HomeMy WebLinkAbout513 E 3rd St - Building CITY OF PORT ANGELES
PUBLIC WORKS BUILDING DIVISION
321EAST 5TH STREET, PORT ANGELES, WA 98362
I~UILLIIN(~ Pff. RMIT ISSUED: 4/12/2002 PERMIT NO: 13323
OWNER/APPLICANT PROPERTY LOCATION
JOAN GLOOR 513 3RD ST E
513 EAST 3RD STREET Lot: 26 & 27
Port Angeles, WA 98362 Block: 58 [] Long Legal
3601452-3633 Subdivision: PSCC SUB LOT 23
T: S: Parcel No: 063000525862000
CONTRACTOR ARCHITECT
BAY CONST. N/A
2102 MT PLEASANT
PORT ANGELES, WA 98362-0000 , 98360-0000
3601457-3743 360/000-0000
PROJECT INFO
Project Value: $12,672.00 SFD Units: 0 Commercial: 0
Project Type: GARAGE NEW SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
NEW DETACHED 24' X 24' GARAGE, 576 SQ. FT. ~J'~
RECEIPT#
FEES ASSESSMENT
Building Permit: $223.25 Misc Fee 1: $0.00
Plan Check: $89,30 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $317.05
Plumbing: $0.00 AMOUNT PAID: $317,05
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
of Contractor or Authorized Agent Date Si~ture of Owner (if owner is builder) Date
Signature
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BU1LD1NG INSPECTIONS. PLEASE PROVIDE A MIN1MUM 24 HOUR NOTICE. ITI$ UNlaWFUL TO COVER,
INSULATE OR CONCEAL/INY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE /
iNSPECTION TYPE DATE I ACCEPTED COMMENTS
YES I NO
FOUNDATION:
ELECTRICAL (LIGHT DEPT) SEPA~TE PE~IT: g
~DER FLOOR [ SLAB
ROUGH-IN
WATER LINE
BACK FLOW / WATER
FRAMING
JOISTS / GI~ERS
SHEAR WALL
WALLS / R~F / CEILING
DRYWALL
T-BAR
INSULATION
HEAT PUMP
W~DSTOVE / PELLET/CHIMNEY / INSERT
PW UTILITIES / SITE WORK (Engine~ng ~vision) SEPA~TE PERMIT g's:
SEWER CO~ECTION
SANITARY
PLANNING DEPT. SEPA~TE PE~ITg's SEPA:
PARKING/LIGHTING ESA:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY~SE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEDED
YES NO
ELECT~CAL - LIGHT DE~. 417~735 ELECTRICAL
CONSTRUCTION R.W. / PW/ CONSTRUCTION -
BUILDING 417-4815 &-~--O~ ~M BUILDING
C:~PPL.WPD
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST: ~, ~
Date Time Received by ~' (phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date Time By
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
[--] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date '~-'-~'~ ~'~ ~ Time Received by ~ (phone, person)
Location of Work to be ~nspected -~--/* ~ ~-- ~/~
Name of person requesting inspection
Address of person requesting inspection Phone No.
Permit No.
Type of ~ ti~rcle appropriate one):
Sewer (Foundation~Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTIOI~ NOTES:
Inspected: Date ,,,~ ~ " Time By
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved I-]Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~, ' ~ Time Received by ~ ~ (phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Fina/~ Sewer Excav. Other
INSPECTION
NOTES:
Inspected: Date ~ ~ ~ 7 - ~-~ Time By
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel [-~Asphalt []PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE}
1
FOR OFFIC L USE ONLY: I
cC~,°~ ~'°nr ~''- Date Rec,: ~]- / ~(.)~.~ ·
BUILDING PERMIT - APPLICATION
I
~ ~e Building Pe~t - Pre-applica~on must be f~ed out compl~ely. ~ Issued: '~ ~ * ]
Please ~e or p~nt in ink If you have any questions, please call 417~815
Applic=t or Agent: ~ ~o~ Phone:.
er: Phone:
Adaess: CiW: Zip:
~cMtec~n~e~: Phone:
Cez Licmse Exp: / ojo Phone: fi- Pq
Ad.ess: ~[0~ ~ ~L~T CiW: ~ 3T ~(w~ee % Zip:
LEG~ DESC~PTION: Lot: ~6 ~ ~W Block: ~ Subdivision: ~%%~ %<~ {o~
CL~L~ CO~ P~CEL ~ER:dfg q~,q2 fi8 62~redit Card Holder Name:
Billing Addr~s: Ci~:.
Credit Card $: Exp. Date: ~SA MC
~E OF WO~: / S~E~UA~ON:
= Residential ~ NewCo~m o Re-roof O~oo~tove ~7~ SF.~$~.e'o/SF.=$ ~'9~
~ Multi-truly o Addition ~ Move ~ G=age SF. ~ $. /SF. = $
~ Co~ercial ~ Remodel ~ DemolMon ~ Deck SF. ~ $ /SF. = $
~ RepaR ~ Sign m TOTAL VALUA~ON $.
BmEFDESC~ONOFT~PRO~CT: ~ q'T&q / ~ C~ ~
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: __ Construction Type:
No. ofStories: / LotSizeaT/0o0 -~-- %LotCeverage: o4~.D, %
Existing Lot Coverage: ~/s'q. ft. + Proposed Lot Coverage: ~--~' ~ /sq. ff. = TOTAL LOT COVERAGE:,; ] c~ q ~c~ /sq.ft
APPROVALS: PLAN
PLANNING USE ONLY:~
Notes: '-'T~'7-c~ BLDG.
DPW
FIRE
ESA/Wetland(s): [] Yes [] No SEPA Checklist required? El Yes r~ No Other: OTHER
BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be fdled out completely to be accepted for
review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your
completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 4174815 for assistance.
PLAN CIIECK FEE: Your plan check fee is due 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: If no permit is issued within 180 days of the date of application, this applieatinu will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct, anti I am authorized to apply for
this permit. I understand it is not the Cityk legal responsibility to determine what permits are required; it remains the applicant's
responsibilitytodeterminewhatpermitsarerequiredandtoobtain,/%Applicant: su '?} , ~,9) Date: ~//)//~,~d~,,
T:\FORMS~APPS\Buildingpermit ~
./
~ .... CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREF. T, PORT ANGELES. WA 98362
ELECTRICAL PERMIT ISSUED: 6~27~2002 PERMIT NO 7712
OWNER/APPLICANT PROPERTY LOCATION
JOAN GLOOR 513 3RD ST E
513 EAST 3RD STREET Lot: 26 & 27
Port Angeles, WA 98362 Block: 58 [] Long Legal
360/452-3633 Subdivision: PSCC SUB LOT 23
T: S: Parcel No: 063000525862000
CONTRACTOR ARCHITECT
HALVORSEN ELECTRIC N/A
1426 W. 11TH
PORT ANGELES, WA 98363-0000 , 98360-0000
360/457-7803 360/000-0000
PROJECT INFO
Project Type: RES. MISC. Project Value: $0.00
Occupancy Type: RESIDENTIAL Construction Type:
Occupancy Group: Zoning Use:
Electrical Heat:
[] Baseboard 0 KW [] Riser [] Underground Service
[] Furnace 0 KW [] Overhead Service Voltage: 120,240
[] Heat Pump 0 KW [] TempService Phase: [] 1 []
[] Fan Wall 0 KW Service Size: 0
Feeder Size: 30
PROJECT NOTES
ADD LIGHTS AND OUTLETS TO GARAGE
RECEIPT#9135
FEES ASSESSMENT Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $45.50
Temp Service: $0.00
Misc Fee: $0.00
TOTAL FEE: $45.50
AMOUNT PAID: $45.50
BALANCE DUE $0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL I]qSPECTIONS. PLEASE PROVIDE A MIlqlMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL AM' WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLg~NS AT JOB SIYE 7 'y ]' ~
DITCH /~,//,//o ~ I ~
ROUGH-IN / COVER /.~7~ gfoj,~ ~
SERVICE
~r~A~ I//~,/o.~ I ~ I
GENERAL COMMENTS:
_P'/g-116ZI514,96]
CITY OF PORT ANGELES
DEP ARTM ENT OF CO MM UNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
~Ull_tJll~l~ I"t:t~MII ISSUED: 4~30~2002 PERMIT NO: 13389
OWNER/APPLICANT PROPERTY LOCATION
JOAN GLOOR 513 3RD ST E
513 EAST 3RD STREET Lot: 26 & 27
Port Angeles, WA 98362 Block: 58 [] Long Legal
360/452-3633 Subdivision: PSCC SUB LOT 23
T: S: Parcel No: 063000525862000
CONTRACTOR ARCHITECT
COUNTRY HOMES N/A
656 SUTTER RD
Port Angeles, WA 98363 , 98360-0000
360/452-3707 3601000-0000
PROJECT INFO
Project Value: $5,000.00 SFD Units: 0 Commercial: 0
Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0
Occupancy Type: Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
TEAR OFF, FELT, COMP
REC EIPT;~9009
FEES ASSESSMENT
Building Permit: $111.25 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $115.75
Plumbing: $0,00 AMOUNT PAID: $115.75
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
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,
0,4/
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\?LANN]FNG\FOP2'/JSt 1102.15 [4/2002~
BUILDING PERMIT INSPECTION RECORD '
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERM1T CARD AND APPROVED PLANS AT JOB SITE l% 3~q
INSPECTION TYPE I DATE [ yEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK PLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB ]
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PWUTILITIES/ SITEWORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERfNG
FIILE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 / / ~/ PLANNING DEPT.
BUILDING 417-4815 I ~7, BUILDING
T:\PLANNING\FORMS\I 102.1 $ [4/2002]
~ ?ORT,~ I FOR OFFICIAL U ONLY:
°~ BUILDING PERMIT - APPLICATION P~#: /_~2r~-t I
Date Approved:
The Building Perrnit Application must be filled out completely. Date Issued:
Please type or print in ink. If you have any questions, please call 417-4815
Applic~t or Agent: Phone:
Owner:~~ Phone: ~Z'
Address: ~4~ ~f ~ ~ City:~ Zip:
~chitecffEngineer: Phone:
Con~acto~~ ~ License h~xp: ~o' ~hone:~
Address:~ .r~~. City: ~ Zip:
PRO. CT ~D~SS: . ~[ ~ ~ ~ ..~ ~ ~. ~NING:
LEG~DESC~PTION~Lo~6~? Block: ~ . Subdivision:~ ~ ~
CL~L~ COUNTY P~CEL NUMBER:~~dit Card Holder Name:
Billing Address: City:.
Credit Card ~: Exp. Date: ~SA MC
T~E OF WO~: SI~UATION:
D Residential ~ New Consm ~Re-roof D Wood-stove SF. ~ $. /SF.
D Multi-h~ly D Addition D Move ~ Garage SF. ~ $ /SF. = $
D Co~ercial D Remodel D Demolition D Deck _~ /SF.=$~
D Repair ~ Si~ ~ ~A~ $ ~1 ~' ' --
B~EF DESC~PTION OF THE PRO'CT: ~;*d~ d ~/'
COMMERCI~SIDENTI~: Occupancy Group: ~ccupant Load: Cons~ction T~e:
No. of Stories: ./ Lot Size: % Lot Coverage: %
E~sting Lot Coverage: /sq. fi. + Proposed Lot Coverage: /sq. fi. = TOTAL LOT COVE~GE: /sq.
PL~NINC USE ONLY: ~PROV~S: PL~
Notes: BLDG.
DPW
ES~et]and(s): D Yes D No SEPA Checklist required? D Yes D No O~er: OTHER
B~LDING PE~IT APPLICATION SUBMITT~: Your application and site plan must be fiEed out completely to be accepted for
review. The Building Division can provide you with more detailed infomtion on ~e application and plan sub~l requirements. Your
completed application, site plan (for additions) and building cons~ction plans are to be subdued to the Building Division.
V~UATION OF CONSTRUCTION: In all eases, a valuation amount must be entered by the applicant. ~is fig~e ~11 be reviewed
and ~y be revised by ~e Bui]ding Division to comply ~ cu~ent fee schedules. Contact the Pemt Coordinator at 417-4815 for assistance.
PL~ CHECK FEE: Yo~ plan check fee is due at ~e time ~e building pe~t application and co~ction plans are subdued. All other
pe~t fees are due at ~e t~e ofpe~t issu~ce.
EXPIATION OF PL~ ~VIEW: If no pemt is issued within 180 days of the date of application, ~is application will expire. ~e
Building Official can extend ~e ~e for action by the applicant up to 180 days upon ~i~en request by ~e applicant (see Section 107.4 of
the U~fo~ Building Code, cu~ent edition). No application can be extended more ~an once.
I hereby cert~ that I have read and examined thi$ application and know the xame to be ~ue and correct, a~d [ am authorized to apply for
this permit. [ understand it ix not the Ci~'s legal responsibili~ to determine what pemits are required; it remains the applicant's
responsibili~ to determine what permits are required and to obtai~ xuch~
Applicant: .~/Qq ~- . Date: . _
..... CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
I~UII_IJIIII~ I"I:.IYMll ISSUED: 7/08/2002 PERMIT NO: 13546
OWNER/APPLICANT PROPERTY LOCATION
JOAN GLOOR 513 3RD ST E
513 EAST 3RD STREET Lot: 26 & 27
Port Angeles, WA 98362 Block: 58 [] Long Legal
360/452-3633 Subdivision: PSCC SUB LOT 23
T: S: Parcel No: 063000525862000
CONTRACTOR ARCHITECT
KATHOL CONSTRUCTION N/A
835 W. 6TH STREET
Port Angeles, WA 98263 , 98360-0000
360/417-5594 360/000-0000
PROJECT INFO
Project Value: $1,000.00 SFD Units: 0 Commercial: 0
Project Type: WOOD INSERT SFD SQ FT: 0 Industrial: 0 ~
Occupancy Type: RESIDENTIAL Garage: 0 '"'~\
Occupancy Group: MFD Units: 0 ~
Construction Type: MFD SQ FT: 0 (j~
Zoning Use:
PROJECT NOTES
INSTALL WOOD FIRE PLACE INSERT
RECEIPT#9310
FEES ASSESSMENT ~
Building Permit: $0.00 Misc Fee 1: $0.00 \~
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $50.00
Plumbing: $0.00 AMOUNT PAID: $50.00
Mechanical: $50.00
BALANCE DUE: $0.00
Radon: $0.00
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 tTpe 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
construct on.~ ~
Sig a ~'e o~ Owner (if owner is builder) Date
Signature of Contractor or Authorized Agent Date !,~e ~' C
T:\PLANNING\FORMS\I 102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSUL/iTE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I No
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK PLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 ~--t~/- O~. ~/ BUILDING
T:\PLANNYNG\FORaMS\1102.15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~'~ --//-- O'~ Time Received by ///~F (phone, person)
,ocation of Work to be inspected ~/~ E
Name of person requesting inspection ~~~J~/-~/~
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing~'~Final~; Sewer Excav. Other
INSPECTION NOTES: ~ ~
Inspected: Date '"~'-- II ~ ~)'--~ Time By /~ L~/
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved {~Gravel [~Asphalt []PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
I--I No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
ELECTRICAL PERMIT APPLICATION
FOR OFFICIA. L US~y
DaIe'Rec: /_ - -~ 2
Po:nnill;: '7 :;>
Dale Approved:
The Electrical Permit Application must be filled out comoletelv.
Please type or reprint in ink. If you have any questions, please call (360) 417-
4735
Fax number: (360) 417-4711
Owner or Elec. Contractor Agent: _117M 'G <;
Property Owner: ~ Ii^:. I. i 1M ~
Address: );' I,Cf 1;:/1,<;7 _;if,
REQUEST INSPECTION 0
M iM/I//JR,"f5M Phone' 4S'1-'7803 Fax: 452-9G47
Phone: 1):;'7. '-,'3(,,3:1
City: P/JRT /7A1r:;j;(IF~' Zip: ,~:rt:i!.
Address:
/1(1("
,
lII7IIMfl,<;J;;/l/S; FLPr:TlYIG
W Ijd
License tli!RllICiFu>1"!ClExp:
Phone:1,~r,.-~~CJ q
Zip: ,9P31..3
Electrical Contractor:
Credit Card Holder Name:
i:T iT-Mfrc: IU
City' Ptl RT Ii/l/en PJ
9\;ElECTRICAl CONTRACTOR
/I-A'/, j,' iIl.'JL-;!.J
INSTAllATION WIRED BY:
DOWNER
Billing Address' /12(" tV 111'i7 City: PO J?T Y}A/4'~/E 5
CreditCardNumber ' Exp.Date:
Zip: ,98'3&'3
VISAL MC,--
PROJECT ADDRESS'
/7/3 /fil A11i
TYPE OF WORK:
Check all that apply: 9(New
o Alteration/Addition
/l(l Residential 0 Multi-family
o Commercial 0 Mobile Home
Sq, Ft
Remote Meter il<('Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
o Low Voltage 0 Telecom, 0 Sign
Number of Circuits added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT:
17ETllcl-!$D a/lR/}~r:
Electrical Heat Load Additions
PERMIT FEE: 1- r;, 50
Service Information
o Baseboard _ KW
o Fumace _ KW
o Heat Pump _ TON_ lRA
o Fan-Wall -KW
L/GI/7'S t 0'" rt-Ers
o Overhead Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 1 0 3
Service Size:
Feeder Size: :"10/1
I hereby certify that I have read and examined this application and know that same to be true and correct, and I am
authorized to apply for this permit. I understand it is not the City's /egal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signature:
4"'4/--1 ~I ~lkHi2R40
~~'(/ /iJ/ d~~",_,
Date: ~/2fP/tfJZ.
, ,
Date:(-.j 2.1,1c?
Owner or Elec, ConI. Signature:
C :/ELECTRICAL PERM IT APPL ICA TION
FROM FAX NO. ; Apr. 30 2018 8:42PM P1
CITY OF FORT ANc.ELE5 PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street —P.O. Box 1150 / fort Angeles Wasbington, 98362
Ph. (360) 417 -4735 Fax: (360) 417 - 4711
Date; 2 &
k-f& 2 Single Family OWling
RECEIVED. , '"'
AUG 7 211+;
ELECTRICAL
INSPECTIONS
* Plan Review M . 9s Rf ulti~d PI Complete ElecUical Plan Review It�rmation Sheet
Job AMmxss 1 - -- —! ._.... .
Bulid#rng Square Footage: [ 2� a _ _•, _,
Description of above
Owner Info on C
D 41ti
Contttbr Irr�rrorL _ L S� tC$�
L ice.
Nam! --
Nam llii
MaNng S t if 4;
Ma rexs 's. o l 0
City; State;:__5.Z_I - _
ar *r 1 rtSt 21p C�
Phcae: 443:2 -3 Z 51W
Phone: C* aDC ... " tr L4 y-'r
Lbxm # / FM
T
tSaense #f l Exp U �_ G Crt % V% Z c7yel
AM
Unrg2
JWWjWMuklWWbvUnftgbW
ServloelFeWer 200 Amp.
$120.00
$
SerVlWFeeder 201400 Amp.
$146.00
$�
Sean *Fee ter 401.600 Amp
$ 205.00
SeMcafFeederW -1000 Amp.
S 262.00
$
ServImFooder Ever 1000 Amp.
$ 373.00
$
Brmch Circuit W15wA* Feeder
$ 5.00
Branch Circuit WO Sery o Feeder
$ 63.00
Each Addlftot Branch Clrcud
$ 5.00
�,_ $
Branch Clrcufls 14
$ 75A0
$ =__.
Temp. Swwk*l Feeder= Amp.
$ 9100
_ $ .
Temp. SeMoeffeeder201400 Arrp.
$110.00
$
Temp, ServicelFoodw 401 -04pp.
S 449.00
$
Temp, Sel offeedt 6DI-102P Amp .
3168.00
$_
Portal iA Portal Hourly
$96.00
$
Signal C[WfY limited Energy -1 & 2 Fondly Dwelling
$ 64.00
$
Manutacwrad.Home Cortnacbm
$ 120.00
$
Renewable Elecbical dter y - 5WA System or toss
$102.00
$
Thenrrostat
$ 56.00
$
Noty: $5.00 for each wW iohal TSW
NEW CONS_[B1JOM OKY:
First 13W Square Ft.
$120.00
S.
Each AditofW 500 Square Ft a Portion of
$ 40100
S
Each outbuil ft or Dotaaired Garage
$ 74.00
3
Earl+ Swrimrning Pool or Hot Tub
$110.00
S.
S Total
Owner as defined by RCW.19.28.261: (i) Owner will occupy the structure for bw years OW this electrical pemA is linel®d. (2) Owner is required
to tine an eleWcal contractor 9 above Said VWNY is for sate, rent 000M Permit expires alter six months of last inspection.
After reading the above statament I heretry certify
11141 am the owner of the above named property or a llcer►sed eledkW contractor. I am malting
the eter trtcal in5te WOA or aiterarlion incompliance with the electrical laws, N.E.L.,
RCW. Cuter 1928, WAC. Chapter2964$8, The City of !sort
Angeles Munldpal Cade, and Witty Spec icd=
and PAMC 14.05.050 regarding Electrical Pam* dons.
Signature of born , et 1 corrtracEor arelrrctrtcaI adminiatrstorc
❑ cow ❑ prods
•
❑ cr.�cr�lr
ot>otr�olr
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 14- 00000940 Date B/07/14
Application pin number . . . 515820
Property Address . . , . . . 513 E 3RD ST
ASSESSOR PARCEL NUMBER; 06-30-00-5-2- 5862 -0000-
Application type description ELECTRICAL ONLY
Subdivision Dame . . . . . .
Property Use
Property Zoning . . , . , . . RS7 RESDNTL SINGLE FAMILY
Application - Valuation , , . . 0
Application desc
Ductless heat pump
Owner Contractor
--- --------------- - - - - -- ------------------------
GLOOR JOAN L ELECTRIC SERVICE
626 SLACK DIAMOND RD 82 DRAPER RD
PORT ANGELES WA 983639496 PORT ANGELES WA 98362
(360) 452 -6424
----------------------------------------------------------------------------
Permit . . . , , . ELECTRICAL ALTER RESIDENTIAL
Additional desc , . 1 -4 CIRCUITS
Permit Fee . . , . 75,00 Plan Check Fee ,00
Issue Date , , . . 8/07/14 Valuation . , . , 0
Expiration pate . . 2/03/15
Qty Unit Charge Per Extension
BASE FEE 75.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75,00 .00 00
plan Check Total .00 .00 ,00 .00
Grand Total 75.00 75.00 .00 .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
l.r
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGE\BUILDING
It
s
04
0