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Home My WebLink About1827 W 16th St - BuildingPORT q ^O r "RKS S DATE 31(1 OWIVER/CONTRACTOR 9 "417 ADDRESS 1927 k APPROVED 0 0. 0 CORRECTIONS NEEDED: )44,1 P G (e OY Z At)14GF ZfITI6 P Vat 2D_Anp s .rJ 16 2 0 6' i-Arr2, g,. L.. (o t'- i' octo 2_4 '1 1315 m g "ref t J l/ D iIP 31h Li rt,,rr_ 'cue 11 z 13 M M fC t Vrt 2 ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT d- CZg'7 CLeg.Cs" r C PITCH ROUGH IN /COVER SERVICE FINAL INSPECTOR •if 1Z Pr NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE NOT APPROVED 0 0 u�7 t gekoN 01 -1-us2 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation SEWARD TRACI A 1827 W 16TH ST PORT ANGELES Qty 5 00 1 00 Unit Charge 2 0000 93 7500 Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983636873 103 75 00 103 75 Signature of owner or Electrical Contractor ;X ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 09 00001287 543019 1827 W 16TH ST 06 30 00 0 4 3865 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Application desc Replace expired permit 200 amp service 5 cir Owner Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 157933 Permit Fee 103 75 Plan Check Fee Issue Date 12/09/09 Valuation Expiration Date 6/07/10 Per ECH EL BRANCH CIRCUIT W /FEEDER ECH EL 0 200 SRV FEEDER Paid Credited 103 75 00 103 75 DATE. RESULTS 3 00 00 00 Date 12/09/09 cttie WA 98363 00 0 Extension 10 00 93 75 Due 00 00 00 Date INSPECTOR. City of Port Angeles Permit Application Building Division/Electrical Inspections 321 East Fifth Street- P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417.4735 Fax: (360)4R-4711 Date:, 1 2 Single Family Dwelling Multi- Family or Commercial" Commercial Addition Alteration Remodel Repair" Plan Review May Be Required, Please Com I to Electrical Plan Review Information Sheet yy Job Address: /S,7 7 /0F mil' ,�"Q� t -Y/OM P Building Square Footage: Description abov __4) ex, (Y )4 r .1 Owner Infoxiatiori c- n Mailing AdAress: 7 L(' City: r State: f,24_. Zip: Phone: 1 1,$� Jo Fax: License #1 Exp. Unit Charge Q- U. 71,5-673.Z 93.75 $113.75 $160,00 $205.00 $291,25 2.00 5750 2,00 $72.50 86.25 $116.25 $131.25 75.00 69.00 75.00 50.00 50.00 9175 80.00 86.25 27.50 57.50 86.25 43.75 Si ature of owner el cctricatractor or electrical administrator R.11363 Date: _ECHO DEC 8 2009 ELECTRICAL INSPECTIONS Contras j„jiformation N ame 'PS L /eJ.3fe LL e Mailing dress: O 1440 q i City. c. State: G 4 Zip: Phone: ,7- q TO Fax: License 1 Exp. OrLAS T otal fQtv_Multiolied by Unit Charon S� Service/Feeder 200 Amp. I$ Service /Feeder 201.400 Amp. Service /Feeder 401.600 Amp. Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp, Lip -co Branch Circuit W/ Service Feeder Branch Circuit W/0 Service Feeder Each Additional Branch Circuit 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 Sign/Outline Lighting Signal Circuit/ Limited Energy Commercl d Signal Circuit/ Limited Energy 1 2 Fare ly Dwelling Signal Circuit/ Limited Energy Multi -Fam :y Dwelling Manufactured Home Connection Renewable Electrical Energy SKVA Syst mm or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portior.of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat VAT f 75 Total /03 C1 Cash C1 Check Credit Card h a Owner as defined by RCW.19.28.261: (1) Owner will occupy the srructvre for two years after this electrical pemet is finalized. (2) Owner is required to hire an electrrci/ contractor i(above said property is for sale, rent or lease After reading the above statement, I hereby certify that l am the owner of the above named property or a licensed electrical contractor l am making the electrical installation or alteration In compliance with the electri laws, N.EC., RCW. Chapter 19.28, WAC. Chapter 296468, The City of Port Angeles Municipal Code, and Utility Specifications. Application Number 08 00001205 Application pin number 241095 Property Address 1827 W 16TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 4 3865 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Detached garage Owner Contractor SEWARD TRACI A 1827 W 16TH ST PORT ANGELES WA 983636873 SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 Date 9/24/08 WA 98363 Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 135004 Permit Fee 46 00 Plan Check Fee 00 Issue Date 9/24/08 Valuation 0 Expiration Date 3/23/09 Qty Unit Charge Per Extension 1 00 46 0000 ECH EL R OUTBD /DTCH GAR SEP 46 00 Fee summary Charged Paid Credited Due Permit Fee Total 46 00 46 00 00 00 Plan Check Total 00 00 00 00 Grand Total 46 00 46 00 00 00 I. N E INSPECTION ELECTRICAL TYPE DATE RESULTS INSPECTOR DITCH SERVICE ROUGH IN FINAL COMMEN TS: /0//11(10 oxrita-Q7 09/18/2008 21 25 4579270 7 c Job wired by EI meal contractor name t.icenae number Date Expires ti ;i e ec t C 5 pSE 97 ?ep_ ,7N3u36 c ol Q.) ci o tgw_ State ff363 Telephone number FAX number q c 1 2 o .S Premiss owner's tram b a.1.e -e ax- L Address of inspection /RAP 11 .2R A �fes Phone number to se LL..�E.. S r �.l iye Inspec n• O "I Owner as defined by RCW 19.28.261 Ow,ter' will occupy the structure for two ye-ors after this Electrical permit Is finalised. (l) Owner is required to hire an electrical contractor if above said property Is for sale. rent or leave. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws. N.E.C. RCW Chapter 19.28. WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. (Sign ora! of pwner, eleetr City L 1 tr.nrti- rival L O NO LOAD CHANGES Baneboard KW Furnace KW O Heat Pump Ton LAP O Fan -Wall KW ewe Date Inspection Date Electrical Contractor O Owner FINAL Apraovv 1 By 75413d C1 Overhead Service O Temp Service O Underground Service Arca, Building or Equipment Inspected SIMPSON ELECTRIC SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360 -417 -4735 ROUGH -IN THERMOSTAT RECEIVED SEP 2 2 200 �rcmICALwORxPzRMrrAPPLuCATION 0 New Cash O Check Credit Card Card N.. contractor nr electrical aditr N Expiration Date Date: 9 g /0\ card N. (WC r By DITCH Amami Ry i Date Appmven wy J UGH' DEPT \/Installation description 0 Comiaercial Residential W'Ee w ed 0-1.44-19 Li L l -157. o e Ewe Ptite Altered/Addition inspection fee T(/O Qs s lntonnti, Voltage Phase 4 I 0 3 Service Size: Feeder Site_ SERVICE FEEDER Action Taken Aponon' By PAGE 01 0 Electrical Inspector \P\ Application Number 07 00000355 Date 4/05/07 Application pin number 513315 Property Address 1827 W 16TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 4 3865 0000 Tenant nbr name DALE SEWARD Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 3950 Owner Contractor SEWARD TRACI A 1827 W 16TH ST PORT ANGELES Fee summary Charged Paid Credited Due WA 983636873 Signature of Contractor or Authorized Agent 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 WESSEL CONSTRUCTION PO BOX 1514 PORT ANGELES WA PORT ANGELES (360) 457 8544 Date WA 98362 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR -OFF 15* FELT COMP Permit pin number 98996 Permit Fee 123 75 Plan Check Fee 00 Issue Date 4/05/07 Valuation 3950 Expiration Date 10/02/07 Qty Unit Charge Per Extension BASE FEE 95 75 2 00 14 0000 THOU BL -2001 25K (14 PER K) 28 00 Other Fees STATE SURCHARGE 4 50 Permit Fee Total 123 75 123 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 128 25 128 25 00 00 EKV" 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 Owner (if owner is builder) 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 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 DPYWALL (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 FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT 4's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD YES NO FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT I FINAL DATE ACCEPTED BY. DATE ACCEPTED BY. DATE I ACCEPTED I YES I NO CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW /ENGINEERING FIRE 417 -4653 I I I FIRE DEPT I PLANNING DEPT 417 -4750 I t .1 I I PLANNING DEPT I BUILDING 417 -4815 I EXf� i IIU O a) I BUILDING I I I I T \Policies \1102 15 building permit inspection record05 wpd [1/4/20051 PROPOSAL SUBMITTED TO JOB NAME AND LOCATIO I a Cr J t am ��T ^G7 n, We hereby submit specifications and estimates, subject to all terms and conditions as set forth on both.sides, as follows: i ce ati-' off e..sc s vy 1 D e_A v-00€ cA atir u�i h I -a- ,e,A 4a 10 4 8t\ w, 4 -e tra4 sk +r31 e, lit+ t d w vt I51 ,na -11-s, 4D J-r i va( \ei V 3g a-4 (c Y/{ivf S I 'W 1 0,04 j t vl) Q ipe nk anti S to s t, lr) u Anc� \es )e a1\ :l�s tit It w�rr k 41.44 inakl P Pro poor hereby to furnish material and labor complete in accordance with above specifications, CyJ. for the sum of: dollars J i' #4) N ote T isprdOosdl`tnay be withd not accepted within. days. rrtpia. The above prices, specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified. Payment will be made as outlined above. lrnin,>a1 WESSEL CONSTRUCTION, INC. 699 Draper Road P 0 Box 1514 PORT ANGELES, WASHINGTON 98362 (360) 457 -8544 Signature Date Signature Page No. DATE raven by s 6 i Authorize n Signature 4__Y G_ r e7 PNE DA PLANS ARCHITECT JOB PHONE of Pages (Read Reverse Side) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000753 Date 200796 1827 W 16TH ST 06-30-00-0-4-3865-0000- TRACI A SEWARD RES DETACHED GARAGE 7/15/08 . RS7 RESDNTL SINGLE FAMILY 21600 Application desc 720 SQ. FT. DETACHED POLE BUILDING GARAGE Owner Contractor TRACI A SEWARD SOUND BUILDING SYSTEMS INC. 1827 W 16TH ST 3546 THORNDYKE RD. PORT ANGELES WA 983636873 PORT LUDLOW WA 98365 (360) 452-3101 (360) 437-1219 Structure Information 000 000 720 SF DETACHED POLE BLDG GARAGE Other struct info . . . . . HARD SURFACE AREA permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 720 SF DET. POLE BLDG GARAGE 128835 375.75 Plan Check Fee 7/15/08 Valuation 1/11/09 150.30 21600 Qty Unit Charge Per Extension 95.75 280.00 BASE FEE 20.00 14.0000 THOU BL-2001-25K (14 PER K) Special Notes and Comments The Fire Department has reviewed the project application and has no comments July 3, 2008 3:11:04 PM sroberds. The proposal will result in the construction of a detached garage in the RS-7 for total lot coverage of 30%. No land use issues anticipated. Any modifications to the City's electrical facilities will be at the customer's expense. MAINTAIN CLEARANCES FROM SERVICE WIRES Public Works Utility Engineering has no requirements for this plan review. Other Fees STATE SURCHARGE 4.50 ~ 1''7 ~ cP~ ~ -< O~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 375.75 375.75 .00 .00 Plan Check Total 150.30 150.30 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Separate Permits are required for electrical work, SEP A, 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 orwork is suspended or abandoned for a period of 180 days after the work has 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. Z!'sl~ p~E\,.J'A~~,:~:?o?;~~tt~~ Signature of Owner (if owner is builder) T: Forms/Building DivisionlBuilding Permit (1 % 1/07). wpd 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 UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSprCUOus LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMIlING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF / CEILING DR'YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEA T 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: PARKING/L1GIITING 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. 4 I 7-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:Forms/Building Division/Building Penmt (10/0 1I07).wpd f pORT ~ ~~O~tc(- ,a~'" fit ~ ~ -- 'l.t.\~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . Application pin number Grand Total 530.55 08-00000753 200796 530.55 Page Date 2 7/15/08 .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 has 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit (IO/01/07).wpd 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. o o<J -J \Jl \)J INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS t-21-6 &- "clLL- SHEAR WALLS / WALLS FOUNDA TION 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 - FRAMING o<J JOISTS / GIRDERS f'J SHEAR W ALLIHOLD DOWNS ~ WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) ~ T-BAR INSULATION - (5""- SLAB WALL / FLOOR / CEILING 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: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE ~ RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ~ ELECTRICAL - LIGHT DEPT. 4 I 7-4735 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 9.-LI--()Q- -:T LL BUILDING ? ~ ~ T:Forms/Building DivisionlBlIildillg Permit (I % 1/07). wpd ftl riCO 0 , Ul ri , CO WW ClE-< .-:.-: o.Q C1Iri riO Nri ri,., , , r-N ,.,Ul .,..,. 00 \D\D >< ,., ,., ..:l I>: W H ~ ..:l WW E-< Q ZZ WUl gJ 00 ~'" :z::z: ~~ Ul 0.0. E-<'-' Z 01>: HO E-<E-< UU WW 0.0. W UlUl Cl ~~ .-: I>: .-: U Cl Z H Q 'W Ul o:z: :E oU W 0'-: E-< 0E-< Ul , W >< UlQ Ul \D COUl .,. 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Date Received rr. -. ~--og 321 E. Fiftl:1 St., Port Ahgeles, WA 98362 Permit# O'3~~ (360),417-4815 fax (360) 417-4711 I Date,APproved~ Applicarifor Agent .. So...nd t3~"d,,,~ S Y ~t;:;'~' i~~ .. Pho'ne~ 3'~{) - '-137-(.2. '2 Property Owner ""'i'r-,Aci -Arii? SewCtrA Phone 3"'1>- 'is.;z -J/C I PropertyOwne~'sAddress 18),1 W. ,"l"kStree1 Pori At\j~-'es \AlA' '/93103 ContraclorlEngmeer 5,". ~ A "iliI.~. ~ ':~: ~:. ~"R Phone 3"~ - ~"-,.., 1 Contractor/Engmeer'sAddress 35'1_ ~__.dd(_ _o~a4, Port. I-kc.ilov.:J,v..J_ ~_3"'S License # 5DuA/OA50~'N"" Expires '1-1'1-08 BUILDING PERMIT APPLICA TION Print in ink PROJECT ADDRESS U1.>.1 Parcel Number OlP) D Lot Zoning Proiect Tvoe & Brief Description: Check all that apply ~ Residential D Commercial D Multi-family o Industrial o Addition o Remodel o Repair D Re-roof c::J Demolition o Heat System D Other D Heat pump 0 wood-burning stove CI gas fireplace 0 pellet stove D other Floor Areas Existintl (sa. ftJ Proposed (SQ. ft.} Basement @$ per sq. fl = $ 111 Floor 1"3 '<10 2nd Floor 3n1 Floor - Garage '7J.D 36 Carport Covered Porch Deck . Shed -., ---"----.--- -- ~ -~._~. -_._-----~--- Other TOTAL VALUA TlON $ :l. ( ) ,oD ,e'iJ Total footprint of structures 4100 sq. fl + Lot size "100 C sq. ft = Lot coverage .3 0 at 0 % Max. height of proposed structures .2.3 ft Occupancy group # of bedrooms D Will a lawn sprinkler system be installed? ~ Occupant load # of full baths b Will a fire sprinkler system be installed? ...lJ.JL- Construction type P.le. bu...lcI, "'j # of half baths () I have read and completed this application and know it to be true and COfT8ct. I am authori:zed to apply for this permit and understand that it is my responsibility to determine what permits ara required, and to obtain permits prior to working on pro~c~ ~/~ j Dale.(;,-.,2,-o"3 Print Name ~/c..1< We_lte.r Signature ~~---- T:FormslBuildiRg DjVi5j9n1BJdg,pl;!rmitI1PPJ,..2.oo6-GOde":1I~G -.-..-....-.. ...... . .~ 712.\~ rJfW.r+j e.~JQ6 &/LJ L __ Wl~ 2aAS,y I e..4/1 e' ( dL I ~ Vf\ ~ ev1rO 8>JC, 7/N/D C :Jlr Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT .' ELECTRICAL PERMIT PERMIT NO. OJ 7;2 '5 DATE 7/1/f"D Site Address: o READY FOR INSPECTION License Number: ~ILL CALL FOR INSPECTION Phone: Owner/Business: Pnone: Owner/Business Address: Sq. FL o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) ;)S Overhead o Underg~untifi Voltage '/A 0 ff10 030 Service size ? -4!) Amps o Temporary 'l1 Residential~ "...- Heat KW .;) )zr Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commerciai/lndustrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) -:g[New Construction o Remodel o Service update/alter/repair Detai Is/Description: AlEu~ Ii~c . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. y~ Rough.in/cover O.K. 1"':'J8l O. K. to connect service ;t~ Final O.K. Size Comments 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 Pian Review approved/pending Installer: . Notify the Depa ment of City Light by Street Address and Permit Number when ready for inspection. Work must not be cov red or electrically 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 457.0,,>> EXT. 158 or EXT. 224. ~ . . NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT (/' fq Inspector Amount paid WHITE - file by address. YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall ~ OLYMPIC PRINTERS. INC. Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. ;;2 ~ ~ '? .5/~p DATE Site Address: >l4 o READY FOR )(wILL CALL FOR INSPECTION INSPECTION License Number: Phone: OwnerfBusiness: Phone: Owner/Business Address: Sq. Ft. D Add/alter circuits D Auxiliary power (list below) D Special equipment (list below) ~ Overhead 10 Underground Voltage ;;;! /~0 D!i!J ~vice size 'IQ. Temporary D Residential Heat KW D Baseboard D Furnace/Boiler D Heatpump D Other D Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) D New Construction D Remodel D Service update/alter/repair Amps Details/Description: . W.S. No. Service Capacity: D O.K. D Not O.K. D Ditch inspection O.K. D Rough.in/cover O.K. Ell O.K. to connect service ~ Final O.K. Size Comments Date Hold for: 0 Easement 0 Letter D Signed up for service/meter o Meter Department notified for installation D Fire Department notified of inspection D Plan Review approved/pending Installer: Permit/Receipt No. 02 (,~? Site Address: . Notify the Depa ent of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically 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. ~~ NO OCCUPANCY OA USE ESTABLISHED UNDEA THIS PEAMIT c20 t!!2 Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS, INC. Application Number . . . . . 23-00001284 Date 12/11/23 Application pin number . . . 274072 Property Address . . . . . . 1827 W 16TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4-3865-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc DHP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ TRACI A SEWARD BLACK DIAMOND ELECTRICAL CONTR 1827 W 16TH ST 502 BLACK DIAMOND RD PORT ANGELES WA 983636873 PORT ANGELES WA 98363 (360) 452-3101 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 12/11/23 Valuation . . . . 0 Expiration Date . . 6/08/24 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 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