HomeMy WebLinkAbout1115 S Cedar St - Building SEP 2 4
CITY OF PORT ANGELES PERMIT APPLICATION
�N���Gflt?N
Building Division/Electrical Inspections
321 East Fifth Street—P.O.Box 11501 Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360) 417-4711
Date:09124120013
fx 1 &2 Single Family Dwelling Multi-Family or Commercial* -0 Commercial Addition/Alteration 1 Remodel I Repair*
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:1115 S CEDAR ST
Building Square Footage 2000
Description of above INTRUSION ALARM INSTALL
* ADT 1-1-0—
Owner Information Contractor Information
Name:1115 S CEDAR ST Name:ADT LLC
Mailing Address:1115 S CEDAR ST Mailing Address:11824 N CREEK PKWY N,SUITE#105
City, Port Angeles State:WA Zip:98362 City:BOTHELL State:WA Zlp;98011
Phone,3604779515 Fax Phone:206-774-9499 Fax:888-400-0383
License#i Exp, License#I Exp,ADTLLV 81 DO
Item Unit Charge (fit Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $119,90 $
Service/Feeder 201-400 Amp, $ 145.50 $
ServicelFeeder 401-600 Amp $204.60 $
ServicelFeeder 601.1000 Amp. $262.20 $
Service/Feeder over 1000 Amp. $372.50 $
Branch Circuit W/Service Feeder $ 2,60 $
Branch Circuit W10 Service Feeder $ 7150 $
Each Additional Branch Circuit $ 2.60 $
Temp.Service/Feeder 200 Amp. $ 92.70 $
Temp,Service/Feeder 201-400 Amp. $110.30 $
Temp.Service/Feeder 401-600 Amp, $148.70 $
Temp.Service/Feeder 601-1000 Amp. $167.90 $
Portai 10 Portal Hourly $ 95.90 $
SignlOutiine Lighting $ 88.20 $
Signal Circuitl Limited Energy/First 1500 sf m-Commercial $ 95,90 $
Note: $5.00 for each addltional 1500 sf
Signal Circuit]Limited Energy-1 &2 Famiiy Dwelling $ 6
Signal Circuitl Limited Energy-Multi-Family Dwelling 63.90 $
Manufactured Home Connection $119.90 $
Renewabie Electrical Energy-5KVA System or Less $102.30 $
Thermostat $ 56.00 $
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $110,30 $
Each Additional 500 Square Ft.or Portion of $ 35.20 $
Each Outbuilding or Detached Garage $ 73.59 $
Each Swimming Pool or Hot Tub $110.30 $
$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.
Signature of owner,electrical contractor or electrical administrator: ❑ cash ❑ Check
Digitally signed by Jennifer Burgess Credit Card#
Jennifer
DN,cn-Jennifer Burgess,
o=NORTHWEST PERMIT,
x Q ou=N0RTH W[sTPHPniT,
Dared: 0110112010
V�sJ _ mt j=enrn er nwperm cem,c=
Dase:2013,69.2q 11:06:02-07'00'
ELECTRICAL PERMIT
CITY OF PORT ANGELES 1
360-417-4735 a
Application Number . , . . 13-00001098 Date 9/25/13
Application pin number 957194
Property Address 1115 S CEDAR ST
ASSESSOR PARCEL WUMgER; 06-30-00-0-3-4850-0000- REPORT SALES TA
Application type description ELECTRICAL ONLY on your excise tax form
Property Name ; : . . . to the City of Port Angeles
Pro ert Use
Property Zoning , . , , , , , RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation , , , . 0
Application desc
Security system
Owner Contractor
QUIGGLE TIMOTHY B ADT LLC
363 E EUGENE ST 11824 N CREEK PARKWAY, N
PORT HADLOCK WA 98339 STE 105
BOTHELL WA 98011
(206) 719-0347
----------------------------------------------------------------------------
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . , . 64.00 Plan Check Fee 00
Issue Date 9/25./13 Valuation , . . , 0 `
Expiration Date 3/24/14
Qty Unit Charge Per Extension
1100 64,0000 ECH EL-SINGLE CIR LiIMITED RFS 64.00
Fee summary Charged Paid Credited Due
Permit Fee Total 64.00 64.00 Oo Go
Plan Check Total .00 00 .00 ,00
Grand Total 64,00 64.00 .00 •00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN f�
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGDBUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 13-OOOCIO98 Date 9/25/13
Application pin number . . . 957194
Property Address . . . . . , 1115 S CEDAR ST
ASSESSOR PARCEI, NUMBER; 06-30-00-0-3-4850-0000- REPORT SALES FAX
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . .
Property use . . to the City of Port Angeles
Property Zoning , . . . . . . RS7 RESENTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
-------------------------------------
Application desc
Security system
Owner Contractor
------------------------
QUIGGT,E TIMOTHY B ADT LLC
363 E EUGENE ST 11824 N CREEK PARKWAY, N
PORT HADLOCK WA 98339 STE 105
BOTHELL WA 98011
(206) 719-0347
--------------- ---------
Permit . , . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . ,
Permit Fee 64.00 Plan Check Fee .00
Issue Date 9/25/13 Valuation , , . . 0
Expiration Date 3/24/14
Qty Unit Charge Per Extension
1.00 64.0000 ECH ETa-SINGLE CIR LIMITED RES 64.00
-----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
---------- -----------
Permit Fee Total 69.00 64.00 ,00 .00
Plan Check Total 00 ,00 .00 OD
Grand Total 64.00 64,00 .00 .00
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:
GAIEXCHANGET UILDING
Application Number
Application in number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Cossey Linda
408 Mill Valley Ct
LA MESA
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
CA 91941
71 50
00
71 50
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
09 00000112
211952
1115 S CEDAR ST
06 30 00 0 3 4850 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Application desc
Replace circuits due to water damage kitchen bath
Owner Contractor
S J ELECTRIC
PO BOX 2233
PORT ANGELES
(360) 461 9380
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 141226
Permit Fee 71 50 Plan Check Fee
Issue Date 2/03/09 Valuation
Expiration Date 8/02/09
Qty Unit Charge Per
1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
7 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT
Paid Credited
71 50
00
71 50
00
00
00
Date 2/03/09
DATE RESULTS
WA 98362
0 0
0
Extension
57 50
14 00
Due
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
0 11 v f pQRT 4k
h
DATE i e),
OWNER/CONTRACTOR
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
s C`r r L
INSPECT
ADDRESS
11
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
i
CORRECTIONS NEEDED GPc.I Q2. -ri aUnl. I 0_12.
c TAci /%1 21/)
Tin `Vcgs 4 ►--10 k E._
6)E-C—
S YA GL I t v C3 tg.
Br U-fz— TOA Z
��1sT2u�T �a�s M c_ 210 FPI)
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
OLYMPIC PRINTERS, INC. (360) 452 -1381
City of Port Angeles Permit Applicatipn
Building Division /Electrical Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417-4711
Date: 1 2°t -o°t
,1 2 Single Family Dwelling
Multi Family or Commercial*
Commercial Addition Alteration Remodel I Repair*
Plan Review May Be Required, Please 4omplete Electrical Plan Review Information Sheet
Job Address: 1115/ C' x 12 ST
Building Square Footage: 515
Description of above RCNCe, Lows Dp Q LOA' -E.a,' eNk.-
Owner Information
Name L' AYblbf CC'SSe`
Mailing Address: HIM MIL-L. V() -Lc i COOTr
City' VI/a IMGA State. (.1p3 Zip. mt I g ti
Phone:spi "fl6 1107OFax: till- 40Z —If t3.
License Exp
Unit Charge
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
86.25
$116.25
$131.25
75.00
69.00
75.00
50.00
50.00
93.75
80.00
86.25
27.50
57.50
86.25
43.75
Qty
Signature of owner electrical contractor or. electrical administrator
Date: -'2-1-ert_
Total (Qtv Multiplied by Unit Charge)
Contractor Information
Name: J 1,- s 41 QC.trc c w z.-r`e.
Maiiin Address: PO k
City'' i�l State' WA tip: c}E3
Phone: tn6 Rkd.3 Fax: oo)V 1'] -5
License /Exp Elms t( t$ 3 3 tt U
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
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 Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi- Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
Total
Cash
Check
ri C -edit Card
7
a -3_
a
l�rl
cy POl TA
e lgalikt i tr
I "II
tom. I N IF
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.
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.
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION
321 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
06~00000012 Date
742880
1115 S CEDAR ST
06-30-00-0-3-4850-0000-
SHARON CHIRICHILLO
RES REMODEL
RS7 RESDNTL SINGLE FAMILY
4000
Owner
Contractor
QUIGGLE TIMOTHY B
363 E EUGENE ST
PORT HADLOCK
OWNER
WA 98339
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
68593
123.75
1/11/06
7/10/06
Plan Check Fee
Valuation
Qty Unit Charge Per
BASE FEE
2.00 14.0000 THOU BL-2001-25K (14 PER K)
Permit . . . . .
Additional desc .
Permit pin number
Permi t Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
68627
57.25 Plan Check Fee
1/11/06 Valuation
7/10/06
Qty
Unit Charge
Per
1.00
BASE FEE
ME-VENT FAN
7.2500 ECH
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
68619
78.00
1/11/06
7/10/06
Plan Check Fee
Valuation
Qty
Unit Charge
Per
3.00
1.00
BASE FEE
PL- EA.FIXTURE ON ONE TRAP
PL- EA.WATER HEATER
7.0000 ECH
7.0000 ECH
Other Fees
STATE SURCHARGE
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 259.00 259.00 .00 .00
Plan Check Total 49.50 49.50 .00 .00
Other Fee Total 4.50 4.50 .00 .00
1/11/06
Lasered
CEO
Fl-NI\L=ED
?/z./o" TIA.-
49.50
4000
Extension
95.75
28.00
.00
o
Extension
50.00
7.25
.00
o
Extension
50.00
21. 00
7.00
4.50
--
~
--
r III
Lf\
()
~
~
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 rk will be complied with whether specified herein or not. The granting of a permit does not
presume to . aut' VIO a I the provisions of any state or local law regulating construct/on or the performance of
construct'
/-11-0(0
Date
Signature of Owner (if owner is builder)
Date
o~ ,"ORT ~
",~",
.u~~
~
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . .
Application pin number
Grand Total 313.00
06-00000012
742880
313.00
Page
Date
2
1/11/06
.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 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
Signature of Contractor or Authorized Agent
Date
T.\PoJiCles\11 02_15 bUlldmg pemnl mspecllon record05. wpd [1/412005]
BUILDING PERMIT INSPECTION RECORD
...
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PR<I>VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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
I
YES I NO
FOUNDATION!
FOOTINGS ,
,
WALLS
FOUNDATION DRAINAGE I DOWN SPOUTS
PIERS !
POST HOLES: (POLE BLDGS )
PLUMBING
UNDER FL00R I SLAB
ROUGH-IN : Yf,,(.,e(, JW
WATER LIN~ (METER TO BLDG) FINAL r,i?
GAS LINE DATE .JW ACCEPTED BY.
BACK FLOW I WATER
AIR SEAL :
WALLS
CEILING I I
FRAMING i
JOISTS I GI~ERS
SHEAR W ALL/HOLD DOWNS
WALLS I RqOF I CEILING 1-vI '? lor, ~W
,
DRYW ALL ~INTERIOR BRACED PANEL ONLY)
T-BAR
,
INSULATION
SLAB : .
WALL I FLOOR I CEILING "7-f l 0 to t;? ,-T~
MECHANICAL
,
HEAT PUNWI FURNACE I DUCTS
GAS LINE i FINAL ~/~h(". [tV
WOOD STOVE I PELLET I CHIMNEY DATE ACCEPTED BY:
COMMERciAL HOOD I DUCTS
MANUFACTURED HOMES
FOOTING I ,SLAB
BLOCKING & HOLD DOWNS
SKIRTING'
,
,
PLANNING DEPT. SEPARATE PERMIT #'s SEPA
I
PARKING~IGHTlNG ESA-
I
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. I PW I CONSTRUCTION - R W
ENGINEERING 417-4807 PW I ENGINEERING
,
FIRE 417-4653 FIRE DEPT.
,
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING I 417-4815 ?JlV/f)~ Jill BUILDING
..-
NU1
~\1\
. ,
&~
~~
$
T \PolIcles\1 102_15 butldmg permIt mspectlon record05.wpd [I/4/2005]
I
PREPARED 3/02/06, 11 42 44
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR- JAMES L LIERLY
PAGE
DATE
12
3/02/06
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1115 S CEDAR ST
SHARON CHIRICHILLO
SUBDIV:
QUIGGLE TIMOTHY B
06-30-00-0-3-4850-0000-
06-00000012 RES REMODEL
PHONE
PHONE
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01
2/03/06
2/06/06
JLL
AP
BUILDING FRAMING
dav1d 460-259502/03/2006 09 21 AM PBARTHOL
02/06/2006 12-30 PM
BUILDING INSULATION
02/10/2006 08 59 AM
dav1d 460-2595
02/10/2006 04 52 PM PBARTHOL ---------------------------
;~~;;-~~~~~;;;;~!~~~~~~~~;:~~~-=~--~--~~=~~~=-============================-----
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
~,~;-:1'~~~~,T-~:~~~i-;::~:-:;.::'""'"T-:::--::---::::-:::-::::-:-::-:-::
REQUESTED INSP DESCRIPTION
COMPLETED RESULT RESULTS/COMMENTS
BLI
01
2/10/06
2/10/06
JLL
AP
JLIERLY ----------------------------
TIME: 13 00
DYASUMUR ---------------------------
TYP/SQ
PL2
01
2/03/06
2/06/06
JLL
AP
PLUMBING ROUGH-IN TIME 17:00
02/06/2006 12 35 PM JLIERLY ----------------------------
02/06/2006 12 35 PM JLIERLY ----------------------------
PL99 01 ~02 06 J~ PLUMBING FINAL TIME 17-00
~ 02/28/2006 09:16 AM JLIERLY ----------------------------
---------- -- ------------------------ COMMENTS AND NOTES --------------------------------------
PREPARED 2/10/06, 12 41 47
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR' JAMES L LIERLY
PAGE
DATE
12
2/10/06
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER,
1115 S CEDAR ST
SHARON CHIRICHILLO
SUBDIV
QUIGGLE TIMOTHY B
06-30-00-0-3-4850-0000-
06-00000012 RES REMODEL
PHONE
PHONE
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01
2/03/06
2/06/06
JLL
AP
BUILDING FRAMING
dav1d 460-259502/03/2006 09:21 AM PBARTHOL
BLI
01
-rF~
02/06/2006 12 30 PM
BUILDING INSULATION
02/10/2006 08 59 AM
dav1d 460-2595
JLIERLY ----------------------------
TIME 13 00
DYASUMUR ---------------------------
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 2/03/06, 13 22.41
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
7
2/03/06
ADDRESS
TENANT, NBR.
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER
1115 S CEDAR ST
SHARON CHIRICHILLO
SUBDIV
QUIGGLE TIMOTHY B
06-30-00-0-3-4850-0000-
06-00000012 RES REMODEL
PHONE
PHONE
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3
01
~~
BUILDING FRAMING
davld 460-259502/03/2006 09 21
AM
PBARTHOL
---------------------~---------------- COMMENTS AND NOTES -----;rJ------------------------------
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Th ap IS not mtended 10 be used as a legal deSCriptIOn v<-~.
'tb ng IS produced by the Cltv of Port Angeles f01 lIs own use and purposes (~)
An" nthel lIse of this mauldl aWlllJ{ shall not be the respollslbIll!)' of the City \~
PERMITS (360) 417-4815 FA.X(360 )417-4711
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your applIcation and site plan MTIST
COI,iPLETE tG be ~{:!.:~pted foy 1 e-vlf~-. If YOll hnv€ any questlons. ~al1
ApplIcant or Agent fJA V (b ~E.tJbkJ CK~AJ
Owner J1VtfGYs LAN(oU~.;-{
Address' III ~ '5 L Ce M12 CIty: Fbrcr
Phone' 3tdJ '-[c;,O '2 S;1LJ
Phone ~ ~?! 3123
ANfi,ElJ25 ZIp: crcg 3~ 3
ArclutectlEngmeer Phone:
f) r~", ["),.... ,_ iI_'h. L 't 10 b>:S
Contractor Iu:.l /UJJ 1l...LC, r't1W~!itlON:)tate LIcense # {(f1Y&RIJ Exp
Address' l.SL W 411-1. ST. CIty. P.A - wA
PROJECT ADDRESS 1115 s' cfiY1t:. P..A . LJ A
'3 - 2~ -07 Phone 3Coo I.{&J 259''5
ZIp: 'ta-% 2
ZONING:
LEGAL DESCRIPTION' Lot.
CLALLAM COUNTY PARCEL NUMJ3ER:
Block SubdIvIsIOn'
Ov; -y) -00 - 0 - 3' L/~5"()
SI.ZIj;[VALUATION: {j
'-(0 SF. @ $ (00- /SF. = $ ( I ()CX) -
SF @ $ /SF. = $
SF @ $ /SF = $
TOTAL VALUATION $
&;. X <8' HOLE IN I?ooF ~ Ff?AM{;:. /N A
JrJslb~ ... OOT.
TYPE OF WORK:
o Res1dentIal 0 New Constr 0 Re-roof 0 Stove
o MultI-family 0 Addmon 0 Move 0 Garage
o CommercIal 0 Remodel 0 DemohtlOn 0 Deck
o Reparr 0 Slgn 0 Other
BRIEF DESCRIPTION OF THE PROJECT- CUT A
~gc F~ A 8ATHI?roM. FllurSI-l
C01\1MERCL.\L/RESIDENTIAL: Occupancy Group'
Occupant Load
& Proposed Sq Ft.
Construchon Type
= TOTAL Sq Ft
No of Stones Lot SlZe.
Total lot coverage
EXlstmg Sq Ft
%
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAIW etland(s)' 0 Yes 0 No SEP A Checkhst requrred? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the apphcant This figure will be reVIewed
and may be rev1sed by the Bmldmg DIvIs10n to comply vnth current fee schedules Contact the P emnt Coordmator at 41 7-4815 fOl ass1stance.
PLAN CHECK FEE' IF a plan check fee 1S due it must be subnntted at the 1:1me the buildmg peIilllt apphcatlOn and construction plans are
subnntled All other pennit fees are due at the hme of pemnt Issuance
EXPIRATION OF PLAN REVIEW: If no pemnt 1S 1ssued WIthm 180 days of the date of apphcation, the application will expire. The
BUlldmg OffiClal can extend the 1:1me for actlOn by the apphcant up to 180 days upon wntten request by the apphcant (see SectlOll R1 05 .3.2
of the IntematlOnal Buildmg/Residentlal Code, 2003) No apphcatlOll can be extended mOle than once.
T \PohcJes\BL-J J02_13 wpd
e 6fjJe to be true and correct I am authonzed to apply for this permit and
oYthe City's, and that I must obtam such permils pnor to work
/.. 3 -~
Date:
I hereby certify that I have read and exammed
understand that it is my responsibility to dete me wh
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CITY OF PORT ANGELES - Constrcti~n Plans
T~e Iss~ance ~f this~ permIt based upor these plan,S, spe~fi.
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
nl EAST 5TH STREET. PORT ANGELES. WA 98362
"
Appl~cat~on Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr, name
Appl~cat~on type description
Subdivision Name
Property Use
Property Zon~ng .
Application valuation
06-00000012 Date
742880
1115 S CEDAR ST
06-30-00~0-3-4850-0000-
SHARON CHIRICHILLO
RES REMODEL
2/09/06
RS7 RESDNTL SINGLE FAMILY
4000
Owner
Contractor
QUIGGLE TIMOTHY B
363 E EUGENE ST
PORT HADLOCK
OWNER
WA 98339
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
OWNER/ BATHROOM REMODEL
70615
48 10 Plan Check Fee .
2/09/06 Valuation
8/08/06
00
o
""-
..........
~l1\
lI\
Qty Unit Charge Per
1 00 48 1000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
48.10
Other Fees
STATE SURCHARGE
4 50
Fee summary Charged Paid Cred~ted Due
----------------- ---------- ---------- ---------- ----------
Perm~t Fee Total 48 10 48.10 00 00
Plan Check Total 00 00 .00 00
Other Fee Total 4 50 4 50 .00 00
Grand Total 52 60 52.60 00 .00
~
......
~
~
<::
o
~
~
tA
~(
COMMENTS/ ACTJON NEEDED
'\
\
..
ELECfRlCAL PERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEcTION TYPE DATE ACCEPTED COMMENTS
~ YES I NO
I
IJI'I"( :H
IHlll{~H_lN I CUVbK
SER V lCh I
:
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PIN AT 3-1- 0 (; I A1'DI
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GENERAL COM~ENTS:
PW-II02" (4'96]
Site Address:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
-e
ELECTRICAL PERMIT
PERMIT NO. / f 1 ;?
/oft/'rY
DATE
Installed By:
o READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial ioad
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
01003.0
Service size
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Speciai equipment
(list below)
Amps
Details/Description:
A-iiitV t/
I
~LUJ
kL~ ~4X/
. ..
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
A Final O.K.
~t1-1
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 Plan Review approved/pending
Installer:
New Meters
o
Site Address:
..
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 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 f1' / / ~
/~, ?b ~
-~ l Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Cuslomer GREEN - Top: Inspector, Bottom: City Hail
OlYIo4PIC PRINTERS. INC.
.
.
.
\
\
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. /" %'1
OATE .s Iii ktr'
/ /
ELECTRICAL PERMIT
D REAOY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
Site Address:
Installed By:
,
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o 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
!if Remodel
o Service update/alter/repair
)1r Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
o Undergroun.-o/ , / 1"1
Voltage /~~_jj
o 10 03.0'
Service size / if);fj) Amps
o Temporary .
.<
DetallslDescription:
p~4;/
1/D
/1
~ ~ I8A!/MiA
'--'-! I
~O -ffJr,{
dr/&! ~
.
/r!JC)
.
:II- /Olj/UG-
-~
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
~ Final O.K.
-1gtJ\
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 Plan Review approved/pending
Site Address:
Permit/Receipt No.
/6
Installer:
New Me~
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electricaily 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 457.0~1, EXT. 158 or EXT. 224.
/77~ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ?7 ~h.. tflJO
I~ctor Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTER5. INC.
ELECTRICAL WORK PERMIT APPLICATION
t
ti" Owner Installation description
Job wired by D Electrical Contractor o Commercial I1i Residential
Electrical contractor name License number Date Expires DNew iZf Altered/Addition
Purchaser's mailing address !JbJ bod^rCOM
City State ZIP
Telephone number FAX number
Premises owner's name LC~'^J ( ~ ~!
tv1 ({ "I C.
Address of inspection
i /1<( s. (' ~ ..-In r 5T.
City 7..r I fA. "'~-< c, Qn&2..
[VA
Phone numher to schedule inspection: If~p ZS-?r-
-
Owner as defined b.v RCW/9.28.26/:(I) Owner will occupy (he structure for two
years after this electrical permit is finalized. (2) Owner is required to hire an electrical lfCheck # g2-Y'j
contractor if above said property is for sale. relll or lease. D Cash
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 thc electrical instal. D Credit Card Visa Mastercard Discover
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 Card # - - -
Utility Specifications. ----------------
Signature of owner, electrical contractor or electrical administrator Expiration Date GnsP~J3 :/0
"~(/.: /'/../' Date: t-!1!urtl(P of card
Electr~oad Additrons and or subtractions Service Information
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton
o Fan-Wall KW
LAR
(J Overhead Service
o Temp Service
1:1 Underground Service
Voltage
PhaseD 1 03
Service Size:
Feeder Size:
,.- THERMOSTAT /' SERVICE
Date Approved By "- Date Approved By
,.-
DITCH FEEDF..R
"- Date Appro,'cd By Date Approvetl By
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
,)..- ~-ot tf",<I,/-J /t'i ~.~. r - ~. /JA- ..d..C7
/If1/J ",2/ ~'/"k
,
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN A .
.,.1.1 ~:~ /+t"N
~ Approvc<lBy
mNAL
D": kfl
.. Appruved By
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . .
15-00001193 Date
9/24/15
Application pin number
794716
Property Address . , . ,
1115 S CEDAR ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -0 -3 -4850 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning , . . ,.
RS7 RESDNTL SINGLE FAMILY
Application valuation
0
Owner
Contractor
QUIGGLE 'PIMOTHY B
ADT LLC
363 E EUGENE ST
11824 N CREEK PARKWAY, N
PORT HADLOCK WA 98339
STE 105
BOTHELL
WA 98011
(206) 719-0347
Permit ELECTRICAL
ALTER RESIDENTIAL
Additional desc . ADT/ ADD DEVICES
TO EX LV SYS,
Permit Fee 64.00
Plan Check Fee
00
Issue Date 9/22/15
Valuation . . ,
0
Expiration Date 3/20/16
Qty Unit Charge Per
Extension
1.00 64,0000 ECH EL -SINGLE
CIR LIMITED RES
64.00
Fere summary Charged
Paid Credited
Due
Permit.:. Fee rot<al 64.00
64.00 .00
.00
an Check Total. .00
00 00
00
Grand Total 64.00
64.00 .00
. 00
9 t
INSPECTION TYPE DATE:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
GAEXCHANG&BUILDING
RESULTS:
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR:
l:)ate:
To: Page 2 of 2 2015-09-21 18:39:52 (GMT) 18884000383 From: Deborah Shields
t 1 "set ,lAr
CITY OF PORT ANGELES PERXIIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Boz 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711 p „
W
s 10
Date: 09/18!2015 _-Xa—s�1
_ED
" Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address; 1115 s CadarTysrm ... ,.....- _....,.�... __ — �._.- _.._..
Building Square Footla 1500
Description of above ,,�• 1����r^�N,��L�!,••__�_
Owner Information
Contractor Information
Name: ae;h Jrh sun
Name: ADT LLC
Mailing Address 115 5 cedes s1
Mailing Address: 1'824 N CRkFK HKWr N. sunta1os
City. YORIACn is - State: WA Zip 0XI
City" State w"........ Zip: IM.tu
Phone: 309 477-9575 Fax:
m501HELL mm —
Phone: 205-774-94-9 Fax Bag oco --]ag
_
License # i Exp
,z�
License # 1 Ex _ _w..
p Ar: aL �a,uo Fxr� ,��15
Item
Unit Oharoc
ot Total Multiplied by Unit Char e'
Service/Feeder 200 Amp.
$132.00
$ -- -_•
Service/Feeder 201-400 Amp.
$160,00
_ ................................
Service/Feeder 401-600 Amp
$ 225,00
$
Service/Feeder 601-1000 Amp.
$ 288.00
_................_, $ __ ...._ ,,................... ,
Service/Feeder over 1000 Amp.
$ 410.00
Branch Circuit Wi Service Feeder
$ 5.00
$
Branch Circuit W/O Service Feeder
$ 74.00
$__.•____
Each Additional Branch Circuit
$ 5.00
$_
Branch Circuits 1-4
$ 8600
$
Temp. Service/ Feeder 200 Amp
$ 102,00
$
Temp. Service/Feeder 201-400 Amp.
$121.00
5�___•_.
Temp. Service/Feeder 401-600 Amp.
$164.00.....................................................
Temp. Service/Feeder 601-1000 Amp .
$185.00
$
Portal to Portal Hourly
$ 96.00,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Sign/Outline Lighting
$ 88.00
—� $•www
Signal Circuit/ Limited Energy
$ 64,00
_
/ firstMulti-Family500 f
Signal Circuit! Limited Energy /First 1500 sf- Commercial
$ 96.00
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$113.00
Thermostat
$ 56.00
5
Note: $5.00 for each additional T-Stat
$ 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 296-4613, The City of Port
Angeles Municipal Code, and Utility Specifications and
PAMC 14.05.050 regarding Electrical Permit. Applications.
Signature of owner, electrical contractor or electrical
administrator:
❑ cash ❑ Check
Credit Card#
zn� ��o o � "`" ° ""' "`"�"
Jennifer Covello "
o" ""
09/18/2015
x
Dated:
0 110112 01 2
Application Number . . . . . 25-00000093 Date 1/30/25
Application pin number . . . 696930
Property Address . . . . . . 1115 S CEDAR ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-4850-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
Colleen Sanders EXTRA MILE TECH & ELECT., LLC
1115 S CEDAR ST 418 N. RACE ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(406) 438-1088 (360) 457-5222
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 95.10 Plan Check Fee . . .00
Issue Date . . . . 1/30/25 Valuation . . . . 0
Expiration Date . . 7/29/25
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
COMMENTS:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
2/3/25 25-93
OWNER
CONTRACTOR
Extra Mile Electric
PROJECT ADDRESS
1115 S Cedar St