HomeMy WebLinkAbout629 E 8th St - Building
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CE RTI Fre~tE",:9;f~U PAN CY
City~ Port A~"g~~I~S\";:Builtling~vision
"
This certificate is issued, li;[suant to the requirements of Section 110 of the 2Q06 International Building
Code certifying that a he lime of issuance this structure was in compliance w"(ll the various ordinances
of the CUy regulating, Ui"i~~g constru~tion or use f~r the following.. \
Business name: { Sh~dow Drag?n~Martial Arts
Business address: ,62~" 8th St.'" ~
Owner of business: ~"J,9n':lJBartlett ,:.1' ,l!t\'J(~~'!;;t':iiJt"(,,,,~;i'
Owner's .address.,. ~1;,~~} W. Fountaij!l t~ ,"i.,~ :r~qg~$.;~~A Q~363
AutomatIc fire spr\n~~e~:'S~st~m: Not~re3,,~~~~;'~ --~" "" ~ "
Use & occupancy classjficatlOn: Buslness,~~
" 1"'~\~"F{' ;l.
Building permit nU11Jbel:.~,,,,
Type of construction\\!;"" '
Occupant load: ~~~, .
10/23/07
" , , '. ~'!Jg~"fifu e? Date
Po,t 00 .he p<emi.." m , eoo'PkU~erti "'~moved except by the Buildiug Offici,1.
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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 Contractor
OCCHIOGROSSO KATHERINE
1033 FOUNTAIN ST
PORT ANGELES WA 98363
(360)
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc OWNER/ 8 CIRCUITS
Permit pin number 107029
Permit Fee 76 00 Plan Check Fee
Issue Date 7/30/07 Valuation
Expiration. Date 1/26/08
Qty Unit Charge Per
Special Notes and Comments
A minimum 2A 10BC fire exinguisher is required
Extinguishers must be mounted with the top no more than 5
off the floor Suggested extinguisher placement is
adjacent to an exit
06/12/2007 10 35 AM SROBERDS The proposal will convert
a residence to commercial occupancy in the CN zone 11%
lot coverage No land use issues anticipated
A proposed engineered parking lot drainage plan shall be
submitted prior to permit issuence
Other Fees
Fee summary
Permit Fee Total 76 00 76 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 80 50 80 50 00 00
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98,362
07 00000655 Date 7/30/07
614340
629 E 8TH ST
06 30 00 0 2 2685 0000
KATHERINE OCCHIOGROSSO
RES REMODEL
COMMERCIAL NEIGHBORHOOD
4000
BASE FEE
OWNER
STATE SURCHARGE
Charged Paid Credited
Due
4 50
00
0
Extension
76 00
ELECTRICAL PERMIT INSPECTION RECORD
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.
INSPECTION TYPE
DITCH
ROUGH -IN COVER
SERVICE
GENERAL COMMENTS:
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
FINAL I/0-17 7 14i.4) I
DATE ACCEPTED
I YES I NO
I I
I I
I
I I
COMMENTS
PW -I 102.15 4f96)
Job wired by
Electrical contractor name
Purchaser's mailing address
City
Telephone number
'Prem s owner's name
Address of inspection 6)7
Inspection
Date
City pU ANV6&-'
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.
/Signature of owner electrical contractor or electrical adminis /rator Expiration Date
2 /y /67 ;fcard
z Ul Date
Electrical Load Additions and or s &btractions
NO LOAD CHANGES
Cl Baseboard KW
Furnace KW
Heat Pump Ton LAR
Fan -Wall KW
SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360- 417 -4735
ROUGH -IN THERMOSTAT
7
jD /7 07
Date
RECEIVED el a
i) UL i $UU
Appr ed By
FINAL
Appr ed By
Electrical Contractor Owner
License number Date Expires
/State
ZIP
FAX number
s -/4`
Date
7
Overhead Service
Temp Service
Underground Service
DITCH
Date Approved By
Area, Building or Equipment Inspected
ELECTRICAL WORK PERMIT APPLICAT 1N
\,Installation description
Commercial Residential
New "Altered/Addition
Ott✓ 1‘
ash
t1 Credit Card
Card
Appr ed By
Check
Visa
Date
Date
Mastercard Discover
Voltage
Phase 1 3
Service Size:
Feeder Size:
SERVICE
FEEDER
Action Taken
fge�
Service Information
Appr ed By
Appr ed By
Electrical
Inspector
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x"ORT "'-'Y.
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr. name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
Owner
07-00000655 Date 7/11/07
614340
629 E 8TH ST
06-30-00-0-2-2685-0000-
KATHERINE OCCHIOGROSSO
RES REMODEL
COMMERCIAL NEIGHBORHOOD
4000
Contractor
OCCHIOGROSSO. KATHERINE
1033 FOUNTAIN ST
PORT ANGELES WA 98363
(360)
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
OWNER
BUILDING PERMIT -RESIDENTIAL
CONVERT TO COMM.
103887
123.75 Plan Check Fee
7/11/07 Valuation
1/07/08
49.50
4000
Qty Unit Charge Per
Extension
95.75
28.00
BASE FEE
2.00 14.0000 THOU BL-2001-25K (14 PER K)
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
104851
57.25 Plan Check Fee
7/11/07 Valuation
1/07/08
.00
o
Qty Unit Charge Per
Extension
50.00
7.25
BASE FEE
1.00 7.2500 ECH ME-VENT FAN
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
104844
100.00
7/11/07
1/07/08
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
BASE FEE
3.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE
1. 00 15.0000 ECH PL- EA. BLDG SEWER
1. 00 7.0000 ECH PL- EA.WATER HEATER
Extension
50.00
21.00
7.00
15.00
7.00
Special Notes and Comments
A minimum 2A-10BC fire exinguisher is required.
Extinguishers must be mounted, with the top no more than 5'
off the floor. Suggested extinguisher placement is
adjacent to an exit.
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. ~ . . ~ J
~O(!~ U/61
Signature of Contractor or Authorized Agent Date ignature of Owner (if owner IS b der) Date
T:\PoliciesIlI02_15 building penni! inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 4 I 7-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATlON.
KEEP PERMIT CARD AND APPROVED PLANS AT .JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDA T10N:
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDA TlON DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERJOR BRACED PANEL ONI. Y)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
ROUGH-IN
HEATPUMY/FURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE 1 PELLET I CHIMNEY
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEP ARA TE PERMIT #'s SEPA:
P ARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LlGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERJNG 417-4807 PW I ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUlLDING 417-4815 BUlLDING
T:IPolicieslll02 15 building penn it inspection record05.wpd [1/4/2005]
f"ORT~
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 07-00000655
Application pin number 614340
Page 2
Date 7/11/07
Special Notes and Comments
06/12/2007 10:35 AM SROBERDS --The proposal will convert
a residence to commercial occupancy in the CN zone. 11%
lot coverage. No land use issues anticipated.
A proposed engineered parking lot drainage plan shall be
submitted prior to permit issuence.
Other Fees
STATE SURCHARGE
4.50
Fee summary .Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 281.00 281.00 .00 .00
plan Check Total 49.50 49.50 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 335.00 335.00 .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 pennit inspection record05.wpd [11412005]
BUILDING PERMIT INSPECTION RECORD
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CALL417-4S15 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUlv1 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANJ' WORK BEFORE
INSPECTED AND A CCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TlON.
KEEP PERM1T CARD AND APPROVED PLANS A T JOB SITE.
INS!'ECTlON TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS I
PIERS
POST HOLES (POLE BLDGS.)
PLUMIlING
UNDER FLOOR / SLAB
ROUGH-IN g /Ob/Ol :J1.-L,'
WATER LINE (METER TO BLDG) I
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WA TER
AIR SEAL
WALLS
CEILING
FRAMING y;J02/()f :fU--
JOISTS / GIRDERS .
SHEAR W ALIJHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
ROUGH-IN ~JoUO( -:ILL
HEAT PUMP / FURNACE / DUCTS I I
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE / PELLET / ClllMNEY
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKlRTING
PLANNING DEPT. SEPARATE PERMIT #'5' SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE
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.
BUTLDING 417-4815 BUILDING \ ()-/3<5 7 -:1'11
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000656 Date 6/21/07
746736
629 E 8TH ST
06-30-00-0-2-2685-0000-
KATHERINE OCCHIOGROSSO
3
I
6'
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0"
SIGNS
COMMERCIAL NEIGHBORHOOD
600
Owner
Contractor
OCCHIOGROSSO, KATHERINE
1033 FOUNTAIN ST
PORT ANGELES WA 98363
(360)
OWNER
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SIGN
FREESTANDING SIGN
103929
115.00 Plan Check Fee
6/21/07 Valuation
12/18/07
.00
600
6"
\'l
-P
Qty Unit Charge Per
1.00 115.0000 PER S- SIGN FREE OR PROJ 25+
Extension
115.00
Special Notes and Comments
06/12/2007 11:41 AM SROBERDS --The proosal will result
in the installation of a 27 sq. ft. free standing sign in
the CN zone in association with a business use.
f\J
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 115.00 115.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 115.00 115.00 .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.
CJl
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Signature of Owner (if owner is builder)
Date
Sign
T:\Policicsll102_15 building pennit inspection rccord05.wpd [1/4/2005]
"
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 UNLA WFUL TO COVER, INSULATE OR CONCEAL ANJ' WOPJI BEFORE
IlVSPECTED AND ACCEPTED. POST PERMIT 11" A CONSPICUOUS LOCA TlON.
KEEP PERMlT CARD AND APPROVED PLANS AT .JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDA TION:
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDA T]ON DRAINAGE I DOWN SPOUTS I
PIERS I
POST HOLES (POLE BLDGS.)
PLUMIlING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALIJHOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (lNTERJOR BRACED PANEL ONLY)
T-BAR
]NSULA TION
SLAB
WALL 1 FLOOR I CElLING
MECHANICAL
ROUGH-IN
HEATPUMY/FURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE 1 PELLET 1 CillMNEY
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMlT#'s SEPA:
PARKING/LIGHT]NG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECT]ONS REQUIRED PRIOR TO OCCUPANCYfUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LlGHT DEPT. 4] 7-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W. IPWI CONSTRUCTION - R.W.
ENGINEERJNG 4]7-4807 PW 1 ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUTLDJNG 4]7-4815 BU]LDING IfIl- P8
T:IPoliciesl\ 102 15 building permit inspection record05.wpd [1/4/2005]
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FOR OFFICIAL USE ONLY;
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST
COMPLETE to be accepted for review. If you have any questions, caU
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: D W NCe-.
Owner: t 4- lH ~ l.1 Nt 06.C (-I (0 ~ (2..0 5 S' 0
Address: 103 3 W faUN T1A (lJ City:
ArchitectlEngineer: ~
Phone: /r Coo
1-(5"1- 10'-11
Phone:
r i)(br ArJb6~
Phone:
Zip: q g30
/
Address:
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State License #:
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Exp:
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Phone:
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Contractor
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City:
E (f-rJf 5T. ? ~. Cf'X :s"J-
Block: ..{ CA (p Subdivision:
o {p - 30 - 0 0 - 0 ~CoCjO
Zip:
ZONING:
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot:
d.o fV1 tl1/ c)141 ~
CLALLAM COUNTY PARCEL NUMBER:
TYPE OF WORK:
D Residential D New Constr. D Re-roof D Stove
D Multi-family D Addition D MoveD Garage
D Commercial D Remodel D Demolition D Deck
D Repair X Sign D Other
BRIEF DESCRIPTION OF THE PROJECT:
LrJ~1-L. 5 I~ (J C" X '-I j{t) lrJ nw1J\: LiAt-o 86-0ueel\J d
:5/&,4j ~PcOt' 3<-{ ::SA/t...-t::t1 is/G>tJ 5" . 0 0rJ 6IL (JJ{vl- 10 5""1'\ /..-.L.. -
COMMERCIALIRESIDENTlAL: Occupancy Group: Occupant Load:
No. of Stories: -L Lot Site: 1 d.j) & Existing Sq. Ft. ~o.;> & Proposed Sq. Ft.
Total lot coverage 11,1../ %
SIZE/V ALUATION:
SF. @$ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $
(pCb -
. 4..{ ('X L-r x. 0' pb~'"1S
Construction Type:
= TOTAL Sq. Ft.
gCb
APPRO V ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): DYes D No SEPA Checklist required? DYes D 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
RI05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby cerlify 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 itis my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits prior to work.
T:\FORMS\BldgPermitform.wpd APPlicant:q/~ Odrb~Y/l~~
Date:
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- ~~ o~~~ BUILDING PERMIT - APPLICATION
lt~ F~fc'g"'PLETELY and in INK. Y"ur app"oa';" and ,it, pIa, MUS
COMPLETE to be accepted for review. If you have any questions, ca
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: 0 W fJC1l-
Owner:YAll-I t12.../^.lc. O~c.-~I(){::lW5S0
Phone:
Phone:
300 L./51-lot-fCj
Zip: q %3{o3
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Architect/Engineer:
Address: 10 3 3 u.J (0 cJ N ~ I tJ City:
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Phone:
Address:
Zip:
ZONING: C-6lYllV1 ofHGt.
___ Phone: ,---
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Contractor
State License #:
----
City: ________
?,A- Q83(oJ-
Block: ;; a (0
00 - 30 - 00 - o~;>. <0 qo
Exp:
LEGAL DESCRIPTION: Lot:
Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
TYPE OF WORK:
D Residential D New Constr. D Re-roof D Stove
D Multi-family D Addition D MoveD Garage
D Commercial D Remodel D Demolition D Deck
D Repair D Sign D Other
BRIEF DESCRIPTION OF THE PROJECT:
f/)f\~Ve-rvr i2-es / D eN TlA 1/ lb ~ () rv1 /Yl.6 fVt.( 1.\ L.- 11.([ Ld {-n~
{;J{t.--l- Be user, AS oPf'U'~G A.uD T41 u,.} I 577YD/O
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load:
No. of Stories: .-L Lot S~e: '7000 15l Existing Sq. Ft. gOo & Proposed Sq. Ft.
Total lot coverage / I . '-1 %
SIZEN ALUATlON:
SF. @$ /SF. = $
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TOTAL VALUATION $;t~ O(:X::)-
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Construction Type:
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ESAlWetland(s): DYes D No SEPA Checklist required? 0 Yes D No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
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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 tbe Building Division to comply with current fee scbedules. 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 iUs my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits prior to work.
T:\FORMS\BldgPennitform.wpd APPlicant~4
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
..t'~~~_~~~""'LL ~.....'~C.L
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
8/21/03
u~-uuuuu~~~ Date
629 E 8TH ST
06-30-00-0-2-2685-0000-
RE-ROOF
900
Owner
Contractor
ARMSTRONG, JOSH
333 GRIFFITH FARM ROAD
SEQUIM' WA 98382
(360) 457-5752
OWNER
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR OFF, SHEET, FELT, COMP
59.20 Plan Check Fee
8/21/03 valuation
2/18/04
.00
900
Qty Unit Charge Per
Extension
47.00
12.20
BASE FEE
4.00 3.0500 HND BL-SOl-2K (3.05 PER C)
Other Fees
STATE SURCHARGE
4.50
Fee swmnary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 59.20 59.20 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 63.70 63.70 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreiine, ESA, utilities, private and pubiic improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if cons uction or work Is suspended or abandoned
for a period of 180 days a!terthe work as commenced, or if required inspections have n been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and kno t same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether spe herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or 10 regula' con truction or the performance of
construction.
y
Signature of Contractor or Authorized Agent
Date
Sign
Owner (if owner is builder)
T:\PLANNrNG\FORMS\1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULA TE 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 I ACCEPTED COMMENTS
I YES l NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATERLINE
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS I
CEILING I I I
FRAMING
JOISTS I GIRDERS
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WALLS I ROOF I CEILING
DRYWALL
I-BAR
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MECHANICAl..
HEAT PUMP
WOOD STOVE I PELLET I CHIMNEY
HOOD J DUCTS
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WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAl.. INSPECTIONS REQUIRED PRJOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R.W./ PW/ CONSTRUCTION - RW.
ENGINEERING 417-4807 PW I ENGI!\'EERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDTNG 417-4815 I l:/_/I? -0"2; I. L BUILDING
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000853 Date 9/02/03
629 E 8TH ST
06-30-00-0-2-2685-0000-
ELECTRICAL ONLY
o
OWner
Contractor
ARMSTRONG, JOSH
333 GRIFFITH FARM ROAD
SEQUIM WA 98382
(360) 457-5752
BOB'S ELECTRIC INC
2293 DEER PARK RD.
PORT ANGELES WA 98362
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
:2 0 0 AMP REMODEL
BOB'S ELECTRIC INe
64.90 Plan Check Fee
9/02/03 Valuation
3/01/04
.00
o
Qty Unit Charge Per
1.00 64.9000 ECH EL-R OR RM 0-200 ALT SRV FOR
Extension
64.90
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.90 64.90 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 64.90 64.90 .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:\PlANNING\FORMS\1102.15 [412002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 I ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN T 1
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATERLINE
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS T I
CEILING I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB I I
WALL I FLOOR I CEILING I I I
MECHANICAL
HEAT PUMP
WOOD STOVE I PELLET I CIDMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/l..IGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 JO/-r Ie J Ar..o ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. I PWI / / CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15 [412002]
~ pORT ~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivisl.on Name
Property Use
Property Zoning . . .
Application valuation
12/30/04
04-00001211 Date
.396695
629 E 8TH ST
06-30-00-0-2-2685-0000-
RES FOUNDATION REPAIR
EXPIRED
[Yz7/o~
COMMERCIAL NEIGHBORHOOD
10000
Owner
Contractor
MERRITT, JIM
445 LA PALOMA
LA PALOMA
(805) 680-4108
CA 93105
SOLID GROUND CONSTRUCTION
259 W SPRUCE STREET
SEQUIM WA 98382
Permit BUILDING PERMIT -RESIDENTIAL
Additl.onal desc
permi t Fee 204.75 Plan Check Fee 81. 90
Issue Date 12/30/04 Valuation 10000
Expiration Date 6/29/05
Qty Unit Charge Per Extension
BASE FEE 92.75
8.00 14.0000 THOU BL-2001-25K (14 PER K) 112.00
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 204.75 204.75 .00 .00
Plan Check Total 81.90 81.90 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 291.15 291.15 .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
con~trucr .
. ,~ IX- ld -()cf
Signatu e of Contractor or AuthOrized Agent Date Signature of Owner (if owner is builder) Date
T IPLANNING\FORMS\II02.15 [1111412003]
~
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....,..
S""
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
.I INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION: , .. - . ~ ~d>vnda..f,~ -UJee-If D- -Jj-oS- J#J.. ~
FOOTINGS J - M-<J\.~- J, /....
WALLS '2- )-05 JLl...-
FOUNDATION DRAINAGEIDOWN SPOUTS ~ - if-I -f),",> jU
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I
PLUMBING Plurnb.nnttl JI?I~IIPG Ju, Pf'
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB I
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT II's ,
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKlNG/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. 1 PWI CONSTRUCTION - R W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT
BUILDING 417-4815 ~/3J1t:>t5 S\.-L. BUILDING
T.\PLANNING\FORMS\1102.15 [11/14/2003]
If pORT ~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuatlon
04-00001211 Date
.396695
629 E 8TH ST
06-30-00-0-2-2685-0000-
RES FOUNDATION REPAIR
2/17/05
COMMERCIAL NEIGHBORHOOD
10000
Owner
Contractor
MERRITT, JIM
445 LA PALOMA
LA PALOMA
(805) 680-4108
CA 93105
SOLID GROUND CONSTRUCTION
259 W SPRUCE STREET
SEQUIM WA 98382
Permit
Additional desc
permi t Fee
Issue Date
Expiration Date
PLUMBING PERMIT
69.00
2/17/05
8/16/05
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
Extension
47.00
7.00
15.00
~
~
BASE FEE
1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE
1.00 15.0000 ECH PL- EA. BLDG SEWER
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 69.00 69.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 73.50 73.50 .00 .00
fTI
@
+
S
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 wor~as commenced, or if required inspections have not been requested Within 180 days from the last
inspectio. he eby certify that I ve read and examined this application and know the same to be true and correct. All provisions of
laws and rdl es go rnln type of work will be complied with whether specified herein or not. The granting of a permit does not
presume 've autho ' y v; e or cancel the provisions of any state or local law regulating construction or the performance of
constru Ion.
Date
Signature of Owner (If owner IS bUilder)
Date
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 UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
I INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS )
PLUMBING F1Urnlo. f~1 S/31/6G -CJI-L- J>1'
UNDER FLOOR 1 SLAB
ROUGH-IN ~-II'J...I')y- \LL
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKING/LIGHTING ESA-
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W 1 PWI CONSTRUCTION - R W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T \Poltcles\I 102_15 bUlldmg penmt mspectlOn record05.wpd [1/4/2005]
PREPARED 3/17/05, 12 29 12
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
- ---rnSPECTION -TICKET
INSPECTOR JAMES L LIERLY
629 E 8TH ST
SOLID GROUND CONSTRUCTION
MERRITT, JIM
06-30-00-0-2-2685-0000-
04-00001211 RES FOUNDATION REPAIR
PERMIT, PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
PL2
01
-------------------------------------- COMMENTS AND NOTES --------------------------------------
"t1}./,05_ JLL
~J}p
DESCRIPTION
RESULTS/COMMENTS
PLUMBING ROUGH-IN TIME
Amy 360-582-9067
SUBDIV
PHONE
PHONE
(805) 680-4108
17 00
PAGE
DATE
2
3/17/05
PREPARED 5/31/05, 13 43 13
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
3
5/31/05
629 E 8TH ST
SOLID GROUND CONSTRUCTION
MERRITT, JIM
06-30-00-0-2-2685-0000-
04-00001211 RES FOUNDATION REPAIR
1/21/05 JLL
1/21/05 DA
1/24/05 JLL
1/25/05 AP
2/01/05 JLL
2/01/05 AP
2/04/05 JLL
2/04/05 AP
3/14/05 JLL
3/14/05 AP
V31/05~ JLL
~ \~\Q cy,.
SUBDIV
PHONE
PHONE
(805) 680-4108
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BUILDING FOUNDATION FOOTING
vert bar reqd at 4'-0" oc t1ed to hor bar/)ll
BUILDING FOUNDATION FOOTING TIME 17 00
cory 670-3803
BUILDING FOUNDATION WALL
Cory 670-3803
BUILDING FOUNDATION WALL
Cory 10 OOam
cellar wall non load bear1ng area/)ll
BUILDING DOWN SPOUT DRAINS
Dav1d 670-7313
dry well okay
BUILDING FINAL TIME 17 00
05/31/2005 01 02 PM JLIERLY ----------------------------
457-0457
----------------------------------- CONTINUED ONTO NEXT PAGE -----------------------------------
-rc' 'J
~~~( ~
BL1 01
BL1 02
BI2 01
BI2 02
DSD 01
BL99 01
\S 4-f~
PREPARED 5/31/05, 13 43 13
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
629 E 8TH ST
SOLID GROUND CONSTRUCTION
MERRITT, JIM
06-30-00-0-2-2685-0000-
04-00001211 RES FOUNDATION REPAIR
SUBDIV.
PHONE
PHONE. (805) 680-4108
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
PL2 01
3/17/05 JLL
3/17/05 AP
5/31/05 'K:})
S\~'r6 ~
PL99 01
DESCRIPTION
RESULTS/COMMENTS
PLUMBING ROUGH-IN TIME 17 00
Amy 360-582-9067
PLUMBING FINAL TIME 17 00
05/31/2005 01 01 PM JLIERLY
maureen 457-0457
PAGE
DATE
4
5/31/05
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 3/14/05, 13 29 48
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
- -INSPECTION-TICKET
INSPECTOR JAMES L LIERLY
629 E 8TH ST
SOLID GROUND CONSTRUCTION
MERRITT, JIM
06-30-00-0-2-2685-0000-
04-00001211 RES FOUNDATION REPAIR
(805) 680-4108
SUBDIV
PHONE
PHONE
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 1/21/05 JLL
1/21/05 DA
BL1 02 1/24/05 JLL
1/25/05 AP
BI2 01 2/01/05 JLL
2/01/05 AP
BI2 02 2/04/05 JLL
2/04/05 AP
DSD 01 ~ ~
3/,c[JoS-
BUILDING FOUNDATION FOOTING
vert bar reqd at 4'-0" oc t1ed to hor bar/]ll
BUILDING FOUNDATION FOOTING TIME 17 00
cory 670-3803
BUILDING FOUNDATION WALL
Cory 670-3803
BUILDING FOUNDATION WALL
Cory 10 OOarn
cellar wall non load bear1ng ~1U.Ja/]11 _ 1.t
BUILDING DOWN SPOUT DRAINS ~ ~.
Dav1d 670-7313
COMMENTS AND NOTES
CAI~
c1~
SewetL
rJ\)~ 1
P'f- ~)..t 1-4
,10 \.lu~
~
PAGE
DATE
6
3/14/05
~cWc\) \(
F"~
F
\-lob
( ~) ~J-t~ i)
\.l.b
~1f;. +-
/4 "
1,01
cl~ oUJ-
q,o
tV
O~~~\lt
?"L
Fo" uJ:i.Jt ~~
PREPARED 2/04/05, 12 33 21
CITY OF PORT ANGELES
-INSPECTION-TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
2/04/05
------------------------------------------------------------------------------------------------
ADDRESS 629 E 8TH ST \ SUBDIV-
CONTRACTOR SOLID GROUND CONSTRUCTION PHONE
OWNER MERRITT, JIM PHONE (805) 680-4108
PARCEL 06-30-00-0-2-2685-0000-
APPL NUMBER_ 04-00001211 RES FOUNDATION REPAIR
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 1/21/05 JLL BUILDING FOUNDATION FOOTING
1/21/05 DA vert bar reqd at 4'-0" oc tled to hor bar/)ll
BL1 02 1/24/05 JLL BUILDING FOUNDATION FOOTING TIME: 17-00
1/25/05 AP cory 670-3803
BI2 01 2/01/05 JLL BUILDING FOUNDATION WALL
2/01/05 AP Cory 670-3803
BI2 02 1~\~\\~~ ~ ~~~~DI~~ ~~~DATION WALL
-------------------------------------- COMMENTS AND NOTES --------------------------------------
BUILDING PERMIT - APPLICATION
y
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Date Issued
ApplIcant or Agent:
Owner: J\J\\
Address: C /0
,
VVlckKJ ~ 1<
.J i'^" MG ~ ~ } IT
Ml~l T-r
W /#/JE:tme/!..E
Mt~l2-IT"I Phone: ($u(j G ~(/ - If/tJ!
~~ ?h1- rl'\1
CIty:-1 oV/..;, ~N~ E1f) ZIp: 11(?' 2-
ArchItect/Engmeer: Phone:
Contractor~\;& Gl ('ol){\~ft)1r\.C~t~t~ I!icense #:<:>Ol-IOuC.C((,q(fflxp: 3 ~ J 5 - 05
Address: d':)q c.. ') ~rvce ~-t " CIty: Se~U:M W A
PROJECT ADDRESS:~dq E . 6:5 ~\~ 'St 901 \ A(1~t \er (JJt ~~3bd ZONING:
Block:
?100-
Phone: ~fo-131)
ZIp: qcg).9'~
LEGAL DESCRIPTION: Lot:
SubdiVIsion:
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name:
Billing Address: City:
Credit Card Type VISA MC # Exp. Date:
TYPE OF WORK: SIZEN ALUATION:
D ReSIdential D New Constr. D Re-roof D Stove SF. @ $ /SF. = $
D MultI-famIly D AddItion D Move D Garage SF @ $ /SF. = $
D Commercial 5 Remodel D DemohtlOn D Deck SF. @ $ /SF. = $
~Reparr D SIgn D Other TOTAL VALUATION $ IOIOOG"\';U + flu)
BRIEF DESCRIPTION OF THE PROJECT: L...: ~ 1, r,~ e )<;~1.'l"l.j h()0S~) ~a.r'rC\ \ e )('(Ul)'1 rot" n r()u,^ d
r: ^" ~\-Q r"3. :r n G'\.lltl\. VOA 6 ~ 0 V\J.a....~ >1 ft,ot.Y"I S-t"l",d,t;rc9 'S 1 e "" 4G<~J&.r~
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No of Stones: -.1.- Lot SIZe: CI' +y EXIStlllg Sq. Ft.
Total lot coverage
Occupant Load:
7 <0 0 & Proposed Sq. Ft
%
Construction Type:
{if = TOTAL Sq. Ft 7 t, 0
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): DYes D No SEPA Checkhst reqmred? DYes D No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Bmlding DlVlslOn can proVIde you WIth informatlOn on the apphcatlOn and
plan submittal requrrements If you have questlOns.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the apphcant. ThIS figure WIll be revIewed
and may be reVIsed by the Bmldlllg DIvlslOn to comply WIth current fee schedules Contact the Penmt Coordlllator at 417 -4815 for aSSIstance
PLAN CHECK FEE IF a plan check fee IS due It must be subnntted at the time the bmldmg penmt apphcatlOn and construction plans are
subnntted All other penmt fees are due at the time of penmt Issuance
EXPIRATION OF PLAN REVIEW: Ifno penmt IS Issued wIthlll180 days of the date ofapphcatlOn, the application will expire. The
Bmldmg OffiCIal can extend the time for actlOn by the apphcant up to 180 days upon wntten request by the applicant (see Sechon RI 05.3.2
of the IntematlOnal Bmldmg/ResldentIal Code, 2003). No apphcation 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 authonzed to apply for thiS permit and
understand that It is my responSibility to determine what permits are required ,not the City's, and 3211 must Ob~UCh permits pnor to work.
T \RVESS\BLDG-forms-brochures\2003-BUlIdmgpermlt wpd ' Apphcant: ?-y./ ~ Date'
flli
CITY Of PORT ANGELES - constnJction Plans
,he Issuance of this permit based upon these plans, specifi-
cations and other data shall not prevent the building official
from thereafter requiring the correctIOn of errors 10 said
plans. specifications and other data. or from preventln<;
bUIlding oper~tions being carned on thereunder wilen 10
violation of all codes and ordinances of this lurisdlctlon.
(SEC110N 303(c) - U form Ild~ COde.~
.. By c......
'\
<9~ .
&t
.
N
Area Map
Th TillS map
IS mapldlGlt/l1g is Pl0~ not mtended to be used
AIlI'othel IIse orthl;lCed by the Cltvor Port:i a iegal deSCllptlOlI
map/dJ aWfIlg shall not b:g: es for its own use and
t e respollSlbliUl' of the ~~l;,posef
-;$;<}"
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Feet
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v 6'-4" L
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,.
The City of Port Angeles
Building inspections Dept.
:c
\:YO 1YI1 11
'.
,~
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T
.I ~'l rnl!n
V',.'
Notc:' .
,1,12' C',:.rn. f ,(I' Iorl.) "r-enD:r t..o1:9
@ G'-O" O,G ;;, ma, I 2" ~ro~ onds
",,I::::'".d":> 1,14" !!.toel Fla:e w3shors .of:'
C:.llch bo It.. [YF le~l
!hm IG'tU In If+ r eLo,1 r top Sf1Jd icotllflg
(..on~ -40 d'.llmd.er lap 3t splICes
"1'1' ~ l~r""..." II~ t1lg her l,ha:'l .<;, I wnll rCl<'i'l!I re<:i'
de",,,],) ,,5 retamlrlg wall or c..,:mslr.lIiiled
Lo"serne:nt 1<,,, Ii
:;'4 vert <@ mal.' '481' Cl.c ~N/
H11fl. I 4' exteil31C.'rl Inlo 9t~rn \V31n
.a: s'pll~ /-AIr) G" h6C'k
L
IIG"Q .lo
?>~i'2- .
C"
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o
\,l\l I~ [f
J -St.:>r I ~""H .311 b"
"-
2-St,::Jr ' I 5" A ~51 "'''
""
3-Stor-,' ""'l ~.... <4 .d !:,' .,3_5"
r.:....)
" ~ec: fc'D~rtC{.e 3
Gr.:Jdc sh.>1I '.>11 J 1111111111"'ll of b" Il1th.: flf'St JIJ' or rOO:1l1g d,'jll;;
""Ito b~ require.:) 5C<llflC 40J.3
2 Df.:JJI1.:Jg.:: t.o to,: 3" dl..m. perrorJtcd pipe wr:h 3/4" 111111 cN5liec'
cod. or <JI'J'Jd ;;l1d spp' o...ed i.lrer f'llCmLo, JIlC Sec R405 J.
3 l~.:~---'" '.. l~
r..1. J
,
,
11 J -1.....0 l...... ,.fAll ~ .::
4 Footl':cj P,'OJCCtll:'" P milL 2 I sno' 5'IJI! 110t .::-:,cec=J lootll1':) dCF'tl1
5. VettlcJI Lll1d l1or:orltJJ 'i/D", lelllrOI'CCnacrlts sl1.::;1I be fl.1ccd 110 dose" to
t",eo oOitsldc fJee Df tile <.fall t11.3n Ol~il"'l3lf tile sremv/JII thld.,ness_
G_ l\'1.:L'tGl\ilum .ql_GII ~1Jh:l,ll SlCl1llpl~'11U illill::h 110 5LJt'C~J.:"<3t= F'ef~mttt~d {IRe 4C1...l j 3}
See 'bsscment ..','sal cletJ,1 rvl' 111".lllCI' 5tcm".'J~ls
I
ll."~
PREPARED 2/01/05, 13 17 03
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
5
2/01/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
629 E 8TH ST
SOLID GROUND CONSTRUCTION
MERRITT, JIM
06-30-00-0-2-2685-0000-
04-00001211 RES FOUNDATION REPAIR
SUBDIV
PHONE
PHONE
(805) 680-4108
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 1/21/05 JLL BUILDING FOUNDATION FOOTING
1/21/05 DA vert bar reqd at 4' -0" oc tled to hor barlJll
BL1 02 1/24/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00
1/25/05 AP cory 670-3803
:~~__~:__~_~___~~~~~:~:~::::::T::: ::::S ______________________________________
PREPARED 1/21/05, 12 27-34
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL _
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
629 E 8TH ST
SOLID GROUND CONSTRUCTION
MERRITT, JIM
06-30-00-0-2-2685-0000-
04-00001211 RES FOUNDATION REPAIR
SUBDIV
PHONE
PHONE
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1
-4/21"05 ~JLL
0> I nS-
I
01
BUILDING FOUNDATION FOOTING
CORY 670-3803
(805) 680-4108
PAGE
DATE
----9
1/21/05
Ph
-------------------------------------- COMMENTS AND NOTES --------------------------------------
\JbY~ 40-
\
~, __ 0
'\P
~~
~D
() L
~\ (51)
'f
PREPARED 1/24/05, 12 56 33
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
15
1/24/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER:
629 E 8TH ST
SOLID GROUND CONSTRUCTION
MERRITT, JIM
06-30-00-0-2-2685-0000-
04-00001211 RES FOUNDATION REPAIR
SUBDIV
PHONE
PHONE
(805) 680-4108
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 1/21/05 JLL BUILDING FOUNDATION FOOTING
1/21/05 DA vert bar reqd at 4'-0" oc tled to hor barlJll
BL1 02 (f:~4(~;'~~,JLL BUILDING FOUNDATION FOOTING TIME- 17 00
~.:> '_, cory 670-3803
-------------------------------------- COMMENTS AND NOTES --------------------------------------
FROM
BOB'S Electric
FRX NO. : 1 360 452 9943
,
Rug. 29 2003 02:35PM P2
6'1, \J
(i"~". '
.';;' ' '"
\l
"'"
po.:. .jl<r1U.o'\l. \.:~E Ol"llV ,.
D:l.tt>'l<< '__u._._._.,~
rcrrnll~: ______
D... "pfT""'.cI' ___~,..__
ELECTRICAL PERMIT APPLICATION
T~o Electrical PQ;mil A.:>pJic.tiO:1 mud be fil!C1d out cnmO/9telv.
f/r.L 4!gS3
PlesS8 type or reprint in Ink. If you heve any Questions, plelc!l!e ~alll:J60J 417.
4735
Fu numtaar; (360) 417-40711 X
REQUEST INSPECTION/~,\
Ow'e' o. Elec, Cont.."., An'~Il1=<, '" f::~+~ PMo'. 4S7-&'KV "ox "f.S;;;' - '7 '7 <13
Propert;Ownt:r; ~ - Cik__,&_ ?hone:
A;ldro,,: Oty:
Elecmc>] Con.octor: ~.h t. !i~ Lieonoo .,/.!50.6Q€:r"~f. Z 619
.2,?!?tj ,dj,nA /-Jo-.L CllY.,iJ-<,-,:h:;djd~ <..u)"
INSTALLATION VVlREO BY; S OWNER ~LECTRICAL CQNT!UCTOP.
Credit Card Holder Name: Q A r" 0 t.... "'- \-<,(1 R G<A- ~ C... [;; L.
BlIJlngAddross' ~'d..-4:l, 'DEER. Pf\f2,K City: H(,+AI1~el~
C~/tCardNu,"ber. Exp. Date; ~
Zi~;
P,o,e: 7..(;, ~l<7
Addr"s'B:
Zip:
W,,-- Zip; ~'6 ~0G
__ V/sAL MC,--
PROJECTADDRESS~9, ~ ..2:f.1..-_.
TYPE OF WORK'
Check all thaI apply: ':l New
o Alieration/Addilion
o Residential 0 Mulli-famlly
o Commercial [I Mobile Home
Sq. FI
Remote Meter 0 Detached garage I .I Hot Tub n Swim PeJol i 1 Sf:r1i,; PIIH'p
1 : L Ow Voll;:!g~ ~ T81@conl. :: Sign
Number of Cltcuit5 added or oltcrod; _._ __. 0..
DESC~IPnON OF TIlE ELECTRICAL PROJECT:
2a:Y/l-41/ ,-:;'ffo,JZCi Se.<-." , ~
~~~
Electrical Heat Load AddItIons
PERMIT FEE:
(p~ r~
Service Information
po /h::JOeLJ
U//90
C Overhead Service
Oiemp Service
C Underground' Service
Vol:aga: /2P/'2.VtJ
Ph..., \11'11" Q 3
SeMc. $]2.: /-<<0
Feeder SIze:
o easeboan:l
o Furnace
o Heel Pump
::J Fan-Wall
_KW
_KW
_ TON_LRA
--KW
I hereby certify that I hava read and examined this application and know that sam" to be Vue and corrocr, and I am
authorized to apply for this permit, I undarstand It is not the City's legal responsibility to dGtermine W,~8t pefmits
are rsquir&d: it remains tha applicants responsibility to determine what permits afe required and to obtain such.
~/'l.-11o? ~
( (' I it"? r s
~d- ~~
_ T(Wi~
~~~~;
Oat,,: '< (~ 7 /"y
.
Dale: 0/6,,/ t23
Crodlt Card Holder's Signature"
Owner or EI..e. Cont. SIgnature:
C:JELECTRICALPERMITAPPLlCA TION
@ca~
o;h ~3
clt1 r 90
r
Crry of PORT ANGFLEs PERmT ArrucAno.N 3 ���
Building Division/Electrical Inspections FEB 2
321 East Fib Street -P.O. Box 11501Port Angeles Washingto n, 98362 ELECTRICAL
Fly: (360) 417 4735 Fax: (360) 417-4711 INSPECTIONS
Date, , D " °I — , & 2 Single Family Idling
* Plant Review May Rewired, Please! � jppjeta Electrical Plana .Review Information Sheet
Jqb Addrrsms: 1122 '
Building Square Fie:
i3escripbor► of aE3ove �e � � �:, "'�`�"°�
Owner Information
Name: A-�J
Contractor In€oranaiion _
Narrm; �-X4 r4; (e i f
Mailing Address: l z
.
Maging Addy : , �. a "ACgr �rTF.
City ;�' _ . Stft Ai TED: �13 (- 2
_ seii ` ,
PhWe -- Y-LQ : Fax
�oR @; �r' � ^�.�» � F� �� � �
License # 1 Exp.__ . X 7"tz°'3 �,, ..,,, 7 T a._ _..,. —.
Item
Unit Charge
� T
SesvlcelFeeder 200 Amp.
$120.00
.
Service/Feeder 2 01-400 Amp.
$146,00
ServiceJFeeder 401-6Gti Amp
$ 205,00
Service/Feeder 6014000 Amp.
$ 262.00
ServicelFeeder over 1000 Amp.
$ 373.00
� $�
Branch Circuit W1 Sarvics Fooder
$ 5.00
Brand Circuit W10 Service Feeder
$ 63.00
Each AddTonat Branch Cimft
$ 5.00
Branch Circuits 1-4
$ 75.E
Temp. Service[ SaederM Amp.
$ .93.00
e
Temp. Ser&elFeadar201 AnT.
$114.04
Temp. ServicafFeedar401 -15W Arne
$149.0D
_
Temp. SeMcs1Feedsr641- 1000Arnp .
$16600
Portal to Portal Hourly
$ g6.
Signal Circuit! I imbd Energy -1 & 2 Family Dnft
$ 600
-
Manufactured Home COR{i 4n
$ 120
Renewable Elect cal Energy- 5KVA Systarn or Lew
$102.00
$
Thermostat
$ 56,€ 0
S
Note: $5.00 for each additional TWStat
--
NEW CLASTRUCTIOfil ONLY:
First 4360 Square Ft.
$120.00
Each Additional 5W Square Ft. or Portion of
$ 40.00
$
Each Outbuilding or Detached Gee
$ 74.04
$ �'
Each Swtraming Pool or Hot Tuts
$1119M
TOW
Owner as de#med by RCW.19.26.261: (1) Oymer wig nay the slue fortm yam after this each B
to hire an electrical contrador I above sdd propetty!s farcele, rent or lease. FerrnK ems after six nrcnft
After reading the above statement, I here ca* that I am i owner of It eve n anal propeq or a .1 an €fir
the electrical insWWon or alteration in comp lance, WHh tiie 6KVIcal
law, NZC., RCW. ChWat 19.23, WkC The Cky of Pa
Angeles Murildpai Cade, and Utility Sperm' ca'd I RAMC 'i4ZZO regalding ElecVioW PemdApp .
Signature of owner, electrical contmaelor or electrical
ar ' r: ❑ cash ❑ C&Ck .
".1
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number 15- 00000171 Date. 2/23/15
Application pin number . . . 823298
Property Address . . . , , , 629 E 8TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 2685 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . , . ,
Property Use
Property Zoning . , . , , . . COMMERCIAL NEIGHBORHOOD
Application Valuation . . , , 0
---------------------------- ---- --
Applioaticn desc
Temp power
Owner Contractor
DANA AND RHIANNA SHALTRY EXTRA MILE TECH & ELECT., LLC
611 E STE 5T 418 N, RACE ST,
PORT ANGELES WA 983626223 PORT ANGELES Y7A 98362
(360) 457 -4991 (360) 457 -5222
- -------------------------------------------------------------------------
Permit , . . . , , ELECTRICAL TEMPORARY SERVICE
Additional desc ,4 ti
Permit Fee 93.00 Plan check Fee .00
Issue pate 2/23/15 Valuation . , , . 0
Expiration Date 6/22/15
Qty Unit Charge Per Extension
1,00 93.0000 ECH EL -TEMP SRV 0 -200 SRV FDR 93,00
Fee summary Charged Paid Credited Due
Permit Fee Total 93,00 93,00 .00 .00
Plan Check Total ,00 .00 .00 .00
Grand Total 93,00 93,00 .00 00
REPORT SALES TAX
on your excise fax form
to the City of Port Angeles
(Location Code 0542)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
7
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCITANGY\BUILDING
t
0
Application Number . . . . . 22-00001241 Date 10/03/22
Application pin number . . . 257497
Property Address . . . . . . 629 E 8TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-2685-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL NEIGHBORHOOD
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Outlet and heater circuits
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
DANA & RHIANNA SHALTRY EXTRA MILE TECH & ELECT., LLC
611 E 8TH ST 418 N. RACE ST.
PORT ANGELES WA 983626223 PORT ANGELES WA 98362
(360) 457-4991 (360) 457-5222
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 73.00 Plan Check Fee . . .00
Issue Date . . . . 10/03/22 Valuation . . . . 0
Expiration Date . . 4/01/23
Qty Unit Charge Per Extension
2.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 10.00
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 73.00 73.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 73.00 73.00 .00 .00
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Pub! ic \Yorks and ULili ties Department
32 l E. 5th Street. Port ;\ngeles. WJ\ 98362
300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us
Project Address:--------------------------------------
Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _
OWNER JNFORMATtON
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRfCAL CONTRACTOR fNFORMATION
Name: ___________________________ License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp. $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/ Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp. Service/Feeder 200 Amp. $93.00 $
Temp. Service/Feeder 201-400 Amp. $110.00 $
Temp. Service/Feeder 401-600 Amp. $149.00 $
Temp. Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal CircuiULimited Energy - 1 &2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Ren ewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional) $56.00 $
First 1300 Sql;Jare Feet $120.00 $
Each Additional 500 square feet" $40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool/ Hot Tub $110.00 $
TOTAL $
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
'"'CJ CD
PREPARED 9/29/22,14:09:54 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001241 629 E 8TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 73.00
TOTAL DUE 73.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Remodel
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
10/3/2022 22-1241 TAP
OWNER
CONTRACTOR
Extra Mile Electric
PROJECT ADDRESS
629 E 8th St
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Office space
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
2/15/2023 22-1241 TAP
OWNER
CONTRACTOR
Extra Mile Electric
PROJECT ADDRESS
629 E 8th St