HomeMy WebLinkAbout3709 Canyon Edge Dr - Building ���,�roRr4,1�!
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CITY OF Pova ANGELUS PERNIC][T APPLICATION
Building Pivision/Elcctsric2l 1IRSPections RECEIVED
321 East FitPth Strcet--P.O.Box 1150/Port Angeles Washington,98362 1.1 �[�
Pie:(368)417-4735 Fax: (360)417-4711
Date:� �- L 1 &2 Single Family Dwelling f JAN 3 0 2014
IELERIICAL
Plan Review May Be Re uired PleW Complete Electri I Plan R ev'ew Information SheetliNSPEIONS
Job Addmss: C2
Building Square Footage: --
Description of above Z 4
Owner Info 'on Contractor Information u ���•
Name:
l Mailing Addres:Maln Adres; QSt—ate;
t—Zip;
CRY'. city:
Fax:
Phone ,��2, !�
Llc9nse#1 Fx . License 1 Exp. - i�
p psi m� er,� j�a
Ph c�nazi C 6
Item Unt Cho a 9�it Tolal Mufti 'fled Unit ChaMej.
SeMce/Feeder 200 Amp. $12040 ---- $-----—-
SeMcelFeoder 201-400 Amp, $4462 --
ServlcblFeeder 401-600 Amp $205.00
Service/Feeder 6014000 Amp. $262,00 -
SoMeelFeeder over 1000 Amp. $373.00 $ —
Branch Cireuft W!9Anrite Feeder S 5.00
Branch Cimuit WlO Service Feeder $ 63.00 �. $
Each Additional Branch Circuit $ 5,00 --- —� —
Branch Circuits 1-4 $ 75.00
Temp.Service)Feeder 200 Amp. S 93.00
Temp.Service)Feeder 201400 Amp, $110.00 $ .
Temp.ServicelFeeder401-600 Amp. $149.00 $ --
Temp.ServlcelFeader 601-1000 Amp. $168.00 $�---
Portal to Portal Hourly $ 96.00 $
Signal Circuitl Limited Energy-1&2 Family Nelling $ 64.00 S •-
Manufactured Home Connection $420.00 6--.--.
Ronewable Electrical Energy-5KVA System or less $102.00 $
Thermostat $ 56,00 -- $---W—�-- —
Note:$5.00 for each edditlonal TStat
NEW GONSTRUC ON ONLY:
First 1300 Square Ft. $120.00
Each Additional 500 Square Ft or Pollan of $ 40.00 �-
Each Outbuilding or Detached Garage $ 74.00
Each Swlmming 06o1 or Mot Tub $110.00 •-;��rTotal
Owner as defined by RCW.19.28,261-(1)Owner will occupy the structure for two years after this electrical permit is finalized.(?)Owner is required
to hire an electrical conlractor if above said property is for safe,rent or lease.Permit expires after six t MIhs of last inspection
After reading the above statement,I hereby certify that I am the owner of the above named property or a Ilcensed electrical cat tractor,I am making
the electrical installation or alteration In compliance with the electrical laws,N.U.,RCW.Chapter 19,28,WAC.Chapter 296-4 513,The City of Port
Angeles M 'cipal Code,and Utilo Sped ications and PAMC 14,05.050 regarding Electrical Permit Applications.
Signs of caner,electrical coat r or electrical administrator: O cash Check
ELECTRICAL PERMIT 1
CITY OF PORT ANGELES
360-417-4735
Application Number , , , , . 14-00000105 Date 1/30/14
Application pin number . , . 91.2065
Property Address . , , . , , 3709 CANYONEDGE DR REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-15-5-8-0175-0000-
Application type description ELECTRICAL ONLY on your excise fax form
Subdiva sion Name . . , . to the City of Port Angeles
Property Use
Property Zoning . . , . . . . R59 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
-------------------------------------------- -------------------------------
AppliCation desc
Entrance moving
Owner Contractor
STRATTON STEVEN M SIMPSON ELECTRIC
3709 CANYON EDGE DR 243036 W H17Y 107.
PORT ANGELES WA 983626729 PORT ANGELES WA 98363
(360) 457-9270
----------------------------------------------------------------------------
Permit . . , . , . ELECTRICAI, ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS w
Permit Fee 75.00 Plan Check Fee .00
Issue pate 1/30/14 Valuation , . , , 0
Expiration Date 7/29/14
Qty Unit Charge Per Extension
-- - - --BASE 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
E
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 Contractor X Date:
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
]21 EAST 5TH STREET. PORT ANGELES. WA 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
07-0000052~ Date 7/30/07
962352
3709 CANYONEDGE DR
06-30-15-5-8-0175-0000-
STEVE & RACHEL STRATTON
RES ADDITION
RS9 R~SDNTL SINGLE FAMILY
51554
Owner
Contractor
STRATTON STEVEN M
3709 CANYON EDGE DR
PORT ANGELES
WA 983626729
L P HANNA CONSTRUCTION INC.
332 GROUSE DR.
PORT ANGELES
(360) 452-1572
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE,
NUMBER OF UNITS
WA98362
Other struct info .
26.00
~
~
D
.-0
V-N
2332.00
12800.00
876.00
3208.00
1. 00
permi t . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
BOB'S/ SUB-PNL+WIRING
107789
BOB'S ELECTRIC INC
75.00 Plan Check Fee
7/30/07 Valuation
1/26/08
.00
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Qty
1. 00
Unit Charge Per
75.0000 ECH EL-RM-0-200 1ST SRV FEEDER
Extension
75.00
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
OS/25/2007 03:17 PM SROBERDS --The proposal is a
residential addition in the RS-9 zone for total lot
coverage of 26%. No land use issues anticipated.
Electrical load'calculations and elctrical permits are
required.
Any modifications 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 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 79.50 79.50 .00 .00
COMMENTS/ACTION NEEDED
,----
ELECfRICAL 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
INSPECTION TYPE
DATE
COMMENTS
NO
g"/b- ()
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GENERAL COMMENTS:
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
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
Owner
STRATTON STEVEN M
3709 CANYON EDGE DR
PORT ANGELES
Other struct info .
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
07-00000524 Date 6/05/07
962352
3709 CANYONEDGE DR
06-30-15-5-8-0175-0000-
STEVE & RACHEL STRATTON
RES ADDITION
L P HANNA CONSTRUCTION INC.
332 GROUSE DR.
PORT ANGELES
(360) 452-1572
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
RS9 RESDNTL SINGLE FAMILY
51554
Contractor
WA 983626729
BUILDING PERMIT -RESIDENTIAL
BED, BATH, CLOSET, SHOP
101600
684.25 Plan Check Fee
6/05/07 Valuation
12/02/07
Qty Unit Charge Per
BASE FEE
2.00 7.0000 THOU BL-50,001-100K (7.00 PER K)
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
102806
85.80 Plan Check Fee
6/05/07 Valuation
12/02/07
Qty Unit Charge Per
BASE FEE
2.00 7.2500 ECH ME-VENT FAN
2.00 10.6500 ECH ME-OTHER APPL. N/R
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
102798
114.00
6/05/07
12/02/07
Plan Check Fee
Valuation
Qty Unit Charge Per
BASE FEE
5.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
WA 98362
26.00
V-N
2332.00
12800.00
876.00
3208.00
1. 00
vJ
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~
273.70
51554
Extension
670.25
14.00
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50.00
14.50
21. 30
.00
o
Extension
50.00
35.00
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 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.
T:\Policies\1102_15 building penni! inspection record05.wpd [1/4/2005]
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Signature of Owner (if owner is builder)
l:
~
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S
Date
BUILDING PERMIT INSPECTION RECORD
CALL 4]7-48]5 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 4] 7-4807 FOR PUBLlC WORKS UT]LITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANT WOFJI. BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPJCUOUS LOCA TION.
KEEP PERMIT CARD AND APPROVED PLANS AT .IOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDA TlON:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDA nON DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.l
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
JOISTS / GIRDERS
SHEAR W ALIJHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (fNTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
ROUGH-IN
HEAT PUMP lFURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE / PELLET / CHIMNEY
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKJRTING
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
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTIONR.W./PW/ CONSTRUCTION - R.W.
ENGINEERJNG 417-4807 PW / ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
. .
T:\Pohcles\1102 15 buIldmg penmt mspectlOn record05.wpd [1/4/2005]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
07-00000524
962352
Page
Date
2
6/05/07
Qty
1.00
1. 00
1. 00
Unit Charge
7.0000
15.0000
7.0000
Per
ECH
ECH
ECH
PL- EA. INSTALL WATER PIPE
PL- EA. BLDG SEWER
PL- EA. WATER HEATER
Extension
7.00
15.00
7.00
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
OS/25/2007 03:17 PM SROBERDS --The proposal is a
residential addition in the RS-9 zone for total lot
coverage of 26%. No land use issues anticipated.
Electrical load calculations and elctrical permits are
required.
Any modifications 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 884.05 884.05 .00 .00
Plan Check Total 273.70 273.70 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 1162.25 1162.25 .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 orwork 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 Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1 102_15 building pennit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
.
CALL 417-48]5 FOR BUILDING INSPECT]ONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A Ivl.INIMUIv124 HOUR NOTICE. IT IS UN LA WFUL TO COVER, INSULATE OR CONCEAL ANY WOKK BEFORE
INSPECTED AND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCA TlON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDA TlON: ~ 9
FOOTINGS /pI ,f' / () -, Jt..v ~
SHEAR WALLS 1 WALLS I I (
FOUNDA TION DRAINAGE 1 DOWN SPOUTS -{
PIERS
POST HOLES (POLE BLOGS.)
PLUMllING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG) FINAL q /2.-41 at DATE"J"LL
GAS LlNE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL a:J-h-'3/ot .::ru....
WALLS
CEILING
FRAMING oq h..3/cR- ~L
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS CJf /11 J 01- '1"l,.,L.
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERJOR BRACED PANEL ONi. Y)
T-BAR
INSULA nON =;-/2.5/ or- J'\-V
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
ROUGH-IN
HEAT PUMY I FURNACE I DUCTS
GAS LINE FINAL 9 ~ 07 DATE "J"L-l- ACCEPTED BY:
WOOD STOVE 1 PELLET 1 CHlMNEY
MANUFACTURED HOMES
FOOTING 1 SLAB cPJ
BLOCKING & HOLD DOWNS .-J
SIURTING 0
PLANNING DEPT. SEPARATE PERMlT #'s SEPA: .-l\
P ARKIN GILl GHTING ESA:
LANDSCAPING SHORELINE: ~
FINAL INSI'ECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED ~
YES NO t.
ELECTRJCAL- L1GHTDEPT. 417-4735 ELECTRJCAL ~
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W. ~.
ENGINEERJNG 417-4807 PW 1 ENGINEERJNG
FIRE 417-4653 FIRE DEPT. r
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 Q/z..4toi -:T 1..1-. BUILDING
. .
T:\Policies\1 102 15 bUlJdmg penmlmSpeCtlon record05.wpd [1/4/2005]
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BUILDING PERMIT - APPLICATION
Fill out COMl'LETEL Y and ill INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, caU
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: t.. p ;-/ /./ h/1;i Co Y1 S'" 11"(/(;, y'jV)-'I :The.. Phone: tts'2. ~/ S 7 <-
Owner: S1 It < rJ-1?~ (^ /12! SfrA flo f1 Phone: 452 - s 23$
Address: 3)t? 9' C.,d /'l )11/ n E ~ ( Ur..City: POV' f C<..--nc5'o ;; s tv/. Zip: 7'8'.J ~ "2
Architect/Engineer: p~ In /3t/n.>t1n Phone:hff:? - &' (PSg-
Contractor t fJ ;i4"~,o COY'$" I 7"'11 (' State License #:L?II/I/'lC '1 q~ I r..-YExp: W'O Phone: ~2 -15) ?
Address: 33 2.. C-r~1/~-1 .or. City: ~I~ t ~cu t..s' (",,<,.4. Zip: 9?iJ'? <
../
PRO.TECT ADDRESS: 3' 7 t1 Cf c~ J9.v (U1 i?tftf,1 ;;)1'. p'# . ZONING:
/ '"
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
}).'PE OF WORK: SIZEIV ALUATION:
.)( Residential 0 New Constr. 0 Re-roof 0 Stove ~ crz;; SF. @$ 76 -tJq /SF. = $ 4-5",651"
o Multi-family )2l. Addition 0 Move 0 Garage 2 7 (, SF. @ $ 2/-:1' fi" /SF. = $ S)'" (J71
o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $
o Repair 0 Sign 0 Other I i TOT~ V UUAT10N . $ 6 I,Sf ~
BRIEF DESCRIPTION OF THE PRO.IECT: /);.R c,.J/ i1'"d th. /3 I (,.{/ r tJ-c. yw . (" I &IS" l--f t7 S; /J",l')
Res. ~~J...~oV'\ "
COMMERCIAL/RESIDENTIAL: Occupancy Group:
s,,~t ,
No. of Stories: --.!.... Lot Size: I '< ~ Existing Sq. Ft. 2. 3 J"L
Total lot coverage 2" %
Occupant Load: Construction Type:
& Proposed Sq. Ft. <?7? = TOTAL Sq. Ft.32 0 Y
PLANNING USE ONLY:
APPROVALS:
PLAN:
BLDG:
DPWU:
FillE :
OTHER:_
ESAlWetlancl(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 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.
EXPffiATION OF PLAN REVIEW: 1fno 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
Rl05.3.2 of the International BuildinglResidential 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 authorized to
apply for this permit and understand that itJs my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits prior to work.
T:\FORMS\BldgPennitform.wpd Applicant: ~ ~ .
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Date:
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Prescriptive Approach-Simple Foml
For the \^lasllngton State Energy Code (2003 Edition)
Climate Zone 1
Building Depamnent Use Only:
Site Information
Lot:
Address: 3 7 t? q C;f} /I 7 tJ J'I E afy,( LJr
City: P 0 r 'I a /~ fh 10 r tv/J.
State: tv ~. Zip: q ~ '36 2.
Contact: I- .4 r ~ /rh h /'I' /1
Phone: 4 (;, I - ..2 0 J 2
Phone 2: 452 >- IS ) ~
FAX: 41 7 :.- 04/ 1
pemut# 07.- ~2-L.J-
Notes:
Table 6-1
PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY
CLItv1A TE ZONE 1
~
Option Glazing Glazing U-Factor Door Wall Wall Wall Slab
Area % .U- Vaulted Above Interior Exterior on
of Floor Vertical Overhead Factor Ceiling Ceiling Grade Below Below Floor Grade
Grade Grade
Unlimited
ill Group R-3 0.40 0.58 0.20 R-38 R-30 R21 R-21 R-IO R-30 R-IO
Occupancy
Only
(Unlimited Glazing Option Only)
This Project complies with the following:
.I The Project is a single fanUly residence or duplex.
.I The proj ect is wood frame OR all of the insulation is interior or exterior of the framing.
.I All building components meet the requirements listed in Table 6-1, Option ill.
.I The Project will meet all other provisions of the WSEC and VIAQ.
The Project will take advantage of the following exceptions to the prescriptive option.
o 602.6 Exception 1. One door, that is 24ft. Or less, that does not meet the standards allowed.
Location ofthe door taking this exception tl,J II
o 602.6 Exception 2. Doors with a U-Factor of OAO allowed without calculations, Option ill only.
Location of the Doo", ,) tiling exception (J, i Y' - fr
I-B~
1- ~t'Y'
:J.t1 (-"" /I / I ~ / ;(, IT':-L
Type ofReat Source:
EXHIBIT A
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. d? / :J.---
DATE 9-/,;2..- 9D
Site Address:
o WI LL CALL FOR
INSPECTION
Owner
Owner/Business Address:
Sq. Ft.
)c:t Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
]lJ Remodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
o Underground
Voltage
o 10 030
Service size
o Temporary
Amps
DetailslDescription:
~
.
~~
I rPJ},en:J
.
W.S. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
o Ditch inspection O.K.
A"" iB-Rough-in/cover O.K.
L'\p r:l O.K. to connect service
/11'" f' Final O.K.
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for instaliation
o Fire Department notified of inspection
o Plan Review approved/pending
Site Address:
Permit/Receipt No.
gJ?-
New Meters Date:
~ .-/tz-?O
.
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and OK for covering or service has been given
by the Insp:/r i.n Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
D J,.. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ ~ (() 8
I I~tor Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLV,","IC PRINTERS. INC.
ELECTRICAL INSPECTION
WIRING REPORT
457-0411 Ext. 158
DATEt /"z{; If? p:;~~(,
OWNER/CONTRACTOR / /J
~:.-v t1-vt IS CfC<P.
ADDRESS
!NSPECTOR
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APPROVED fN;(./... ~~lAv
-
o ................... DITCH ................... 0
o .............. ROUGH IN/COVER. . . . . . .. . '. '. .. 0
o .................. SERVICE .................. 0
~ ......... . .. .. .. .. .. FINAL. .. .. .. . .. .. .. . .. ... 0
NOT APPROVED
CORRECTIONS NEEOED: ~
( I) Cu,~[ lA/#". D ?;i.. /::. ("'f0.L;)
&'<-l VHRI~~i~ M':"<"~
(3;;Z ,(l"Y'%...h,s i /,;/,,,, ~
It.. o/;l.J<4;Wf ""'"",0/&.(: j, W:2)
drPd
fr
CAf-/f. ~ t.A/~ ~
~ E.-'/f; 2 ~ r
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
OLYMPIC PRINTERS, INC, {206j452.1381
- DO NOT REMOVE_
~ pORT .<l~
,O~Q",C.
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OIJiT~(j)
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1.,.1' UG"'"
- ELECTRiCAL INSPECTION
cWlfnNG REPORT
457-0411 Ex!. 158
D373;717 I PERM'jO )J INSPECTO
DW~/r';'CTOR ~ /' f S
L-kS'c- ~ CVLt// C'L-
7~RESS C ~'JJ~ f--
APPROVED ~ NOT APPROVED
o ....... tl-..o....... DITCH -. -.......,.,..,..,,0
~l..t.,. fS:ROUGH IN/COVER,..,........., 0
~r~ 0,. 'i.c1Y...,..,. SERViCE,.,.......,....,.. 0
/'1\\ LeJ>-iJ'-: . . . . . . , . , . , . . . . FINAL. , . , . . . . . . . , . . . . . , .. 0
i
,
i
CORRECTIONS NEEDED:
(j) 5Td.A'f4/iv' W;<, /,.. 'C~'t,[S 7b flu,J
$4[~ S"-~ IVll' ~.
J. If vc. ~/Jr I^-' Z. $. II; "-lit. t /,v
t<.", ~.J Itvrf..../;
In. uiM..J,'r!
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11 C-ot-rrhoNd
(;: ,{/fW 'f/,~ OVUL ~'?!;V)'^ S'1f'-'k. ,
(i) 57Mc r ~J~~ '~~lt5W;lr~~R~~~-K tr-II-//,
@ 5cvt.V1CE.. ;\J.'/l!-ifcf~OT REMOVE-
OLYMPIC PAJNTERS. INC. (206) 452-1381
-----~
711
IEGElPT NUMBER.
/ TOTAL FEE .
-
CITY OF PORT ANGELES
. DEPARTMENT OF LIGHT
APPLlCAJION.,7\ND ELECTRICAL PERMIT
A
/05h
PERMIT NUMBER
JD~
Rf.J"
CONT, LIe. NO.
TIMETQCQMPLETE
NO, STORIES
LEGAL OCCUPANCY
Owner
310
K CORRE
IIA/ A-N I
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Ed t-
Owner's Address
~
~
Installation By
Installers Address
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
<;r~UIUL E-C.EC~/C
...----'
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Installers Phc:ne
ads for Permit to install Electrical Equipment as fC?llows:
/
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L
W,iring Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
. USE OF CIRCUIT PEA 100R FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA '0 30 CIRCUITS CIA '0 30
LIGHT SIGN
LIGHT . 50 VOLTS I
OR lESS
CONVENIENCE . MOTOR I.
CONVENIENCE . MOTOR
APPLIANCE MOTOR
DISH"YASHER fIRE.ALARMS .
DISPOSAL BUAGLAA ALAAM
RANGE MISC.
OVEN
WATER HEATER I.
LAUNDRY ..
.
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HE~T TOTAL FEE
ELECTRIC HEAT SIZE OF SEAVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
.
SERVICE A.W,G.
I SUB. TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
1_ certify "that the work to be performed under this .permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
Date Application made
,19
By
.
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby. given to do the above described work, according to the conditions hereon and according to the approved plans and
speclflcations'pertaJnJng thereto, subject\to compli~nce with the Ordinances oflth City of Port Angeles. , l'-' _ , ,..
" ". ' " , " . ' . .. " '; "", D RE~,::J/' LIGHT ' " \ {
Date Permit Issued '3/ Z 7/ f. 7", , I'". ~~Z.NS_ ",PROV 0 ' ' "".' 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. fqr 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 _
WARNING
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS,INC,
REPORT OF INSPECTOR
,
-'
- ,~-
DATE OF VISIT MADE BY REMARKS
.
.
-
.
.
/'
, l /}) l-/u~ ole
J } I 11 (" L.:- O.K. FOR COVERING A-P-k C lyl(- lJV' a 1- ~.uLf c... fu-r-
.~ I~I 41 ~. .
Ii O.K. TO CONNECT SERVICE "'
'~ /~l !g1 ~. F'NAL O,K, ( 5- f E. c.u/~"V" Il~. -.t- )
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
e '5' S-
FEE RECEIPT NUMBER
PERMIT NUMBER
Site Address
h~
ELECTRICAL PERMIT ONLY
- CClV\
CONT. Lie. NO.
TIME TO COMPLETE
NO, STORIES
-. TOTAL FEE
1~::::~:t:~HB:R~~~~!E2FNCELFrQ\~: ;; f1( _
Installers Address m \ ~( nT (<Ii
Installers Phone . '"-/5 2-1d-11 '-I '
Owner
Owner's Address
Day Phone
Application is hereby IT!.~de for Permit to install Electrical Equipment as follows:
___ _ _ _ +-C\'YIpOf'a"l
'3':' " V \" ~ "
Wiring Method
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PER
CIR
120V
10
240V
100R
30
FEE
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PER
CIR
120V
10
240V
100A
30
FEE
LIGHT
LIGHT
CONVENIENCE
CONVENIENCE
APPLIANCE
DISHWASHER
OlSPOSAL
.' RANGE
OVEN
WATER HEATER
LAUNDRY -
DRYER
FURNACE
GAS ~ OIL
FURNACE
ELECTRIC
ELECTRIC HEAT --
ELECTRIC HEAT
A.C. UNIT
FEEDER
SERVICE
(-....
//I>^
I</' A0'>^
<... < '~/.;/) I^-
"///I/,:-:/~
,v j'/, . /..'-
~ (/ <<'-- ).11,..--...
.It, r))
\l~ //'
1</(1)--._0
V/ : 'REIr:;S;",LATION LIGHT FIXTURE.
r I /;:~~:-r9TfL FEE
- </ ~NERGi (E~
'a'ASI,?~,EE/
TOM FEE
SIGN
50 VOLTS
OR LESS
MOTOR
MOTOR
MOTOR
FIRE ALARMS
BURGLAR ALARM
MISC_
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
AMP.
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
A.W.G.
I SUB-TOTAL
SIZE OF GROUND
SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
.1gA By_C?~"t i1 c;;;L"
CON:rAACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is h~reby given to do the above described work, according to the conditions here!?" and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of ity of Port Angeles.
. - D CTO CI
Date Application made
OcJ-
/10
WARNING
I f7/1 { ~C:NS' ED
Notify Department of City Light by Street Address and Permit Num~er when ready for inspection, Work must not
be covered or current turned on before inspection arid.O.K~.,forcovei'ing 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 -
.
Date Permit Issued
~
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
nl VUPJ(': PRINTERS. INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
-
(/ ~VICl Ltc.ruuj.
~ - : ._.~ I
, I I . 0
10 1111fr. ' fi'/(TT O.K. TO CONNECT SERVICE
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o Annual Permit Q Alarm
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ELECTRICAL WORK PERMIT APPLICATION
.
o Request Inspection
Q Carnival a Commercial 0 Residential CJ Residential Maiot. CJ Signs CJ Thermostat 0 Telecom.
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o Electrical Contractor 0 Owner
E}"tric:l fOD~C)O~ name ~ \/ _ A ...License number ~
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I hereby certify that I am the owner of the above: named property or a licensed
electrical contractor (or the fmn's authorized agent) and am making the electrical
il1stal1ation or alteration in compliance with the electrical law, Chapter 19.28 RCW.
WALLS
Insulation Only
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Cover rE
Dale Appro..cll Py
CEILING
Insulation Only
Ollie l\fI,lrave.dll.y
Cover T:E,
. D~t; ApprovlXl Dy
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
a Baseboard _ KIN
o Furnaee _ Kw
o Heat Pump _ Ton _ LAR
CJ Fan-Wall _ KW
Insl1l.lIarion dc!>cription
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o Cash 0 Check #
o Credit Card ~ Mastercard Discover
Card # ____-____o____ .
expiration Date
of card
TIlERMOSTAT
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DITCH
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SER"lCE
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FEEDER
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Service Information
CJ Overhead Service
a Temp Service
o Underground Service
Vollage
Phase Q 1 CJ 3
Service Size: _
t=eeder Size:
inspection
Date
Areal Building or Equipment I"'spected
1:dUWft~B0co 61: 'lnf
Zt>66 COSt> 09Z 1:
AClion Taken
Electrical
Inspeclor
'ON Xtj.:J
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Application Number . . . . . 23-00000094 Date 1/31/23
Application pin number . . . 547900
Property Address . . . . . . 3709 CANYONEDGE DR
ASSESSOR PARCEL NUMBER: 06-30-15-5-8-0175-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Service
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Owner Contractor
------------------------ ------------------------
STRATTON STEVEN M BLACK DIAMOND ELECTRICAL CONTR
3709 CANYON EDGE DR 502 BLACK DIAMOND RD
PORT ANGELES WA 983626729 PORT ANGELES WA 98363
(360) 565-1035
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 120.00 Plan Check Fee . . .00
Issue Date . . . . 1/31/23 Valuation . . . . 0
Expiration Date . . 7/30/23
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .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 1/28/23,13:09:55 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
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APPLICATION NUMBER:23-00000094 3709 CANYONEDGE DR
FEE DESCRIPTION AMOUNT DUE
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ELECTRICAL ALTER RESIDENTIAL 120.00
TOTAL DUE 120.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Surge protection is now required for all dwelling unit services. NEC 230.67
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
1/31/2023 23-94 TAP
OWNER
CONTRACTOR
Black Diamond Electric
PROJECT ADDRESS
3709 Canyonedge Dr