HomeMy WebLinkAbout418 E Front St - Building CITE' OF PORT ANGELES PERAIIT APPLICATION ,• 1
Building Division/Electrical Inspections
321 East Fifth,Street-P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: /0 r//'!Z �<4 &2 Singie Family Dwelling --.�
* Plan Review May Be Re Hired Please Camp to Electrical Plan Review Info oration Sheet
Jab Address: 2o&j-r F4lnlb Fi-Aci-s7ptie
Building Square Footage:
Description of above
Owner Information Contract of rmation
Name; LL" ME4LC IE,14 Name:
Mailing Address: / i+. tjT- Mailing Addres&&44ic AA.orww SoL
City: PPS State: wAr Zip City: FA State.W*- Zip:
Phone:q17-/9g13 Fax: Phon �e: -lf$7 Fax
License#I Exp 2930 License#I Exp. U-V14 P -.
Item Unit Charge City Total (Qtv Multiplied by Unit Charge)
Service/Feeder 200 Amp $120,00 $
ServicelFeeder 201-400 Amp. $14600 $
Service/Feeder 401-600 Amp $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1400 Amp. $373.00 $
Branch Circuit WI Service Feeder $ 5.00 $
Branch Circuit W/0 Service Feeder $ 63.40 $
Each Additionai Branch Circuit $ 5.00 $
Branch Circuits 1.4 $ 75.00 �_ $ 75- -
Temp.Service/Feeder 200 Amp. $ 93.00 $
Temp.Service/Feeder 201-400 Amp. $ 110.00 $
Temp.ServicelFeeder 401-600 Amp. $149.00 $
Temp. Service/Feeder 601-1000 Amp , $168.00 $
Portai to Portal Hourly $ 96.00 $
Signai Circuit/Limited Energy-1 &2 Family Dwelling $ 64,00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy-5KVA System cr Less $10200 $
Thermostat $ 56.00 $
Note: $5,00 for each additional T-Scat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.00 $
Each Additional 500 Square Ft or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $110.00 $
$ Total
Owner as defined by RCW,19.28,251, (1)Owner will occupy the structure for two years after this electrical permit is finalized. (2)Owner is required
to hire an electrical conlractor 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 alferatlon in compliance with the electrical laws, N,E C., ROW. Chapter 1928, WAC, Chapter 296-4613,The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications,
Signature of owner,e ectrlcal contractor or electrical administrator; ❑ cash Xcheck
El Credit Card H
X Dated; 0110112012
10`7 ( A�' 311
ELECTRICAL PERMIT t
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 12-00001351 Date 10/12/12
Application pin number . . . 845548
Property Address . . . . . . 418 E FRONT ST REPORT SALES TAX
ASSESSQR PARCEL NUMBER: 06-30-00-5-1-1930-0000- on your excise fax farm
Application type description ELECTRICAL ONLY
Subdivision Name . . . t0 the City of Part Angeles
Property Use (Location Code 0502)
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 0
---------------°_- -_- -_-___°_°_----------------------------------------_ .._-
Application desc
1-4 circuits
-- �1 � ---� 18r 1 ------------
Owner Contractor
ALLAN G / JOY S MERCIER BLACK DIAMOND ELECTRICAL CONTR
418 E FRONT ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(36.0) 565-1035
---------------------------------------------------.-- _ ---------------
Permit . , . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee 75.00 Plan Check Fee .00
Issue Date . . . . 10/12/12 Valuation 0
.Expiration Date . . 4/10/13 [�1�
Qty Unit Charge Per Extension 1�
BASE FEE 75.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75.00 75.00 cc .00
Plan Checic Total .00 .00 00 .00
Grand Total 75.00 75,00 00 .00
INSPECTION TYPE DATE: RESUL'T'S: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
>~ 1 P�
COMMENTS:
PERMIT WILL EXPIRE SIX{6)MONTHS FROM LAST INSPECTION
Signature of owner Or Electrical Contractor X �Date: -
GAEXCI-IAN(jL\BU 1I-DING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360.417-4735
Application Number 12-00001351 Date 10/12/12
Application pin number 845548
Property Address . . . . . , 418 E FRONT ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER; p6-30-00-5-1-1930-0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name . . , . . . to the City of Port Angeles
Property Use , , . . , , , , (Location Code 0502)
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . , , 0
Application desc
1-4 circuits
Owner Contractor
ALLAN G / JOY 8 MERCIER BLACK DIAMOND ELECTRICAL CONTR
41B E FRONT ST 502 BLACK DIAMOND RD
PORT ANGELES _ WA 96362 PORT ANGELES WA 98363
{360} 565-1035
Permit , . , . , . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee 75.90 Plan Check Fee o0
Issue Date 10/12/12 Valuation , . . . 0
Expiration Date 4/10/13
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
INSPECTION TYPE DATE; RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
.PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of'owner or Firetrical Contractor X J _ Date:
G:\EXCHAN GEIBU I LD W G
CITY OF PORT ANGELES PERMIT APPLICATION �""�+��
Building Division/Electrical Inspections ID
321 East Fifth Street—P.O.Box 11501 Port Angeles Washington, 98362 ;,
Ph: (360)417-4735 Fax: (360) 417-4711 V �-
Date: (� 1 &2 Single Family Dwelling
*Plan Review May Be Requ red�Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:_
Description of above
Owner Information Contractor Information
Name; _A(ZL-C"� Name 6 L-_ ----._-........... ........_ - -
Mailing Address: Mailing Address:
City: State: Zip: City: State: Zip:
Phone: Fax: Phone: Fax:
Licerse#1 Exp. License#1 Exp. 1C -fit`.4%2 q.0 °-
Item Unit Charge Qty Total (Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp, $120,00 $
ServicelFooder 201-400 Amp. $146.00 $
ServicelFooder 401-600 Amp $205.00 $
ServicelFeeder 601-1000 Amp, $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit Wl 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.ServicelFeedor 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 Circuit/Limited Energy-1 &2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy-5KVA System or Less $102.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft, $120.00 $
Each Additional 500 Square Ft.or Portion of $ 40,00 $
Each Outbuilding or Detached Garage $ 74,00 $
Each Swimming Pool or 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 296-46B,The City of Port
Angeles Municipal C d , and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications,
Signature of 7e I contractor or electrical administrator: ❑ cash K check
❑ Credit Card#
X Dated: IR` t 0110112012
U�
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 13-00000951 Date 8/22/13 ^»
Application pin number 988158
Property Address , - 41B E FRONT ST REPORT SALES T"
ASSESSOR PARCEL NUMBER; 06-30-00-5-1-1930-0000-
Application type description ELECTRICAL ONLY on your excise fax form
Subdivision Name , , , , , . to the City of Port Angeles
Property Use
Property Zoning . . . . , , . RESIDENTIAL HIGH DENSITY (Location Codes 0502)
Application valuation . . , , 0
Application desc
Final for expired permits
Owner Contractor
ALLAN G / JOY S MERCIER BLACK DIAMOND ELECTRICAL CONTR
418 E FRONT ST 502 BLACK DIAMOND RA
PORT ANGELES WA 98362 PORT .ANGELES WA 98363 r
(360) 565-1035
--------------------------------------------------- ------------------------
Permit . . . . . , ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit ..Fee 63.00 Plan Check Fee .00
Issue Date 8/22/13 Valuation , , . , 0
Expiration Date 2/18/14
Qty Unit Charge Per Extension
-------1-OCy------63.0000'ECH---EL-R- D RANCH CIR WO/ SFR FEED 63.00
Fee summary Charged Paid Credited Due
Permit Fee Total 63.00 63,00 .00 .00
Plan Check Total - .00 .00 .00 ,00
Grand Total 63,00 63,00 .00 .00.
V
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:IEXCHANGEIBUILDING
O
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 10- 00001429 Date 1 /11 /11
Application pin number 481248 REPORT STATE SALES TAX
Property Address 418 E FRONT ST on your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-5-1- 1930 -0000-
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
(Location Code 0502)
Property Use
Property Zoning RESIDENTIAL HIGH DENSITY
Application valuation 0
Application desc
4 circuit remodel
Owner Contractor
ALLAN G JOY S MERCIER SEQUIM VALLEY ELECTRIC
418 E FRONT ST 11 LONE EAGLE LANE
PORT ANGELES WA 98362 SEQUIM WA 98382
(360) 681 -3330 cIT
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 178590
Permit Fee 89.10 Plan Check Fee .00
Issue Date 12/08/10 Valuation 0
Expiration Date 6/06/11
Qty Unit Charge Per Extension
1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50
6.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 15.60
Fee summary Charged Paid Credited Due
Permit Fee Total 89.10 89.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 89.10 89.10 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
1
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX MONTI IS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
O
ELECTRICAL PERMIT
L
CITY OF PORT ANGELES
360- 417 -4735
Application Number 10- 00001429 Date 12/08/10
Application pin number 481248 REPORT STATE SALES TAX
Property Address 418 E FRONT ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -5 -1- 1930 -0000- on your excise tax form
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning RESIDENTIAL HIGH DENSITY
Application valuation 0
Application desc
4 circuit remodel
Owner Contractor
ALLAN G JOY S MERCIER SEQUIM VALLEY ELECTRIC
418 E FRONT ST 11 LONE EAGLE LANE
PORT ANGELES WA 98362 SEQUIM WA 98382
(360) 681-3330
053 '{V-& z_
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc ADP
Permit pin number 178590 3 GlR-cd.)
Permit Fee 81.30 Plan Check Fee .00
Issue Date 12/08/10 Valuation 0 T C
Expiration Date 6/06/11 n `i
Qty Unit Charge Per Extension
1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50
3.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 7.80
Fee summary Charged Paid Credited Due
Permit Fee Total 81.30 81.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 81.30 81.30 .00 .00
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:
11/ -L 1 1J 1T Jt .O.PDRrq
CITY OF PORT ANGELES PERMIT APPLICATION ELECTRICAL r
Building Division/Electrical Inspections
321 East Fifth Street P.O. Box 1150 Port .Angeles Washington, 98362 INSPECTIONS
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: J2/7/
X 1 Single Family Dwelling Multi- Family or Commercial` Commercial Addition 1 Alteration Remodel Repair'
Plan Review M y CE Be �tequiro eaee Complete Electrical Plan Review Information Sheet
Job Address: FF S7'
Building Square Footage:
Desorption of above Zi.,/ 1 j /V C
Owner I 1 a L- -O C i /AX-.
Name: IMP Cl�
main g Amass: mine_ Mailing Address: ii AIL `GcZ la/
City: State: Z,p: City: 4Ea /'7 State: Zry n
Phone: Fax: Phone: 741- 617-333 ax: GO -!o
license l Exp. License l Exp. 5 r
HM Unit Charge MI Taal (Qtv Multiplied byjfnit Chortle}
Service/Feeder 200 Amp. 119.90
Service/Feeder 201.400 Amp. 145.50
Service/Feeder 401-690 Amp 204.60
Service/Feeder 601 -1000 Amp. 26220
Service/Feeder over 1000 Amp. 372.50
Branch Circuit WIO Service Feeder 73.50 min S 71 Sa
Each Additional Branch Circuit .60
Temp. Service/ Feeder 200 Amp_ 92.70
Temp_ServiceIFeeder 201400 Amp, 110.30
Temp. Service/Feeder 401.600 Amp. 148.70
Temp_ SenAce&Feeder 601 -1000 Amp 167.90
Portal to Portal Hourly 95.90
Sign/Outline Lighting 88.20
Signal Choral Limited Energy 1 First 1500 s f— Commercial 95-90
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90
Signal Circuit/ United Energy Muni- Family Dwelling 63.90
Manufactured Home Connecbon 119.90
Renewable Electrical Energy 510/A System or Less $102.30
Thermostat 56.00
NEW CONSTRUCTION ONLY:
First 1300 Square Ft 110.30
Each Additional 500 Square Ft or Portion of 35.20
Each Outbuilding or Detadled Garage 7150
Each Swimming Pool or Hot Tub 110.30
7. 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, 1 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 elediical laws, N.E.C., RCW. Chapter 19.28, WAG. Chapter 296-468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. L /,/,ON,¢
Signature of owner, electrical contractor or electrical administrator: owl check
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,f` CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 06- 00001052 Date 10/18/06
Application pin number 534552
Property Address 418 E FRONT ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-1- 1930 -0000-
Tenant nbr, name MERCIER RES.
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning RESIDENTIAL HIGH DENSITY
Application valuation 10500 v 1
Owner Contractor J�
ALLAN /JOY MERCIER OWNER
418 E FRONT ST
PORT ANGELES WA 983623114
Permit BUILDING PERMIT RESIDENTIAL
Additional desc
Permit pin number 87601
Permit Fee 221.75 Plan Check Fee 88.70
Issue Date 10/18/06 Valuation 10500
Expiration Date 4/16/07
Qty' Unit Charge Per Extension
BASE FEE 95.75
9.00 14.0000 THOU BL- 2001 -25K (14 PER K) 126.00
Permit MECHANICAL' PERMIT
Additional desc
Permit pin number 89094
Permit Fee 67.90 Plan Check Fee .00
Issue Date 10/18/06 Valuation 0
Expiration Date 4/16/07
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 7.2500 ECH ME -VENT FAN 7.25
1.00 10.6500 ECH ME -GAS PIPE 1 TO 5 10.65
Permit PLUMBING PERMIT
Additional desc
Permit pin number 89102 O�
Permit Fee 78.00 Plan Check Fee .00
Issue Date 10/18/06 Valuation 0
Expiration Date 4/16/07
Qty Unit Charge Per Extension 99
BASE FEE 50.00
2.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 14.00
2.00 7.0000 ECH PL- EA. REPAIR/ DRAIN VENT 14.00 r
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
Public Works Utility Engineering has no requirements for
this plan review.
Other Fees STATE SURCHARGE 4.50
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I- hereby certify that -I -have read -and examined this application and know the same to be true and correct. All provisions of
laws and ordinances goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any stat or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature f Owner 'f owner is builder) Date
T: \Policies \1102_15 building permit inspection record05.wpd [1/4/2005)
4
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE EILDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
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
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB 0
BLOCKING HOLD DOWNS
SKIRTING
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 BUILDING
T: \Policies \1102 15 building permit inspection record05.wpd [1/4/2005]
Ilk. p OR T 4 CITY OF PORT ANGELES
I�� DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number 06- 00001052 Date 10/18/06
Application pin number 534552
`41 Fee summary Charged Paid Credited Due
Permit Fee Total 367.65 367.65 .00 .00
Plan Check Total 88.70 88.70 .00 .00
Other Fee Total 4.50 4.50 .00 .00
',,-y Grand Total 460.85 460.85 .00 .00
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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_15 building permit inspection record05.wpd [1/4/20051
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS 0.1/4- v T t...
PIERS V
POST HOLES (POLE I3LDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN 17 /11V /ft67
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW WATER
AIR.SEAL
WALLS
CEILING
FRAMING In n _03 --d1 —Si—I-- ok— Q g -0 g F v0.Yrc L{/1q C ro7'Gh
JOISTS GIRDERS R•Ck4L4l0(A
SHEAR WALL/HOLD DOWNS J
1 1-1-7 Tr&vv1 i r11ry 3
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION 1 -23—OS 2
SLAB
WALL FLOOR CEILING
MECHANICAL Dyck Oi11t �LL 1.-2/— it
HEAT PUMP FURNACE DUCTS J
GAS LINE !l /O A* —D �J
WOOD STOVE PELLET CHIMNEY FINAL //i 9 DATE 1 J L— ACCEPTED BY:
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA: M
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 3'?)0' la' S BUILDING
T: \Policies \1 102_ 15 building permit inspection record05.wpd [1/4/2005]
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
House remodel 10 circuits
Owner
Mercer Alan
418 E FRONT ST
PORT ANGELES
Qty
1 00
9 00
Unit Charge Per
57 5000 ECH
2 0000 ECH
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983623114
Permit
Additional desc
Permit pin number 151191
Permit Fee 75 50
Issue Date 8/06/09
Expiration Date 2/02/10
75 50
00
75 50
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
Date 8/06/09
09 00000782
845824
418 E FRONT ST
06 30 00 5 1 1930 0000
ELECTRICAL ONLY
RESIDENTIAL HIGH DENSITY
0
Contractor
ELECTRICAL ALTER RESIDENTIAL
SEQUIM VALLEY ELECTRIC
11 LONE EAGLE LANE
SEQUIM WA 98382
(360) 681 3330 483 5
Plan Check Fee
Valuation
EL BRANCH CIRCUIT WO /FEEDER
EL ECH ADDNT BRANCH CIRCUIT
Paid Credited
75 50 00
00 00
75 50 00
DATE. RESULTS
0 0
0
Extension
57 50
18 00
Due
00
00
00
INSPECTOR.
io f o ;t x`P 1 R_1547
Signature of owner or Electrical Contractor X Date
00
\n
City of Port Angeles Permit Application
Building DhrlelonlElechlcel Inspections
321 East Fifth Street- P.O. Box 1150
Port Angeles Washington, 98362
Ph: (360) 4174735 Floc (360) 4174711
Date:
X1 2 Single Family Dwelling: l PI-1--
Multi -Family or Commercial`
Commercial Addition Alteration Remodel Repair'
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: i1 E. FK4 Nr Sr.
Building Square Footage:
Description of above
Owner Information
Name: Ii LA iy_ 11''1 ERC4..
Malting Address: allI F.• b gr S
City• Mgr 4NG State: WA Zip 31 2-
Phone:7 q
License Exp.
Volt Charge qtY
93.75
$113.75
$160.00
5205.00
$291.25
2.00
57.50
2.00
72.50
86.25
$116.25
$131.25
75.00
69.00
75,00
50.00
50.00
93,75
80.00
86.25
27.50
57.50
86.25
43.75
hioPlf1E() o,_ C- 1 P-00- 6 .j
Owner= defined byRCW,1928261: (1) Owner will occupy the structure for hey yearsaQerthis electrical petmk is finalized. /2) owner is rewired to hits an
electrical contractor if oboes said propeityls for sea rent or lease.
After reading the above stutemenf,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 296468, The City of Port Angeles Municipal Code. end
Utility Specifications.
Signature of owner electrical contractor or electrical administrator
X
0/07
Thermostat
SD Total
RECE VED
AUG 5 2009
ELECTRICAL
INSPECTIONS
pORr
ir moot e eme
gi IAMB
La
,N.
C1�
Contractor Information
Name: ✓E61///yl U4 Ll. y £I- talc. /RC-
Mailing Address: (1 -0W 4,4e 1 4:
City StQr.0 h State: C^/� Zip:
Phone: .7G,D -i4b f370 Fax:
License Exp. Sal id t4' 9/ 7c77)
Total (gt, Multiplied by Unit Charge1
Service /Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401-600 Amp.
3 Service/Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
.5 Branch Circuit W/O Service Feeder
1 f.. Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401 -600 Amp.
Temp. Service/Feeder 601 -1000 Amp.
Portal to Podal Hourly
3 Sign/Oulline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
3 signal Circuit/ Limited Energy Multi- Family Dwelling
3 Manufactured Horne Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft
Each Additional 500 Square Ft. or Potion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
O' Cash
Chock
Cradtt Card
Application Number 06 00001052 Date 12/31/07
Application pin number 534552
Property Address 418 E FRONT ST
ASSESSOR PARCEL NUMBER 06 30 00 5 1 1930 0000
Tenant nbr name MERCIER RES
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning RESIDENTIAL HIGH DENSITY
Application valuation 10500
Owner Contractor
ALLAN /JOY MERCIER
418 E FRONT ST
PORT ANGELES
WA 983623114
OWNER
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc SHAMP/ KIT REMODEL
Permit pin number 110460
Sub Contractor SHAMP ELECTRICAL CONTRACTING
Permit Fee 110 00 Plan Check Fee
Issue Date 9/13/07 Valuation
Expiration Date 6/07/08
00
0
Qty Unit Charge Per Extension
1 00 64 0000 ECH EL -R OR RM 0 200 ALT SRV FDR 64 00
1 00 46 0000 ECH EL R OR RM 1 4 ALT CIRCUITS 46 00
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
Public Works Utility Engineering has no requirements for
this plan review
Other Fees
STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 110 00 110 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 114 50 114 50 00 00
INSPECTION
TYPE DATE
DITCH
SERVICE
ROUGH ]IN
FINAL
COMMENTS:
ELECTRICAL
RESULTS INSPECTOR
00-7 AP
j0 Y/07
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
ALLAN /JOY MERCIER
418 E. FRONT ST
PORT ANGELES
Other Fees
Fee summary
WA 983623114
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST .5TH STREET PORT ANGELES. WA 98362
06 00001052
534552
418 E FRONT ST
06 30 00 5 1 1930 0000
MERCIER RES
RES REMODEL
RESIDENTIAL HIGH DENSITY
10500
Owner Contractor
OWNER
Qty 'Unit Cha Per
1 00 4'6 0.000 ECH EL -R OR RM 1 4 ALT CIRCUITS
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
Public Works Utility Engineering has no requirements for
this plan review
Charged Paid Credited
Date 9/13/07
Permit. ELECTRICAL ALTER RESIDENTIAL
Additi desc SHAMP/ KIT REMODEL
Permit pin number 110460
Sub Contractor SHAMP ELECTRICAL CONTRACTING
Permit Fee 46 00 Plan Check Fee 00
Issue Date 9/13'/0.•7 Valuation 0
Expiration Date 3/1-1%08
Extension
46 00
STATE SURCHARGE 4 50
Due
Permit Fee Total 46 00 46 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 50 50 50 50 00 00
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 1
ROUGH -IN COVER 1!0- 211 -01
SERVICE
FINAL
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES 1 NO
1 .1 1
1 1 1
1 1
1 1 1
COMMENTS
PW-1 102.15 ('961
09/06/2007 07 15 FAX
Job wired by
Prc s s„p�ner's M ^city
1b0t Vt/l -R BIA0
i/s lba
Inspection
Date
e
r lectrical Contractor
47-7-
/Installation description
Owner O Commercial 0 Residential
nycal con[racta ut e Ex Expires A
ew Altered/Addltton
Pt M1E1t,Fr 1 Q) dd YN,* /1�/ 1 t u V
t,C 214 L O//
Telop one number 1/l.l umber 1f)
Signa of owner, electrical contractor or electrical ad inistr or Expiration Date
X Dateq o f card
Electrical Lond Additions and or subtracUgns
O NO LOAD CHANGES
O Baseboard KW
Fumace KW Overhead Service
Heat Pump Ton LAR Temp Service
Fan-Wall KW Underground Service
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360- 417 -4735
nurtt jQ n. ee on
��i �J
Owner as defined by RCW19.28.26! (1) Owner will occupy the strucrure for Iwo
years after this electrical permit iv ftnalfted. (2) Owner is required to hire an electrical 1 contractor if above said property is for sale. rent or !rare. Cash 0 Check
After reading the above statement, 1 hereby certify that I am the owner of the above
named property or a licensed electrical contractor. 1 am making the electrical instal 0 Credit Card Visa Mastercard Discover
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 Card
Utility Specifications.
Arca, Building or Equipment inspected
ELECTRICAL WORK PERNIITAPPLICATION
THERMOSTAT
Daly ADDruved Dy J Dale
fe
Service Inforrlon
Voltage
Phase 0 1 0 3
Service Size:
Feeder Size:
VICE
7
Appmved BY Dew Approved ny J D tc ADDrovud D
FINAL DITCH FEEDER y
0
Action Taken
Approved By
x001/001
Electrical
Inspector
1'
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15510
,. ':/ ;,.
Port Angeles, Washlngtonm......_........_.........._m__.._______m_m___m_...., 19nmm
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment ln, 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.
4." ,....... . . . .
Address _____m_:nnm__:_mmm___'_~nL,;__Lnmmmn_n_m________m____nn.. Occupancy__n__:__,n"-~o_m_m._______nn___._.___m
o . ~ . 'j~-.. _'4.. Tenant
w:=~ ~-~~:~:~:~~::~:::Q;2~:::~::;:~:;:::~:=::::::::::::::::'___n_':"m ~;=::::::::::::---::-~::::::::::=::::::::::::::::==::::::::=:::::::::
Light OutletBn_________________________h_..____n._.
Receptacle Outlets.............m.u............
Dryer, KW.n_......n.........................._...
Range, KW hn"'h...nhh...__
Water Heater:
KW.....hmmm__mmn_h...__h_.. hhm.
. Ie) I? Ii
Heat. KW............................................
Motors: size, volts and phase:
/ -
/.',j.l 1; J /;'-:
A .........................................;.................
.--
-~-~-- " .,,,,
:':'::>..:E::::<:::::Z::::;;':::::::=::
Total I.oad........................h...
Service, volts ......hh........._h.........._.....
No. wires ....h......_.......__...._............
Size wlres..................._.............._..
Matn fuse ...................._..................
Enclosure ........m.......___....___..m
Type of wiring:
Entrance Cable mm..hhoo...............
Rigid Coudult ,0.,__0.___0.__,_",0.
MetalUc TUbing .................
Current transformers:
No. & Slze______________________nn.._.__nh___
Ser. No...............................................
Ser. No........................__............__......
Ser. No. ...n_.............._..................oo....
Ser. No. .--..........................................
Type of Wiring:
Armored Cable ..............................
Non-Metallic ........h.u..................._
Knob & Tube........_n.........._.........._
RIgid Conduit ___.0000______.0.______.__._00
Metallic Tubing .________00_____0.0.0.._..
Raceway .................__............._....._
Circuits, LIght........h........................._..
Utillty.__.__nn____n_..___._n..._________.h._.
Ileat ......................._........_...._......
Range ......................h....._............
Water Heater .........h....................
Motor _._.....__.........._......................
Dryer ...............__._....._.....................__
Furnace .........................'~...................
Total.........................._............
Remarks: _unn..u~u._~_:.~_L.n______'___..:-___.!::~.-:::.nn_____._:_n.~~-::~__n____...nu~u__.nn.__n__u____n..__..~..____.___n________~.n.n__n__.n_
. ,
Permit Fee Treas. Receipt ::/ /' / .
$:000...000000_____000000_.___________. NO...m......._............... By m~_~__m__/.!___..'....._m___:__m__m_.m:m.:.~';,::_:._.
NOTICE-Current must not be turned on until Certificate of Inspection haa been issued. It work is to he con-
cealed due noUce must be given the Inspector so that work may be Inspected before concealment.
. ,
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
I'.'
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N?
15510
ELECTRICAL PERMIT
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Address............._..___......._.....:...................................................................._................................Date..._......_.._.._.._.........._......_......_......._
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Owner...........!.'.:.}...~J.....-:......_......_.._......_......_.._....:............__........................................Tenant.........................................................___._......
. j
WirlngContractor........................___....::.._..,..................._...................................__........................By..............................................................
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be Inspected before concealment. .
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