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Home My WebLink About505 E 9th St - Building is wag�nar, W C7'l'Y OF PORT ANG.F,LES PERMIT APPja)<CA.T7®1oT Building l3pva4jon/ElCCtric2ll Inspections o�� 321. East Fifth Stlrcet-P-O..RoR 1,1.50/Port Angeles Washilogtoo,98362 VA Ph: (360)417-4735 Fax: (360).417-X4'711 APR 10 20?3 Date: - &2 Single Family Dwalling ELECTRICAL 9NS��C`f117N�° Plan Review May Be Required, lea Co plat Elecfrfcal Plan i�eviewlnfvrmativn Sheet Job Address: � �, Building Square Fcotage: Description of above �— Owner In o ation — � Mallir Name: ctoM_fnFosrr�atior� Mailing dress: � Name, �°,v1 fW�Eca •r�'�. �.C. _ c Phone: Mate' Zip;� 3 Meiling d s: � ,�-- b Fax: City: State '-zip. license#!F.xp. Phcne;, U Fax:. � Item t tense ft l Exp, Un k Char e Service/Feeder 200 Amp, $120,00 7 otal INalti �Iled Unit Cha e Service/Feeder 201-400 Amp. $148AQ . Service/Feeder 401-600 Amp ServlcelFeedor 601-1000 Amp. $905 00 $262,00 $-- Servlce/Feeder over 4000 Amp, $373 $ .00 — Branch Circuit W/Service Feeder Branch Clmuit W10 Service Feeder $ 5'00 $- $ 63,00 $- leach Additional Branch Cirouft $ 5.00 $ Branch Circuits 1-1, $ 75.00 —'—� Temp,Service!Feeder 200 Amp, S 93,00 Temp.SerVw/Feeder 201 400 Amp $110,00 — Temp,SorviWFeeder401-600 Amp, $149.00 Temp.SprvicelFeeder 601,1000 Amp, $168.00 gi Portal to Portal Hourly $. 96.00 Signal Circuit/Limited Energy-1&7 Family t)welling $ 84 Manufactured Home Connection .00 $46400 $ Renewable Electrical Energy-5KVA System or Less $102.00 Thermostat $ 56,00 Note:$5,00 for each additional T-Stat �` $ M W CO STRUCT1dN ONLYONLY: First 1300 Square Ft. $12000 leach Additional 900 Square Ft.or Portion of $ 40.00 $ Each Outbuilding Of Detached Garage $ 7q,00 Each Swimming Pool or Hot Tub $140 00 Owner as defined by RCW,19,28,261�(1)Owrfer viii occupy the structure for to hire an electrical Contractor if above said proWy`is for sale, rent or lease. eormit piiesrafter s x months rr eof test finalized. inspection. on�2}{ref+s required After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical Confrar:tor. I am making the electrical installation or alteration incompliance with the electdcal laws,N.E.C„RCW,Chapter 19,28, WAC. Chapter 296468,The City of Port Angeles Municipa#Code,and Utility Specifications and PAMC 14.05,050 regarding Electical Permit Applications, 9119 re of owner,electrical con for or electrical administrator: 0 c�sn C7 check i V— ELECTRICAL PERMIT \A CITY OF PORT ANGELES 360-417-4735 Application Number , , . , . 13-00000371 Date 4/11/13 Application pin number . , , 541485 Property Address , . . , , 505 E 9TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER; 06-30-00-0-2-7240-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . , , . . , to the City of Port Angeles Property Use , (Location Code 0502) Property Zoning , . , , . . . REV kRESDNTL SINGLE FAMILY Application valuation , , . . 0 Application desC 1-4 CIRCUITS DUCTLESS HEAT PUMP Owner Contractor HANSEN MICHAEL S SIMPSON ELECTRIC 505 E 9TH ST 243036 W HWY 101 PORT ANGELES WA 963627919 PORT ANGELES WA 96363 (360) 457-9270 ---- ----------; - ------ --- - ----- -- -- -------------- Permit ELECTRICAL ALTER RESIDENTIAL Additional desC 1-4 CIRCUITS Permit Fee 75.00 Plan Check Fee 00 Issue Date 4/11/13 valuation . . . 0 Expiration Date 10/08/13 Qty Unit Charge Per Extension SASE FEE 75,00 Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75,00 .00 Op Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75100 00 .00 E INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN 1 ° , FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contra_ctor X Date: G:IEXCHANGCMBUILDING CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 8/23/05 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivis~on Name Property Use Property Zoning . . . Application valuation 05-00000688 Date 153888 505 E 9TH ST 06-30-00-0-2-7240-0000- RES DETACHED GARAGE r==tNAt-e9 Q/\4/0S RS7 RESDNTL SINGLE FAMILY 11000 Owner Contractor HANSEN MICHAEL S 505 E 9TH ST PORT ANGELES OWNER WA 983627919 Other struct info . EXISTING LOT COVERAGE 1700.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 57737 218.75 8/23/05 2/19/06 Plan Check Fee Valuation 87.50 11000 Qty Unit Charge Per Extension 92.75 126.00 BASE FEE 9.00 14.0000 THOU BL-2001-25K (14 PER K) Special Notes and Comments 08/11/2005 05:24 PM SROBERDS -- The proposal will result in the addition of a detached garage in the RS-7 zone for total lot coverage of 18%. Side setback must be a minimum of 13' from a street. No other land use issues are noted. MAINTAIN CLEARANCES FROM SERVICE WIRES. $0 Connect Fee (Exist Service) 08/02/2005 04:26 PM JHEBNER ---------------------------- Electrical load calculations and electrical permits are required. Consider Underground Power &/or Sub-Feed the House from the Garage. 08/02/2005 04:27 PM JHEBNER ---------------------------- Any modificat~ons to the City'S electrical facilities will be at the customer's expense. Public Works Utility Engineering has no requirements for this plan review. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 218.75 218.75 .00 .00 Plan Check Total 87.50 87.50 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 310.75 310.75 .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 andoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days fro the last inspection. I hereby certify that I have read and examined thiS application and know the same to be true and correct. All pro Ions of laws and ordinances governing this type of work will be compiled with whether specified herein or not. The granting of a permit es not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performa e of construction. w~ C r o Z- .G\ ~ &- ~ Signature of Contractor or Authorized Agent Date T \Pohcles\II02_15 bUlldlOgpenmt lOspectlOn record05 wpd [1/4/2005] Date -PREPARED-9jr4-/05-;-1-2- 28 28 CITY OF PORT ANGELES H1SPEC-T-ION-TICKET_ _ INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 505 E 9TH ST SUBDIV- PHONE PHONE , HANSEN MICHAEL S 06-30-00-0-2-7240-0000- 05-00000688 RES DETACHED GARAGE PAGE DATE ____3_ 9/14/05 PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------~t------------------------------------------------------------------------------ BL99 01 '1hf}(~~/~JL~ ~~~~~~~~0~IN~~-25 PM JLIERLY ____________________________ ~ ~ RE-ROOF ONLY 452-8664 -------------------------------------- COMMENTS AND NOTES ------------------____________________ f2f;boP/l O~U w~n; IJ ~ -------- , ---...-- ~ BUILDING PERMIT - APPLICATION Date Issued Fill out COMPLETELY and in INK. Your applicatior. and site plan MUST BE COMPLETE to be accepted ior review. If you have any qnestions, call PERMITS (360) 417-4815 FAX(360)417-4711 Apphcant or Agent: Owner M ,COW At:: L Address. 50S EA ArchItect/Engineer: Contractor S €.LP Address. SaP WA"-.)~~"") q-H Phone: CltY'Jb rlT Phone: A~6~ 452 - <610104 Zip: Q&3tn'2 Phone: State LIcense #: Exp: Phone PROJECT ADDRESS: 5tf5 F..A. q+b ,- ,-- -LEGAL ImSCR1PTioN: L;t:'IOtt I , Block 272 SubdlVISIOn: CLALLAM COUNTY PARCEL NUMBER: Clo?:r1::t:f)?724N)CX'XJ CIty ZIp: ZONING: Credit Card Holder Name:'l!JE \-\Aws61.J Billing Address: ~ BL q M' City: -thrn- IL..j6~ Credit Card Type VISA 1- MC #_ . .~... . I .--' Exp. Date: - Ti'l'E OF WORK: SIZE/V ALUATION: rA ResIdenhal 0 New Constr. l( Re-roof 0 Stove SF @ $ /SF. = $ l OOO~ o Mulh- family 0 AddIhon 0 Move li Garage 8104 SF @ $ /SF. = $ J f"'LrY) ~ o COlnmeIcIal 0 Remodel 0 DemolItion 0 Deck SF. @ $ /SF. = $ o Reparr 0 SIgn 0 Other TOTAL VALUATION $' 1 Cf:X) CU;l BRIEF DESCRIPTION OF THE PROJECT: .Re QCX)~ ld-oUSfi" t>J..D .t\Ul\..l) 24' 1.. ~(')' GAfLfiC:>G: ~ SlAB COMMERCIAL/RESIDENTIAL: OCCUPaTlCY Group' Occupant Load: No of Stones: Lot SIZe: 14,000 Exishng Sq Ft. 1700 & Proposed Sq Ft Total lot coverage \ ~ ? % Construchon Type: 6'.4 = TOTAL Sq. Ft 26b4 ESAIW etland(s) 0 Yes 0 No SEP A ChecklIst required? 0 Yes 0 No Other APPRO V ALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the appltcant. This figure will be revIewed and may be revised by the Buildll1g DlVlslOn to comply WIth current fee schedules Contact the Perrmt Coordmator at 417 -4815 for assistance PLAN CHECK FEE' IF a plan check fee IS due It must b'e subll1ltted at the hIDe the bnildll1g perrmt applIcation and construchon plans are subnutted All other permit fees are due at the hIDe of perrmt Issuance. EXPIRATION OF PLAN REVIEW: If no permit IS Issued Wlthm 180 d he date of apphcatlOn, the application will expire. The Bmldll1g OffiCIal can extend the trrne for achon by the applIcant up to 180 days upon wntten reqnest by the applIcant (see SectlOn R1 05.3.2 of the InternatlOnal Buildll1g/ResIdentml 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 authonzed to apply for thiS permit and understand that it is my responsibility to determme wh t permits are required ,not the City'S, and that I must obtam such permits pnor to work Date: 7/210/05 T \Pohcles\BL-ll02_13 wpd t-H~ .IL-tt-'-tj'-r- i-i.-L t-i-+"! '1Ii'Pltot-iFPUA~'j---3-:11 j -~I' LJJ ~"'rrT:q1Hri4~rll--ti4T]~r~LEI?t-:~~ _:,'rn ! i ' : l-l"ftti+'r-i+liltl _~l ,', I r-ri- !-H'i T.---tt-+' i-I-LL : ' I llli,j'j]r'r j irj'~ -Ir,--I' ~!-~-! ~ I I I ! Ii! I I " I ~ ++: \ tt~t~~~" 'I I I ~ "Ii-+ ' t ~ ti-+ !:f,~ +1 j +J I I = _~___f'_ i'i+-'-+ f i ~tli-I-~ - 1 '-~-~.JJ:: I : ,:" ,- l -! 1 T~-'-I .tIoJs:E,- 1_.' ~ f-~r"'- L__~ : r :-i' + I,I-!,n + i -it:, f +li"t41'lT;'r u_ -1- "" ,-i i i r'rttt=-r-I-TII- - I I I ____un. 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I I il I I I I I I .' 2.~'_O". ~ 4!d1 \ , ..:..,.-.' ,:',~ ;:~~~, :".O'r':'" ., ....~. ,," '. J~ '7" ~.~:~ - . J ~ 0 ~ ~ ~eJ 1 \J ... ., ~ ~ " ~ ~ 0 ~ <l jh ~~j~ a ~- ~ ..II ~ tl> :r <!J ~ '4 hff ~ ' j ~ ~~ ')~ ~:a ~ @~~lU .. '::i' ~ ~ l~ ~ ~o.gV -. - 0: ~rs:~ -~ J w \9 ~ (' c ~ /J \ <:r <:::!. ~ \.9 d) 5 lJ) ~~ ",8 'V /\ ~'PORT,,-\: ~....O~~~ rea ~-- 'l.9l~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Keuo \-'\ed Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000696 Date 071272 505 E 9TH ST GARGE 06-30-00-0-2-7240-0000- DEMOLITION 8/23/05 RS7 RESDNTL SINGLE FAMILY 300 Owner Contractor HANSEN MICHAEL S 505 E 9TH ST PORT ANGELES OWNER WA 983627919 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date DEMOLITION DEMO EXIST'G GARAGE 56416 47.00 Plan Check Fee 8/23/05 Valuation 2/19/06 .00 o Qty Unit Charge Per Extension 47.00 BASE FEE Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 47.00 47.00 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 47.00 47.00 .00 .00 Q C\\ ~ \) \" ~ \) l- ~I \f\ m ~ V) -.1-- Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pnvate and public improvements. This permit becomes null and void if work or construction authonzed 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 authonty 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 T \Pohcles\1102_15 bUIlding penmt inspectIOn record05 wpd [1/4/2005] Date ~ ~ -=-~ --""'III"; - FIll out COMPLETELY llnd 1 INK 'U '. 11 . Jour llppl1catlOll and site pl.llll MUST BE COMPLETE to be accepted for review. If jlOU have nn~' QllcStions, caiJ PERMITS (360) 417-4815 FAX(360)417-4711 b- I-UO,-IU lOAIVI I , ApplIcant OJ Agent: I Phone: i o~er~~~ t; >< City:-1hJ2..1'" Phone: 4~2- ~{o(o4 I Addres&; 505 ~. q H1Jo- ::-~ I tJ...... \/"m .rr-s Zip: qR3~'2. I ArchitectlBllg1neer: Phone: Contractor SF.l 'P State License #: Exp: Phone: Address: City: PROJECT ADDRESS: 60s t:A. q+b Zip: ZONING: . " - . LEGAL DESCRIPTION: Lot: \ 0 et ( I Block: 2,'2 Subdivision: CLALLAM COUNTY P MCEL NUMBER: C ~.~~ 2 /'2Cl cx:xx:J:) Credit Card Bolder Name: Billing Address: Credit Card Type VISA TYPE OF WORK: o ResIdential 0 New CODBtr. 0 Re-roof D Stove o Multi-family 0 Add1tion Cl Move 0 Garage D Co:tnIDefcial D Remodel t'J:I Demolition 0 Deck o R.epair ltJ'SigIl D Other BRIEF DESCRIPTION OF TIm PROJECT: T ~~ .Dew tV MC # City: SIZEN ALUATION: SF. @ $ ISF. ;;; $ SF. @ $ ISF. ;; $ SF. @ $ ISF. = $ TOTAL VALUATION $ ~~cw ~r. Gt:mAGG. TO Mz;Ha: R__ H:) '-- Exp. Date: I ~' .tlt3N G~15 COMMERCW../RESIDEN'I1AL: Occupancy Group; No. of Stories: Lot Size: Existmg Sq. Ft. Total lot coverage % Occupant Loa.d: & Praposod Sq. Ft. Construction Type: "" TOTAL Sq. Ft. PLANNING USE ONLY: APPROVALS: PLAN: BLDG; DP\VU : FIRE; OTHER:_ , ESAJWetland(s): CI Yes D No SEPA Checklist required? 0 Yes 0 No Other: ! I V ALUA TION OF CONSTRUCTION: In all cases, a valuatitln amount must be entered by the applicant. 'I'lus figure will be reviewed and may be revised by the Building DivisJon to comply with current fee schedules. Contact the Permit Coordwator at 417 -4815 far aSSIstance. PLAN CHECK FEE: IF a plan check fee is due it must'be submitted at the time the building pemut application and construction plans ar~ subrrutted. All other permit fOM are due at the time of permit issuance. I EXPIRATION OF PLAN REVIEW: If no penmt is ISSUl:ld Wlthin IBO days of the date of application, th~ application will expire. The Building Official can extend the time for action by the applicant up to 180 dllYS upon vvritten request by the applicant (see Sectioll R] 05.3.2 of the International BuildinglReaidential Code, 2003). No application can be extended more than once. I I hflreby cerllfy that I have read and examined this ap lioation end know the same to be true and carre ct. I am authorized to apply (or this psrmit I3n~ understand fhatlf is my responslblllf det ermlts ere required ,not the City's, and that I must obtaIn such permits prior to Vlork. , e.~i, ,I 6 \" Appli Date: T:\Policics\BL-ll02)3.wpd / I <90 6'1. /1 /;/';; , I' / ' , "'" ~,/ / Feel VertIcal Datum = NA VD 88 Horizontal Dotum =NAD 83/91 Area Map This map IS not tntended to be used as a legal descrzptiOn "'~ ThiS map/drawmg IS produced b~' the City of Port Angeles for Its own use and purposes ~~ Any other use of this map/drawmg shall not be the responslbtll~v of the CIf\' ,,~j /, 'li ~ C(TY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 12\ EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Appl1cation type descr1pt1on Subdiv1sion Name Property Use Property ZOn1ng Appl1cat1on valuation 09-00000802 Date 472072 505 GARAGE E 9TH ST 06-30-00-0-2-7240-0000- ELECTRICAL ONLY 7/26/06 RS7 RESDNTL SINGLE FAMILY o Owner Contractor HANSEN MICHAEL S 505 E 9TH ST PORT ANGELES OWNER WA 983627919 Perm1t ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 83303 Perm1t Fee 78 70 Plan Check Fee 00 Issue Date 7/26/06 Valuation 0 Expiration Date 1/22/07 Qty Un1t Charge Per Extens10n 1 00 78 7000 ECH EL-RM-0-200 1ST SRV FEEDER 78 70 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 78 70 78 70 .00 .00 Plan Check Total .00 .00 00 00 Grand Total 78 70 78 70 .00 .00 ~ ~ i ~ l" .. ~ COMMENTS/ACTION NEEDED ELECfRlCAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE I INSPECTION TYPE DATE ACCEPTED COMMENTS I YIS I NO un \,;.t1 lH....TTr~l-I_lNl (.( n/l....1I _ "'''' y .L,;t.L "- ...:....11 \./II'J.< 1/".:..9....~ I Arf7 GENERAL COMMENTS: PW-I102.1~ 141961 ~ ,ORT ~ ,/~"':~ RA ~ 'l.tii",~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 7/25/06 Appllcation Number Appllcation pln number Property Address ASSESSOR PARCEL NUMBER: Appllcation type descrlptlon Subdivlslon Name Property Use Property zoning . . . Appllcation valuation 05-00001144 Date 370680 505 E 9TH ST 06-30-00-0-2-7240-0000- RES REMODEL fitJ~ q/~/o~ RS7 RESDNTL SINGLE FAMILY 3500 Owner Contractor HANSEN MICHAEL S 505 E 9TH ST PORT ANGELES OWNER WA 983627919 Permlt Addltional desc . Permit pin number Permit Fee Issue Date Explration Date BUILDING PERMIT -RESIDENTIAL REMODEL EXISTING GARAGE 65623 123.75 Plan Check Fee 12/16/05 Valuatlon 6/14/06 49.50 3500 Qty Unlt Charge Per Extension 95.75 28.00 BASE FEE 2.00 14.0000 THOU BL-2001-25K (14 PER K) Special Notes and Comments BUILDING PERMIT EXTENDED, LETTER ON FILE. 07/25/2006 08:24 AM DYASUMUR ------- Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permlt Fee Total 123.75 123.75 .00 .00 Plan Check Total 49.50 49.50 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 177.75 177.75 .00 .00 Lasered CED \J ~ \ - t ~~ <5 \JI ~\l\ \ ~ \:;t \J) 7\ 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 authorrty 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) T IPohclesll102_15 bUlldmg permIt mspectlOn record05.wpd [1/4/2005] r---. ~ .~ '---' BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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 NO FOUNDATION: FOOTINGS SHEAR WALLS 1 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY BACK FLOW 1 WATER AIR SEAL I I WALLS qjZq 1{;(P \fa..- CEILING FRAMING '?,&~ -q/2I1/~ '\7Z-v JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING IQ/w lot, vW DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CElLING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT#'s SEPA P ARKING/LIGHTlNG ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO - -- ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W 1 PWI CONSTRUCTION - R W ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 _J , PLANNING DEPT. BUILDING 417-4815 '1l11'Y If} b Vk../ BUILDING T \Pohcles\1102_15 bUlldmg penmt mspectlOn record05 wpd [1/412005] !( ~ORT ~ 8~o~~~ rea ~-- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name property Use Property Zoning . . . Application valuation 05-00001144 Date 12/16/05 370680 505 E 9TH ST 06-30-00-0-2-7240-0000- RES REMODEL RS7 RESDNTL SINGLE FAMILY 3500 Owner Contractor HANSEN MICHAEL S 505 E 9TH ST PORT ANGELES OWNER WA 983627919 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL REMODEL EXISTING GARAGE 65623 123.75 plan Check Fee 12/16/05 Valuation 6/14/06 49.50 3500 Qty Unit Charge Per Extension 95.75 28.00 BASE FEE 2.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 123.75 123.75 .00 .00 Plan Check Total 49.50 49.50 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 177.75 177.75 .00 .00 (fi OJ 0 ~_M ~.j1\ $' J:) )r 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 Jaws 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 ~ Il-1 L . A . ) 2) ) b Iv~ Signature of Contractor or Authorized Agent Date 't'.~o;;:n~) Date T \PohCles\1102_15 bUlldmg penmt mspectlOn record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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 NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY' BACK FLOW / WATER AIR SEAL WALLS CEILING I I I FRAMING JOISTS / GIRDERS SHEAR W ALLlHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA PARKINGILIGHTING 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 BUILDING 417-4815 BUILDING T'\Pohcles\l102_15 buddmg permIt mspectlon record05 wpd [1/412005] PREPARED 9/29/06, 8 17 48 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 505 E 9TH ST INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 3 9/29/06 HANSEN MICHAEL S 06-30-00-0-2-7240-0000- 05-00001144 RES REMODEL SUBDIV: PHONE PHONE . BAIR 01 9/29/06 -* 1 · BLDS 01 9/29/06 JLL { \ --*- BL3 01 9/29/06 JLL , l +t- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BUILDING AIR SEAL 09/28/2006 11 23 AM NWEST SHAWN 360-621-9786 CALL BEFORE INSPECTION, LOOSE DOGS TO BE RESTRAINED BUILDING SIDING 09/28/2006 11 18 AM NWEST ------------------------------ SHAWN 360-621-9786 LOOSE DOGS, CALL FIRST BUILDING FRAMING 09/28/2006 08 47 AM NWEST ------------------------------ Mlchael Hanson 452-8664 Call before lnspectlon so dogs can be restralned -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 9/28/06. 9 31 26 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 9/28/06 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 505 E 9TH ST SUBDIV PHONE PHONE HANSEN MICHAEL S 06-30-00-0-2-7240-0000- 05-00001144 RES REMODEL PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 9/28/06 , , ~ BUILDING FRAMING 09/28/2006 08 47 AM NWEST ------------------------------ M1chael Hanson 452-8664 Call before 1nspect10n so dogs can be restra1ned -------------------------------------- COMMENTS AND NOTES -------------------------------------- ,~ -~ p ~va-- j July 24, 2006 City of Port Angeles 321 E 5th St Port Angeles, W A 98362 Re: Building permit #05-00001144 To whom it may concern: This letter is to request an extension of the 180 days to the first inspection. Due to unforeseen circumstances, we are now able to start construction and request that the date of the first inspection be extended 180 days from this date. Sincerely, Michael Hansen 505 East 9th Port Angeles Wa. Kitchen Planning Sheet I 0 \~iA~~~~~~ "~Dt ' I i ! :' ,t T . ~ AMERICA'S CABINETMAKER ,. Menllat Industnes, Ine , Adnan, M I 49221 o 2 4 6 : 8 t -:,-. I I I I I I h- '-'rr{~r ~~~~ ~ f I , I I \ T -~ II I f , I' I I " :}1 ! I ,I I r- I I J 10 j I I l _ ~_M 12 . ., f 14 Scale. '/2" = 1 '0" (Each Square = 3") . t -I., Customer Address Date Phone Sheet# Of Sheets , I ~:'I I I , I ~O$$'ej{ . f I ' f' -t-__+~,--L,L,L" I 1_ "L--l---r=::rl_, " j 1/'1' I f . : /1 I In I' I L L,~_ '-l~:;t$ltl_. f ' ..Jl1 II. I ' , t" I w. I . " . .,:4 tJq~--" ~-..riO I < ':-r-e~-t;.A:J 2 4 , TT:"~ --TS-~-rl~'C---- -y--- ti I' ',*,, ,~- ~: . I 1, }- n I ~: ~,~ ~-~' . ~ ~~ ~ , liP '...<2..) 1, "1 , f tf~ 'I I', f L.,uLl.L ~,-Ll.I,J j I i I ;../!" I: :A~LJr B .i~,J,~I. !. 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S;: ____ _. _. _ __.__.<__ _____.,_.__ .........h_~ ] lol U ~ ALLEY KEMOve- 0\,.0 f:'urr Roo F I NsrC,LL NEW =rn.LJ&~ 'ROOF Rtusc: Nol?1M WAlL 2 !o'1 "f'0 10" 'RPISt SoOTH 'NAl.L 1'-0" TO !OJ IloJ5TALL I td~ GAr~~c.lf: b~Ol2. l I I ! e-x IST'~G G{.lt'U\6~ '3Z~"~ i ~ 0- r N t -s- 2: IT\ ~ t~.~;'lo.~..,........-':"...~'t......""",..._. _ Appraisal Field Sheet Auto Dup: 0 Review: 0 Table Yr 2001 Appr Date 121320 Cd 1113 THREE BEDRM Prop Class 120 24 UPDATE TEST Parcel 063000 027240 0000 Appraiser 08 F/Bk Page Change Rsn AU ANNUAL UPDATE Neighborhood F/P? Ac Total Ac Situs Addr 505 NINTH ST E Parcel FIg 06 Zone Cd P RS7 SF Res 7000 sf New Constr - Interest xx.xxx% Plus/Minus Unwk Bldg Comments 100X140 * 8-90 Total Improvements Adjusted Improvements Improved Land Unimproved Land Timber Land C/U of Open Space 517 171 Use PA Chg Rsn Chg User Chg Date 1.3000 Impr Factor XTRA DEPR/ROOF AU MMCFALL 10/11/2005 1.3800 Land Factor 78,400 WD 65,505 9,0,395 46,800 F/M F/M F/M F/M F/M F/M Total Improved Land Unimproved Land CFL & DFL 46,800 46,800 137,195 Total Land Total Value F/M Land 46,800 Command Keys: 1,3,4,7,8,9,16,18, 20, 2l,,22~ 23, :0 DJrPCt2~e BETV\J&aJ I-bUSb W/GA~6t AJJD Y\Jlour' '\JS 11> &:f:Jo ~ L.'"i UPUA'.l'.b; '.l:.b;::.l' .M.1J1JLdl.;:'dl. I:l.t::l.U ':'JJct:L Parcel 063000 027240 0000 Appraiser 08 F/Bk Page Change Rsn AU ANNUAL UPDATE Neighborhood F/P? Ac Total Ac situs Addr 505 NINTH ST E Parcel FIg 06 Zone Cd P RS7 SF Res 7000 sf New Constr - Interest xx.xxx% Plus/Minus Unwk Bldg Comments 100X140 * 8-90 Total Improvements Adjusted Improvements Improved Land Unimproved Land Timber Land C/U of Open Space Total Land Total Value Land Factor 78,400 WD 71,431 98,,575 46,800 46,800 145,375 F/M F/M F/M F/M F/M F/M Total .M.ULU VU1J. v Review: 0 Table Yr 2001 517 171 Appr Date 1213201 Use Cd 1113 THREE BEDRM Prop Class 120 PA ' Chg Rsn Chg User Chg Date 1.3000 Impr Factor XTRA DEPR/ROOF Improved Land Unimproved Land CFL & DFL F/M Land AU LKUSS 8/12/2005 1.3800 46,800 46,800 Command Keys: 1,3,4,7,8,9,16,18,20,21,22,23, 1 ,~,I - . \0 -',{, '"' I ' - ~"""" " (f/~ II Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any qnestions, call PERMITS (360) 417-4815 FAX(360)417-4711 BUILDING PERMIT - APPLICATION eRec ~'7lo~ . I 1'11111 #. OE>- t 1!l4_ ( ,/ Dale ApPlDve~, i, \/~/().;, Date Issued' - /2-/1 ~ / CJ ~- , ~ ,'l!r ... Apphcant or Agent Owner: l\I\ leu {),.1- L Address' 50S Ell 5a.;:7 W('\'\-.J~~"") q+1 452- <61064 Zip ClK3(,.l2 City Jb QT' Phone: Phone: A ~6ElJS:'<.. Architect/Engineer Contractor S fZ,La7' Address Phone: State License #: Exp. Phone Cliy: Zip: ZONING: PROJECT ADDr..ESS: fStf5 f:A. q+ b LEGAL DESCRIPTION. Lot'IOtt , \ Block 2'72 CLALLAM COUNTY PARCEL NUMBER: ()Ln~?724f't:'CDO SubdIVISIon: Credit Card J;Iolder Name:'1fJ'C.. ~6J,.,j Billing Addiess: '!f'6 eo.. q t-V' Credit Card-Type V1SA 1- MC #- T\TE OF WORK: rA Residential 0 New Coru;tr. Re-roof o Mulh- family 0 Adchtion 0 Move o Commercial y, Remodel 0 Demohrion o Reparr 0 SIgn BRIEF DESCRIPTION OF THE PROJECT' City: ~!P'r fuj6CUlS Exp. Date: ---.02.f()7 i . .......-^--.J'- . . I"""" o Stove 1i Garage o Deck o Other SIZEN ALUATION: SF @ $ /SF. = $ , ~ .:.....L .~ SF @ $ /SF. = $~' Yj h:':'-- SF. @ $ /SF = $ TOTAL VA1UATIOJ~ $ \,~:~~~ .Hemo dt-I G_fL'AG~ '.. _ COMMERClALIRESIDENTIAL: Occupancy Group: Occupant Load: No of Stones: _ Lot'SIZe: 14,000 Existmg Sq Ft. liDO & Proposed Sq. Ft. Total lot coverage t f)... % Coru:tructlOn Type' = TOTAL Sq. Ft i i-J O~_ APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESAlWetland(s). 0 Yes 0 No SEPA Checlchstrequrred? 0 Yes 0 No Other. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applIcant. Tills figure will be reVIewed and may be reVIsed by the Building DlVlslOn to comply with current fee schedules Contact the PeImlt Coordmator at 417 -4815 for assistance. PLAN CHECK FEE' IF a plan check fee is due It must he subrrntted at the hIDe the buildmg peImlt application and construction plaru; are submitted All other peImlt fees are due at the time of peImlt issuance. EXPIRATION OF PLAN REVIEW: If no permit IS Issued WIthin 180 days ofthe date of apphcation, the application will expire. The Bmldmg OffiCIal can extend the time for achon by the apphcant up to 180 days upon wntten request by the applicant (see Section Rl 05.3.2 of the International Builchng/ResIdentlal Code, 2003). No apphcatIOn can be extended more than once. I hereby certify that I have read and examined this applicatIOn and know the same to be true and correct. I am authorized to apply for thiS permit and understand that It IS my responsibility to determine wh t permits are required ,not the City's, and that I must obtain such permits pnor to work. T'\Pohcles\BL-1102_13 wpd Date: v . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. t/ ZOO' 7Ah DATE ELECTRICAL PERMIT Site Address: Installed By: OwnerfBusiness Address: D RESIDENTIAL D COMMERCIAL r- 1i!J BASEBOARD KW ~ b FURNACE KW _ D FAN/WALL KW D HEAT PUMP KW D SIGN DetailslDescription: . ~ D READY FOR INSPECTION License Number: D WILL CALL FOR INSPECTION Phone: r fDJ Phone: Sq. Ft. D TEMPORARY SERVICE D PERMANENT SERVICE D NEW CONSTRUCTION l'l REMODEL ~ ADD/ALTER CIRCUITS ~ SERVICE UPGRADE/REPAIR D SPECIAL EQUIPMENT (LIST BELOW) ~ OVERHEAD SERVICE D UNDERG~~~~CE VOLTAGE: VI I"" ~ ~ SINGLE PHAS ro THREE PHASE SERVICE SIZE ~-o AMPS CUI Z(){) ~, !Jv (R-[ W.S. No. SERVICE SIZE CAPACITY: D O.K. NOT O.K. ACTION REQUIRED: D CHANGE TRANSFORMER D INSTALL SERVICE POLE DATE ENGR. D CHANGE SERVICE WIRE D OTHER D Ditch Inspection O.K. -"'rlROUQh-in/cover O.K. ~O.K. to connect service )ViJ^.fJ. Final O.K. Site Address: Installer: ~ perm~zotfJ s:0 New Meters . Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Buiiding Permit. PHONE 457-0411, EXT. 224. &.iJ -16Jw.J NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ~--o - Electrical Inspector WHITE - File by address Permit Fee YElLOW - file by number GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC PINK - Top: Eng, Bottom, Customer '. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. ~ I (,-f0 DATE 7- 5'- I Site Address: Installed By: !;;CJ5 F: q ~ sn M J /CE:., #4,.J '5 p rJ o READY FOR INSPECTION License Number: WILL CALL FOR INSPECTION Ph:'fZ -B~ Phone: Owner/Business: ., Owner/Business Address: ~ Sq. Ft. / z..,o e::> o Residential Heat KW o Baseboard 0 Furnace/Boiier o Heatpump 0 Other o Commerclalllndustrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) DetailslDescription: /flY C> -r7::> p..>(l ~I/~ o New Construction o Remodel o Service update/alter/repair .M Overhead o Underground; Voltage / ZP 2'f-o u( / A; 10 03.0 Service size '2..L:> 0 Amps o Temporary o Add/aiter circuits o Auxiliary power (list below) o Special equipment (list below) ....-ze> C> ~/'<> r; <~A.4;)o/.r 7G?(',// c' r . W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. o Rough-in/cover O.K. o O.K. to connect service hI'f' Final O.K. Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending sos- st Installer: New Meters Site Address: e..-.-... . Notify the Department 01 City Light by Street Address and Permit Number when ready lor inspection. Work must not be covered or eiectrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224. ~I f"),JAI"\.. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ../l- ~ ~ ~ C)"'v - ----Xf'-- ~ &. c::> CJ Inspector Amount paid ~ WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom. Customer GRE~N - Top: Inspector, Bo ~ OlYMPIC PRINTERS. INC I ELECTRICAL WORK PERMIT APPLICATION; ~- . Installation dcscriptiov D Commercial !"Residential Electrical contractor name .MICl.lAEL c; 1d/;\lJ'>f'L I Purchaser's mailing)U!2r;u X6 €A- y'tV Ch _I-Ottr A""{~F:1rv, Tc cphone number License number o Electrical Contractor IX Owner Dale Expires o New ~ltered/Addition Owner as defined by RCW /9.28.161:(1) OWI/er will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required 10 hire an electrical conlraClOr if above said property is for sale. renl 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. Jalion or ulteration in compliance with the electrical laws, N.E.C.. RCW. Chapler 19.28. WAC, Chapler 296.468. The City of Pori Angeles Municipal Code, and Utility S ecificat"on Sign Job wired by State ZIP ~. C/R3fo2 FAX number ;:\~;}~~' .'.t:.- /0,':- '.' Phone number to schedule inspection: ..RE Wllt~. ('~rt.6GE Af?1&.. Qli1\1ODt;L L ~ ~ I "- o Cash 0 Check # o Credit Card Card # Visa Mastercard Discover Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAA o Fan-Wall KW Date: 7 Expiration Date of card Service Information o Overhead Service o Temp Service o Underground Service Voltage Phase 0 1 0 3 Service Size: Feeder Size: . . SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 r .',,' , ROUGH-IN Date Approved Ily FlNAL Dale Approved By Inspection Dale / TIIERlVIOSTAT "- Dale Approved By / DrrCII ';:: .. :i~~.;~, Dale" .,..... Appro\"edBy./ SERVICE Dale Approved By / FEEDER "- Oale Approved By Area, Building or Equipment Inspecled Action Taken Electrical Inspector '.4-t.- "'//-/4-1- r/,<O/ A-L /.)4 A-i&) ,0A- ) Ii s! , CITY OF PORT ANGELES PERMIT APPLICATTON Building NvisionlEjectrical Inspections ;k E lr 321 'East Fifth Street. — P.O. Sox 11501 Port Angeles Washingtoia, �S3G2 Ph: (360) 417 -4735 Fax: (360) 417 -4711. .iw Ni A Date: "-.), A " % 5 � 1 & 2 Single Family Dwelling Plan Review MaY � Jire�, Pleap piste Eleetfical Plan Review Information Sheet Job Address; Building Square f=ootage, Description of aboua QWf1er InfarmatSo Contractor Irlf flop, � 1 C! C L L( N ame: a. Name; Mailing Add s; D` r Mailing dies ; Slate: Ld�Li_ �i City :State; /t- 21p: City: P' cell Phone: Phone; f Fax; l=ax: License # ! Exa. ' License # I Exp. �� 'L item l a Cha a ft Taxi, t !Qty Multiplied bY Unit Charge Service/Feeder 200 Amp, $120.00 $_ --- -- SenricelFeeder 201 -I00 Amp. $146.00 ServicelFeeder401-600 Amp $ 205,00 -- Service/Feeder 601.1000 Amp. $ 262,00 - — ServioelFeeder over 1040 Amp. $ 373.00 $- Branch Circuit W1 Service Feeder $ 5.00 _ Branch Circuit W10 SWIco Feeder $ 68,00 $ 5.00 $ Each Additional Branch Circuit Branch Circuits 1.4 $ 75.00 a' $— Temp. 9ervicel Feeder 200AMP. $ 93.00 -- $ Temp. ServlcelFeeder 201.400 Amp, $110,00 �- Temp- ServlcelPeeder 401.600 Amp. $149,00 - Temp. ServicefFeeder601 -1000 Amp , $168,00 $r- Portal to Portal Hourly $ 96.00 - . ---- -- Signal Circuit/ Urnited Energy -1 & 7 Family Dwelling $ 64.00 Manufactured Horne Connection $120,00 $� -- Renewable Electrical Energy , 5KVA 5yOcnn or Less $102,00 - Thermostat $ 56.00 $ Note, $5,00 for each additional TStat CQNSTRUCT_I -Q.N p -RLY, First 1300 square Ft. $120.00 Each Additional 500 Square Ft. or Portion of $ 40.00 Each Outbuilding or Detached Garage Each Swimming Pool or Not Tub $ 74.00 $110.00 Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years aiterthis 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 r. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed eleotrical a intractor, I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RGW, Chapter 19.28, WAG. Chapter 296-468, The City of Port Angeles Municipal Cade, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Sign re f owner, electrical contractor or electrical adminlstrator. ❑ cssh ❑ cfiak 7 cradtt Oeted: �/�~`� 01ltl1lxOt2 I INSPECTION TYPE ELECTRICAL PERMIT DATE: CITY OF PORT ANGELES INSPECTOR: 350- 417 -4735 Application Number . . . . . 15- 00001199 Date 9/23/15 Application pin number . . . 015158. Property Address , . , . . . 505 E 9TH ST ASSRSSOR PARCEL NUMBER; 06-30-00-0-2- 7240 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use Property Zoning . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Owner Contractor HANSEN MICHAEL S SIMPSON ELECTRIC 505 E 9TH ST 243036 W HWY 101 PORT ANGELES WA 983627919 PORT ANGELES WA 98363 (350) 457 -9270 Permit . . . .,. . ELECTRICAL ALTER RESSDENTIAL Additional desc . . 1 -4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date 9/23/15 Valuation . . . . Q Expiration Date 3/27./16 Qty Unit Charge Per Extension RASE FEE 75.00 Fee summary Charged Paid Credited Due Permit Fee Total 75,'00 75,00 .00 ,00 Plan Check Total .00 .00 .00 ,00 Grand Total 75.00 75.00 00 ,00 INSPECTION TYPE 1 DATE: RESULTS: INSPECTOR: s0 REPORT SALES TAX � on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contra_ ctor X G:IEXCHANGEIBUILDING