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Home My WebLink About313 E 12th St - Building CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORt ANGELES, WA 98362 BUILDING PERMIT iSSUeD: 6/19/2001 PERMIT NO: 12740 OWNER/APPLICANT PROPERTY LOCATION 313 12TH ST E B SUMMERS & A LANDREE 313 EAST 12TH ST Lot: 341 Port Angeles, WA 98362 Block: 13 [] Long Legal 360/457-8965 Subdivision: TPA T: S: Parcel No: 063000034160000 CONTRACTOR ARCHITECT SEAVlEW CONSTRUCTION N/A PO BOX 235 CARLSBORG, WA 98324 , 98360-0000 360/457-6697 360/000-0000 PROJECT INFO Project Value: $15,000.00 SFD Units: 0 Commercial: 0 Project Type: REMODEL SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 ~/~ Zoning Use: RS7 PROJECT NOTES REMODEL UPSTAIRS MASTER SUITE FEES ASSESSMENT Building Permit: $251.25 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: $255.75 Plumbing: $0.00 AMOUNT PAID: $255.75 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 previsions o! laws and ordinances gove~ing ~his type of work will be complied with whether specified herein or not. The granting of a permit does nol pre~,~'m'lo give authodty/~o v~:~late or cancel the provisions of any state or local law regulating construction or the performance ot Signature of,,~ontractor or Authorized Agent Date Signature of Owner (if owner is builder) Date / BUILDING PERMIT INSPECTION RECORD CALL 417-4815 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 INSPECTION TYPE DATE [ ACCEPTED COMMENTS I 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 JOISTS / GIRDERS 7- ~.70 ~ L 5' '~ x ' WALLS/ROOF/CEILING FOR OFFICIAL USE ONLY: Building/Utility/Electric/Fire Permit Application Please flH out completely. Type or print in ink. If you have questions P~ ~4,~1Co~l~__ sttB1724: __¥ N please call (360) 417--4815 or Fax: (360) 417-4711 e-mail: www.ei.port-angele~.wa.us Address: ,.~/~ ~c /~rtJ ~-'7' City:..~..tr .4Al(.w~es Zip: Arclfit~/Eagine~/Designex: Phon~ Con.actor:. ~'e~o.~}<~,O C---c~x'~r- Licmse#:~q.)l(.. ffo~X~.~ 7~l~'o[Ph0ne: address: ~0 ~ ~3~ Ci~ ~C15~ ~ Zip:~ LEG~ DgSC~ON: ~t: / ~ Bl~k: 3 ~ / Su~sion: ~ ~ ~.~.~ ~ P~ ~ D6 ~oa 03 ~1~0 erst Ca~ H~er Nm~-. Billing Address: CiW: ~ Cr~t C~ g. ~. Date: ~A MC~ ~E OF WO~: SIzF~UATION: /f~ ~id~fiM ~ N~ ~n~. ~of o Stov~s~ SF. ~ $ /SF. = ~ Mffifi-~ly ~ Addition o Move o Gm~e SF. ~ $. /SF. = ~ ~ Corem ~odd ~ D~olifion o D~ SF. ~ $ /SF. = $ o EI~cM ~ LP-g~ ~ Si~ ~UST T~V~UA~ON $ CO~C~S~E~: ~up~ ~up: ~t ~: ~ ~: No. ofStofi~: ~ ~t SNm %~t Co~ E~g Lot Co~ /~. ~. + ~o~s~ ~t Coyote: /sq. R. = T~ L~ CO~GE: PL~G USg O~Y: ~PROV~S: P~i~ R~: Not~: ~. Hd~t: S~b~: ~n~g: DPW Site PI~ md Use A~v~ ~: Dae: ES~md(s): u Ym ~ No SEPA ~i~ r~uk~? ~ Y~ ~ No ~: OT~R~ P~CA~ON S~: [our~R~ea~on~ndsite~lanmu~ltedoutcomRlete~to~acceRtedforr~i~ B~ld~g ~ion ~ ~o~de ~u M~ more d~l~ m~mafion on ~e ~p~mfi~ ~d plm mbmittfl r~mm~. B~D~G PE~ ~ICA~ON S~'l'l'g: Y$ m~l~ ~o~ site pl~ (~r ~fions) ~d ~l~g ~ion pl~s ~e to ~ submtt~ to ~e ~ng Didsion. V~UA~0N OF CONS~UC~ON: h ~ ~, a ~on momt mint ~ mt~ ~ ~e ~plic~t. ~is fi~e ~11 ~ rm~ ~d ~r~ ~e ~g ~v. to m~ly ~ ~mt ~m. ~ ~e P~t C~ator ~ 4174815 f~ ~ist~ce. P~ C~CK ~: Y~ pl~ ~ ~ ~ due a ~e time ~e ~l~g p~ application md mnmcfion pl~s ~e ~tt~. o~ prat f~ ~e due at ~e time ofp~t is~c~ EXP~ON OF PL~ ~W: ~no p~t is is~ ~ 180 days of~e date of ~cafion, ~is ~limfion will ~re ~ l~ms. ~e ~g ~fl ~ ~md ~e t~e for ~fion ~ ~e applier up to 180 days, on ~m r~umt ~ ~e ~licmt (see S~tion 107.4 of~e Unifom ~l~ng C~q ~mt ~tion). No ~plication m ~ mtmd~ more ~ on~ I hereby ce~ that I &ve read a~ ~ami~d this ~pRlica~on and h~ the s~e to ~ ~e und comeeg and I am authored to apply for ~,~ Re. ia ~ understand it ~ ~t the Ciw~al ~spo~'bt~iW~ ~e~the w~t pekin are reqm~d; ,~ remat~s the appHcant, respo~bili~ to deW.ine w~t pe~s~quired ~d t~,~.cK eW-1,o2~_, { .,10 1 Applic ~f Dat= ~ / / CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUE~_T: Date ~- ~_~-- O~ Time Received by ~- ~'~ f~erson) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation~.~raming1 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 # ~--IRepaired by Permittee ~ COMPLETE []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 ?'-/~ -~' Time Received by (phone, person) Location of Work to be inspected ''~ ( '~ ~--~'-'-/~ ~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle~?priate one): Permit No. / Sewer Foundation ~.Fram~in~g~ Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: *~'~ '~ i Time By Inspected: Date '~ ~ ' '~-~' 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) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQU~EST: ~ Date ~L. ;"~) . ~ __Time Received by (phone, person) Location of Work to be inspected · Name of person requesting inspection Address of person requesting inspection Phone No. Permit No. Type of Inspectionn~(circle a nm~priate one): Sewer Foundatieft~g',)Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: ,~ - Inspected: Date ~ ' ~ Time By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel [-JAsphalt [~PCC ~]Other [] Repaired by City Work Order # [--] Repaired by Permittee [] COMPLETE [--] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: ~ <'' ~ ~r (phone, person) Date / Time Received by ~ - ~ Location of Work to be inspected ' /-~ ~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circl~ap~Propriate one): Permit No. /?--~'7 cF/~(::::~ Sewer Foundation i: 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 # [~1 Repaired by Permittee [] COMPLETE []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 /O '~/~)-- ~)'~,- Time Received by (phone, person) Location of Work to be inspected S/--~ ~ ~/ ~ Name of person requesting inspection ~>,//~, _<~ Address of person requesting inspection Phone No. /-/'~'~- Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing ~Sewer Excav. Other INSPECTION NOTES: Inspected: Date /O-J ~- ~'~ Time_ By J/~ L~' Remarks: ~.j~ /~ RESTORATION REQUIRED ...... YES_ NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel I~Asphalt []PCC []Other [] Repaired by City Work Order # ~-] Repaired by Permittee [] COMPLETE El 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. I'~)RT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 6/25/2001 PERMIT NO 7312 OWNER/APPLICANT PROPERTY LOCATION B SUMMERS &A LANDREE 313 12TH ST E 313 EAST 12TH ST Lot: 341 Port Angeles, WA 98362 Block: 13 [] Long Legal 360/457-8965 Subdivision: TPA T: S: Parcel No: 063000034160000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Type: RES. MISC. Project Value: $0.00 Occupancy Type: Construction Type: HEAT PUMP Occupancy Group: Zoning Use: RS7 Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 0 KW [] Overhead Service Voltage: 120,240 [] Heat Pump 0 KW [] TempService Phase: [] 1 [] [] Fan Wall 0 KW Service Size: 0 Feeder Size: 0 PROJECT NOTES heat pump and circuits FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $44.25 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $44.25 AMOUNT PAID: $44.25 BALANCE DUE $0.00 ~iMI ~ I'S/A('TION NEEDED ELECTRICAL PERMIT INSPECTION RECORD C~L 4174735 FOR ELECT~C~ ~SPECTIONS. PL~SE PRO~E A ~ 24 HO~ NOTICE, IT IS UNLA lt'FUL TO COI~ER. INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH GENERAL COMMENTS: .~-II~.D [~l ~ -...,-- --- -... ---- -- - - -- - - - - - - --- - -- - - - - - - - - - - -:- - '" -<-- _:.. - ,..-- - - - - - - - - - -- -<_::<::; -;::.:: -...- BASE FEE BL-501-2K (3.0~.PERC) ....-,-.."""".1.".'. , ,:- ~>:.: ~":' ,J..,::<,",-: ',: ;;:?t:~y .;~:,:~ ~,_:'_': 1_~':;' ,", ~;" ,. . ~. }, - , .'<' :':"" '. CI'llYl)~i~,61)T.".wG~LES <<<..< < < ,"',' . "_.:;;(.;,,,.:,~:_.- - I';~~t:',:!,-,,_, -j,.".>; ,~". ..' .,;,'l' " ' \ " ,f":.'.' '. - DEPARTMENT OF COMMUNrpYDEVELO}lMENT < -BUItDING DMSION 321 EAST5;rHls'ffi,EET,/;~ORTANGELES; W A 98~62 . .:': . ':':'~~:':":'.",:> ," -""\(~' .;' :." 'APP~:!-catlonNumber <P~.9P.~~~9E~s~:,,~ <. <. ASSESSOR.' <PAR,CBL-NuMBER: Appi~cation'<desbription "SUbdi v:is.icm. Name < Prt;)pertyZeming ~ . . Applicatianvaluation 03-00000614' Date "6/23/03 3J.3 E J.2TH ST < <06~~0"'00:"~-3:,,'4iw60-~000... RES ADDITION.,.> . J.299 Contractor .< ----~~------------------ ALANNA, LANI>REE/BILLY J SOMMERS 313E 12TH ST ' PORT ~GELES WA 98362 --~-.::.. >St:rUct:.ure Information .ADD 320 SF DECJl:; construction. Type .. . . . TYPE V NON-~T!D .,.. Occupancy". Type . . . .' . . SINGLE FAM & CONGREGATES Other struct info . : . . .. NUMBER OF tJ.NITS >- 1.00 --~-----~~----~-------------------~---------~~~~--_:_-~----------------~---- OWNER PeJ;ll\it AdditiOnaldesc per;;dtFee ..... Islh1eDate . . '. >'EXP1iafIoltDate BUILDING PERMIT -RESIDENTIAL 71. 40 6/23/03 12/20/03 i>1~> ~eck Fee Valuation .00 J.299 . ".Extension 47..00 24.40 Per Other'p'ees STATE SURCHARGE. .4.50 Fee.. summary Permit Fee.Total Plan. Check Total' Other Fee Total Grand Total Charged Paid credited ; Due 71.40 .00 4.50 75.90 71.40 .00 .00 .do 4.50 .00 75.9p .00 ..;",,,^ Sepa,rate Permits are re,quired for electrical work, SEPA: Shoreline;esA:utliities, private and public Improvements. tffl" null an<Jyolw;jif work or construction authorized is not c9mmenc~d'Within 180 days, ifconstruction or work Issus.p foraj:1eri()d of180 days after the work as commencedh>rifre9l..1lredinspectlons have not been requested wIthin il'lspe~tion."lhere6yc;ernfY that! have read andexanJine(Hhi~iatlpli:cation'and knowthe same to betrue.'e~gQ .. .. ....., ........ lawsandordinal1ces govemingthis. type of work will. be complie~ :Withwhether specified herei or not.. Thegranti ... '. ., .~i111I. .~.. < oes'not presuriiiftogive authority to violate or cancel the 'provlsionsioLany,stateorlocallaw reg ating constn.iction orjh~R~tfi?mil:lnc;El~f construction. . < < <,.'" '<"-C;"'" ,;:,;;;,...~;.;. . T:\PLANNING\FORMS\1102.15 [412002] . ;:<,.1 BUlLDING~r:ERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. .PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE: . iT is UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFPRE.:JlfS.PECTED AJV.D ACCEPTED. POST PERMIT IN A CONSPICUOUS LOC.A TION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS ' ..... ;.' I YES I NO , FOUNDATION: ^'f, ' I FOOTINGS ..' t] 1M h.." J .L WALLS I' /'/1 FOUNDA T10N , DRAINAGE , .' . .. ..... .. SEPARATE PERMIT: # , ELECTRICAL (LIGHT DEPT) ROUGH-IN , . . .' " -r .. .... PLUMBING' UNDER FLOOR I SLAB ROUGH-IN . WATER LINE GAS LINE BACK FLOW I W ATEIt . AIR SEAL WALLS I L I CEILING ; I . . -. , FRAMING JOISTS I GIRDERS SHEAR WALL WALLS I ROOF I CEILING . DRYWALL. " T-BAR '), .' . '. INSULATION SLAB WALL I FLOOR I CEILING I . . .. MECHANICAL .' HEAT PUMP WOOD STOVE / PELLET ICHlMNEY -c- HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) . SEPARATE PERMIT #'5: , -c- , viA TERLINE I METER SEWER CONNECTION , SANITARY ." . STORM PLANNING DEPT. SEPARATE PERMIT #'5 . SEPA: P ARKINGILIGHTING ESA: LANDSCAPING ~~. . " ".. ., -, SHOJtELINE: .' . .FlNAL INSl'ECTJONSREQUJRED PRIOR TO OCCUi>ANCY4JSE .; ", .." ..... "" .....; ...- "'~' RESIDENTIAL "'DATE",d. YES '..' .. NO" COMMERCIAL' . DAT~ '1; I ,~'WCEP1'~D ." ',' .. ' ' '() .' ->. , , ,."YES') NO . . ~ :'. , .' ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL \, LIGHT DEPT : ",' .:" ". '.. . CONSTRUCTIQN R W./ PWI " CONSTRUCTION" R W. 0'. " 0 ENGIJ:lEE~G' 417-4807 \:. :". '\.. PW I ENGINEERING ',,"" ARE"'.".' .)c,..~, '.". -..~ , , "4 il1-46S3:; '~\'. .'~<~< ~, . .. , , ..;., FIRE DEPT. PLANNING DEPT. 417-4750 . PLANNING J)EPT. .< " " BUILDING '417-4815' .q,,,,~-~ BUILDING 4- .. T:\PLANNING\FORMS\11 02.15 [412002] ..., S "'.It. J >t~.. ~~ ~ BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: h-<9-0 3. p=it#, 0~ Date Approved: . Date Issued: . Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Applic~t orAgent: &4.Lr' ~J 6'1M.il.t:P Phone:.J'~O. ~.g_ 7~q6 Owner: 8/</Ut.. Phone: Address: 8/~ k"AG-?" I~~# h . City: ,q1t~4Pt:"Ft'S Zip: ~Y36Z ArchitectJEngineeIf: ~ Contractor .6 ct..,JC Address: ' PROJECT ADDRESSi 313 EAS7 , LEGAL DESCRIPTION: Lot: 13 /'" Phone: I \ State ticense#': . Exp: t .- CLALLAM COUNTY PARCEL NUMBER: " City: /~7'N ~"7" Block: :10/./ (f)~3 00" - Phone: ....Zip: ZONING: Il.5 7 Subdivision: rl'.Jt.JUlid;,;' AH ~~ . . '. . ". 'O'1C//~ C- dOtlo " .. .-j'. - -"-. ._'ll~~".: ,,1"1 Credit,Card Holder Name: Billing Address: City: CreditCardType VISA MC # Exp. Date: TYPE OF WORK: SIZEN ALUATION: ~ ..., · Residential 0 New Constr. 0 Re-roof 0 Stov:e c.~~ d SF. @ $ ~ ~ /SF. = $" 1-1f~ ~ o Multi-family . Addition 0 Move 0 Garage SF. @$: ' /SF. = $ o Commercial 0 Remodel 0 Demolition . Dec~ ... SF..@ $ '/~F.\= $ . ..,.. "-", ,..". '" . ...., .........:.h. ...... , :I o Repair 0 Sign q ,Other ~ .'- ': TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: ~I'~'~d.:. ez:;1E~i:)D~ t7F~ /Z4'~.Il' e;1"~"" J.Io.asr ,,M,,tJ.,,'.;-4-r nDYJK L~1n.. ;. '.' ;j~"~6'/~K;3.dl ,d . ! COMMERCIAL/RESIDENTIAL: Occupancy Group: .' Occupant Load: Construction Type: , . No. of Stories: -.b.- Lot Size:.50 Jl Existing Sq. Ft. (y, 9,.'& pioposed Sq. Ft. tJf1 = TOTAL Sq.Ft. 1'1 r'l Existing lot coverage ~ % & Proposed lot coverage ~% = Total lot coverage -a.~ · % ,; .' I I . APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: ," BIDLDING PERMIT APPLICATION SUBMITTAL: The Building Division c~ provide you with information on the application and I , , plan submittal requirements if you have questions. , , 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 schedul~s. . 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: Ifno permit is issued within 180 days of the date ofapplicatipn, 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 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. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the Cit' 's, d that I must obtain such permits prior to work. , ; Date: b ~Al7~ Applicant: T:\FORMS\APPS\Buildingpermit. wpd .5J ,., eo A. It'AJ '1 'fY ILA,) DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION APPU'CANT: '!J/tLL/ ' J 5'uMlJA&-tX.J I PROJECT/DEVELOPMENT ADDRESS: -zIt g ~ I;. 7~ S-~ See ParJe'4 for instructions on completing t~'e"sit~ plan:'Fdr more informatIon: cal/41'7-4815. ,~ :,t-, "",'" ~'6 ~,.," , ~ r..,: '" 1.1).. "'- , . K. , " - '. ..... ,'. ,". " V ./i! V' < / 1/ -;;:: . PHONE:' <Jet) y S'Z "7? U' - ;/ 1- . -L ~ -/ ... )! t" :, ,_~ / ",;;-V< "~. '. ..t \ /' '" ". i " V ./ '" "' ./ V V / .' \~: ..... I ~~ / ,. ':. / /v "r I~)/ ~ I~. l.-4 fi' I'^, / flj, ~ ...." ,':' ~.. .) v. '.~ J ~ ". / I /' :'1 n IA'l'" .' i/ I j ~ # \t ~..,,,. \.d ,. IV 1/ J ""'~ I IV / / / ;J,~' t . . . I'" i . " ~ J \ L---w L Ct>' ~::'" l:r- I.t ~rJ./ ,~ ~ ~ ... ~ . .... '., ....... ,;..... /, ./ '. " , .......~,~'~ :'" f.- " It. ...,< . . (~~.. ().l .....\ I' if' ~ ... ... .'" ;;..",r I;L" ._---.r--- --l hl.Sl57/N~ : 77. 1~-eCH L 12." J '- , ~ ,- ~ -- 0 0 , ... tl') J:::> v... '\ ~ ~ l1'1 ~ ~ -l " t>' ~ ---l ~ ~ ~ ~ " r- ~~ .. ~ ~~ Jli \ t.> NCS ~ OlA ~ Q~ i~ ~ ~ , ... ~ ~ /lLL FY V1I4y .~ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date &r-I/)-r!o~ I Time q!y-~ Received by c<;f-~ e person) ~ f ? <2' I (J,-/4 Name of person requesting inspection 13 ! I ( .5'0 'J1 P r 5' Address of person requesting inspectio~ Phone No. #s~-?ft. 9 Type of Inspection {circle eppropriat~ one}: . ~I \ Permit No. ... i _ . / Sewer Foundation Framing Chimney Plumbingu Sewer Excav. Other Pee. ~ INSPEC. TION NOTE~i .....--1. ~ Inspected: Date~W Time [)JVJ By a . Remarks: ~ Location of. Work to be inspected RESTORATION REQUIRED . . . . .. YES NO ~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ,....:...i.'.,\ 1___ . CITY OF.PORT ANGElES DEPARTMENT OF PUBLIC WORKS I . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date ;/ /;.t;ft:3 / / / Location of Work .to be inspected ~. Name of person ,equesting inspection ---4";> I JJ Address of person requesting inspection Type of Inspection (circ::le appropriate one): Sewer Foundation raming Chimney Plumbing . Received by ~ "...8,son, ~v,~~~~ r~/ Phone No.p--7/~6 Permit No. &1,/ Final Sewer Excav. Other Time 7'OT~ , Inspected: Date Remarks: Time By RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE D INCOMPLETE (qol1~inlJ@ 011 reverse side if necessary) STREET SUPERINTENDEN,T, ., <;,.',(DATE) 17116 //-dd' 2~ Plirt Angeles. Washlngton__m_m_m_m________..L:_mmmm___m____m___. 19 mm 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 electriCd as listed below. Address __ml_/m-I.m_m&._jJ../.:?:_....'_nmm___n__mmh....___ Occupancy._A.e~___n..____nn.m_mm____ Owner _.(.~(-r.l.'1."'nltc_~..i~_d".:(g2nnmnn TenanL_m_mm________mn.hhn_mn__nn_m__m__m___m___. Wiring C~n;..actor~______~.,r2::1~..f!.:~~:_...._m_____n_n._.m. By._nnmmmm__h_hhh_______m_...nh_nn__m.m___m.__ t Light Outlets..............................._..___... ServIce, volts ..............................__....... Type of Wiring: Armored Cable ............................_ CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT ;;N';t-" Receptacle Outlets........___.................... No. wIres ........n..._..__..................... Dryer, KW.....__....uu.......h...____..uu.____ SIze wires........_...........hn...n..__.._.. Range, KW.___..__.__..__.......__.___________ Water Heater: Main fuse ..__nn....___........................ Enclosure n..............hn.nn......_....... He't~:~::::::.l:.::::z:.::::...:::.:..:::: Type of wiring: Entrance Cable .m,,"".."mm......... Motors: size, volts and phase: Rigid Conduit m.....m.................... MetalUc Tubing m........................ Current transformers: No. & Size....................................... Ser. No.............................................. Ser. No.............................................. Ser. No. ............................................. N'! Non-Metallic ..........................h...._ Knob & Tubem.........m................_ Rigid COOldult .h._._....hh.........___.... Metallic Tubing .mm....m.......m... Raceway ......................._......__..._ a-- Clrcults. Llght.........._...hh.h.........hhh___ Utility hhh___h.hh_..._h_________......_____ ~ Heat ......................................._.._._ Range ........................................h... Water Heater ............................... Motor ............h......h....................... . Dryer ..............................h..............__ Furnace .........................._......_........... Total Load__._______..h__h._______.__ Ser. Z.:::---h--.---.......----h------------- Ttial .___.h______..._______..........______ Remarks: --m----n?:~=:!:'~'----uh.7rt..:!u "' -~~.f~_____..,.___._____uuum__u..h_.______U_______h...____mmm__________. hnnnn.__..._nnn_n.n___n___nn__.__.n.____n___n_h.._n___.._n___nh--_.hnn_nnn.__nn_n__n_n.u__hn__nn__.nnnunnn__..n_nn__nnn_____. -:~.=.~~_.~~~-_~~~____~___~~_~~~~mmh.::~~_~::::~.~.~~.~_~-_:~::_umu-m-m---:;u,flZ~;j~:2:=~ NOTICE-Current must not be turned on unttl Certificate of Inspection has been Issued. It work Is to be con. cealed due noUce must be given the Inspector so that work may be Inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT -~, / / N? 17116 ! / Address..................._...................................................................................................................Date..._......_.._.:_.._.........._....__.._.._......._ Owner..................................._.........._......_......_.._...........................................................Tenant.................................................................... r'Wiring Contractor.............................................................................h........................................... By........................................... .._............. -\ JiOTlC~urrent must not be turned on until Cert1f1cate of lnspectfon has been Issued. If work Is :~ be con- ~aled due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers. Inc. \~ Application Number . . . . . 22-00000789 Date 6/30/22 Application pin number . . . 653923 Property Address . . . . . . 313 E 12TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-4160-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LAURA J AND SAMUEL J HAVENS BLACK DIAMOND ELECTRICAL CONTR 313 E 12th ST 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 819-2221 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 6/30/22 Valuation . . . . 0 Expiration Date . . 12/27/22 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 PREPARED 6/27/22, 8:30:41 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00000789 313 E 12TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 63.00 TOTAL DUE 63.00 Please present reciept to the cashier with full payment 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 ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 11/8/2023 22-789 TAP OWNER CONTRACTOR Black Diamond Electric PROJECT ADDRESS 313 E 12th St