Inc. All Rights
Reserved. Privacy Notice
http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =65065 9/21/2011
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00000888 Date 9/12/03
Property P~dress ...... 510 ORCAS ST
ASSESSOR PARCEL NUMBER: 06-30-10-5-0-1605-0000-
Application description . . . MECF~NICAL APPL. PERMIT
Subdivision Name ......
Property Zoning .......
Application valuation .... 2224
Owner Contractor
Issue Date .... 9/12/03 Valuation .... 0
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65
Fee summary Charged Paid Credited Due
Plan Check Total .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 as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:kPLANNING%FOKMS\ 1102.15 [4/2002]
FROM : SPR SHOP-PELLET HERT CO FRX NO. : 3604520503 Sep. 09 2003 04:29PM
(~O) 4J?-4815 ~ac
Ar~ct~ngin~er: ,~, Phone:
co~rai~ ~ Romodel ~ D~lifion ~ D~k
CO~E~CI~E~: O¢~p~ Gms: Occult Load: ~ Co~on T~e: ......
coverage % ~ ~osed lot coverage ~ = To~[ lot coverage
[ PIinG USg ONLY:
' ' BL~:
RI ~TI.f}TNG PERiVIIT AI~PLICATION S~.,'B,:~41'fI,X/~: The BuildiAg Divisior~ c~ provide you wiO~ informalior~ on ~e applicilt~on and
plan ~ubmittal mquircrnent~ if you have
VALUATION OF CONSTRUCTION: la ali cas~. a valuation amotm! n~us! Be entered by the applicar~t, This fi.~re will be rev~-'wcd
,~. d Inay be r evis~l by r-~ l~uil~r,~ Division ~:o comply with current foe schedulca. Cootact the Permit Coordina,'or a~ z[ l 7-4 @ 15 ~r lissl!Ranc c
PLA." C]ff~CK F~E: J~ a plan cheek fee i5 d~ k m~t b~ aub~ed at ~e fi~ the buildMg ~t ~li~n ~d comtmcfina plans
~b~d. a~ o~r pe~t f~s ~e due at ~ ~e of ~e~t immanee.
E~[~O~ OP P~ ~gW: lfno ~e~t ~ issued ~t~a 180 days o~'~ dale o? a~lie~ffon, ~ applleaflo a wiR
Bu~L~ O~chl can e~end the ~ ~r ~cfi~ by ~e ~he~t up to 180 days upon x~flen mq~t by ~e app]i~t (sce ~c~o~
~ hem~ ce~ t,~at I ha~ med e~d ex~ t~ls ~pplicarfoo ~ kmow ~ ~ame ~o ~ ~ru~ a~ ~cg ~ ~ au~ to apptv ~
u~e~end ~t ~ % my ~spons~ ~ del~iee ~h~ r~ ~e mq~ ,~ t~e ~, and t~st I m~n ~ ~er~ prior t~
North Peninsula Electric 928 -9409 p,1
QTY OF FORT ANGF -i PERlb>in APPLICAT110TT �
Building Diivi:sionMectriral bspeWons ��
321 East Fifth Stirreet -- P.O. Box 1101 Part Angeles Washingto
Ph: (360) 4174735 Fax: (360) 417 -4711
Cate: �? f/ r / V —r& 2 single Farriliy Dmlling
*Plan Review May Be R ired, Please Complete ;lectiicai Plan Review I on Street
Job Address: L
Building Square Footage:
Cescriplion of above
Owner Info
Warne: ��n r? --
Mailing Add
City State: 'Tip_
Phone: Fax
License t: l DR
Item
ServicelFeeds -200 Amp.
ServicelFeeder 201 -400 Arrp
SwAoelFeeder401-6130 Amp
ServicdFeederW -1000 Amp.
Servicemraeder over 1006 Amp.
Branch CircuitWl Service Felder
Branch Circuit W10 Service Feeder
Each Additional Branch Cin;uif
Branch Circuits 1-4
Temp. Sevlcel Feeder 200 Amp.
Temp. Se7vicelFeWer2W400 Amp.
Temp. SwviwjFeWer401.6WAmp.
Temp_ ServicelFeeder601- 1000Amp .
Portal to Portal Hourly
Signal Circ;uU Urriled Energy -1 & 2 Family Dwelling
"Manufactured Home Connection
Renewable Etecuical Energy - 5KVA System or Less
Thermostat
Unit Char
S 120.00
5145.00
S205-00
$ 282oo
$ 373.00
$ 5.00
$ 63.00
S 5.06
S 75.00
S 93.00
$110.00
$149.00
$158,00
5 96.00
$ 64.00
S 120.00
S 102,00
S 56 -W
Note: $5-M' or eaa addit'onal T-Slal
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.00
Each Additional 500 Square FL or Portion of S 40.00
Each Outbuilding or Detached Garage $ 74.00
Each Swimming Pool or Hot Tub S I10,00
Contractor inform
Mailing Add
City: State Zip: 3
Phone Z
QtV Total flay Multiplied by Unix Charge)
S
5
$
$
$
S
5
$
8
$
$
5
$Total
Owner as defined by RUVA928, 261: (1) Ownerwili occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical conbwtor'rf above said property is for sale, rent cr lease. Permit expires after six months of iast 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 malting
the electrical installation cr aiteration in compliance with the electrical laws, N.E.C_, RCW. Chapter 19.28, WAG. Chapter 296 -4613, The City of Port
Angeles Municipal Code, and utility Specificafinns and PAMC: 14.05.054 regarding Sechical Permit Appi'icat cris.
Signature of owner, electrical contractor or electrical administrator: ❑ Cash 0 Omck
AeditCardf� 0
x � l .4---1 Datgd; 1 3 — ) l ! yL -
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number , , , .
14- 00000302 Date
3/13/14
Application pin number , ,
358414
DITCH
Property Address , , . .
510 ORCAS AVE
ASSESSOR PARCEL NUMBER;
06-30-10-5-0-1605-0000-
Application type description
ELECTRICAL ONLY
Subdivision Name , . . . . ,
Property Use
COMMENTS:
Property Zoning . . . . . , ,
RS7 RESDNTL SINGLE FAMILY
Application valuation . , . .
0
Aplication deco
pTwo
- __ _ ___
_ ------
ductless heat pumps
Owner
Contractor
VIVIAN FISHER
NORTH PENINSULA ELECTRIC
510 E ORCAS AVE
761 FRESHWATER PARK RD
PORT ANGELES WA 98362
PORT ANGELES WA
98363
(360} 460 -3610
(360) 477 -1764
Permit . , . , . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 68.00
Plan Check Fee
00
Issue ]late 3/13/14
Valuation . . , .
0
Expiration Date 9/09/14
Qty Unit Charge Per
Extension
1„00 5.0000 ECH EL -ECH
ADDNT BRANCH CIRCUIT
5.00
1,00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED
63,00
Fee summary Charged
Paid Credited Que
Fermat Fee Total 68,00.
&8.00 90
.00
Plan Check Total 00
.00 .00
.00
Grand Total 68.00
68.00 DO
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:TXCHANGE\BUILDING
t
G�
4 v
North Peninsula Electric
761 Freshwater Park Road
Port .Angeles, WA 98363
10 DAY NOTICE OF PERMIT EXPIRATION
DATE: February 27, 2015 ADDRESS: 510 Oreas Avenue
PERMIT NUMBER / DESCRIPTION
14- 000000302 Electrical — Residential
The above referenced permit(s) is /are about to expire. Please call
417 -4735 within 10 days from the date of this notice to arrange for
one of the following:
1. If work has been completed, call to schedule an inspection.
2. Request cancellation of the permit if work was never started.
3. Request an extension if work is not complete.
City of Port Angeles Electrical inspections - (360) 417 -4735
Thank you for your cooperation
Trent Peppard
Electrical Inspector