HomeMy WebLinkAbout1122 W 11th St - Building CiTY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 2/21/2002 PERMIT NO: 13241
OWNER/APPLICANT PROPERTY LOCATION
JOHN FUNK 1122 11TH STW
1122w. 11th Lot: 5&6
Port Angeles, WA 98360 Block: 354 [] Long Legal
360/000-0000 Subdivision: TPA
T: S: Parcel No: 630000354180000
CONTRACTOR ARCHITECT
FEELEY CONSTRUCTION N/A
2606 DEER PARK RD.
Port Angeles, WA 98362 , 98360-0000
360/452-7559 360/000-0000
PROJECT INFO
Project Value: $2,000.00 SFD Units: 0 Commercial: 0
Project Type: RETAINING WALL SFD SQ FT: 0 Industrial: 0
Occupancy Type: Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
RETAINING WALL LOCATED SOUTH REAR PROPERTY
RECEIPT#8773 "~
FEES ASSESSMENT c~
Building Permit: $69.25 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $73.75
Plumbing: $0.00 AMOUNT PAID: $73.75
Mechanical: $0.00 BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes'
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a pedod of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD ' '
CALL 417-4815 FOR BU1LDING INSPECTIONS. PLEASE PROVIDE A MIN1MUM 24 HOUR NOTICE. ITIS UNL4WFUL TO COVER,
INSU£/ITE OR CONC£~41. /INY WORK BEFORE INSPECTED .4ND ~4CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE IYEsACCEPTED] NO COMMENTS
FOUNDATION;
WALLS '~___- ~. ~"~ ~
FOR OFFICIAL USE ONLY:
r~ ?hr ~,% Date Rec.:
BUILDING PERMIT - APPLICATION
i~i Date Approved:
Date Issued:.
The Building Permit - Pre-application must be filled out completely.
Please type or print in ink. If you have any questions, please call 417-481S
Applicant or Agent: ,~e /eW C°,9x~5'1L. -F'(,,.~c Phone: ¢/S~-D
t
Owner: ~-'~/~t,-~ ~c/r,Y[<- Phone:
Address: / / 2- Z o,3. l I +'~ City: ?~ /~' Zip:
Architect/Engineer: v~ ~ re~/~' / / e ~-~ Phone:
Contractor ~~ee~ (e~, c~o.~-x g-~ :E-~o q License #:. Exp: Phone:
Address: City: Zip:
PROJECT ADDRESS: ~/s~/~$ ~ ZONING:
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name:
Billing Addreas: City:.
Credit Card #: Exp. Date: VISA MC
TYPE OF WORK: SIZENALUATION:
,~-LResidential [] New Constr. [] Re-roof D Woodstove SF. ~ $ /SF. = $
[] Multi-family [] Addition [] Move [] Garage SF. ~ $ /SF. = $
[] Commercial [] Remodel [] Demolition [] Deck SF. ~ $ /SF. = $
-~z~Repair [] Sign [] TOTAL VALUATION $.
BRIEF DESCRIPTION OF THE PROJECT:
~OMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stories: __ Lot Size: % Lot Coverage: %
Existing Lot Coverage: /sq. ft. + Proposed Lot Coverage: /sq. ft. = TOTAL LOT COVERAGE: /sq.ft
PLANNING USE ONLY: APPROVALS: PLAN.
Notes: BLDG.
FIRE
ESA/Wetland(s): [] Yes [] No SEPA Checklist required? [] Yes [] No Other: OTHER
BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for
review. Thc Building Division can provide you with more detailed information on the application and plan submittal requirements. Your
completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may bc revised by thc Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: Your plan check fee is duc at the time thc building permit application and consWacfion plans are submitted. All other
permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this 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 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for
this p~rmit. 1 understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's
responsibility to determine what permits are required and to obtain such.
Applicant: ~ ,~,~,. Date: ~C7 ~ c~ /- cD>__
T:\FORMS~APPS\Buildingpermit
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date '--Z- - ~Z--7'- ~- Time Received by (phone, person)
Location of Work to be inspected / / ~ '~- ~ / /~Z ~
Name of person requesting inspection ~F ~l ~,~
Address of person requesting inspection Phone No.
Permit No. /
Type of I~~le appropriate one):
Sewer~ound~ion ~aming Chimney Plumbing Final Sewer Excav. Other
Inspected: Date ~-~ ~ ~ Time By
Remarks: ~-'%~ ~_
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel I--JAsphalt []PCC [:::]Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
~--I No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~ - Z <~ '- ~?_~. Time '~ '~-~'~i ~ ~ Received by ~ L/ (phone, person)
Location of Work to be inspected J ~ ~
Name of person requesting inspection
Address of person requesting inspection Phone No. /
Type of Inspection (circle appropriate one): Permit No. z//,~ ~(~
Sewer (~F~(~-~a~,t~o~ Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date ~-~ ~ ~-~ Time By
Remarks:
RESTORATION REQUIRED ...... YES_ NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel ~-~Asphalt []PCC []Other
[] Repaired by City Work Order #
[-] Repaired by Permittee ~-~ COMPLETE
[--I No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES, WA 98362
ELECTRICAL PERMIT ISSUED: 6/28/2001 PERMIT NO 7315
OWNER/APPLICANT PROPERTY LOCATION
Funk 1122 11THW
1122 w. llth Lot:
Block: [] Long Legal
Port Angeles, WA 98360
360/000-0000 Subdivision:
T: S: Parcel No:
CONTRACTOR ARCHITECT
OLYMPIC ELECTRIC N/A
1805 TUMWATER
PORT ANGELES, WA 98362 , 98360-0000
360/457-5303 360/000-0000
PROJECT INFO
Project Type: RES. MISC. Project Value: $0.00
Occupancy Type: Construction Type: SERVICE CHANGE
Occupancy Group: Zoning Use:
Electrical Heat:
[] Baseboard 0 KW [] Riser [] Underground Service
~r~ Furnace 0 KW [] Overhead Service Voltage: 120,240
"~ [~ Heat Pump O KW [] TempService Phase: [] 1 [] 3
[] Fan Wall 0 KW Service Size: 200 -I-.
Feeder Size: 0
PROJECT NOTES
200 A. service change and remodel.
FEES ASSESSMENT Service: $61.50
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Misc Fee: $0.00
TOTAL FEE: $61.50
AMOUNT PAID: $61.50
BALANCE DUE $0.00
MMt?'I S/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO C0~75R,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
DITCH
ROUGH-IN / COVER ~/; ~/";/ ~
SERVICE ?/z / ~, ( ,~ ,A--
FINAL ll/:?/~ / I 2,_L I
GENERAL COMMENTS:
L
t2°~: TOPSOIL
F~ LAND.APING H < 2 TO 4' < 4' ~0 6'
FILTER FABRIC ANCHOR BOLTS, H~DO~S AND
(T~AR 5401) ~ FRAMED FLOR ~ W 16' 5'-0"
CRIPPLE WALL AS REQUIRED
~ PER PLANS BY O~CRS *J' BAR (1) ~5 ~ 24" ~5 ~ 24'
1. "J* BAR AND ~RTICAL WALL REINFORCING MAY
~ C~E{NCO TO ~H~[ PIECE AT CON~ACT~'S
~5 CONT. AT T~
GENERAl. ENGINEERING NOTES
R~F 0EAD LOAD: 10 PSF
~ ~ NOTE: R~ U~ LOA0:25 PSF
FL~ SLAB MUST BE IN PLACE
2' AND ALLO~D TO CURE F~ FLO~ OEAD LOAD: 10 PSF
WA~RPRO~'~ [~ } 5. ~y c~s[rucU~ not fully detoiled ~ {his plan is
I~st 20 fr~ the build~. P~es sh~l be mn
- ~5 ~J-BAR ~A~NG
~ CI~ OF PORT ANGELE~ ~ ~n
P/RIME~R ca~ns and ot~r da~ ~ll ~ ~nt ~ ~lding
4' C~CRE~ SLAB ~n~ s~ifi~ and ~ da~ ~
~ ~AB BA~ AND M~S~RE
g ~ ~ ~ ~ BARRIER PER AR~C~R~ ~AN5
_ ~NG AS CONCRETE NOTES
W All aggregates shall conform [o AS~ Ston~rd C-5~.
T Y P ~ A I ~ ~ ~ ~ 0 ~ 4. Spllces in c~finuous reinforcem~t $holl lop o m~imum of 52 bO~diomet~s ~ os noted~
~T~
s~
Vi!
CITY OF PORT ANG~LES
PUBLIC WORKS - ELECTRICAL DIVISION
12\ EAST 5TH STREET. PORT ANGELES. WA 98362
7\T'<r\l..:.....~.....:~_ "'.,. ,
Appl1cat1on pin number
Property Address
ASSESSOR PARCEL NUMBER.
Appl1cation type descr1ption
Subd1vision Name
Property Use
Property Zon1ng .
Application valuat10n
./ v 1/ U I
- .
320916
1122 W 11TH ST
06-30-00-0-3-5418-0000-
ELECTRICAL ONLY
--~~
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
FUNK JOHN D
1122 W 11TH ST
PORT ANGELES
OLYMPIC ELECTRIC
4230 TUMWATER
POR~ ANGELES
(360) 457-5303
WA 98363
WA 98363
Perm1t . . . . .
Addit10nal desc .
Perm1t pin number
Sub Contractor
Perm1t Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
OLYMPIC/ MANUAL TRANS SW.
92783
OLYMPIC ELECTRIC
64.00 Plan Check Fee
1/07/07 Valuation
7/06/07
.00
o
Qty Unit Charge
Per
Ext'ens1on
64.00
BASE FEE
Fee summary Charged Pa1d Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.00 64 00 00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.00 64.00 .00 .00
COMMENTS/ACTION NEEDED
'i'-....
"'-
~
IN
't
""-
,'-
,\:i
I
11
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNU WFUL TO COVER.
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEC110N TYPE DATE I ACCEPTED COMMENTS
I YES I NO
IJnCH
ROTlnH-IN / l.,;UVhK
~hK V ll.,;h
....INAI I/-'-I_A" 1...h".J 1
GENERAL COMMENTS:
PW-II02.1S 14196)
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 16383
(L / A.., f-:t
Port Angeles, Washlngtonm.m........!...:::..l.::..m.....m...............m.... 19.('~.::'~
In accordance with the City Ordinance to regulate the installation, extension. or repair of elec-
trical equipment in, on. or about any building or other structure in the City of Port Angeles. per-
mission is hereby granted to do electriCjWOrk as listed below.
Address ..ll..:::::."~f:..........tAr..l/t;.fm.nm.nnnnnn.n... Occupancy.A.i!~'\L.n..m....mn..n...n.....
Owner .mmm...m....m......nn.............m....m..............n TenanLnmnnm...mm..mn...........n...nmn.nn.....nmm...
:-:l /, f" . 1'/
Wiring Contractor nnj.'.'!.~.~'~..nm:.::..~.:L."!.,:'!:.n...nnn...nnm By...mnmnmnm.....nnn.......mnnmnn.........n..nn
'7' .' .-
Light Outlets.........,,:...................._.._..... Service, volts .......m.............................
.,-
Receptacle Outlets......,........................ No. wires ........m......................___...
Dryer, KW..._uun..........u......n"...........
Size "'.ires..................................._..
Range, KW.......nn...............................
Main fuse .......................................
Water Heater:
Enclosure .......................................
KW.nw..mnmnm.mn..nmn..n..nn
Type of wiring:
Entrance Cable ............
Heat: KW............................................
Motors: size, volts and phase:
Rigid Conduit ........h.........
Metallic Tubing ..___........
Current transformers:
No. & Size.......................................
Ser. No...............................................
Ser. No. .............................................
Ser. No.,.............................................
Total Load.......___......m..........
Ser. No. .............................................
Type o! Wiring:
Armored Cable ..............................
Non.Metallic .................................
Knob & Tube.....................m..n...._
RIgid Conduit .mmm..mm...mn...n
Metallic Tubing ...........................
Raceway ......................................._
Circuits, LlghL................___..................
Utility.............................................
lIeat ...............................................
Range .............................................
Water Heater ...............___.............
Motor .............................................
Dryer ................................................_
Furnace .........................._......_...........
Total.......................................
~
Remarks: nm...nmli}~:_~f.._~L./?.m...m~:!".:!~~:__u........t;;!:;2:L_~:_r::'!~..m.m_mmmmnmnmmmm_m__m.mm_4u___
/
.;~~;~.;~~........m..............m.;~~~~~.~~~~;~~.m..m.m....m.m.m.m..m::;.:~:.:?...:f...m;;Jmm.m.m>?Tn...
,_ r{ . ~,' " r .v
$.........................m.......... No............................. By nm~:m....~::"'m..".::...'...:::..::(.~..:':..":;::.:.....,,",.,.
NOTICE-Current must not: be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
16383
Address.................................................................................................................__.....................Date..._......_.._.._.._._........_......_......_.........
Owner..........................................._.,_......_......_.._...........................................................Tenant....................................................................
WiringContractor....__....................l..............................................................................................By..............................................................
\
NOTICE-Current must not ,;be turned on untl1 Certificate ot 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.
1M lilv.,.,"';.... 1J,.;"10...,, r,.;....
01/03/2007 07:55
3504523498
OLYMPIC ELECTRIC
PAGE 01
"\
"'" '
( ~lectrlc.1 Contractor (InliltlllllUOtl d.c!.cnpLior.
Job wired b)' o Owuer o 9.D1merc:lal ~.Identlal
Elo:ltri~' C1or\lra.ctol' nlml!l L.lcense number Dale eJ.plTCS ONew e A1teredJAddltloa
o ympic Electric Co. OLYMPEC285D1 ' '..
Purdwcr', nll.illna: agdnlU ;11 Mc/:ll 1r.l /I J-Ir/"' "&i//'~c.h
4230 Tumwater Truck Route ..
I
CilY Stale ZlP tPr '/;-7/7//.4' ~r-
Port Angeles, WA 98363
Telephone number FAX number
(360) 452-5303 (3601 452-3498
pnm'UbOWaef'" Dime
,b '/J rYl7/(
Addrell of hupectloD /, t1
//--2.2 tV '/
cll~dA~Jrkr ' ,
PboDe a.~rober 10 u!:hldull lIupectJou: '-!5L _ h e1J 'I b
O....ner d.f df/lned by RCH'.J9.Z8,16J:(I) Owner will (Jct;UPJ' the Ilnu;turtjor rk'O
ymn tifttr IlIb ~/U:/,iCGl permit 1I fllfttUzed. (J) Owlltr tI requlnd to hi,.. a." c/Cdt;cal
collll'<<tor 1/ "how $41d prope,.ty U /or' s(Jle, f'(W or I,as~. a Cash a Check #
ARet rcadin& the above statement. I hef'!by certll)' thal 1 am \he owner or Ill!! above Itl-Credit Card
aamlld propeny or I. 11ensed electrical oontrllCtOt. I rm mAkln, tbe e\eettiel.llnnl!.l~ VISll Mastercard Discover
latlon or lltenUon in co1DpliAtlce wilh tht electrical laws, N.E.C-. R.CW, Chlpte:r Card #
19.2&, WAC. Chapter 296-468, The City or Port Angeles Municipal Code. And " - -
Ullllty Speoifiell.riClDs. ------~-----_._--
SIIa.uUf'e of OWDer, eleettlul contrat:tor or er~ctr'c:.1 admlnlstrl.or ExpiIBtion Date
X ///'#..f -.-.". - Dale://J/~ of card ( ~n3P2DVcC~
.
.
ELECTRICAL WORK PERMIT APPLICATION
I;:lectrlcBI LORd AddltlDns and oraubtrAotlona
o NO L.OAD CHANGES
C BlltIaboan:l _ KW
C Fum.... _ KW
C Ho.l Pump _ Ton _ LAII
C Fan-Wall _ KW
SAME DAY INSPECTION CALL BEFORE 1"00 AM 360-411-4135
SBrvlcB Information
o O.orl1..cl Se",lco
o Temp ServiCe
C Underground 50",1.0
V.llego
Ph,.... 0 I 03
SalVI... Slzo: _
FllGdor S~o:
, .
; ...., /'
ROUGH-IN r THERMOsrAT SERVICE
~ ..... A,pprv"'~ol By ~ Cal. Io.p,,"wod By ~ Du, A'PP"'''1ilI tJ~ /
FINAL VITal r :FEEDER
J -:{IJ 7 d:!:f!
0.' A".ft1~dlJt Vail ~H1
........ ./
In.pecliotl . Ar.a, Building or Equipm.ntlnspeclcd Action Takea ElectrlclIl
; D.ate . Inspeotor
'1 J -3- ()
7
~.
/"
ELECTRICAL WORK PERMIT APPLICATION _
~;--
Job wired by
)iPElectrical Contractor 0 Owner
Installation description
o Commercial )!pResidential
Electrical contractor name
. 7l-/CJN.ers /4r,c
Purchaser's mailing address
I/.~, 99'/
City /}
rA-
License number
/lIr;/VI"/Z~9J1L#
Date Exv.ircs
t!J,r
o New
,a:Alteredl Addition
1.
"",.j
I J
~d7C#1't/;'~
"",
Telephone number
?c,,5""'-/'Z! '"L--
State ZIP
t:U1J-" 9r3'4-2----
FAX number. -1rt/<T
CfJ'Z..- /J "TO
-....c....
Premises owner's name
FvLN [L
::Ii) t+1--i
Address of inspection
112:2. W,
City P Pr
tirn
Phone number to schedule inspection:
'-1S-2- (Q9V~
Owner as defined by RCW.J9.28.26/:(l) Owner will occupy the structure for two
years after this electrical permit is finalized. (2) Owner is required (0 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
]9.28, WAC Chapter 296-46B, The City of Port Angeles Municipal Code, and
Utility Specification
Signature al contractor or electrical administrator
o Cash 0 Check #
o Credit Card
Card #
Visa
Mastercard
Discover
Date: S-:-6 --<J0
Expiration Date
of card
Inspectir/~ I d
$ 'tn-
x
Electrica oad Additions and or subtractions
D NO LOAD CHANGES
D Baseboard ,. KW
o Furnace KW
o Heat Pump Ton LAR
D Fan-Wall KW
Service Information
o Overhead Service
o Temp Service
D Underground Service
Voltage
PhaseD1D3
Service Size: ~
Feeder Size:
/" THERMOSTAT /" SERVICE
"- Dale Approved By ./ "- Dale Approved By
/" FEEDER
DITCH
"- Dale Approvedl3y./ Dale Approved By
Inspection Area, Building or Equipment Inspected Action Taken Elcctrical
Date Inspector
!:U'''''''h
....iff. i !Iff !f1
.-
J sr ~o he
v /
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN
-;/-~7 ~LJ
Dale - Approved By
ANAL
Dale
Approved By
,
at;)
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
]2\ EAST 5TH STREET. PORT ANGELES. WA 98]62
,
\
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER;
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
06-00000445 Date
779335
1122 W 11TH 8T
06-30-00-0-3-5418-0000-
ELECTRICAL ONLY
5/12/06
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
FUNK JOHN D
1122 W 11TH $T
PORT ANGELES
WA 98363
THORNES REFRIGERATION
PO BOX 991
PORT ANGELES WA 98362
(360) 461-0158
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
THRONES/ T-STAT WTR. HT.
76828
THQRNES REFRIGERATION
48.10 Plan Check Fee
5/11/06 Valuation
11/07/06
.00
o
Qty
1. 00
Unit Charge Per
48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
48.10
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 48 .10 48.10 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 48. 10 48.10 .00 .00
COMMENTS/ACTION NEEDED
Application Number . . . . . 22-00000608 Date 5/18/22
Application pin number . . . 873344
Property Address . . . . . . 1122 W 11TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5418-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Jetted tub
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
EDWIN G / SHELIA A FRITTS KOT ELECTRIC LLC
1122 W 11TH ST 1513 105TH AVE CT E
PORT ANGELES WA 98363 PUYALLUP WA 98372
(253) 737-7015
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 68.00 Plan Check Fee . . .00
Issue Date . . . . 5/18/22 Valuation . . . . 0
Expiration Date . . 11/14/22
Qty Unit Charge Per Extension
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 68.00 68.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 68.00 68.00 .00 .00
1 - 2 SINGLE-FAMILY
ELEC_IRJCAL PER.MIT APPLLCAT_I_O�.
Public \Yorks and lJLilities Department
321 E. 5th Street. Port 1\ngeles, \VA 98362
360.417.4735 I www.cityofpa.us I elect.ricalperr11itsr{i,,cityofpa.us
Project Address: I ·1 �;} W 11 +-11. S +
Project Description: Pro 1/1
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� Single-Family Residential D Duplex/ ARU Building Square footage: ___________ _
OWNER INFORMATtON
Name: =---�-S"-'-'h ... e___,_I ...,_; =q,...__ _ _E_c-�±+-'='-'s=��---�-----Email:=----��-------
Mailing Address: _\._.\...:d-_..}.....__,v,_1'---J .... 1 .... J._1\.-.S ...;.+____.B....,o ..... d:: ......... ...:A ..... l\L.>;9.t-e...,l .... e..._5 _'l..._Z ......... i .... ,.__:S.____ Phone: )-0 ' - £..t 5 ".\ -7 � S'. 5
ELECTRICAL CONTRACTOR INFORMATION
Name: I�+ E lrrA-c� L U..C..
Mailing Address: I 5 l 3 ) Q 5 +lo\ lt:vL G-T e,
Email: 16.ti< @ bot:&l,cc..¼-dc l\e.Lt21'.!l
License: }h OT G L. Eb V-712 l.
'ISJ�xpiration Date: _______ _
Phone: ,&.5 ? -7 r 7-7 O \ 5
l -• PROJECT DETAILS
l!lm Unit Charge. .Qiantillt Imil (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 1 $ lSQ
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 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional) $56.00 $
First 1300 Square Feet $120.00 $
Each Additional 500 square teer· $40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Poof/ Hot Tub $110.00 $
TOTAL $ IS Q
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 re rding Electrical Permit Applications.
Date ------J --�
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Print Name
[Electrical Permit Applications may be submitted to City Hall or electricalperm its@cityofpa.us)
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