HomeMy WebLinkAbout1217 W 18th St - BuildingOwner
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 09 00000428
Application pin number 170560
Property Address 1217 W 18TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 4 5278 0000
Tenant nbr name RONALD /YVONNE CURRIE TTES
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 7800
Application desc
TEAR OFF RE ROOF HOUSE
RONALD /YVONNE CURRIE TTES
1217 W 18TH ST
PORT ANGELES
(360) 457 3512
Structure Information 000 000
WA 983637013
BUILDING PERMIT NO PR FEE
TEAR OFF RE ROOF HOUSE
145706
179 75
5/12/09
11/08/09
Qty Unit Charge Per
BASE FEE
6 00 14 0000 THOU BL -2001 25K (14 PER K)
Other Fees STATE SURCHARGE
Fee summary Charged Paid Credited
Permit Fee Total 179 75 179 75 00
Plan Check Total 00 00 00
Other Fee Total 4 50 4 50 00
Grand Total 184 25 184 25 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 r ted 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 cor All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of permit I es not presume to give authority to violate or cancel the provisions of any
state or local law regulating constructs or the performance of c 1 structii
Date Print Name
T.Forrns/Building Division/Building Permit
Contractor
LARRY S ROOFING
352 AVIS ST
PORT ANGELES
(360) 452 2215
TEAR OFF RE ROOF HOUSE
Plan Check Fee 00
Valuation 7800
Date 5/12/09
WA 98362
Extension
95 75
84 00
4 50
Due
00
00
00
00
Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
Inspection Type
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
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 Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Fumace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
PLANNING DEPT Separate Permit #s
Parking Lighting
Landscaping
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Date Accepted By Comments
FINAL Date Accepted by
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
A I
0
0
I OQ
FINAL Date Accepted by
Applicant
Property
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417-4815 fax (360) 41.7-4711
e rn clles
Owner 04 i d 4i ff e,
Property Owne 's Address I 11 u3 i$
Contractor o ((7,1 ir: i r Phone
Contractor's Address 1 1) ,S 5f j i oe4j o
License %Lp (+a 0a.th Expires I.1—O E -mail
i
PROJECT ADDRESS
Parcel Number Lot
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
A Re -roof
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
T Forms /Building Division /Bldg Permit.doc
BUILDING PERMIT APPLICATION Print in ink
IZI� 1)
X Residential 'a Multi family
moue, a V dor
House garage other
Heat pump wood burning stove gas fireplace pellet stove other
Existing (sq. ft.) Proposed (sq. ft.)
Occupancy group
Occupant load
Construction type
•O U
I have read and completed this application and know it to be true and correct. I am authorize to ap
that it is my responsibility to determine whm -permi e re uired, and to obtain permits prior to orki
Date Print Name tom )b Signature
For City Use Only
Date Received 5 -1201
Permit# Oct —.yam$
Date Approved
Phone
Phone Lf IZ
Zoning
Commercial Industrial
114
tear off re -roof lay over one layer
per sq ft.
TOTAL VALUATION ltOO
Total footprint of structures sq ft. T Lot size sq. ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel including structures paved driveways, sidewalks patios
and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage
of bedrooms
of full baths
of half baths
is permit and understand
cts.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner Contractor
CURRIE RONALD N
1217 W 18TH ST
PORT ANGELES
Permit BUILDING PERMIT NO PR FEE
Additional desc
Permit pin number 78576
Permit Fee 77 45 Plan Check Fee 00
Issue Date Valuation 1301
Expiration Date 11/27/06
Qty Unit Charge Per Extension
BASE FEE 50 00
9 00 3 0500 HND BL -501 2K (3 05 PER C) 27 45
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 77 45 77 45 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 81 95 81 95 00 00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requgsted 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 thij pe of work will be complied with whether specified herein or not. The granting of a permit does not
presume to .uthority to vio e or cancel the provisions of any state or local law regulating construction or the performance of
t /r
Signature of Contractoi Authorized Agent
WA 983637013
T•\Policies \7102_15 building permit inspection record05.wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00000564
604420
1217 W 18TH ST
06 30 00 0 4 5278 0000
CURRIE RES
SIDING
RS7 RESDNTL SINGLE FAMILY
1301
Date 5/31/06
CUSTOM VINYL SIDING INC
PO BOX 1025
PORT ANGELES
PORT ANGELES WA 98362
Date
E
ll, 30 _0 6
Signature of Owner (if owner is builder) Date
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDG S.)
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
BUILDING PERMIT INSPECTION RECORD
ACCEPTED COMMENTS
YES I NO
I I
I
I I
I
I I
I I
I I
I I FINAL DATE ACCEPTED BY:
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
FINAL
SEPA.
ESA.
SHORELINE:
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION ILW
ENGINEERING 417 -4807 1 PW ENGINEERING
FIRE 417 -4653 I 1 I I FIRE DEPT I
PLANNING DEPT 417 -4750 I I I I PLANNING DEPT I
BUILDING 417-4815 I I I I BUILDING I
1/11 s :lain. nermtt inspection record05.wpd 11/4/2005]
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
PROJECT ADDRESS
BUILDING PERMIT APPLICATION
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
PERMITS (360) 417 -4815 FAX(360)417 -4711
Applicant or Agent: Cusfo n S 04 q _L
Address: &9f City
Architect/Engineer
Contractor 5eitI a .5 v State License co 5TOI/96 P4
Address: `e Box /TZS City
/2 /V /1 77/-
LEGAL DESCRIPTION Lot: Block.
CLALLAM COUNTY PARCEL NUMBER.
Tim' OF WORK.
Residential New Constr Re roof Stove
Multi-family Addition Move Garage
Commercial e' Demolition Deck
Repair Sign Other
BRIEF DESCRIPTION OF TAN. PROJECT Ma b!/i/
rAtvfed a/yin //7q/K)
COMMERCIAL/RESIDENTIAL. Occupancy Group.
No. of Stories: Lot Size: Existing Sq Ft.
Total lot coverage
PLANNING USE ONLY
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
TAFORMS\BIdgPerrnitform.wpd Applicant:
Phone
Phone.
Zip ?1- Z
ZONING
Subdivision.
YS7 y336
6/073 3
Zip 9
Phone:
Exp 1/ /Z 0(
SIZE/VALUATION
SF /SF
SF /SF
SF /SF 54
TOTAL VALLyA TION X,. r,/-300
/n 4 l.!?Ii°/' -4 c a-
J
Occupant Load. Construction Type
Proposed Sq Ft. TOTAL Sq Ft.
Date /4v D.6
FOR OFFICIAL USE ONLY
/C
Date Rec.
Permit
Date kpprovedW /194
Date Issued: 6/5 /06
Phone:
Odar45 ur/
APPROVALS
PLAN
BLDG
DPWU
FIRE.
OTHER.
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
RI05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
l hereby certify that 1 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 m r- sponsibility to de ermine what permits are required not the City's, and that
must obtain such permits prior to work
PANE NO.
CUSTOM VINYL SIDING INC
License Number CUSTOVS968QK
/AA
with payments to be as follow&
DATF L t
QUALITY
WORKMANSHIP St MATERIALS
ZS* YEARS IIDCPERIENCE
LOCAL REFERENCES
PROPOSAL SUBMITTED TO:
Nr5 4,1 J: r i c
r 1 e1
AVOREsit
/2t7 Re-3 7 /P
cmr srilTe?r J� Pfe'4.5 SA- 3‘ 3
rftr a e dianip
y e aglele wan
ii
.v momp ripe orb.
00
360457433e
WORK TO BE PERFORMED AT:
ADDRESS
a S life-1
CITY, STATE
DATE OP PLANS
ARCHITECT
.5 Z.
fUMIStI 0 'fat and m m 's P e t�.� s ol.t e o 7 PV CiPeraelfrr
Ws hereby
f Ext
-r�vf d it 10,7 r. r� a,11 u ierr s
A rk eJnG'�'a
Li
i
J Sm_
i
1/
d
any nibasee.. GLS Btvi+ee di sue+.
044 r 9- carper- cod.
/r
f
,4i, cam-
s 4f /s 9-
i
l
All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings end
specifications sub tted for above work and cornplet d in a substantial workmanlike manner for the sum of:
9-' 77 /0o /.S/ Z 77
Respecttully situated
Per
7ir c�.
`9� ,r Z'1 i, Note The prop ns>d may be withdrawn by us *cadged within days.
ACCEPTANCE OF PROPOSAL
The shale MOM. spedfiCatiOnsi and conditions ant satisfactory and am hereby accepted. You are staharn d to do the wait as specified. Payments will
be made as auUhsad above.
suewTORE_
SI3NATURF �v
r a
J— /3a74
ea7ff
r. -0-'04 #Sf? 77
i
tt
n ,jc
6, PROPOSAL
PROPOSAL NO.
c
P 6
SHEET NO.
DATE d d
Application Number 05 00000276 Date 4/21/05
Application pin number 185620
Property Address 1217 W 18TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 4 5278 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Owner Contractor
CURRIE RONALD N
1217 W. 18TH ST
PORT ANGELES
WA 983637013
COMMENTS/ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
121 EAST 5TH STREET PORT ANGELES. WA 98362
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
Fee summary Charged Paid Credited Due
WA 98363
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc SIMPSON/ 200A PNL CHANGE
Permit pin number 47712
Sub Contractor SIMPSON ELECTRIC
Permit Fee 66 90 Plan Check Fee 00
Issue Date 4/21/05 Valuation 0
Expiration Date 10/18/05
Qty Unit Charge Per Extension
1 00 66 9000 ECH EL R OR RM 0 200 ALT SRV FDR 66 90
Permit Fee Total 66 90 66 90 00 00
Plan Check Total 00 00 00 00
Grand Total 66 90 66 90 00 00
DITCH
ROUGH -iN COVEk
SERVIC$
FINAL
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW.I102.IS [461
r,
0)/1
FEE AECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTME'NT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
000369
PERMIT NUMBER
TOTAL FEE
It., -~tJ
.-1.
~.
.
rt"J:
CONT. Ltc. NO.
TIMETOCOMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address __l.~rT "',. \~I\ .
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
Owner J ill'> ~I" eei- '0'- . .
Owner's Address \ J..l' \.
4!-)'J..-'t1100
PERMITS WITH WAONG ADDRESSES ARE CANCELLED
Installation By -F} e r' A r ,~ <::l? \'" Y\~.e 'r '-'L.--
Installers Address i I ir. g . m'l P I-e ,,< ,,"'~ IQq
Installers Phone '-j t; ') -i...lj')..'j
Day Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
W;~ 1".3 {'Ol~ Ylew r'e..c.. r<:)o.........
Wiring Method
ro"'1'.<
.
NUMBER AMP 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER .12QV 100R FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE I .J-() , I .lP MOTOR
DISHWASHER FI RE ALAHMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
.--
LAUNDRY
DRYER . REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS. OIL
FURNACE ENERGY FEE
ELECTRIC - .
BASIC FEE
ELECTRIC HEAT I '2-0 I It.o!>
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
.
A.C. UNIT ,
AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE AW.G,
. I' SUB-TOTAL II h'. fJ-$'- SIZE OF GROUND SIZE OF ENTRANCE SWITCH
. .
I ~ertlfY that the work to be performed under this permit will be done .bY the ins~'er and in confvae ~ith the N.E.C. Electrical Code.
Date Application made A tJ I 'J- ,19 '?5 By 'i"j 2J /JJ.l.tvj
. CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above de5:cribed w,ork, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to COmpl!ance ~it~ the Ordinances of the City of Port Angeles.
. DIRECTOR OF CITY LIGHT
~~NJ1~~? ~L2~
.
Date Permit Issued
<b~ ()--~<r~
I WARNING I
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
,be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER-
WHITE - Original CANARY - Duplicate PINK - Tr!pllcate WHITE CARD ,Inspector's Report
OLYMPIC PRINTERS, INC.
,
,.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
D -f;). -g/5" 1l,fR' Nr./51 t1 e ( ,.-5.s; tu/~t' (N' ('olv,./-eA '/ 1'1?1/Tr>( T ft/r'/~
Nil rf- ~f'J1 k5
.
,
I
I ,
1
1:- / J. 'P5 17f-f O.K. FOR COVERING 5t:<-. .18ptt'L
O.K. TO CONNECT SERVICE
FINAL O.K.
.
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134/213/213135
135:513 45792713
WO'rJl.-. "td' O-e
~
1:1 Owner ~
SIMPSON ELECTRIC
PAGE
131
...1
+20-05
~
<+("IJ~
ELECTRICAL WORK PERMIT APPLJCATION .
)>>'Eleclrical Contractor
Cl Annusl Permit Q Alarm
,
o Request Inspection
Job wiru by
o Carnival D Commercial 11 Residential Q Residential Moint. 0 Signs lJ Thermostat D TeJecom.
Instal1,,\ion dC.!Icription
a I fer~ SeRocee,..,
LiCCnFiC "limber
U r S/"" psEL ,'''8 IC..CJ
, ;t=..
C<J
State ZIP
WI1 9K3t..3
o Electrical Contractor 0 Owner
Electrical contractor name
-~ C
Purcllaser'!l m:\iHng address I
~4'30P.b Nw'(/IOI
"Po~f4ngcJ&
Telephone number
o
FAX numhcr
Prcmili:~ owner's III Junel
f(On eu~'~, '1-5'7_3512
Address or inspection
'l~ 7 W 1&-1:4 s+
City Po + A f€
J hereby ccnify that 1 am'the owner of the abClvc named property or a licensed
electrical contractor (or the ntm's authorizc:d agenl) a.nd am making the electrical
in~tallation or alteration in .~ompliance with the electricFlllaw. ChaJ:lter 19.28 RCW.
o C""h 0 Check #
~
~redil Cord ~ Mastercard Discover
Card# ------.-:__"____"1.-7-5-S:-.
r_r' /
" /
L..-.'
Inspection feEf 0
$ (Pit, _ -
ntr~ctor or electrical admlnl.nrator
Expiration Date
(If card
DnlO
^P~tllWC(l By
/ CWlNG
Insulation Only
D.~ ^"prov~ ~y
Cover.
.
D~le Ap!'ff'ved I:ly
'\.. \ /
THERMOSTAT
'\.. tlftte A[ll'l'\"votl a,V
/' DITCH
Pl'Ilt Apflmv~o1lly
/' SERVlCE
l)nl~ ^""I'('IVD<f By
/' tt'Jol"1!J(
'\.. DDle ^JlfltllWftl By
WALLS
In!lul.1tion Only
CClver
Dptll Appmweday---
'\.. /
~_trlcal Load Additio;'~ and or ..ubttactions.
o NO WAD CHANGES '
a Baseboard ~ KW
o I=umace _ KW
Q Heat Pump ~ Ton ~ LAA
o Fan'Wall _ KW .
"
\ '
"
cJ Overhe'ad SeNice
CJ Terrip Service
o Underground Service
~ce InfonnatJ.OJ!
Tn"pcction Area. Building or Equipment Inspected Action Taken ElectTic<l1
Ol'ltc Inspector
,/. / #~r ~1"h'7 " IJ.A- 4DO
1; .
/ / /
o/~..J7" 5< ~rPJA-t..- .,w:J ~.rJ
Voltag@
PhaseO,03
Service Size: _
Feeder Size:
.
ftIJ Li ft.r ft5""
-~
ElECTRICAlINSPECTIOI'll
WIRING REPORT
~.
417-4735
05- ..:2
PERMIT #
vJ 8 -cg sr-:
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . )ilf
D......................RN~...................D
CORRECTIONS NEEDED: €i.a6
&A;l 6auN-O/?,;Jb
TZ> ~,<;;C) L5~,
t:ft?5#/x/t, ~b^k::>J7/..)
(j:J /?/ .Ar ~ /9 L..L.
L/F-/A::._
t:J""h 7C:.-
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(.j) ~,P N//V'.
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Pi'"'
AU.! qP'11!:.A-/./h'/-.<;"
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(J;fzL WJ17-1 ~,<!-r1n-v. <::" /-)/C.. I..-J/-q At
&5~-rV:>'~T€-..m
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
R' E' Ck I i
LI,4 8 LLf- --
o � P
A �
i1
�yyy�
A 1�
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LI,4 8 LLf- --
Applicaticn Number . . , , ,
Application pin number . . .
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name . . , .
Property Use
Property Zoning .
Application valuation . . ,
ELECTRICAL PERMIT
CITY OF SORT ANGELES
360- 417 -4735
15- 00001202 pate .9/23/15
529298
1217 W 18TH ST
06-30-00-0-4- 5278- -0000-
ELECTRICAL ONLY
R37 RESDNTL SINGLE FAMILY
0
Owner
I
Contractor
RESULTS:
------------------
CURRIE RONALD N
-- - - --
------------------------
EXTRA MILE TECH & ELECT.,
LLC
1217 W 18TH ST
418 N. RACE ST.
PORT ANGELES
KA 983637013
PORT ANGELES
WA 98362
(360) 457 -5222
Permit . . . , .
. ELECTRICAL ALTER RESIDENTIAL
Additional desC .
.
Permit Fee
65.00
Plan Check Fee
00
Issue Date
9/23/15
Valuation , . , .
0
Expiration Date
3/21/16
Qty Unit Charge
Per
Extension
1,00 5.0000
ECH EL -ECH
ADDNT BRANCH CIRCUIT
5100
1.00 63.0000
ECH EL -R-
BRANCH C1R WD/ ,SER FEED
63100
Fee Summary
Charged
Paid Credited
Due
Permit Fee Total
68.00
58.00 .00
.00
Plan Check Total
00
.00 ,00
.00
Grand Total
68,00
68.00 .00
.00
0
INSPECTION TYPE
I
DATE:
RESULTS:
INSPECTOR:
Q�
1oJ'
REPORT SALE'S TAX
C�
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 S IX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEII3IIILDING
Application Number . . . . . 23-00000223 Date 3/07/23
Application pin number . . . 721576
Property Address . . . . . . 1217 W 18TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-5278-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CURRIE RONALD N EXTRA MILE TECH & ELECT., LLC
1217 W 18TH ST 418 N. RACE ST.
PORT ANGELES WA 983637013 PORT ANGELES WA 98362
(360) 457-5222
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 68.00 Plan Check Fee . . .00
Issue Date . . . . 3/07/23 Valuation . . . . 0
Expiration Date . . 9/03/23
Qty Unit Charge Per Extension
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 68.00 68.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 68.00 68.00 .00 .00
1 - 2 SINGLE-FAMILY
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
PREPARED 3/06/23,12:44:10 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000223 1217 W 18TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 68.00
TOTAL DUE 68.00
Please present reciept to the cashier with full payment
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
3/13/2023 23-223 TAP
OWNER
CONTRACTOR
Extra Mile Electric
PROJECT ADDRESS
1217 W 18th St