HomeMy WebLinkAbout3231 Regent StELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4735
RS9 RESDNTL SINGIJE FAIVIILY
0
N
?
..8
uApplication Number
applicatsion pin number
Propertsy Address
ASSESSOR PARCEI] \TUMBER:
Application type descriptsion
subdivision Name . -,
ProperEy Use
Property Zoning
Application valuatsion
21-00001413 DaEe LL/A4 /2L
700699
3231 REGENI ST
06 -30 - 15 - 1- 3 - 0825- 0000-
EIECTRICAI ONI,I
Application desc
KEITH C DANSER AND AVONA '] DAN
3231 SOUTE REGENT STREET
PORT ANGEI,ES WA 98362
(315) 541-8359
OWNER
Permit
Additional desc
PermiE Fee
fssue DaEe -
ExpiraEion Datse
EI]ECTRICAI, AITER RESIDENTIA!
1-4 CIRCUITS
?5.00 Plan Check Eee
L!/a4/2r valua!ion
5/03/22
0
otsy units Chaxge Per
BASE FEE 75.00
charged Paid Credited Due
Permits Eee Total
Plan Check ToEaf
Grand Total
?5.00
.00
75.00
75.00
.00
75 .00
.00
.00
. o0
.00
.00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE RESULTS NSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS 6t
PERMTT WTLL EXPIRE Srx (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:\EXCHANGE\BUILDINC
Date:
.00
DATE:
"ill{w-
Project Address:I\
J
=9
\N
batt t)fl
Project Description:
-Single-Family Residential E Duplex / ARU Building Square footage:
113mg1 keith danser
Mailing Address . 3231 s. regent st Phone:316641-836S
Name:
Mailing Address:Expiration Date:
Phone:Ematl:ncrg55@qmail.com
License:
Itels
Service/Feeder 200 Amp.
ServiceiFeeder 201400 Amp.
Service/Feeder 401{00 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Eranch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 AmP.
Temp. Service/Feeder 201{00 AmP.
Temp. ServicelFeed er 401-600 Amp.
Temp. Service/Feeder 60 1 -1 OOO Amp.
Portal to Portal Hourly
Signal CircuiuLimited Energy - 1&2 OU.
Manufaclured Home Connection
Renewable Elec. Eneruy: SKVA System or less
Thermoslat (Note: $5 for each additional)
u.lt Chrrge
$120.00
s146.00
$205.00
$262.00
$373.00
$5.00
s63.00
$5.00
s7s.00
$93.00
$110.00
$r49.00
s168.00
$96.00
$64.00
$120.00
$'r02.00
$56.00
quaqtrfy Total (Quantlty x unit cha€e)
$
s
$
$
s
$
$
$
s
$
$
$
$
5
$
$
$
$
L
TOTAL
Owner as defined by RCW19-28.261: (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, rsnt or lease. Permit expires after six msnths of last inspection.
After reading the above statement, I hereby certify that I am the owner of ihe above ramsd property or a licensed eleckical con[actor. I
am making the electrical lnstallation or alteration in compliance wilh lhe elecirical laws, N.E.C., RCW. Chapter 19-28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications afld PAMC 14.05.050 regarding Electrical Permit Applications.
11101 2021 keithdanser
Date Print Name Signature (pl Owner I E,ectrical Contractor I Administrator)
[Etec,trical Permit Applications may be submitted to city Hall or electri*alpe rmits.@ci&lfpa.u$l
3231s. regent st. port angeles wa. 98362
Fmail. ncr955@omail.com
\ E S{ngte-Famity Residential E Multi-Family Residential E Commercial E lndustrial E Public
Project Address:3231 s, rege nt st. port angeles wa. 98362
Tax Parcel No,:Zoning:
Primary Contact keith danser (Property Owner: EI Yes U No)
Phone (316) 641-8369 Email:ncr955@gmail.com
Name:keith and avona danser Phone .3166418369
' 3231 s.Mailing Address
Company Name . self
Email:
License #:
Expiration Date
Phone:
E New Construction E Manufactured Building E Addition E Remodel f,l Repair n Foundation
fl Fence (lf >6' high)E Retaining Wall (lf >4' high or >2' high with surcharge) E Other:
Project Value (Materials + Labor):
Please summarize ProPosed work:
$7500.00
add bathroom off master bedroom
E General Building permit Appllcation (BPd): complete this form and have an authorized agent sign
E Stormwater checklist (swcL): submit if the project has any ground disturbing activities
E Scaled Site Ptan: Please submit a detailed site plan. (Scale: '1"=20')
E Building/conEtruction Ptans: Detailed drawings/engineering of construction plans and elevations
tr other Applications: Elecitrical, Fire related, wastewater Questionnaire, waste Disposal, etc'
trADigitalcopyofAllApplicationmateria]s:E-mailedto:pern]its.aci$Ci*3.1]3
I have read and completed the application and know it to be true and corect. I am aulhorized lo apply for this permit and uoderstand that
it is my responsibility to delermine what permits are required and to obtain permits prior to work. I undefstand that plan review fees are not
refundable after review has occurred. I understand that I will forfeit review fees if I withdraw the appllcation before the permit is issued l
understand that additional intorrnation may be required when determined necessary by the building official and if the permit is noi picked
up/issued within 180 days ol submittal' the apPlication will be considered abandoned and the
'ees
will be forfeited,
1110112021 keithdanser
Date Print Name Signature (m Owner n Contractor I Repres entative)
Rec€ived:--
Email. ncr955@gmail-com
,'CONTRACTOR iNFORMATION
I
I
APPLICATION IVIATERIALS CHECKLIST
a12016151495Main Floor
$0Upper Floo(s)
$0Basement
$244244Covered Deck i Porch / Entry
s300300
2'1 862186 IGarage (Attached / Detached)
Deck
S
$0Carport (Attached / Detached)
307 $307Other (Describe):
greenhouse-shed
$o46521?OTOTAL ffiHffiffi
46,609.2 totat sq.ft.fr. or fl t
4532 total sq.ft.nt area of all structures on theTotal
11,551 totat sq.ft.Total area of all impervious surfaces
*Lot Coverage: The percent of ground area of a lot on which buildings are located. (PAMC 17.08.065)
*Site Coveraqe: The amount of impervious surface on a parcel, including structures, driveways, sidewalks, patios, and
olher imp€rvious surfaces. (PAMC 17.08.095)
Please indicate how maoy of each lype of fixture is to be installed or relocated as pad ot the proiecL
#:
#:'l
Air Handler Size #H€ater (Suspend ed/FloorlRecessed Wall)#:1
Furnace/Heat Pumpl Forced air Unit Size #.
#:
Heating/Cooling Appliance (Repair/Alteo
Appliance Exhaust Fan
Evaporat ed Cooler (Attached)
Pelleuwood/Gas Stove, Fireplace,Misc.
#Vent Fan (Single Duct)
Fuel Gas Piping # of outets:Vent #:
Hazard / Non-Hazard Piping # of outiets:Other:#.
Please indicate how many of each type of firture is to be installed or relocated as Pad of the proiect.
4:4Plumbing Traps
# of outlels:# of outlets:1Plumbing Vent Piping
# of outlelsFuel Gas Piping# of outiets:5Water Line
#:# of outlets:1 lndustrial Waster Pretreaknent lnterceptor (Grease Trap)Sewer Line
in.Backflow Proteclion Device (size:E.Vent System
Other:
*:tProposed Bedrooms/BathsnYES INOIProposedlrration S stem
Proposed Dwelling UnitstrYES flNO fl ProposedFire Sprinkler System
$Structure ValueE YES (Zone lD: )ENOls the proiect in Flood Zone?
ls clearing or grading proposed:nYES nNO (if yes, estimate cuufill tolal:(cubic yard)
I
,Lot'Betails
Lot Coverage'
SitB Coverage'
Dimensions
LOT & SITE COVERAGE CALCULATIONS (For
[,,ledical Gas
l*,
\i:z
PROJECT ADDRESS: 3231 s. regent st. port angeles wa. 98362
What is the parcel size of the property to be developed?
What is the total area of already existing impervious surfaces?
What is the total land area that will be disturbed during this project?
What is the total area of new hard surfaces?
What is the total area of to-be replaced hard surfaces?
How much vegetation will be converted to lawn/landscaped area?
How much native vegetation will be converted to pasture?
Does the site have 357o or less existing impervious coverage?
Received:
To determine the stormwater requirements that apply to your project, please answer the following questions:
1
2
3
4
5
6
7
o
46,609
11,55'l
0
120
0
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
n YES: This project is considered a "new development" project, proceed to question 9tr NO: This project is considered a "re-development" project, proceed to question 't3
9. Does the project result in 5,000 sq.ft. or greater of new + replaced hard surface?
tr YES: A Large Project Stormwater Plan is requiredI NO: Proceed to question 10
10. Does the project convertyo acre (32,670 sq.ft.) or more of vegetation to lawn or landscaped area, or
convert 2.5 acres or more of native vegetation to pasture?
n YES: A Large Project Stormwater Plan is required
NO: Proceed to question 11
11. Does the proiect result in 2,000 sq.ft. or greater of new plus replaced hard surface area?tr YES: A Small Project Stormwater Plan is required
E NO: Proceed to question 12
12. Does the project have land disturbing activities greater than 7,000 sq.ft. but less than an acre?tr YES: A Small Project Stormwater Plan is required
E NO: Only Minimum Requirement 2 applies
13. Does the project add 5,000 sq. ft. or more of new hard surfacs? OR Convert 32,670 sq. ft. (V. acre) or
more of vegetation to lawn or landscaped area? OR disturb greater than 1 acre of land? OR Convert 2.5
acres or more of native vegetation to pasture?
n YES: A Large Projecl Stormwater Plan is required
E NO: Proceed to question 14
14. Does this project result in 2,000 sq. ft., or more, of new plus replaced hard surfacc area? OR ls the land
disturbing activity greater than 7,000 sq. ft. but less than 1 acre?
E YES: Minimum Requirements 1 - 5 apply. Proceed to question 15
tr NO: Only Minimum Requirement 2 applies
15. ls the total of new plus replaced hard surfaces 5,000 sq. ft. or more, AND does the value ofthe proposed
improvements - including interior improvements - exceed 50% of the assessed value (or replaced value)
of the existing site improvements?
El YES: A Large Stormwater Plan is required
El NO: A Small Project Stormwater Plan is required
STORMWATER OUESTiONNAIRE
0
REDEVELOP[NENT
MR #1 : Preparations of stormwater site plans
MR #2: Gonstruction Stormwater Pollution Prevention Plan (SWPPP)
MR #3: Source control of pollution
MR #4: Preservation of natural drainage systems and outfalls
MR #5: On-site stormwater management
meet:
El n/lR *e onu E Small Project (MR #1-5)
Small proiect
stormwater
plan
(MR 1-5)
U Large Project (MR #1-9)fl Exempt
Required
COPA Factsheet A
COPA Worksheets:
A,B,C,D,E
Addilional Resources
ussc 5.04.01.1
SWMM\ryW Vol.1-Ch.2
Small projects are required to meet Minimum Requirements 1-5.
These projects are generally less impactfuland therefore require less
stormwater protection and mitigation efforts. These projects have
the option to use the City's pre-engineered worksheets, templates,
and forms to construct an a Small Stormwater Management Plan.
Contact a Licensed
Engineering Firm
Additional Resources
ussc 5.04.01.2
SWMMWW Vol.1-Ch.2
USSG: cily of Port Ang€les Urban Services and Standards Guidelines, 2017 updated edition. Available free€tdErqe at itips;;lse-
,oalangeles.civiaplus.com/277luIban-servicas-standards{uideii nes
SWMMWW: WA State Dept. of Ecdogy's Stormwater Managemenl Manual for Westem Washington, 2014 updated edilion
I have read and completed the application and know it to be true and correct. I am authorized to apdy for this permit and understand that
it is my responsibility to determine what permits are required and to obtain permils prior to work. I undeEtand that plan review fees are not
relundable after review has occuned. I undersland lhat I will forfeit reyisw fees if I withdraw the application before the permit is issued. I
understand that additional information may be required when determined necessary by the building omcial and if the p€rmit is not picked
up/issued within 180 days of submitial, the application will be considered abandoned and the fees will be forfeited.
1110112021 keithdanser
MR #6: Runoff treatment
MR #7: Flow control
MR f}8: Wetlands protection
MR *€: Operation and maintenance
Requirement Description
COPA Factsheet B
Addilional Resources
ussc 6.05.03
SWMMWW Vol.1-2.5-5
A complete Construction SWPPP does not need to be prepared and
submitted.to meet this requirement. However, the proiect proponent
must consider all 13 Elements of Construction Stormwater Pollution
Prevention and develop controls for all elements of the project.
MR #2 Only
Large Project
Stormwater
Plan
(MR 1-e)
Large projects are required to meet all ltilinimum Requirements
(1-9). These projects are either impactful by design or are being
developed, in an environmentally sensitive and/or critical area. The
project proponent is required to retain professional engineering
services to prepare and submit a detailed report that addresses site
specific stormwater concerns and engineered solutions that meet
WA State specifi cations.
Date Print Name Signature (E Owner ! Contractor E Representative)
I
I
I
I
Tabte 1.r Waslringto& State linirhum RequirernentsI
I
I
X /z /t'
t'-
(iwat 5'5L-, o t 9ql+r h,{
ft€0
€uan\ilt#o .-flull
f*on?
5"
ili$tW{
frfr)
I
I
I
Il\I
.i?*i .4,': 2"Jr'.)!V
4niD' -)"
h\J
{b
0'{-
*
\
K"#
4'*'"a.'
L'70*&o
)u-i
ti{
*
oll
I
i
l
)
)
I
&s
ti- aRq\..\\t'C\-N
.\
I
i tt!l
I*J
vls
s
:illttttlitlrI;liI i y.--
$x
dt\ai\
