HomeMy WebLinkAbout524 W 11th St - BuildingPREPARED 12/18/07 9 07 51 INSPECTION TICKET
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY
ADDRESS 524 W 11TH ST SUBDIV
TENANT NBR ROBERT REICK
CONTRACTOR PHONE
OWNER REICK ROBERT E /TAMMYJ PHONE
PARCEL 06 30 00 0 3 4825 0000
APPL NUMBER 06 00000820 RES DETACHED GARAGE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL99 01 12/18/07
PLUMBING FINAL
December 18 2007 8 43 34 AM ipangrle
BILL 461 2309
PLUMBING FINAL
COMMENTS AND NOTES
PAGE 2
DATE 12/18/07
PREPARED 12/18/07 9 07 51 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/18/07
ADDRESS 524 W 11TH ST SUBDIV
TENANT NBR ROBERT REICK
CONTRACTOR PHONE
OWNER REICK ROBERT E /TAMMYJ PHONE
PARCEL 06 30 00 0 3 4825 0000
APPL NUMBER 06 00000820 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 9/11/07 JLL BLDG FOUNDATION FOOTING
9/12/07 AP 09/11/2007 08 16 AM LPANGRLE
STEVE 460 0070
FOUNDATION
09/12/2007 09 04 AM JLIERLY
BL3 01 10/09/07 JLL BLDG FRAMING
10/09/07 DA October 8 2007 4 48 38 PM 1pangrle
BILL FEELY 461 2309
FRAMING
October 9 2007 5 02 26 PM jlierly
complete elec rough before frame /ill
BL9 01 10/09/07 JLL BLDG SHEARWALL
10/09/07 AP October 8 2007 4 47 56 PM 1pangrle
BILL FEELY 461 2309
SHEARWALL
October 9 2007 5 02 20 PM jlierly
BAIR 01 11/13/07 JLL BLDG AIR SEAL
11/13/07 AP November 13 2007 8 28 57 AM 1pangrle
BILL 461 2309
AIRSEAL
CALL 30 MINUTES AHEAD
BL3 02 11/13/07 JLL BLDG FRAMING
11/13/07 AP November 13 2007 8 28 04 AM 1pangrle
BILL 461 2309
FRAMING
CALL 30 MINUTES AHEAD
BLI 01 11/16/07 JLL BLDG INSULATION
11/16/07 AP November 16 2007 9 03 34 AM 1pangrle
BILL 461 2309
n INSULATION
BL99 01 12/18/07
BLDG FINAL
December 18 2007 8 42 58 AM 1pangrle
BILL 461 2309
BLDG FINAL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 01 10/16/07 PB PLUMBING ROUGH IN TIME 01 00
10/16/07 DA October 16 2007 8 20 56 AM 1pangrle
STEVE 461 2259
ROUGH IN PLUMBING
AFTERNOON
October 16 2007 4 25 37 PM pbarthol
finish plumbing(install shower) recharge water supply
recall inspection
PL2 02 10/23/07 PB PLUMBING ROUGH IN
10/23/07 AP October 22 2007 4 39 06 PM pbarthol
STEVE 461 2259
CONTINUED ONTO NEXT PAGE
Application Number 07 00001322 Date 11/28/07
Application pin number 206118
Property Address 524 W 11TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 4825 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Owner Contractor
REICK ROBERT E /TAMMYJ
524 W 11TH ST
PORT ANGELES WA 983627308
OWNER
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 320 AMP SERVICE NEW GARAGE
Permit pin number 115246
Permit Fee 91 00 Plan Check Fee 00
Issue Date 11/28/07 Valuation 0
Expiration Date 5/26/08
Qty Unit Charge Per Extension
1 00 91 0000 ECH EL R OR RM 201 600 ALT SRV FDR 91 00
Fee summary
Charged Paid Credited
Due
Permit Fee Total 91 00 91 00 00 00
Plan Check Total 00 00 00 00
Grand Total 91 00 91 00 00 00
INSPECTION ELECTRICAL
TYPE DATE. RESULTS INSPECTOR
DITCH
SERVICE
ROUGH IN
FD
AL
DG -S2-0 Z4 W k
PREPARED 11/16/07 10 49 23 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/16/07
ADDRESS 524 B 11TH ST SUBDIV
TENANT NBR ROBERT REICK
CONTRACTOR PHONE
OWNER REICK ROBERT E /TAMMYJ PHONE
PARCEL 06 30 00 0 3 4825 0000
APPL NUMBER 06 00000820 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 9/11/07 JLL BLDG FOUNDATION FOOTING
9/12/07 AP 09/11/2007 08 16 AM LPANGRLE
STEVE 460 0070
FOUNDATION
09/12/2007 09 04 AM JLIERLY
BL3 01 10/09/07 JLL BLDG FRAMING
10/09/07 DA October 8 2007 4 48 38 PM 1pangrle
BILL FEELY 461 2309
FRAMING
October 9 2007 5 02 26 PM jlierly
complete elec rough before frame /jll
BL9 01 10/09/07 JLL BLDG SHEARWALL
10/09/07 AP October 8 2007 4 47 56 PM 1pangrle
BILL FEELY 461 2309
SHEARWALL
October 9 2007 5 02 20 PM jlierly
BAIR 01 11/13/07 JLL BLDG AIR SEAL
11/13/07 AP November 13 2007 8 28 57 AM 1pangrle
BILL 461 2309
AIRSEAL
CALL 30- MINUTES AHEAD
BL3 02 11/13/07 JLL BLDG FRAMING
11/13/07 AP November 13 2007 8 28 04 AM 1pangrle
BILL 461 2309
FRAMING
CALL 30- MINUTES AHEAD
BLI O1 11/1 /07 BLDG IerU1ATION
November 16 2007 9 03 34 AM 1pangrle
BILL 461 2309
INSULATION
COMMENTS AND NOTES
PREPARED 11/13/07 10 48 16 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/13/07
ADDRESS 524 W 11TH ST SUBDIV
TENANT NBA ROBERT REICK
CONTRACTOR PHONE
OWNER REICK ROBERT E /TAMMYJ PHONE
PARCEL 06 30 00 0 3 4825 0000
APPL NUMBER 06 00000820 RES DETACHED GARAGE
PERMIT BUR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 9/11/07 JLL BLDG FOUNDATION FOOTING
9/12/07 AP 09/11/2007 08 16 AM LPANGRLE
STEVE 460 0070
FOUNDATION
09/12/2007 09 04 AM JLIERLY
BL3 01 10/09/07 JLL BLDG FRAMING
10/09/07 DA October 8 2007 4 48 38 PM 1pangrle
BILL FEELY 461 2309
FRAMING
October 9 2007 5 02 26 PM jlierly
complete elec rough before frame /jll
BL9 01 10/09/07 JLL BLDG SHEARWALL
10/09/07 AP October 8 2007 4 47 56 PM 1pangrle
BILL FEELY 461 2309
SHEARWALL
BAIR 01 11/13/07
/1 October 9 2007 5 02 20 PM jlierly
BLDG AIR SEAL
November 13 2007 8 28 57 AM 1pangrle
BILL 461 2309
AIRSEAL
CALL 30 MINUTES AHEAD
BL3 02 11/13/07 BLDG FRAMING
November 13 2007 8 28 04 AM 1pangrle
BILL 461 2309
FRAMING
CALL 30- MINUTES AHEAD
COMMENTS AND NOTES
PREPARED 10/23/07 9 09 51 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/23/07
ADDRESS 524 W 11TH ST SUBDIV
TENANT NBR ROBERT REICK
CONTRACTOR PHONE
OWNER REICK ROBERT E /TAMMYJ PHONE
PARCEL 06 30 00 0 3 4825 0000
APPL NUMBER 06 00000820 RES DETACHED GARAGE
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 01 10/16/07 PB PLUMBING ROUGH IN TIME 01 00
10/16/07 DA October 16 2007 8 20 56 AM 1pangrle
STEVE 461 2259
ROUGH IN PLUMBING
AFTERNOON
October 16 2007 4 25 37 PM pbarthol
finish plumbing(install shower) recharge water supply
recall inspection
PL2 02 3/07 JLL PLUMBING ROUGH IN
140100/ October 22 2007 4 39 06 PM pbarthol
STEVE 461 2259
COMMENTS AND NOTES
PREPARED 10/16/07 8 41 38 INSPECTION TICKET
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY
ADDRESS 524 W 11TH ST SUBDIV
TENANT NBR ROBERT REICK
CONTRACTOR PHONE
OWNER REICK ROBERT E /TAMMYJ PHONE
PARCEL 06 30 00 0 3 4825 0000
APPL NUMBER 06 00000820 RES DETACHED GARAGE
PERMIT PL 00 PLUMBING PERM IT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 01 10/16/07 JLL
DA
PLUMBING
ROUGH IN TIME 01 00
October 16 2007 8 20 56 AM 1pangrle
STEVE 461 2259
_ROUGH IN PLUMBING
AFTERNOON
COMMENTS AND NOTES
PAGE 4
DATE 10/16/07
Gt6! 5 gl/awr$
OrY- 4 S;7 1-- c72-Xe.2--
PREPARED 10/09/07 9 05 30 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/09/07
ADDRESS 524 W 11TH ST SUBDIV
TENANT NBR ROBERT REICK
CONTRACTOR PHONE
OWNER REICK ROBERT E /TAMMYJ PHONE
PARCEL 06 30 00 0 3 4825 0000
APPL NUMBER 06 00000820 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 9/11/07 JLL
9/12/07 AP
BL3 01 10/09/07 4L 1
BL9 01 10/09/07
BLDG FOUNDATION FOOTING
09/11/2007 08 16 AM LPANGRLE
STEVE 460 0070
FOUNDATION
09/12/2007 09 04 AM JLIERLY
BLDG FRAMING
October 8 2007 4 48 38 PM 1pangrle
BILL FEELY 461 2309
FRAMING
BLDG SHEARWALL
October 8 2007 4 47 56 PM 1pangrle
BILL FEELY 461 2309
SHEARWALL
COMMENTS AND NOTES
PREPARED 9/11/07 9 56 56 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/11/07
ADDRESS 524 W 11TH ST SUBDIV
TENANT NBR ROBERT REICK
CONTRACTOR PHONE
OWNER REICK ROBERT E /TAMMYJ PHONE
PARCEL 06 30 00 0 3 4825 0000
APPL NUMBER 06 00000820 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 9/11/07
BLDG FOUNDATION FOOTING
09/11/2007 08 16 AM LPANGRLE
STEVE 460 0070
FOUNDATION'
COMMENTS AND NOTES
City of Port Angeles
Building Department
321E 1st St
Robert Reick
524 w 11 th St
Application number 06- 00000820
I am requesting an extension on my building permit. I have not started construction yet
due to this winters extreme weather conditions.
Thank you
Bob Reick
/c47e-1.'e',/
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
REICK ROBERT E /TAMMYJ
524 W 11TH ST
PORT ANGELES
Other struct into
Permit
Additional
Permit pin
Permit Fee
Issue Date
Expiration
Qty
15 00
desc
number
Date
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
3 00 7 0000 ECH
1 00 7 0000 ECH
1 00 15 0000 ECH
1 00 7 0000 ECH
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983627308
T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
06 00000820,
129620
524 W 11TH ST
06 30 00 0 3 4825 0000
ROBERT REICK
RES DETACHED GARAGE
RS7 RESDNTL SINGLE FAMILY
16763
Contractor
OWNER
TOTAL LOT COVERAGE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
BUILDING PERMIT RESIDENTIAL
83550
305 75 Plan Check Fee
8/17/06 Valuation
2/13/07
Unit Charge Per
BASE FEE
14 0000 THOU BL -2001 25K (14 PER K)
PLUMBING PERMIT
83568
100 00 Plan Check Fee
8/17/06 Valuation
2/13/07
BASE FEE
PL- EA FIXTURE ON ONE TRAP
PL- EA INSTALL WATER PIPE
PL- EA BLDG SEWER
PL- EA WATER HEATER
Special Notes and Comments
02/16/2007 10 30 AM PERMITS
Permit extended on 02/16/2007 as
requested per letter by Bob Reick on
file
08/15/2006 03 22 PM SROBERDS No land use issues are
noted as presented
The Fire Department has reviewed the project application and
has no comments
Date 2/16/07
30 00
2 00
1120 00
7000 00
981 00
2101 00
2 00
122 30
16763
Extension
95 75
210 00
00
0
Extension
50 00
21 00
7 00
15 00
7 00
/1 5
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 cons Yruction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Ow er (if wner is builder)
21 16 /a
Date
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 4) 7 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL FUL T O 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
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.1
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
MANUFACTURED HOMES
ELECTRICAL LIGHT DEPT
T• \Policies \l 102 15 building permit inspection record05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
FINAL
FINAL
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING /LIGHTING ESA.
LANDSCAPING I SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL
417 -4735 ELECTRICAL
LIGHT DEPT'
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I I I FIRE DEPT
PLANNING DEPT 417 -4750 I I I I PLANNING DEPT
I BUILDING 417 -4815 I I I I BUILDING
DATE ACCEPTED BY.
DATE ACCEPTED BY.
DATE
ACCEPTED
YES I NO
ro e s
i v
14 k■C V0
Application Number
Application pin number
Special Notes and Comments
MAINTAIN CLEARANCES FROM SERVICE WIRES If electrical
service is converted to underground the wire in conduit
must be separated from water sewer Contact Gail in
Engineering
08/02/2006 02 44 PM GMCLAIN
Electrical load calculations and elctrical permits are
required
Public Works Utility Engineering has no requirements for
this plan review
Other Fees
Fee summary Charged Paid Credited Due
Permit Fee Total 405 75 405 75 00 00
Plan Check Total 122 30 122 30 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 532 55 532 55 00 00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced or if required inspections have not been requested. within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T \Policies \1102_15 building permit inspection record05 wpd 1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00000820
129620
Page 2
Date 2/16/07
STATE SURCHARGE 4 50
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL FUL 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
YES I NO
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDG S.)
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
BUILDING PERMIT INSPECTION RECORD
IcI1iI0`7 1 vl-L-
I I O 4 -0 7 7(.L
In-23-61 I P13
FINAL U 6 7)ATE J ACCEPTED BY.
FINAL
DATE ACCEPTED BY.
N
z
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING F
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING /LIGHTING ESA.
LANDSCAPING SHORELINE:
I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW /ENGINEERING
FIRE 417 -4653 I I I I FIRE DEPT
I I 1 F
I PLANNING DEPT 417 -4750 I p I I I PLANNING DEPT
I BUILDING 417 -4815 1 12- I i; 0 1- I 1 1 I I BUILDING I I I I �p
T \Policies \1102 15 building permit inspection record05.wpd [1/4/2005] f
Application Number 06 00000820 Date 8/17/06
Application pin number 129620
Property Address 524 W 11TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 4825 0000
Tenant nbr name ROBERT REICK
Application type description RES DETACHED GARAGE
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 16763
Owner Contractor
REICK ROBERT E /TAMMYJ
524 W 11TH ST
PORT ANGELES WA 983627308
Other struct info
T-\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
OWNER
TOTAL `k LOT COVERAGE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Permit BUILDING PERMIT RESIDENTIAL
Additional desc
Permit pin number 83550
Permit Fee 305 75 Plan Check Fee
Issue Date 8/17/06 Valuation
Expiration Date 2/13/07
Permit PLUMBING PERMIT
Additional desc
Permit pin number 83568
Permit Fee 100 00 Plan Check Fee 00
Issue Date 8/17/06 Valuation 0
Expiration Date 2/13/07
Qty Unit Charge Per Extension
BASE FEE 95 75
15 00 14 0000 THOU BL -2001 25K (14 PER K) 210 00
30 00
2 00
1120 00
7000 00
981 00
2101 00
2 00
Qty Unit Charge Per Extension
BASE FEE 50 00
3 00 7 0000 ECH PL EA FIXTURE ON ONE TRAP 21 00
1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00
1 00 15 0000 ECH PL- EA BLDG SEWER 15 00
1 00 7 0000 ECH PL- EA WATER HEATER 7 00
Special Notes and Comments
08/15/2006 03 22 PM SROBERDS No land use issues are
noted as presented
The Fire Department has reviewed the project application and
has no comments
MAINTAIN CLEARANCES FROM SERVICE WIRES If electrical
service is converted to underground the wire in conduit
must be separated from water sewer Contact Gail in
Engineering
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.
122 30
16763
4 -11
07 /X
Signature of Contractor or Authorized Agent Date S•- ure of Owner (if •writer is builder) Date
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL t
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/ 417 4807
ENGINEERING
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417-4815 I
r \Policies \1102 15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
I I I
I I I
I
I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I
I I I
I I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
FINAL
FINAL
SEPA.
ESA.
SHORELINE:
DATE ACCEPTED BY.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
I I I
I I I
I I I
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number
Application pin number
Other Fees
06 00000820
129620
Special Notes and Comments
08/02/2006 02 44 PM GMCLAIN
Electrical load calculations and elctrical permits are
required
Public Works Utility Engineering has no requirements for
this plan review
Fee summary Charged Paid Credited Due
Permit Fee Total 405 75 405 75 00 00
Plan Check Total 122 30 122 30 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 532 55 532 55 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 thati have- read -and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T• \Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
Page 2
Date 8/17/06
STATE SURCHARGE 4 50
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION RW PW/
417-4807
ENGINEERING
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
T• \Pnli ,nc\t IU9 15 building permit inspection record05.wpd f 1/4/20051
BUILDING PERMIT INSPECTION RECORD
YES I NO
I
I I
I I
I I I
I I
I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I
I I
I I I
FINAL
FINAL
SEPA.
ESA.
SHORELINE:
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT I
I PLANNING DEPT
I BUILDING I
DATE ACCEPTED BY.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. I our application and site plan MUST
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
Applicant or Agent: !K n b 2 i c?-P U1<
Owner
Address: 7
Architect/Encineer
Contractor ,WlA.P.d' State License
Address: City
w k\
PROJECT ADDRESS
Multi- family
Commercial
Repair
Total lot coverage
8/9/04
T•1FORMS\B1dgPennitfor n.wpd Applicant:
PLANNING USE ONLY
v,/\ -e. Phone.
City ?pi v&ckekes
52 `k S�
LEGAL DESCRIPTION Lot: Block:
CLALLAM COUNTY PARCEL NUMBER.
Occupant Load.
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
Subdivision.
Date:
FOR OFFI 7 QNLY
D
Date Rec.
Permit f -6
Date approved:
Date Issued:
Phone: 360 £4 I 7
Li6 0 2
Zip C r e3 76
Phone: S Z' S 7 Li
Exp Phone.
Zip
ZONING
TYPE OF WORK. ST7,F,/VALUATION
Residential New Constr Re -roof ❑Stove- SF /SF
Addition Mover Garage i& OJ 'SF $r2,( ,3 /SF 7 q SD
Remodel Demolition Deck SF 74, fo0 /SF 6 0& (pt;
TOTAL VALFATION ,j(�j; `76;0
BRIEF DESCRIPTION OF THE PROJECT x 2.0 5 t� iti. �q e
Gt. kk W� v I lX,P s
3/q 4- Pout 3 �Q S P ¢f c.� 4
A
Sign Other
N
CO MIERCIAL/RES�IDENTIAL. Occupancy Group i Co ction Type U 14,)
No. of Stones: Z Lot Size :1,000 Existing Sq. Ft. 117-0 Proposed Sq Ft. G( 0 I TOTAL Sq Ft. 2. 6
APPROVALS
PLAN
BLDG
DPWU
FIRE
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 wntten request by the applicant (see Section
R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that I
must obtain such permits prior to work.
'FC.
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DiVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 9~25~2002 PERMIT NO: 13740
OWNER/APPLICANT PROPERTY LOCATION
ROBERT & TAMMY REICK 524 11TH ST W
524 W 11TH STREET Lot: W5' LT4,LTS,E10'LT6
Port Angeles, WA 98362 Block: 351 [] Long Legal
360/417-5258 Subdivision: TPA
T: S: Parcel No: 063000034825000
CONTRACTOR ARCHITECT
EVERWARM N/A
257151 HWY 101
Port Angeles, WA 98362-0000 , 98360-0000
360/452-3366 360/000-0000
PROJECT INFO
Project Value: $2,000.00 SFD Units: 0 Commercial: 0
Project Type: PELLET STOVE SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES '--/-
INSTALL NEW PELLET STOVE
RECEIPT#9721
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: PELLET STOVE $50.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $50.00
Plumbing: $0.00 AMOUNT PAID: $50.00
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 period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. ~ hereby certify that I have read and examined this application and knowthe 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. ~'~ d~//~,,~f ,~~
Signature of Contractor or Authorized Agent Date Sign'~(ure o~'Ov~n~r (if o~ne~'~s/build~ Date
T:\?LANNFNG\FORMS\ ] ]02.[5 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 41%4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 [ 3 7d 0
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR ! SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS ]
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES ! SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
T:\PLANNING\FORMS\1102.15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date / ~-~ -4~ ~--- Time Received by )~'~ (phone, person)
Location of Work to be inspected ~'~/-';7/
Name of person requesting inspection '~--~-'.~
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one):
Sewer Foundation 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
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
11/12/2007 13:31
3504523498
OLYMPIC ELECTRIC
PAGE 01
J.~ .
:i~1'/
:1 ./
..1.
).."
.1"
'.'-.
.'.....
o
',..j
ELECTRICAL WORK PERMIT APPLICATION I
.
Job ",aoul by
li'flectrlca' Coaua<lor a Owaer
1R1lll1alion daaonpdon
C .COlDJDerdaI ~Ideatlal
~"'" 0 AllerodlAddldoo
7 ~ o?'r .5'-/]:/'''' ,-
,-Jt:=,U:I ~A~ wI 1M..&: "T',;,2 - '-ft..., -IT1
~l5".
J
~
N
J'l
;1
:.!
21eeltil:OI confrector name Ween.e nwmbcf Ollie 1!kptres
ol.._".~ &'--Lt'n-L /!?lY/l?P~CM'CI//
P'~er~ moUin, adm..
'12 I/? Tv"", &V /9 r.G/?
eilb Scale ZlP
/brl- ~"?f u,? 7ff'J&'.2
Telephone number FAX number
- ~
Pre~lsu O,,~~I. n~ 7
~~ /;t',.rr/{ +- .
~ Add.... or-lo.p.e~ r'
, f..z 'I ~t::/ / / -t-
CIt~rr ~",...;C.(
Pllolle Dumber 10 ubdule lalpoclloD:
O"II<( '" dt/lo,d b1 RCw'J9,18,16I:{1) Own" 'WIiII ....P1 IA. ""'C"I'I/" "...
)IeIltS ;qlu thu. eltCIriDtJ permit tr jI,ulll:ed. (1) Owllrr lJ rl9l1lmJ ID Ai,., Qff .1<<Inca!
<0_ If abo..l4id properl1 i.J lor sol.. '1111 or 14M.
Aftr:r readLoS Ibe .bove stalcmC!'l" I hereby certi~ tha, I lb1'l the owner of the .bove
DIIDed property ar . lIen,n electriell r;:on!raClOr. I am meldnllhe elee1rlcal mstal..
lalion or alteraUon In ~pli'Ace with the electrical Jaw.. N.B-C.. RCW. Chapter
19.21. WAC. Cl\Jpac:r ~96-46B. Tbe City of Port "'101.. Muolclp.1 Code, and
UliJit)' Sp~jnoadoDI.
Slea.euti or IIwDer." elocrrlClI eeatraceor or dmrluJ _d.cninlJeralor
, Dete://. 1,1/07
CJ c.sh a Cbeclc#
lil'tredit Card v,," Mastereaid Discover
~#_--~----~--~-~--
Ilxpiration Dale
of cw
;
.I
o NO LOAD CHANGES
o B_board _kW ~/
C, Fumaoe . _ teN 1;1"" Overh8lSd S.rvIcg
C H.al Pump _ Ton_lAR 0 Temp 5011I\oo
Q F.....WalI _I<W 0 Unaa'11round 501Vlce
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
Servl~ Information
Voltage 2 V t?
Phaee 1ZY1 C 3
5011I\oo SIm: ...L&:2
Feeder Size: ~&'
ROUCH-IN THERMOSTAT /' fliVICE
I(//'/I.~ ~ DI" ........ II)' ,tl416 -aR.y~-,
" 19YeoIIlt)'
~ FlN;~B . r
l'111!/4 DITCH FEEDER
" 0... -... ./ "- au. Mt",,",B
IlIlpeclioll Area, BaUd ins or Ilqulpmcnt Inspectod Ae~on Tal:e. 2hlC:trIcal
Dlee ~ Jnspettor
11- IP; -() 7 An 2rJ\!6D //r . j'
.
- ~
. .
~ '"
"":
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
PERMIT #
$~
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
~. . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0
CORRECTIONS NEEDED:
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
I~
'c.
ADDRESS
~
,..
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
.~. . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
D. . .. . . . . . .. . . . . .. . . . SERVICE. . .. . . .. . . . . . . . .. . . 0
D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0
~
CORRECTIONS NEEDED:
o
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
CITY OF PORT ANGELES PERMIT APPLICATION RECEIVED
Building Division /Electrical Inspections
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 983000
Ph: (360) 417 -4735 Fax: (360) 417 -4711
ELELTRICAI.,
1 & 2 Single Family Dwelling NSPECTIONS
06 2014
Date: Z L- �-' 1 7 L
* Plan Review May Be Required, Please Comolele Electrical Plan R view Infor afion Sheet
Job Address: I y.
Building Square Footage:
Description of above C ✓ Z , -
Owner inf atio t
Name;
Mailing Address: -- a
City: �12 A _ State:� Zip:
_
Phone: Fax
License # ! Exp,
Item
Unit Charge
ServloelFeeder 200 Amp
$120.00
ServicelFeeder 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 W1 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 201ACC Amp.
$110,00
Temp. Service/Feeder 401 -600 Amp.
$149.00
Temp, Service /Feeder 601 -1000 Amp.
$168.00
Portal to Portal Hourly
$ 96.00
Signal Circuit/ Limited Energy • 1 & 2 Family Dwelling
$ 64.00
Manufactured Home Connection
$120.00
Renewable Electrical Erergy - SKVA System or Less
$102.00
Thermostat
$ 56,00
Note: $5.00 for each additional T -Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
$ 120,00
Each Additional 500 Square Ft, or Portion of
$ 40,00
Each Outbuilding or Detached Garage
$ 74.00
Each Swimming Pool or Hot Tub
$110,00
Contractor Information
Name:r5i��,
Mailingg�4ddress: '" T' —'
City, `rZA Adae*` State:y4'j�zip: co AXIS
Phone: Fax: _ _
License # I Exp,
Total Q Multiplied by Unit Charge)
$
$
$ 1 0 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 properly 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, KIEL., RCW, Chapter 19.28, WAC, Chapter 296 -4613, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications,
Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ check l _
�- 'Credit Card q 1 .�
Dated: ` O11a112012
J
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number , . , . ,
14- 00001360 Date 11/07/14
Application pin number , ,
584240
INSPECTOR:
Property Address , . . . . .
524 W 11TH ST
ASSESSOR PARCEL NUMBER:
06-30-00--0-3- 4825 -0000-
SERVICE
Application type description
FLECTRICAL ONLY
Subdivision Name . . . . . .
ROUGH -IN
Property Use
Property Zoning
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
0
COMMENTS:
Application desc
Kitchen remodel
--------------------------------------------------------------..__-_-__-----
Owner
Contractor
REICK ROBERT E /TAMMY)
BOTERO & SON ELECTRICAL
524 W 11TH ST
940 TAMARACK WAY
PORT ANGELES WA 983627308
PORT ANGELES
WA 98362
(360) 452 -4766
Permit . , . . . , ELECTRICAL
ALTER RESIDENTIAL
Additional desc . .
Permit Fee 150.00
Plan Check Fee
.00
Issue Date 11/07/14
Valuation . . . .
0
Expiration Date 5/06/15
Qty Unit Charge Per
Extension
6.00 5.0000 ECH EL-
BRANCH CIRCUIT W /FEFDFR
30,00
1.00 120.0000 ECH EL -0
-200 SRV FEEDER
120,00
Fee Summary Charged
paid Credited
Due
Permit Fee Total 150.00
150.00 .00
QO
Phan Check Total 00
.00 .00
.00
Grand Total 1.50,00
150.00 .00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Come 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
I Z 2- j
ROUGH -IN
9 J L4
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
'b
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGE\BUILDING
t
W
Application Number . . . . . 24-00000332 Date 4/12/24
Application pin number . . . 826592
Property Address . . . . . . 524 W 11TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-4825-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Kitchenet above garage
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
REICK ROBERT E/TAMMYJ OLYMPIC ELECTRIC CO INC
524 W 11TH ST 4230 TUMWATER
PORT ANGELES WA 983627308 PORT ANGELES WA 98363
(360) 457-5303
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 100.40 Plan Check Fee . . .00
Issue Date . . . . 4/12/24 Valuation . . . . 0
Expiration Date . . 10/09/24
Qty Unit Charge Per Extension
1.00 5.3000 ECH EL-BRANCH CIRCUIT W/FEEDER 5.30
1.00 95.1000 ECH EL-R- BRANCH CIR 1-4 95.10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 100.40 100.40 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 100.40 100.40 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
EL1-2 SF 1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □Single-Family Residential □ Duplex / ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Unit Charge Quantity Total (Quantity x Unit Charge)
$190.20 $
$190.20 $
$285.30 $
$380.40 $
$475.50 $
$5.30 $
$95.10 $
$47.55 $
$95.10 $
$95.10 $
$190.20 $
$285.30 $
$380.40 $
$95.10 $
$95.10 $
$190.20 $
$190.20 $
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuit/Limited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.30 for each additional)$95.10 $
First 1300 Square Feet $190.20 $
Each Additional 500 square feet``$47.55 $
Each Outbuilding / Detached Garage $95.10 $
Each Swimming Pool / Hot Tub $190.20 $
TOTAL $
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□Owner □Electrical Contractor / Administrator)
Pe
r
m
i
t
#
:
New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
4/12/24 24-332 TAP
OWNER
Contractor
Olympic Electric
ADDRESS
524 W 11th St