HomeMy WebLinkAbout916 Benjamin Ave - Building CITY OF PORT ANGELES PERMIT APPLICATION RECE, POR..r
,
Building Division/Electrical Inspections 5.-
321 East Fifth Street—P.O.Bog 11501 Port Angeles Washington,98362 2 4 ?013 l"
Ph: (360)417-4735 Fag: (360)417-4711 "
!.l:taRl�aAl.
pate: -� 1 &2 Single Family Dwel#ing A'SPECTIONSq
*Plan Review M Be equired, Please Ca ple a Electrical Plan eview In for ation e
Job Address: >
Building Square Footage:
Description of above
Owner, rmation Contractor InforltZatia
Name: Name:
Mailing A d s� Mailing __
City: f e _State: Z$: City: Late: Zip: `�-
Phone:_ Fax: Phone: ax:
License#J Exp. License !Exp.
Item Unit C a a Total t Multi lied by Unit Char
e
ServicelFeeder 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 WI 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 Circuit!Limited Energy-1&2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00 $_
Renewable Electrical Energy-5KVA System or Less $102.00
Thermostat $ 56.00 $
Note:$5.00 for each additional TStat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.00 T
Each Additional 500 Square Ft,or Portion of $ 40.00 $, _
Each Outbuilding or Detached Garage $ 74.00 $.
Each Swimming Pool or Hot Tub $110.00
$ nC .otal
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 tease.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.F.C.,RCW,Chapter 19.28,WAG.Chapter 296-468,The City of Pork
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator, D cca ❑ check
x eater: ® 0110112012
a°F. � ELECTRICAL INSPECTION
WIRING REPORT
/c, �W
OKS&� 417-4 735
�DAT[- PERMIT#
_FT
INSPECT
CONTRACTOR �P
ADDRESS
APPROVED NOT APPROVED
. . . . . . DITCH . . . . . . . . . . . . . . . . . . . .
Cl. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . C7
0- - . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . .
®. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . .
CORRECTIONS NEEDED: fl b�FBPFL>
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE --
ELECTRICAL PERMIT t
CITY OF PORT ANGELES od
360-417-4735
Application Number . . , . . 13-00000827 Date 7/24/13
Application pin number . . . 2201B3
Property Address , , , . . . 916 BENJAMIN AVE REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-IS-6-4-0040-0000-
Application type description ELECTRICAL ONLY on your excise tax form
orm
Property Name to the City of Port Angeles
Property Use '
Property Zoning . . . . . , . RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
Application. desc
200 amp service change
Owner Contractor
,TAMES AND JULIE EMERY THE ELECTRIC COMPANY
916 BENJAMIN ST PO BOX 1471
PORT ANGELES WA 983626720 PORT ANGELES WA 98362
(360) 457-7120
--------_-_- ;------------------------------------.-- --------
Permit . . . , ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 120.00 Plan Check Fee .00
Issue Date 7/24/13 Valuation 0
Expiration Date 1/20/14
Qty Unit Charge Per Extension
2,00 120,0000 ECH EL-0-200 SRV FEEDER 120,DQ
-N Fee ,summary Charged Paid Credited Due
----------- ---------- --------- - ---------- ----------
Permit Fee Total 120,00 120.00 .00 .00
Plan I
Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .00 00
f.-'-^
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTIiS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANCEkI3UILDINc
PREPARED 10/13/06 10 22 13 INSPECTION TICKET PAGE 12
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/13/06
ADDRESS 916 BENJAMIN AVE SUBDIV
TENANT NBR EMRY RES
CONTRACTOR CLIFF SMITH CONSTRUCTION PHONE (360) 457 6950
OWNER JIM JULIE EMERY PHONE
PARCEL 06 30 15 6 4 0040 0000
APPL NUMBER 06 00000771 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 8/04/06 JLL BUILDING FOUNDATION FOOTING
8/04/06 AP 08/03/2006 04 50 PM PERMITS
CLIFF SMITH 460 1192
AFTERNON INSPECTION
08/04/2006 04 11 PM PBARTHOL
BL2 01 8/08/06 JLL BUILDING FOUNDATION WALL TIME 13 00
8/08/06 AP 08/07/2006 05 00 PM PERMITS
CLIFF 457 6950
08/08/2006 04 26 PM JLIERLY
BLI 01 9/26/06 JLL BUILDING INSULATION TIME 13 00
9/26/06 AP CLIFF SMITH CONST
09/26/2006 08 08 AM DYASUMUR
09/26/2006 03 48 PM JLIERLY
BLDR 01 10/13/06 L n BUILDING DRYWALL IBWP TIME 13 00
CLIFF
10/13/2006 08 02 AM DYASUMUR
COMMENTS AND NOTES
PREPARED 9/26/06 10 08 49 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/26/06
ADDRESS 916 BENJAMIN AVE SUBDIV
TENANT NBR EMRY RES
CONTRACTOR CLIFF SMITH CONSTRUCTION PHONE (360) 457 6950
OWNER JIM JULIE EMERY PHONE
PARCEL 06 30 15 6 4 0040 0000
APPL NUMBER 06 00000771 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 8/04/06 JLL BUILDING FOUNDATION FOOTING
8/04/06 AP 08/03/2006 04 50 PM PERMITS
CLIFF SMITH 460 1192
AFTERNON INSPECTION
08/04/2006 04 11 PM PBARTHOL
BL2 01 8/08/06 JLL BUILDING FOUNDATION WALL TIME 13 00
8/08/06 AP 08/07/2006 05 00 PM PERMITS
CLIFF 457 6950
08/08/2006 04 26 PM JLIERLY
BLI 01 9/26/06 JL BUILDING INSULATION TIME 13 00
1.� CLIFF SMITH CONST
09/26/2006 08 08 AM DYASUMUR
COMMENTS AND NOTES
PREPARED 9/22/06 9 26 25 INSPECTION TICKET PAGE 18
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/22/06
ADDRESS 916 BENJAMIN AVE SUBDIV
TENANT NBR EMRY RES
CONTRACTOR CLIFF SMITH CONSTRUCTION PHONE (360) 457 6950
OWNER JIM JULIE EMERY PHONE
PARCEL 06 30 15 6 4 0040 0000
APPL NUMBER 06 00000771 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 8/04/06 JLL BUILDING FOUNDATION FOOTING
8/04/06 AP 08/03/2006 04 50 PM PERMITS
CLIFF SMITH 460 1192
AFTERNON INSPECTION
08/04/2006 04 11 PM PBARTHOL
BL2 01 8/08/06 JLL BUILDING FOUNDATION WALL TIME 13 00
8/08/06 AP 08/07/2006 05 00 PM PERMITS
CLIFF 457 6950
08/08/2006 04 26 PM JLIERLY
BAIR 01 9/22/06 J. BUILDING AIR SEAL TIME 13 00
kl cliff smith
09/22/2006 07 54 AM DYASUMUR
BL3 01 9/22/06 JLL BUILDING FRAMING TIME 13 00
,i 09/22/2006 07 54 AM DYASUMUR
COMMENTS AND NOTES
Application Number 06 00000771 Date 9/12/06
Application pin number 094746
Property Address 916 BENJAMIN AVE
ASSESSOR PARCEL NUMBER 06 30 15 6 4 0040 0000
Tenant nbr name EMRY RES
Application type description RES ADDITION
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 9131
Owner Contractor
JIM JULIE EMERY
916 BENJAMIN ST
PORT ANGELES
Other struct info
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc DAVIS/ 200A SVC CHANGE+ CIR
Permit pin number 86397
Sub Contractor DAVIS ELECTRICAL
Permit Fee 78 70 Plan Check Fee 00
Issue Date 9/12/06 Valuation 0
Expiration Date 3/11/07
Qty Unit Charge Per
1 00 78 7000 ECH EL,RM 0 200 1ST SRV FEEDER
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
07/25/2006 04 23 PM SROBERDS The proposal is a
remodel in the RS 7 for total lot coverage of 22% No land
use issues noted
Electrical load calculations and elctrical permits are
required
Public Works Utility Engineering has no requirements for
this plan review
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
CLIFF SMITH CONSTRUCTION
3249 REGENT ST
WA 983626720 PORT ANGELES WA 98362
(360) 457 6950
TOTAL LOT COVERAGE 21 60
NUMBER OF STORIES 2 00
EXISTING LOT COVERAGE 2110 00
LOT SIZE 10296 00
NUMBER OF UNITS 1 00
STATE SURCHARGE 4 50
Charged Paid Credited Due
78 70 78 70 00
00 00 00
4 50 4 50 00
83 20 83 20 00
Extension
78 70
00
00
00
00
1
44
ELECTRICAL PERMIT INSPECTION RECORD
.,---2-
tALL 417-4735 FOR ELECTRICAL INSPECTIoNS. ;PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVEg,
.1 1.1
INSULATEOR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTER A.
r
?f .310;', t- 1,Z1.34 i f
KEEP PERMIT CARD AND APPROVED PLANAT Joasfri
t
DITCI4
ROUGH-IN COVER
SERVICE
FINAL
GENERAL COMMENTS:
INSPECTION TYPE DATE ACCEPTED cowstbris
YES
F S De
tn. 44731
/36kNrX A
I I I
I I I
I I I
I I I
I NO
1)cri fzED 0 7
PW-1102.IS 14196]
G
i
Job wired by
E ctrical contractor name License number Date Expires
IN V V 5 Yhs 1 41 11,3 9 /..-60
Purchaser's mailing address
City
E >i,
Telephone number FAX number
'Premises owner's name
Address of inspection
tip
tri
7 q n� S Y/6__)
City 4
t
Phone number to schedule inspection
State ZIP
If7 Electrical Contractor Owner
Owner as defined by RCW 19.28.261 (I) 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.
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.
Signature of owner ele 4rical contractor or electrical administrator
NX
Electrical Load Additions and or subtractions
NO LOAD CHANGES
O Baseboard g-KW
Furnace KW
Heat Pump Ton LAR
Fan -Wall KW
Date
J of card
Overhead Service
Tip Service
Ud'Underground Service
SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360 417 -4735
l /^L ROUGH-IN THERMOSTAT
Datt Appr Date Appr ed By
Inspection
Date
9 -5 -o4
A
FINAL
/J-,,3- ,(0
Date Appr ed By
,2 V?
DITCH
Date Appr ed By
Area, Building or Equipment Inspected
44 t e/,v6 4
i
ELECTRICAL WORK PERMIT APPLICATION'
\/Installation description
Commercial or Residential
New Cel'Altered/Addition
e I/ le-(° P, Z oe
/¢aD `7" c t Y (Re g
ee_a_ i9 )1
arri
Cash Check
Credit Card Visa
Card
Expiration Date
Date
Date
Mastercard Discover
C Insii ction fee
7 78 ,70
Service Information
Voltage ti
Phase 3
Service Size: _.fj
Feeder Size:
SERVICE
Appr ed By
FEEDER
Appr ed By
Action Taken
Electrical
Inspector
PREPARED 8/08/06 11 05 20 INSPECTION TICKET PAGE 11
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/08/06
ADDRESS 916 BENJAMIN AVE SUBDIV
TENANT NBR EMRY RES
CONTRACTOR CLIFF SMITH CONSTRUCTION PHONE (360) 457 6950
OWNER JIM JULIE EMERY PHONE
PARCEL 06 30 15 6 4 0040 0000
APPL NUMBER 06 00000771 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 8/04/06 JLL BUILDING FOUNDATION FOOTING
8/04/06 AP 08/03/2006 04 50 PM PERMITS
CLIFF SMITH 460 1192
AFTERNON INSPECTION
08/04/2006 04 11 PM PBARTHOL
BL2 01 8/08 06 BUILDING FOUNDATION WALL TIME 13 00
(.1 /J 08/07/2006 05.00 PM PERMITS
CLIFF 457 6950
COMMENTS AND NOTES
PREPARED 8/04/06 8 14 25 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/04/06
ADDRESS 916 BENJAMIN AVE SUBDIV
TENANT NBR EMRY RES
CONTRACTOR CLIFF SMITH CONSTRUCTION PHONE (360) 457 6950
OWNER JIM JULIE EMERY PHONE
PARCEL 06 30 15 6 4 0040 0000
APPL NUMBER 06 00000771 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 8/04/06 JLL
f/1
BUILDING FOUNDATION FOOTING
08/03/2006 04 50 PM PERMITS
CLIFF SMITH 460 1192
AFTERNON INSPECTION
COMMENTS AND NOTES
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
JIM JULIE EMERY
916 BENJAMIN ST
PORT ANGELES
Other struct info
Permit BUILDING PERMIT RESIDENTIAL
Additional desc
Permit pin number 82719
Permit Fee 207 75 Plan Check Fee 83 10
Issue Date 7/31/06 Valuation 9131
Expiration Date 1/27/07
Qty Unit Charge Per Extension
BASE FEE 95 75
8 00 14 0000 THOU BL -2001 25K (14 PER K) 112 00
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
07/25/2006 04 23 PM SROBERDS The proposal is a
remodel in the RS 7 for total lot coverage of 22% No land
use issues noted
Electrical load calculations and elctrical permits arp',.
required
Public Works Utility Engineering has no requirements for
this plan review
Other Fees
Fee summary
Permit Fee Total 207 75 207 75 00 00
Plan Check Total 83 10 83 10 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 295 35 295 35 00 00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection I- hereby certify -thaN 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 gfahtractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T• \Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00000771
094746
916 BENJAMIN AVE
06 30 15 6 4 0040 0000
EMRY RES
RES ADDITION
RS9 RESDNTL SINGLE FAMILY
9131
STATE SURCHARGE 4 50
Date 7/31/06
CLIFF SMITH CONSTRUCTION
3249 REGENT ST
WA 983626720 PORT ANGELES WA 98362
(360) 457 6950
TOTAL LOT COVERAGE 21 60
NUMBER OF STORIES 2 00
EXISTING LOT COVERAGE 2110 00
LOT SIZE 10296 00
NUMBER OF UNITS 1 00
Charged Paid Credited Due
fe--A
1�Z2 10
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
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
BUILDING PERMIT INSPECTION RECORD
DATE
I '/iv /06 I ah
1
I I
I
/42 I(7
ACCEPTED
YES i NO
FINAL
FINAL
SEPA.
ESA.
SHORELINE.
COMMENTS
DATE ACCEPTED BY.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I I I FIRE DEPT I I I
PLANNING DEPT 417 -4750 I tI r V e-/J► �p Ii I I I PLANNING DEPT I I I
Y i
BUILDING 417 -4815 I I I 1 —i -Z 1 10 I BUILDING I
T \Policies \1 102_15 building permit inspection record05.wpd [1/4/21105]
Address:
Architect/Engineer
Contracto
PROJECT ADDRESS
LEGAL DESCRIPTION
TYPE OF WORK.
Residential New Constr
Multi- family Addition
Commercial Remodel
PLANNING USE ONLY
T \FORMS'BIdgPermitform.wpd Applicant:
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review If von have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
Applicant-or Agent. ci J1 r 7o Pat
Owner S in Ll h /I ey flfl Phone. 407-
7 Z/
City /"O 1" t /411 f le J Zip y U 3C 2
�i, %7',CIS0/
Phone:
State License :CIr 'ffC /210 7 Exp krb`7 Phone:r$7670
Address: e� t Cit pt A h Pp* Zip 913C2
b /9
Ci enj 10, /t 'd ZONING �,L S-
Lot: V Block: Subdivision. A /7c 44tOO1'1 21-
CLALLAM COUNTY PARCEL NUMBER. 0C&C /5 pot/ 0
Repair o Sign Other
BRIEF DESCRIPTION OF THE PROJECT
.Phone: 4 7t
STZF/VALUATION
Re roof Stove SF /SF
Move Garage SF /SF
Demolition Deck /20 SF 76 O /SF q /3D. $D
TOTAL VALUATION 9/ 3P.#
A /�v f its siz Arv-,verao,v
COMMERCIAL/RESIDENTIAL. `�Occcupancy Group Occupant Load. Construction Type: Z
No. of Stones: Lot Size: 7Z Xi Existing Sq. Ft. Proposed Sq Ft. ah TOTAL Sq Ft/ 2.2 30
Total lot coverage 2/ /0.t46
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No 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 apphcation, 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
R105.3.2-of the International Building/Residential Code, 2003). No application can be extended more than once.
1 hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that I
must obtain such permits prior to work.
Date: 7 6?-0C
FOR OFFICIAL USES NLY
:Date Rec. 7/ 9.
Pennit I 7
„gate Approved:
I l bate Issued:
APPROVALS
PLAN
BLDG
DPWU
FIRE.
OTHER
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N'!
16858
..j- :;; ;L. .. 2'
Port Angeles, Washlngtonmm___m___m_........._m_..m___mm._...m__m, 19./ .
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles. per-
mission is hereby granted to do eLectrical work as listed below.
Address --n-%/*m-~_t_~---.&'...-h-n--- Occupancyhnm_____m___________________mm
Owner _~:1:L12.&C?-m-.--.i--m-m- v?7-q;, TenanLm_h___mm.m_.__._m___m_m_n_m___m_...n_m____..
Wiring Contractor _%~&I?:~h-l:..k:?Z<'i:d.n-.-n-mm By.____n___.___mm__mm____nn_m____m_____m_m.m.._
Light Outlets..._...~.~.;jj!........-..... Service. volls /.;t.c:>/-;:).._ff:!._ Type of Wiring:
R t I Outlet j iii' "0 wires ...3 Armored Cable ..__m____...................
ecep ac e s..:...__......__..__..__....... 1; . .---......-................7"}.......
Dryer, KW mm...___mf.____.___n__._________ SIze wlres--;;-:Jt'f1..~m--.
Range, KW ........../..~.................... Main fuse ....':J.,.:<?.tf..d...........
~
Enclosure ......____....___..__m_.._____m....
Non-MetalUc .__..............___._...___...__
Knob & Tube......__....._......__.........._
Water Heater: /"
~5 -
KW..__.........h..................... ..........
Heat' KW........../f...~l'.~A
Rigid Conduit ...................._...__.....
Metalllc Tubing ...................._......
Type of wiring;
Entrance Cable ......____
No. & Slze..........______....___................
Raceway .....___7.................__..._
Circuits, Llgbt.....~n..mm...........n____
6
Utility .......:..............._....................
Heat ..../'.y._....._.._........._________
Range ........____....._,..--.................-----
Water Heater ...~__.............m_.__
Motors: BirOltS and phas~:
..._../.......r:.._...:.~........._:........
..../...&,.7.'-........................---
Rigid Conduit ............
Metallic TubIng __m__
Current transformers:
Ser. NO..._h........__....................____....._
:r::::. ..~~~~~_._~..~-~~~~-_-_~..-.......~~~~~~~~..~~..~=
Furnace _......___..__...........,~_....._...........
Ser. No. ..........................__......_____......
Ser. No.__________.__.____..........._..._..__.._....
Total lJOad.....__.......____........... Ser. No.._.....__.._._._......________.._______...___ Total ......3...Q_.__n................
Remarks: _____h_hm_~,::Y-e.,f..<..r.=n-----nCer.:?:7c.&::'Z-c..--m.-.-m.-...h--....---.------_m.__mm_mm_mmm_.......___
_mm__mm__mmm__m_m__m__m_m_mmmmm_______________m_hm__mmm_h______mmm_m_mm%_m__m_mm_m__m__...__
;~_l~~;O'~______hm_n_mh ::~_~_~:..~_~_~_~~~_~m_m_ By _~cff..-~-~~k'~H~.'m
r .
NOTICE-Current must not be turned on until Certificate of Inspection haa been issued. If work is to be con.
cealed due notice must be gl~ the Inspector so that work may be Inspected before concealment.
-
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
''-r..
ELECTRICAL PERMIT
N?
16858
<:.::;....-"."-~.. ..........
Address.______._________.......__............................................_......__..............................................__......_..Date..._.......____.._.._...__....._._...._......_......._
Owner....................___............_......_.._......_......_.._........_____....._..__.._.......___.....______._..........Tenant....._._._._.____________.._____....__..___....__...........___.....
WIrI;;,ontractor__.......____._..._____.;.._._..._........_................_...................................._......._.._.....________By......................................._.........................
N IC~urrent must nOt be turned on until Cert1tlcate of Inspection has been issued. If work is to be con-
cealed ue notice must be given the Inspector so that work may be inspected before concealment.
\ \
'-......, \
1M Olympic Printers, Inc. \
-...."....- \
Application Number . . . . . 24-00000424 Date 5/07/24
Application pin number . . . 908432
Property Address . . . . . . 916 BENJAMIN AVE
ASSESSOR PARCEL NUMBER: 06-30-15-6-4-0040-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JAMES AND JULIE EMERY EXTRA MILE TECH & ELECT., LLC
916 BENJAMIN AVE 418 N. RACE ST.
PORT ANGELES WA 983626720 PORT ANGELES WA 98362
(360) 461-5890 (360) 457-5222
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 95.10 Plan Check Fee . . .00
Issue Date . . . . 5/07/24 Valuation . . . . 0
Expiration Date . . 11/03/24
Qty Unit Charge Per Extension
1.00 95.1000 ECH EL-R- BRANCH CIR 1-4 95.10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95.10 95.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 95.10 95.10 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
EL1-2 SF 1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □Single-Family Residential □ Duplex / ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Unit Charge Quantity Total (Quantity x Unit Charge)
$190.20 $
$190.20 $
$285.30 $
$380.40 $
$475.50 $
$5.30 $
$95.10 $
$47.55 $
$95.10 $
$95.10 $
$190.20 $
$285.30 $
$380.40 $
$95.10 $
$95.10 $
$190.20 $
$190.20 $
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuit/Limited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.30 for each additional)$95.10 $
First 1300 Square Feet $190.20 $
Each Additional 500 square feet``$47.55 $
Each Outbuilding / Detached Garage $95.10 $
Each Swimming Pool / Hot Tub $190.20 $
TOTAL $
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□Owner □Electrical Contractor / Administrator)
Pe
r
m
i
t
#
:
New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
5/16/24 24-424 TAP
OWNER
Contractor
Extra Mile Electric
ADDRESS
916 Benjamin Ave