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Inspection Selection By Inspection
Property address:
ASSESSOR PARCEL NUMBER:
[Appl ication] Structure f Permit Insp tion Request Results P.
Inspector
Year Number Number Sequence Number Sequence Number Sequence Date Status
NM: 00000581 000 000 BPR
07 00000581 00o! 00O 8P
07'1 00000581 000: 000"BPR
07 .00000581 000 obo 'BP.R
07 00000581 :000 060:NE
07 00000581 0001 000 PL
07 .00000581 000 h '000 PL
071 00000581 000! 000-PL
41"
526 E 3RD ST
06-30-00-5-2-6508-0000-
00 'BAIR
00.BL I
00 :BLI
00 BL3
00 ME1
00 PLSP
00 PLSP
00 PL2
0001' JLL 6/18/07 AP
bobi F.8 6/19/07 AP
0002 JLL. 7/25/07 AP
Tool JLL 6/18/07 AP
0001.PB 7/24/07 AP
000111PIL '8/09/07 'DA
0002 ;PB 8/17/07 LAP
'0001 AIL 7/2:5/071AP
PREPARED 8/17/07 9 41 20 INSPECTION TICKET PAGE 12
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/17/07
ADDRESS 526 E 3RD ST SUBDIV
TENANT NBR MAE PAUL GRAVES
CONTRACTOR RICKENBACHER HOME REPAIR PHONE (360) 457 0467
OWNER PAUL A GRAVES PHONE
PARCEL 06 30 00 5 2 6508 0000
APPL NUMBER 07 00000581 RES REMODEL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 01 7/25/07 JLL PLUMBING ROUGH IN TIME 01 00
7/25/07 AP 07/24/2007 04 04 PM LPANGRLE
MAE 461 1922
ROUGH IN PLUMBING
AFTERNOON INSPECTION
CALL JOHN AT 461 4282 TO GAIN ENTRY INTO THE HOME
07/25/2007 04 27 PM JLIERLY
PLSP 01 8/09/07 JLL PLUMBING SHOWER PAN
8/09/07 DA 08/07/2007 05 00 PM LPANGRLE
MAE 461 1922
SHOWER PAN LINER
08/09/2007 04 29 PM JLIERLY
no shower pan installed yet/ ill
PLSP 02 8/d7/07 JLL PLUMBING SHOWER PAN
08/17/2007 08 36 AM LPANGRLE
MAE 461 1922
SHOWER PAN
COMMENTS AND NOTES
PREPARED 8/09/07 8 43 22 INSPECTION TICKET PAGE 16
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/09/07
ADDRESS 526 E 3RD ST SUBDIV
TENANT NBR MAE PAUL GRAVES
CONTRACTOR RICKENBACHER HOME REPAIR PHONE (360) 457 0467
OWNER PAUL A GRAVES PHONE
PARCEL 06 30 00 5 2 6508 0000
APPL NUMBER 07 00000581 RES REMODEL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 01 7/25/07 JLL PLUMBING ROUGH IN TIME 01 00
7/25/07 AP 07/24/2007 04 04 PM LPANGRLE
MAE 461 1922
ROUGH IN PLUMBING
AFTERNOON INSPECTION
CALL JOHN AT 461 4282 TO GAIN ENTRY INTO THE HOME
07/25/2007 04 27 PM JLIERLY
PLSP 01 8/09/07 L(� L 08UM7ING SHOWER PAN
08/07/2007 05 00 PM LPANGRLE
MAE 461 1922
SHOWER PAN LINER
COMMENTS AND NOTES
PREPARED 7/25/07 8 56 58 INSPECTION TICKET PAGE 19
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/25/07
ADDRESS 526 E 3RD ST SUBDIV
TENANT NBR MAE PAUL GRAVES
CONTRACTOR RICKENBACHER HOME REPAIR PHONE (360) 457 0467
OWNER PAUL A GRAVES PHONE
PARCEL 06 30 00 5 2 6508 0000
APPL NUMBER 07 00000581 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BAIR 01 6/18/07 JLL BLDG AIR SEAL
6/18/07 AP 06/15/2007 04 02 PM LPANGRLE
MAE 461 1922
AIRSEAL
06/18/2007 04 00 PM JLIERLY
BL3 01 6/18/07 JLL BLDG FRAMING
6/18/07 AP 06/15/2007 04 03 PM LPANGRLE
MAE 461 1922
FRAMING
06/18/2007 04 00 PM JLIERLY
BLI 01 6/19/07 PB BLDG INSULATION TIME 11 30
6/19/07 AP 06/19/2007 08 16 AM LPANGRLE
MAE 461 1922
INSULATION
REQUESTED 11 30 AM INSPECTION IF POSSIBLE
06/19/2007 04 44 PM PBARTHOL
MASTER BEDROOM EXTERIOR WALLS ONLY
BLI 02 7/25/07 BLDG INSULATION
07/24/2007 02 15 PM LPANGRLE
1 MAE 461 1922
INSULATION
AFTERNOON INSPECTION
CALL JOHN AT 461 4282 TO GAIN ENTRY INTO THE HOME
PL2 01 7/25/07
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PLUMBING ROUGH IN TIME 01 00
07/24/2007 04 04 PM LPANGRLE
MAE 461 1922
ROUGH IN PLUMBING
AFTERNOON INSPECTION
CALL JOHN AT 461 4282 TO GAIN ENTRY INTO THE HOME
COMMENTS AND NOTES
PREPARED 7/24/07 8 40 16 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/24/07
ADDRESS 526 E 3RD ST SUBDIV
TENANT NBR MAE PAUL GRAVES
CONTRACTOR RICKENBACHER HOME REPAIR PHONE (360) 457 0467
OWNER PAUL A GRAVES PHONE
PARCEL 06 30 00 5 2 6508 0000
APPL NUMBER 07 00000581 RES REMODEL
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME1 01
7/ 7/24/ 7 2 JLL
24/'0
V
MECHANICAL ROUGH IN
07/23/2007 09 42 AM LPANGRLE
PAUL 452 7072
MECHANICAL ROUGH IN
COMMENTS AND NOTES
PREPARED 6/19/07 11 10 09
CITY OF PORT ANGELES
ADDRESS 526 E 3RD ST
TENANT NBR MAE PAUL GRAVES
CONTRACTOR RICKENBACHER HOME REPAIR
OWNER PAUL A GRAVES
PARCEL 06 30 00 5 2 6508 0000
APPL NUMBER 07 00000581 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BAIR 01 6/18/07 JLL
6/18/07 AP
BL3 01 6/18/07 JLL
6/18/07 AP
BLI 01 6/19/07
J
INSPECTION TICKET
INSPECTOR JAMES LIERLY
SUBDIV
BLDG AIR SEAL
06/15/2007 04 02 PM LPANGRLE
MAE 461 1922
AIRSEAL
06/18/2007 04 00 PM JLIERLY
BLDG FRAMING
06/15/2007 04 03 PM LPANGRLE
MAE 461 1922
FRAMING
06/18/2007 04 00 PM JLIERLY
BLDG INSULATION TIME 11 30
06/19/2007 08 16 AM LPANGRLE
MAE 461 1922
INSULATION
REQUESTED 11 30 AM INSPECTION IF POSSIBLE
COMMENTS AND NOTES
PHONE (360) 457 0467
PHONE
imsr (3a 6cFzei (4 4/44,4_
PAGE 12
DATE 6/19/07
PREPARED 6/18/07 10 50 24 INSPECTION TICKET PAGE 9
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/18/07
ADDRESS 526 E 3RD ST SUBDIV
TENANT NBR MAE PAUL GRAVES
CONTRACTOR RICKENBACHER HOME REPAIR PHONE (360) 457 0467
OWNER PAUL A GRAVES PHONE
PARCEL 06 30 00 5 2 6508 0000
APPL NUMBER 07 00000581 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BAIR 01 6/18/07
BL3 01 6/18/07
BLDG AIR SEAL
06/15/2007 04 02 PM LPANGRLE
MAE 461 1922
AIRSEAL
BLDG FRAMING
06/15/2007 04 03 PM LPANGRLE
MAE 461 1922
FRAMING
COMMENTS AND NOTES
A Of o�
InV
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
PAUL A GRAVES
526 E 3RD
PORT ANGELES
Other Fees
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 98362
07 00000581
479143
526 E 3RD ST
06 30 00 5 2 6508 0000
MAE PAUL GRAVES
RES REMODEL
RS7 RESDNTL SINGLE FAMILY
20000
Contractor
Permit BUILDING PERMIT RESIDENTIAL
Additional desc REMODEL BED BATH ETC
Permit pin number 102483
Permit Fee 347 75
Issue Date 6/15/07 Valuation
Expiration Date 12/12/07
Qty Unit Charge Per
BASE FEE
1 00 7 2500 ECH ME VENT FAN
RICKENBACHER HOME REPAIR
121 E 2ND STREET
PORT ANGELES
(360) 457 0467
Plan Check Fee
Qty Unit Charge Per
BASE FEE
18 00 14 0000 THOU BL -2001 25K (14 PER K)
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 104398
Permit Fee 57 25 Plan Check Fee
Issue Date 6/15/07 Valuation
Expiration Date 12/12/07
Permit PLUMBING PERMIT
Additional desc
Permit pin number 104380
Permit Fee 86 00 Plan Check Fee
Issue Date 6/15/07 Valuation
Expiration Date 12/12/07
Qty Unit Charge Per
BASE FEE
2 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
Special Notes and Comments
06/12/2007 11 37 AM SROBERDS The proposal will allow a
master bedroom /bath renovation without additional lot
coverage in the RS 7 zone No land use issues anticipated
Date 6/15/07
WA 98362
Extension
95 75
252 00
STATE SURCHARGE 4 50
139 10
20000
00
0
Extension
50 00
7 25
00
0
Extension
50 00
14 00
7 00
15 00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities private and public improvements This permit becomes 'I°
null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned ,v)
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
Signature of Contractor or Authorized Agent Date Signature o wnf ow er is builder) Date
T' \Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
0
CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -473 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE k MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL 4N1 WORX BEFORE
LNSPECTED 4.NDACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT .ROB SITE.
INSPECTION TYPE DATE ACCEPTED I COMMENTS
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE/ DOWN SPOUTS
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
SHEAR WALL /HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
ELECTRICAL LIGHT DEPT
BUILDING .PERMIT INSPECTION RECORD
YES
NO
FINAL
FINAL
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING &HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s I SEPA.
PARKING /LIGHTING 1 I ESA.
LANDSCAPING 1 I SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417-4807 PW ENGINEERING
FIRE 417 -4653 1 1 1 I FIRE DEPT
I PLANNING DEPT 417 -4750 I 1 1 1 PLANNING DEPT
BUILDING 417 -4815 I I 1 1 BUILDING
T \Policies \1102 15 building permit inspection record05 wpd [1/4/20051
DATE ACCEPTED BY.
DATE ACCEPTED BY.
DATE
ACCEPTED
YES 1 NO
1
Application Number
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
07 00000581
Application pin number 479143
Fee summary Charged Paid Credited
Page 2
Date 6/15/07
Due
Permit Fee Total 491 00 491 00 00 00
Plan Check Total 139 10 139 10 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 634 60 634 60 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 \Policies \1102 l5 building permit inspection record05 wpd [1/4/2005]
INSPECTION TYPE DATE
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDr+T1ON DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DPYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -473' 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 4N1' WORE BEFORE
INSPECTED 4ND ACCEPTED POST PERMIT IN 4 CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
1-25-0
YES NO
L L—
(5
/nom 1 52 .!1'7 LL-
7 -24 -01 I P
ACCEPTED
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 1
I PLANNING DEPT 417 -4750 I ._s AA I ,I.
BUILDING 417 -4815 l )(01 Y@I4 11 y u i
T- \Policies \1102 15 building permit inspection record05 wpd [1/4/4)05]
FINAL
7 25-07 ILL- 4' (0l 19 /07 PB
FINAL DATE
SEPA.
ESA.
SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
DATE YES NO COMMERCIAL
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
1)ou.r€r Pooh 68 (t7io1 J'L
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
COMMENTS
DATE ACCEPTED BY.
ACCEPTED BY.
DATE I ACCEPTED
1 YES 1 NO
V
oQ-
LIGHT DEPT
1 1 I
Applicant or Agent:
Owner __Mgr
Address 52.-l5)
Architect/Engineer
PLANNING USE ONLY
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for i evieVv If you ha e an) questions, call wow
PERMITS (360) 417 -4815 FAX(360)417-4'711 5
Q,
A.
f
Address City
PROJECT ADDRESS SZ�-e 3 ID'
LEGAL DESCRIPTION Lot: Block.
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK.
1X Residential New Constr Re -roof
Multi- family Addition Move
Commercial I�. Remodel Demolition
Repair Sign
BRIEF DESCRIPTION OF THE PROJECT
Stove
Garage
Deck
Other
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
Phone S.-1-1N-S.-1-1NS.-1-1N-4—
�t Q_ Phone'4&Q(- 192.2A
5- cit
Phone.
Contractor �n� c_q State License I;1 C.I <e h Ehp (0
Phone.
Zip
l`I'3L9 Z ZONING
Subdivision.
r
e• i (Thc r
\-Z∎ ck O� S-
COM ERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type
No of Stories 2 Lot Size: Ens Sq Ft. Proposed Sq Ft. TOTAL Sq Ft.
Total lot coverage
T•�Policies\BL 1102_13.wpd Applicant: l Date: .�'L� -L 9
FOR OFFICIAL USE ONLY
t ateRec. 0 -Z .-07
ermit 0
Daze Approved.
ate Issued. 6
Zip 7
SIZE/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION
4. t5`7 -0
APPROVALS
PLAN -d ig /D 7
BLDG -1
DPWU
FE RE
OTT-TER.
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 Builrliiig Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE IF a plan check feels due it must be submitted at the time the building pemnt 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 apphcation, the application 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 R105.3.2
of the International Building/Residential Code, 2003) No application can be extended more than once
I hereby certify that I have read and examined this application and know the same to be true and correct. 1 am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the City's, and-that I must obtain such permits prior to work.
CITY OF PORT ANGELES Construction Plans
The Issuance of -upon- these mans. specifi-
cations and other data shall not prevent the building official
;rom- thereafter -requiriae the correction of errors in said
plans, specifications and other data, or trom'preventicd
hpilding operations being carried on thereunder when in
violation of all coai r nd `ordinances- ot- this_iurisdlction.
01
Approval Date BD"
F
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PREPARED 7/12/05 12 29 22 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/12/05
ADDRESS 526 E 3RD ST SUBDIV
CONTRACTOR PARRISH CONSTRUCTION LLC PHONE (360) 457 1405
OWNER PAUL A GRAVES PHONE
PARCEL 06 30 00 5 2 6508 0000
APPL NUMBER 05 00000407 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLM 01 6/13/05 JLL BUILDING FOUNDATION MONO SLAB
6/14/05 AP 06/10/2005 10 52 AM DYASUMUR
TREVOR 670 9431
MORNING PRE POUR
06/14/2005 08 48 AM JLIERLY
BL3 01 7/12 5 BUILDING FRAMING
07/12/2005 08 35 AM DYASUMUR
TREVOR 670 9431
COMMENTS AND NOTES
5 2_ 6 E 3 S±
PREPARED 6/13/05 15 39 51 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/13/05
ADDRESS 526 E 3RD ST SUBDIV
CONTRACTOR PARRISH CONSTRUCTION LLC PHONE (360) 457 1405
OWNER PAUL A GRAVES PHONE
PARCEL 06 30 00 5 2 6508 0000
APPL NUMBER 05 00000407 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLM O1 6/13/05 0UI10ING 5OUN0A5ION MONO SLAB
06/10/2005 10 52 AM DYASUMUR
TREVOR 670 9431
MORNING PRE POUR
COMMENTS AND NOTES
Signature
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
PAUL A GRAVES
526 E 3RD
PORT ANGELES
Other struct info
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Other Fees
Fee summary Charged
Permit Fee Total 386 75
Plan Check Total 154 70
Other Fee Total 4 50
Grand Total 545 95
CITY OF PORT ANGELES
pEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 98362
ctor or Authorized Agent
T•U'olicies \1102_15 building permit inspection record05 wpd [1/4/2005]
05 00000407
790340
526 E 3RD ST
06 30 00 5 2 6508 0000
RES ADDITION
RS7 RESDNTL SINGLE FAMILY
22500
386 75
154 70
4 50
545 95
Contractor
Date
6/09/05
PARRISH CONSTRUCTION LLC
393 CEDAR PARK DR
PORT ANGELES
(360) 457 1405
TOTAL LOT COVERAGE 29 20
CONSTRUCTION TYPE V -N
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Qty Unit Charge Per
BASE FEE
21 00 14 0000 THOU BL -2001 25K (14 PER K)
Special Notes and Comments
When roof gutters are installed drains will located in dry
wells or piped to apptoVed storm drain location No
pressurized or pumping to curbs are allowed An inspection
by Building Department is required prior to backfill
06/06/2005 11 39 AM SROBERDS
Addition to s f res in RS 7 zone No land use issues are
noted
Electrical permits are required for an Altered Service
Connection Fee Does Not Apply
05/31/2005 07 57 AM JHEBNER
MAINTAIN CLEARANCES FROM SERVICE WIRES
Consider relocating meter to garage
05/31/2005 08 13 AM JHEBNER
Paid Credited Due
00
00
00
00
-occ
WA 98362
1 00
1735 00
7000 00
315 00
2050 00
1 00
BUILDING PERMIT RESIDENTIAL
315SF ADDITION
51516
386 75 Plan Check Fee 154 70
6/09/05 Valuation 22500
12/06/05
Extension
92 75
294 00
STATE SURCHARGE 4 50
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 ordinan s governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presu 0 +iv uthority to violate or cancel the provisions of any state or local law regulating construction or the performance of
k ctio
Date Signature of Owner (if owner is builder)
Date
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.
FOUNDATION•
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL /HOLD DOWNS I I I
WALLS/ROOF/(G
DRYWALL (INTERIOR B PIEL ONLY) i
T -BAR 8 1
INSULATION
SLAB
WALL FLOOR CEIL IG 1 I I
MECHANICAL �x
HEAT PUMP FURNACE DUCTS I I
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS I I I
MANUFACTURED HOMES
FOOTING SLAB I I
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING" LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
INSPECTION TYPE DATE ACCEPTED
YES I NO
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
1•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
I I I
1 I I
I I
FIRE 417 -4653 I I I
BUILDING /13/1
PLANNING DEPT 417 -4750
J
SEPA.
ESA.
SHORELINE.
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
PLANNING DEPT
BUILDING
COMMENTS
(31)3/(55 More Slab
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
Contractor
Applicant or Agent: Ma a P i c 1 C
Owner CA,LJ
Address. 3z r• S+ City
Phone.
1 [re
Architect/Engineer c �c�l��CLV S) S a
A? tG
�a2Ras t� State License 95�hC� Exp
C:or ..M
Address.
PROJECT ADDRESS
LEGAL DESCRIPTION Lot: 51 to
CLALLAM COUNTY PARCEL NUMBER. Q7 CCY.Th 938 (s;), S <D
Credit Card Holder Name:
Billing Address: S2-1.12
Credit Card Type VISA MC XC
TYPE OF WORK.
Residential New Constr Re -roof Stove
Multi- family Addition Move Garage
Commercial Remodel Demolition Deck
Repair Sign Other
BRIEF DESCRIPTION OF THE PROJECT 31 c�� h
COMMERCIAL/RESIDENTIAL. Occupancy Group. Occupant Load. Construction Type:
No. of Stories: Lot Size: 7 Existing Sq. Ft. n a Proposed Sq. Ft.�I Fm TOTAL Sq Ft
Total lot coverage a9 e A
PLANNING USE ONLY
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other.
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 417 -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 If no permit is issued within 180 days of the date of application, the application 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 R105.3.2
of the International Building/Residential Code, 2003) No application can be extended more than once.
I hereby certify that I have read and examined 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 responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work.
T \Policies\BL 1102_13 wpd Applicant Date. qa4/(S
FOR OFFICIAL USE ONLY
BUILDING PERMIT APPLICATION DateRec. 0.5— d.4 —Qir
iv
Permit OS --v
Fill out COMPLETELY and in INK. Your application and site plan MUST B Date Approved
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
Gk-
City
S`E- 7
Block: Cc/5
Phone
r
I.
Phone
Date Issued.
Zip _-3( 2_,
5glabo 45 I 405
Subdivision. 23
City. TcrA- A e l-eS kkYcl AZ(QZ.
Exp. Date.
ST7F/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION $2,Q- SC) C]
I (0 SY3of
Zip
ZONING
TS e op
C-UIon
APPROVALS.
PLAN
BLDG
DPWU
FIRE
OTHFR.
501
50
Feet
503
525
507
503
Vera al Datum NA VI) 88
I Horizontal Datum NAD 83/91
531
513
324
Area Map
523
527
535
309
305
This map is not ntended to be used as a legal descnpti n.
This map/drawing is produced In the Cite of Port Angeles Jot its cn, n use and purposes
Any other use of this map/drawing shall not be the sponsibilitt of the Cite.
6oe
C 0'
MAE V-IEJ 05
vc1' rz, 74,
70.0
Al)p
I 0 z•-•
ITY, CT trk0U.S.E.
ct:E/K5
SCPE 2
r!)
1
E, Po Ar.k),Lk_Fc, v\lp,
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property 'Use
Property Zoning
Application valuation
-Owner
PAUL A GRAVES
526 E 3RD
PORT ANGELES
Other struct info
WA 98362
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc JEDI/ 6 CIR
Permit pin number 51797
Sub Contractor JEDI ELECTRIC
Permit Fee 58 70
Issue Date 6/16/05 Valuation
Expiration Date 12/13/05
Qty Unit Charge Per Extension
1 00 48 1000 ECH EL R OR RM 1 4 ALT CIRCUITS 48 10
2 00 5 3000 ECH EL R OR RM ALT ADDNT CIRCUITS 10 60
Special Notes and Comments
When roof gutters are installed drains will located in dry
wells or piped to approved storm drain location No
pressurized or pumping to curbs are allowed An inspection
by Building Department is required prior to backfill
06/06/2005 11 39 AM SROBERDS
Addition to s f res in RS 7 zone No land use issues are
noted
Electrical permits are required for an Altered Service
Connection Fee Does Not Apply
05/31/2005 07 57 AM JHEBNER
MAINTAIN CLEARANCES FROM SERVICE WIRES
Consider relocating meter to garage
05/31/2005 08 13 AM JHEBNER
Other Fees STATE SURCHARGE
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Charged
58 70
00
4 50
COMMENTS/ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
121 EAST 5TH STREET PORT ANGELES. WA 98362
05 00000407
790340
526 E 3RD ST
06 30 00 5 2 6508 0000
RES ADDITION
RS7 RESDNTL SINGLE FAMILY
22500
PARRISH CONSTRUCTION LLC
393 CEDAR PARK DR
PORT ANGELES
(360) 457 1405
TOTAL LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Paid Credited Due
58 70
00
4 50
Contractor
Plan Check Fee
00
00
00
Date 6/16/05
WA 98362
29 20
V N
1 00
1735 00
7000 00
315 00
2050 00
1 00
4 50
00
00
00
0 0
0
4 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.
DITCH
ROUGH IN COVER
SERVICE
FINAL
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES NO
COMMENTS
PVMIO2.15
COM1kNTS /ACTION NEEDED.
1
Application Number 05 00000407
Application pin number 790340
Grand Total 63 20 63 20
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Page 2
Date 6/16/05
00 00
FINAL
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTjON RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO CODER,
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
DITCH I
ROUGH -IN COVEIt I
SERVICE PI
1 J6'- DS" I f1 C'�
17- 24-o5 I r I Ii eN r avt) lA s e 0
I I I
I I I
l I I
I I
COMMENTS
4 wi dl r
Pw -I 102.15
Job wired by Electrical Contractor Owner
Electrical contractor name License number Date Expires
_V Of F ecin c_ J FDI CF. i f7cL
Purchaser's ailing address
P, O. t oxx 3S?
City State ZIP
Pon" All Selef CJ.. Re36a
Telephone number' FAX number
l it 0 ofS6 566 -/i7e
'Premises owner's name
Pk.(. Zr&.veS
Address of inspection
5 -c sT 3ro.
city rrA-1t
P 5 e ce1
Phone number to schedule inspection
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.
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..„---7
/Signature of electric contractor or electrical administrator
X
ElectricaYLoad Additions and or subtractions
NO LOAD CHANGES
Baseboard KW
Furnace KW
Heat Pump Ton LAR
Fan -Wall KW
Inspection
Date
7 /1z/ QT-
Date Cj -13-05
Overhead Service
Temp Service
Underground Service
Area, Building or Equipment Inspected
ELECTRICAL WORK PERNIITAPPLI
/Installation description
Commercial pCResidential
New
add
b c.rti /I /I7CLe,
Cash Check
Credit Card7(Vsa) Mastercard Dis cover
Expiration Date
of card
SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360 417 -4735
ROUGH -IN THERMOSTAT
%5 /D
Datf Approved By Date Appr ed By
FINAL DITCH
-5* IV
Date Appr ed By Date Approved By
N- Altered /Addition
4 circci1�s 72
SERVI
Date
FEEDER
Date
Voltage
Phase 1 3
Service Size: gO o
Feeder Size:
Action Taken
Q�
Inspection fee
Service Information
0 /aYa
Appr ed By
Appr ed By
Electrical
Inspector
CITY OF PORT ANGELES
PUBLIC WORKS BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
DUII-UlI¥~ I~'r'l~MI I ISSUED: 3/25/2002 PERMIT NO: 13306
OWNER/APPLICANT PROPERTY LOCATION
526 3RD E
PAUL GRAVES
526 E 3RD STREET Lot: 5 & 6
Port Angeles, WA 98362 Block: 65 [] Long Legal
3601452-7072 Subdivision: PSCC SUB LT 23
T: S: Parcel No: 063000526508000
CONTRACTOR ARCHITECT
PENINSULA HEAT N/A
502 W. 8th Street
Port Angeles, WA 98363 , 98360-0000
360/457-2775 360/000-0000
PROJECT INFO
Project Value: $4,905.00 SFD Units: 0 Commercial: 0
Project Type: HEAT PUMP ADD SFD SQ FT: 0 Industrial: 0
Occupancy Type: Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0 'J~
Zoning Use: ~J
PROJECT NOTES
INSTALL HEAT PUMP, LOW VOLTAGE THERMOSTAT
RECEIPT#8890
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: THERMOSTAT $34.40
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: $68.55
Plumbing: $0.00 AMOUNT PAID: $68.55
Mechanical: $34.15
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
re~s~me to give auth/Q~ to violate or cancel the provisions of any state or local law regulating construction or the performance of
;ignature of Contractor or Authorized Agent / /Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOT1CE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT 1N A CONSPICUOUS LOCATION.
INSPECTION TYPE I DATE ]YEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PEE~MIT: #
PLUMBING
UNDER. FLOOR/SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
FRAMING
JOISTS ! GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
MECHANICAL
HEAT PUMP
WOODSTOVE / PELLET/CHIMNEY / INSERT
HOOD/DUCTS
PW UTILITIES ! SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTING 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 - K.W.
ENGINEERING 417-4807 PW / ENGINEER/NG
BUILDING 417-4815 .... E~ C~ ~. ~?'/L~ BUILDING
~ I ~OR Ofl~CL~L t~ O~,Y:
Dm ~:
BUILDING PE IT - p PLICATION
Th~ BulMing Pe~it - P~appllcation ~ be f~ O~ cool. dy. ~ ~
~ P~e ~e or p~t ~ ~ ~ you have ~y qu~t~, ple~e c~ 417~81~
~c~te~n~eer:
~G~ D~C~ON: ~t: BI~: Su~sion:
OF WORK: SIzF./VALUATION:
ido~tial n New Co~. ~ R~f ~ W~ve SF. ~ $ .... ~F. = $
~ M~fi-f~ly ~ A~fion ~ Move . o G~ag~ *,, SF. ~ $ ~. = $
o ~ o Si~ 'o . TOT~ V~UA~ONz $
COMMERC~S~E~ ~up~ ~up: ~up~t ~: ~ Co~on T~:
No. ~S~d~: ~t S~: % ~t ~v~ge:
~g ~t Cov~uge:, , /sq. K + Pm~ ~t Cov~ase: /~. ~ ~ TOT~ LOT CO--GE: /~
P~ USE O~Y: ~PROV~:
P~ Req~: No~: B~
~ H~t: ~: ~g: DPW
$i~ PI~ ~d U~ Approv~ by: Da~:
ES~e~d(s): ~ Y~ ~ No S~A Ch~i~ r~? ~ Yo ~ No 0~: O~R
Di~ c~ pm~de you ~ mo~ d~l~ ~om~fion on ~e application ~d pl~ ~b~ ~q~.
BUI~G PE~ ~P~CATION SUBMITt'AL: Yo~ ~mplct~ ~ppKcafi~. aito pl~ (for ~o~) ~d buil~g
pl~ ~e to ~ ~b~R~ to ~¢ B~l~g Di~a~om Any addltbn la.er th~ ~ *q. ~ ~ a~d a P~ppHeation ~vi~.
may ~ r~ by ~¢ B~l~g Div. to ~mply ~ c~t f~ ~h~, C~ct ~ P~t C~or at 417M81 $ f~ ~i~.
P~ ~ ~: Y~ pl~ ~ f~ ~ d~ at ~ ~e ~e b~l~g ~t application ~d ~fion pl~ ~e ~b~
~t f~ ~ d~ ~t ~¢ ~ of ~t i~.
~TION OF P~ ~V~W: ff no ~t i$ i~ ~ 180 ~y$ of ~ ~t¢ of appli~fi~ ~s appli~fi~ ~
3~(d) of~e U~o~ BMI~g C~e. c~t ~fion). No applicafi~ c~ ~ ~a~d~ more ~ one.
l ~ ~m~ ~t 1 ~ mad and e~mined tfii$ application and ~ow the ~ame to ~ tme and co~t, and I am autho~zed to app~for
thi$ per. it. [ un&rztand if is not the Ci~'$ legal reapomfbifi~ w deremffne what pe~i~a~ ~quimd; it remai~ the
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~'---~ ~ '-(-~-*- Time Received by ~'/ (phone, person)
Location of Work to be inspected ~--~"~ ~ C/'~:~ ~-~> ~- °/
Name of person requesting inspection
I
Address of person requesting inspection Phone No. z/_~_ ~(~ ~Tr~.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing ~.~Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date ~' ~4:~'~ ~'-~-~ Time By
Remarks:.
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved ~'-]Gravel []Asphalt ['-IPCC [--IOther
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
{Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
{
" .
1
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17546
. it" - .:2,7: ?^/
Port Angeles. Washlngton___....:..___....n........................_________...___.___. 19.__.____
In aooordance with the City Ordinance to regulate the installation. extension. or repair of elec-
trical equipment in. On. or about any building or other structure in the City of Port Angeles. per-
mission is hereby granted to do electrical work as listed below.
Address nn___.::~:-:__2.~,,___...e___...~.___..__n__..__..____....m__. Occupancyn..,~L~~____.__..__...__.__.nnn...
O~~er .:,2f4~...n~~~if~'~~ ~ant..---..n---------.n-...--..--.--........--.---------...------........n
Wmng Contractor ___.~--"~"'---n---.."n----------n------.nn.------.--- By..nn______.n...______..___..__.nm.___.______.___...nnn....n
, (7
Light Outlets..............................._.._..... Service, volts /.~,L:,.;?!!!!..... Type 01 Wiring:
Receptacle Outlets.........___................... No. wires .;3.........___............-::....... Armored Cable ............---...............
. %/t;1~
Size wlres.._..............................._..
~cJA
Main fuse .......................................
S
Enclosure .......................................
Dryer, KW.n._..................__.................
R~nge, KW........................__..._
Water Heater:
KW................;{j';........... ..........
Hea" KW...../..S,....t.o:...f...............
Motors: size, V~d phase:
......I!.:?...ffr....23..r$..........
Type of wiring:
~ Entrance Cable .______m.___....___..
Rigid Conduit ___.___....___.................
Metallic Tubing ....______........
Current transformers:
No. & Size.....___.....................
Ser. No..............................................
Ser. No. .............................................
Ser. No.........................................
Total Load.....___.......___...........
Set. No. ................._....................
.
Non-Metallic ........___..___................_
Knob & Tube..................................
Rigid Conduit ................::.............
Metallic Tubing ...........................
Raceway ......................._n.......n..._
Circuits, Light...___..._____......___................
Utility.............................................
I-feat ......................................._.._..
Range .............................................
Water Heater ...............................
Motor .............................................
Dryer..................................................
Furnace .........................'_...................
Total.......................................
Remarks: n___...___dnt!..d:...,2:::':~~n______.n.......___.___.____________.nn___..___....___..___.______.___.___00...___..______...___.....
f -
._-_._.._--_.__._----_._._-.-~_.~----_..---_.~.~.._.--~._...~.--.~.~~~.~_._--_.---_._.~._.~.__.._--_._-_._._~._-------.----------------.--.-----------..-....-.---.---.._.._-~.
.:~.=~.~..~::.:...~..~...:...~..~..~......~---.---ni:~.~.~:~~~.~.~.~~~.~.:::.~....------...........:~,~~ZZ~~:2:....:....:
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be eon-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N~ 1 7 5 4 6
Address........................................................................................................................................Date..._......_.._......_.........._......_......_.........
\
'1
Owner ..................................._......_.._......_......_.._........................................................... Tenant......................u.................................n.........
Wiring Contractor....................................... ........................................................,..........................By...............................................................
t~. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con-
..:.:J cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, rnc.
'or' ....L. ....L. ...... _"'va
DUUU~ u. ~Oleman
"tjU-"52-75S"
p.l
~
ELECTRICAL PERMIT APPLICATION
RMOfAOALUSlUNlT
~_..._.
-..
o.c~_ ._
Dlwa.r.t_ ._
~.., ~<{ of
__or-"" ill"'''' ,,___..__..........pre. 4"_
__<-I......., R"2""'+ .0
:"l I,.,Ppc.,.e.h....-
o.rw"'.....~Ilgoo'. . (2';,///II.7,/." l::7u-Jr.:.,e- _.:). - 7S-~Y F.,. .;1.- '7>-Y."
~ Pholw..,:2 - 9/.77 bl..
=o.n", ~~ P -gJ ClIr' /? 4, Ziv
Elec1ri<oI~ c1",/..,. //"/nA/ .a-/H'" ,i...".. '-'"'"-'" E>oI<
....""..." 5~?- '-,)fl,i-I, co,., Pc;zr- (.:)f1..~~Cli."
INSTAUA110N WIllED BY, ::l C>WNEJl jj(ELECTRICAL CONTRACTOll
Cn:dllCanJ-_, g"i~ ('J. /illetb.~
CIty-
, e.p. _.
Ttw!EJedricalPennil ~aliftqlftUd"1IIIIIIIGtII_. .....1..
_, ~ -75.... "'1
zv. '9 ~" 3 (.z..
,
Zlp:
VJSA:LMC:_
Billing AdIltnoss:
PROJeCT lIllDRUS,
/5"-:lG. I€ -g A.../J
TYPE OF WORK;
~.i!!! IIIat apply: 0 New 0 Al\8ralionfAddl1lon
~eside/lllll 0 _family 0 Commercial 0 _ Horno . Sq. R
OR_Mo.r ODelal:hedgarage OHlltTUb OSwimPIKII 05epticPump DLowV,,"- DTeleoom. =:JSign
NumIIer oIQn:ui1s _ or_
DESwur- ..clH OP THE E1ECJRICAL PIlOJECr.
&;ledrir:al HIIaI I ..-.. ...........
P.er-.'+ F,,"<-~ ~'>..,>-iJ
... __tlan
o BiI.ftr2'tf
o Furnac:e
o Heel Pump
o Fan-Wall
_KW -'
.J.tl..KW ~ (,;1....
_KW IZ-T...,;_...to(
_KW
00-.-_
UTemp_
o UrIdlnground Setvice
VoltagB;
_Ot n3
Service Siov,
_SiZe:
PAIIf;; t4.05.lI6O(lIj; FrK _ COlI1I1IIlR:iaI. & _ pn>jec:Is Iarg8f IIlIIn a liIpIex. " one . line dnilwing oI1l1e E_ Service &
-.s. building size (sq.1l.~ _ __ and !he _& 01_ ___is required _ sIIa1I aa:ompany lh&
8ecIricaI _ application.
I herebyantfly thaI 1 have read and _liIled _ appIicaIion and know IIlar _to be In1B and r:onecI. and 1 am
aulhorized fO sppIy for this pennit 1 undetsIand it i$ noI the Ciry's legal responsibility to dBtetmine wIIBl permits
are required; il remains Ihe appIiciNrts responsibiIiIy to dsIermine IWhaI permtls _ required and to obtain sudJ.
CIediI Card HoIdet's SIgn8Iunt:
0..... or EIec. Cont. Signatwe:
~
Dale: <r"Z-oz......
DaI8:
PW .Q019
Application Number . . . . . 22-00001067 Date 8/24/22
Application pin number . . . 595938
Property Address . . . . . . 526 E 3RD ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-2-6508-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Alarm system
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
THEODORE GEORGE AND CAROL LEE ADT LLC
526 E 3RD 11824 N CREEK PARKWAY, N
PORT ANGELES WA 98362 STE 105
BOTHELL WA 98011
(206) 719-0347
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 64.00 Plan Check Fee . . .00
Issue Date . . . . 8/24/22 Valuation . . . . 0
Expiration Date . . 2/20/23
Qty Unit Charge Per Extension
1.00 64.0000 ECH EL-SINGLE CIR LIMITED RES 64.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 64.00 64.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.00 64.00 .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
526 E Third St
Telecommunications work/wireless intrusion alarm installation.
Miller, Carol
526 E Third St
ADT LLC
11824 N Creek Pkwy, Bothell, WA 98011
(206) 395-2366
ADTLLL*881DO
X
1
PREPARED 8/23/22,14:46:42 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
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APPLICATION NUMBER:22-00001067 526 E 3RD ST
FEE DESCRIPTION AMOUNT DUE
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ELECTRICAL ALTER RESIDENTIAL 64.00
TOTAL DUE 64.00
Please present reciept to the cashier with full payment