HomeMy WebLinkAbout1117 S Cherry St - Building
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CITY OF PORT ANGELES
DEPARlMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
"
Application Number
Pin nwnber . . . .
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use . . . .
Property Zoning . . .
Application valuation
04~00000494 Date
.082834
1117 S CHERRY ST
06-30-00~0~3-4555-0000-
RES REMODEL
9/07/04
. ..
RS7 RESDNTL SINGLE FAMILY
4500
CARTER ALBERT L/BETH
1117 S CHERRY ST
PORT ANGELES WA 98362
R & N BUILDERS
171 CEDAR GLEN LN
PORT ANGELES
(360) 460-0979
WA 98362
()
~
\
~
~
OWner
Contractor
Permit . . . .
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
BASBMBNT REMODEL
ELECTRIC SERVICE
48.10 Plan Check Fee
9/07/04 Valuation
3/07/05
.00
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-.....
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~---------~---------------------~------------------~------------------------
Qty Unit Charge Per
1.00 48.1000 ECH EL-R OR RM1-4 ALT CIRCUITS
Bxtenston
48.10
Other Fees
ST~TB SURcHARGE
4.50
Fee sununary
Charged
Paid
Credi ted
Due
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
48.10
.00
4.50
52.60
48.10
.00
4.50
52.60
.00
.00
.00
.00
.00
.00
.00
.00
.~
Separate Permits are required for electrical work, SEPA, Shoreline, ES,6.' utilities, private and public improvements. This pennltbecomes
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 rEiquired inspections have not been requested within 1 ~Odaysfr()mthe last
Inspection. I hereby certify that.1 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 INhether 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:\PLANNlNG\FORMS\II02.IS [11/1412003]
BuILDING PERMIT INSPECTION RECORD
CALL 4174815 FOR BUILDING INSPECTIONS. CALL 4174735 FOR ELEcrRICAL INSPECTIONS.
PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULltTlJ OR CONCEAL ANY1YORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPlCUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
,
INSPECTION TYPE DATE ACCEPTED COMMENTS
,
1 YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA nON DRAlNAGEIOOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: /I 17,,;1
ROUGH-IN ' 11'....../.( -.oOV1 LI\-.
PLUMBING
UNDER FLOOR' SLAB
'ROUGH-IN
WATER LINE (METER TO BLOG)
," GAS LINE
BACK FLOW' WATER , ,
" AIR SEAL
W~
CEILING, " I I I '.
FRAMING
JOISTS' GIRDERS
SHEAR WALUHOLD DOWNS
W Al..LS , ROOF' CEILING ,
DRYwALL (INTERIOR BRACED PANEL ONLY) , I
T-BAR ,! ,
INSULATIOI'1'
SLAB I ,
WALL IFLOOR' CEILING
MECHANICAL
HEAT PUMP "
GAS LINE
WOOD STOVE' PELLET' CHIMNEY
, HOOD' DUCTS
PW UTlLI;rIES' SITE WORK (Engineering Division) SEPARATE PERMIT /1'5:
WATERLINE 'METER
SEWER CONNECTION
SANITARY ,
STORM
PLANNING DEPT. SEPARATE PERMIT /1'5 SEPA: "
PARKINGILIGHTlNG ESA:
LANDSCAPING S~ORELINE: -
", " " ' ,A FINAL INSp'ECTlONS REqUIRED PIUOR TO OCC;l.IJiAJilCXIV8,E ,'" .'
RESIDENTIAL DATE YES NO CO~MERCIAL DATE I, ACCEfTED
" # ," .' . YES NO
ELEcTIuCAL -UGHT DEPT. 417~?3S fO ..1s"'cH hlC.. ELECTRICAL ,', : I.'"
LIGHT DEPT ':":",.
CONSTRUCTION R. W.' PW' CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW' ENGINEERING
FIRE 417-4653 , FIRE DEPT. '., " " ",
PLANNING DEPT. ',' '."
417-4750 PLANNING DEPT.
BuiL.oING 417-4815 " ' BUILDING'
T:\PLANNlNG\FORMS\1102.15 [1111412003]
,. ...,..,.
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CITY OF PORT ANGELES
DEPARTMENT OF COMM1JNITY DEVELOPMENT- BUILDING DNISION.
321 EAST 5TH STREET, PQRTANGELES, W A 98362
Application .Numbe~<
Pin number
property,Addres.s
ASSESSOR PARCEL NUMBER:
Application d~scription
Subdivision N81I\e.. <...
Property Use . ..... ..
"~~':::':;--'::-"-" . ~operty Zoning, ,,__ -.,-,-::.::'-::~ ~
i;'!;,~~r. Applicatioll.valuat10n: . ,:
-.......-'-' Structure Informlltio;l
. . '... Construction, Type ,
>! i Occupancy Type ..
.i,::~(';'~,"" ;Other-struc:t -inf,o . '.
,':;'.-'::,'
......,.,
"<<,.;"
Owner
---~---------_.~--------
"')r
CARTER ALBERT L/BETH
1117 S CHERRY ST
PORT ANGELES
Date
5/25/04
. ',' 04-00000441
.066932
1117 S CHERRY ST
06-30-00-'0-3-4555-0000~
RES ADDITION
,RS7RESDNTL SINCU,E' FAMII.,Y
4000
Contractor
WA..::I8~
R & N BUILDERS
171 CEDAR GLEN. LN
PORT ANGELES'
(360) 460..0979
KA 983t;2
,.' . . -,
RBPA];R DECK
TYPE V NON-RATED
SINGLE PAM & CONGREGATES
TOTAL t LOT COVERAGE
CONST~UCTION TYPE
HARD sURFACE AREA
NOMBER OF STORIES
EXISTING LOT COVERAGE
ImSIZE
PROPOSED LOT COVERAGE
TO'l'ALLOT COVERAGE
NUMBBR.OP UNITS
'3
.,',
1.00
1.00
1.00
1.00
1.00
1.00
1.00
-
-
-
... _",_ __ _ _~ _ ....____ ~,'_..;.......... 0IIi-. .'. ~ _' .'~ '...... - .,. _ - - ';"-.-- -'~-- -- - - -.- .-.- - - --... - ....;...- ""'.- ..... - - - - -- \.--
Permit .. . .
Additional <lese
'Permit Fee ..
Issue. Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
,REPAIR/tmPLACE DECK.
120.75 P~anCheckFee
5/25/04 Valuation....
'J.l/21/o4 .
~'tJ\
~ ~
t
48.10
4000
Qty Unit Charge Per
Bxtension
92..75
28.00
()
J
BASB FEE
2.00 14.0000 ~OU BL-2001-25K (14 PERK)
_ ...-__ _.~_ _ _ _ _ _ _._ _ _ _._ _ _ _ _ - - - - _ _ _ _ _ _ _ till." __... _.. _ _ _ ___._ - --,0;. _..;._ _~ ,..;,;,,;_.. ~-_ .'...... _ _ __ __ ...:........
Special Notes and Comments
REPAIR/REPLACE EXISTING DECK WITH SAME SIZE. AND LIKE, NO
INCREASE. IN LOT COVERAGE, SET BACKS ARE EXISTING.
- -.- - -.. --- --- - - - -- - -- - - - - - - - -;, - - -,- - -- - ".--.. - - - - - --- - - - - - - -- - ---- - - - - - - - - - ..~-
Other .Fees .' . . . . . . . .' STATE SURCHARGE ' 4 ~ 50
Fee summary
Permit Fee 'fotal
Plan Check .Total
Other Fee Total
Grand Total
Charged
Paid
Due
Credited
120.75
48.30
4.50
173
.00
.00
.00
.00
.00
.00
.00
.00
120.75
4~~30
4.50
,173.55
Separate Pennitsa~ required forelectrlcalwork,.SEPA, Shorelln~, ESA;utJlities, priyateard public: lmprovemen~.!his~rmlt becomes
null and void if work or cans.truction authorized is not commencedwithi~180 days, if construction orwork issospendeclor abandoned
for a period of 180 days after th.e work as commenced, or if req~iredlnspections have noti>een requested wip;lin~8,q~.~)'Sfrom the last
Inspe~o~. I hereby certify that.1 have read and examined this applipation and know the same to be trueandcorreetAU provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not The grantingofa. peunitdoes not
presume to give authority to violate or cancel t~e provisiol1s of any state or local law regulating construction or the PElrfonnance of
construCtion. '
T:\PLANNlNG\FORMS\II02.1S [11/14120031
Date
Signature of Owner (if owner i~ buil~er).
1-' "
'" '.
< '''~<'i; ;:~},0:~~'!["'rj-" ,'.- ~_, '<'~,\::':~:,':
BUll..DING PERMIT INSPECTION RECORD
~.i~-'-'"
"-:,-\\-.<;:-.,,; '.
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
~.. ...... '
.', ::<':,", '-:-.- . '-
-' - . ,..... ".,,;:,.-:":><
....',.,:....:;:. ._. . .... _.,'.'," - .:.c.."
PLEASE PROVIDEAMINIMUM24 HOUR NOTICE. 11 IS UNLAWFUL 10 COVER,.lNSULATEPRCQlfCEAL AlY%H:'()!lK.B.1!]i'()lg
INSPECTED ANDACCEPTED. POST PERMIT IN A CONSPICUQUs'r.OCA TION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
\
c/.' ..
lNSPEfION TYPE DATE ACCEPTED COMMENTS
I YES NO . " . '. .
FOUNDAll0N; . .
FOOTINGS
WALLS , .
FOUNJ)ATION DRAINAGE/DOWNSPOUTs .
..
ELECTlbcAL (LIGHT DEPT) SErAMTEPERMIT:# ....
ROUGH-IN , I I I .' . . .
....
PLUMB~G
UNDERFLOORI SLAB
ROUGH-IN . .
WATER,~ (METER TO 13Loo) .
GAS LINE \ .
BACKFLOWlwATER
AIR SEAL . .
WALJ,.S .. I
'.
cEtLIN.G'. I I ,
FaA.MINq' ,.
.- .
. .... JQIST$iGJiU)~ .
,
Stm..\R W AiuaOLD DOWNS
W ALLSl RQOFlCEILING .
DRVWALL'(rirtERiOR BRACED PANELON!:Y) .
it-BAR ......... '.' . ".
~ ..'
INSULA'I'ION .
SLAB . .
.. '.'
WALL/ FLooRI CEJL]NG I I '. '.
.
MECHANICAL .
.
HEAl' PUMP . I
GAS LINE
WOOD SrOVE I PELLET I CHIMNEY ~
HOODkDUCTS ....
(Engineering DiVision) SEPAM TE PERMIT #'s: .
pw. UTILITIES/SITE WORK
WATERLINE/METER .
SEWER CONNECl'ION
.' -
SW1TARV
STORM .
PtAN'NINGDEP'f. SEPARATE.PE~#'s '. . SErA:
PARKrNG/LIGHTING ESA:
.....LAN~CA'pI~G ... . ..' ," ". ". '", SHORELINE:
....., '/ " . " ....., .. "F'N~L.INSPRC'I'lqNSf{EQVIRED PRIOR 1'()OCCVP~~Ip,SE .. "'." .'
.,x '. -. .''>
RESIDENTIAL ,." J.~ DA'rE YES NO COMMERCIAL DATE ,~Cq:P'fED
.'
. ... - . .. '.. . '. <YEs', NO' "
"
.' . .... .
ELECTRICAl..'- UGHTI>EPT. 417-4135 ELECTRICAL
UGIIT DEPT ... .
CONSTRUCTI8~ R. W.I PWI CONSTRUCTION- R. W. ... ':
ENGINEERIN . 417-4807 , 'fYf I ENGINE~G . .
FIRE. . "." .. '.. .' 'FIRE rim;" '.. .,.y. .'.\.... ,
417~653 . . .
.P~GDEPT. 417-4750 PLANNING DEPT. .
BUILDING .' 417-4815 I ~..A.'2..njJ J.'L, BUILDING .. .. ..
T:\PLANNINO\FORMS\II02.15 [11/14nOO3]
PREPARED 6/23/04, 12:48:03
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
5
6/23/04
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
111 7 S CHERRY ST
R & N BUILDERS
CARTER ALBERT L/BETH
06-30-00-0-3-4555-0000-
04-00000441 RES ADDITION
SUBDIV:
PHONE
PHONE :
(360) 460-0979
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01
6/17/04
6/17/04
JLL
DA
BUILDING FINAL
Rand 460-0979
no answer at phone or door. recall when ready/jll
BUILDING FINAL
RYAN 460-0979
DECK FINAL
hand rail reqd on stairs/jll
BL99 03 ~/23/ ~JL BUILDING FINAL
RYAN 460-0979
------------------ ------ ------------ COMMENTS AND NOTES --------------------------------------
BL99 02
6/21/04
6/21/04
JLL
DA
PREPARED 6/17/04, 13:15:30
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1117 S CHERRY ST
R & N BUILDERS
CARTER ALBERT L/BETH
06-30-00-0-3-4555-0000-
04-00000441 RES ADDITION
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
SOODIV:
PHONE
PHONE :
PAGE
DATE
(360) 460-0979
11
6/17/04
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
;;;;:;;::~~-:::::~i~;;~~~:::;::::-NO":-:::-------:_____::::_-:::::-::::----::
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;tU <5vJl:1IL
.oJ
pJi ouY'
esL-
j)~
JLi'
~
PREPARED 6/21/04, 12:51:27
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
6
6/21/04
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1117 S CHERRY ST
R & N BUILDERS
CARTER ALBERT L/BETH
06-30-00-0-3-4555-0000-
04-00000441 RES ADDITION
SUBDIV:
PHONE
PHONE :
(360) 460-0979
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01
6/17/04
6/17/04
JLL
DA
BUILDING FINAL
Rand 460-0979
no answer at phone or door. recall when ready/j11
BL99 02 ~21/,.04 -0J~ BUILDING FINAL
. __~ RYAN 460-0979
DECK FINAL
-------------------------------------- COMMENTS AND NOTES --------------------------------------
~t6UO
~I
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.Olj':'/'J-ol/
Permit #: 01./ "YL/ (
Date Approved:
Date Issued:
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: . Ii. . Phone:
Owner:M€rt 1; ~t1A u~uck r . Phone: 'fSJ...-7'-f;).7
Address:_11 If So. C't\CL ( ('-/ City:~?() 1(..:1- *^ ~( e S Zip: q &!J 0 ;)- ~c:..t 1
Architect/Engineer: 9 . - Phpne: 4/M- 6q 7q
o - '-\' - I) t3. 1/}~j)Lf '
Contractor ,,~ l\J ~\.U llec~ State License #: f\.N 4/ is-"'9Exp: 3/)C;/O'r Phone: YS;t- 0"-1 Oi..}~
Address: \( \ I l\.~d.()." b)eY\ ltv City: A>,t-- At)~ek') ~~ Zip: q~,,(p2.
PROJECT ADDRESSJt \, So. Ckrr~ ZONING:
l04- 1\ d.l,>-- 'A. ~ (PO' i--()..Uo r 1.. tf--.~ ~ rd-. ~I t U-- f :;)-
LEGAL DESCRIPTION: Lot: \l ~ Ir- Block: B tf'5:"" Subdivision:
CLALLAM COUNTY PARCEL NUMBER: tJ0-3o.00 - 0 ~ (j6~ S--
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
id"Residential 0 New Constr. 0 Re-roof 0 Stove
o Multi-family 0 Addition 0 Move 0 Garage
o Commercial 0 Remodel 0 Demolition ~eck
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT: 12" -h ll..i \d
City:
Exp. Date:
SIZEN ALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $ ~.OO
tiA'S1Jh~ d(~ K.
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: Lot Size: Existing Sq. Ft.
Total lot coverage
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
%
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
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 PlJAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, cunent edition). No application can be extended more than once.
d correct. I am authorized to apply for this permit and
that I must obtain such pe';l1s;rior to work.
Date: 7:j17/oV.
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I, tif
finished basement
29' 29'
5'
utility
17' bedr om 17'
33'
kitchen 33'
dini1!s' 15'
13' bedroom
..1'
12' 1 ' 29'
SKETCH CALCULATIONS
A2
A1 :29.0x1.0=
A2: 34.0 x 17.0 =
A3: 12.0x 1.0 =
A4 : 29.0 x 14.0 =
A5 : 13.0 x 1.0 =
29.0
578.0
12.0
406.0
13.0
A4
First Floor
1038.0
r=:=l
~
A6 : 29.0 x 1.0 =
A7: 34.0 x 17.0 =
A8: 29.0 x 15.0 =
29.0
578.0
435.0
Basement
~ Living Area
1042.0
1038.0
Subject Front
11178 Cherry 8t
Sales Price refinance
Gross Living Area 1,038
Total Rooms 4
Total Bedrooms 1
Total Bathrooms 1
Location urb/ave
View territorial
Site
Quality
Age eff15/94 yrs old
Subject Rear
Subject Street
I
I
I
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rf pORT ~
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'l.oii:~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
RS7 RESDNTL SINGLE FAMILY
4500
P/7JJtteV
10/;( /04 J~
Appllcatlon Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivlslon Name
Property Use
Property Zoning . . .
Application valuation
04-00000494 Date
.082834
1117 S CHERRY ST
06-30-00-0-3-4555-0000-
RES REMODEL
6/08/04
Owner
Contractor
CARTER ALBERT L/BETH
1117 S CHERRY ST
PORT ANGELES WA 98362
R & N BUILDERS
171 CEDAR GLEN LN
PORT ANGELES
(360) 460-0979
WA 98362
Permit MECHANICAL PERMIT
Additional desc
Permit Fee 54.25 Plan Check Fee .00
Issue Date 6/08/04 Valuation 0
Expiratlon Date 12/05/04
Qty Unit Charge Per Extenslon
BASE FEE 47.00
1. 00 7.2500 ECH ME-VENT FAN 7.25
-
--
-
Permit PLUMBING PERMIT
Additlonal desc
Permit Fee 68.00 Plan Check Fee .00
Issue Date 6/08/04 Valuatlon 0
Expiration Date 12/05/04
Qty Unit Charge Per Extension
BASE FEE 47.00
3.00 7.'0000 ECH PL- EA.FIXTURE ON ONE TRAP 21.00
"'-J
~
Permit BUILDING PERMIT -RESIDENTIAL
Additlonal desc
Permit Fee 134.75 Plan Check Fee 53.90
Issue Date 6/08/04 Valuation 4500
Expiration Date 12/05/04
Qty Unit Charge Per Extension
BASE FEE 92.75
3.00 14.0000 THOU BL-2001-25K (14 PER K) 42.00
\)
~
~
~
Other Fees
STATE SURCHARGE
4.50
tJ1
'::i
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permlt Fee Total 257.00 257.00 .00 .00
Plan Check Total 53.90 53.90 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 315.40 315.40 .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 bf a permit does not
~;'bV":J-nry to violate 0' Chi ;i ;;Slons of any state 0' local law ,egulat.ng construct.on 0' \e performance of
.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder)
T \PLANNING\FORMS\1102 15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I
PLUMBING ~'NiYL. 10 -I) -CJr{ J.,J...
UNDER FLOOR 1 SLAB sf - q-"d ,1.
ROUGH-IN ~-~).I-OH .L.L
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS 1 ROOF 1 CEILING q- !J.O J..I .\LL
DRYWALL (INTERJOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING FT- ~ -0"/ JJ.-L-
MECHANICAL PI N (,)-1.- 11.'>-11-010( J. J...i
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHJMNEY
HOOD 1 DUCTS
PW UTILITIES I SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMJT #'s SEPA
PARKINGfLIGHTING 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
CONSTRUCTION R W. 1 PWI CONSTRUCTION - R.W
ENGINEERJNG 417-4807 PW 1 ENGINEERJNG
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 I/I}-I J-a ..: BUILDING
T \PLANNING\FORMS\1102 15 [11/14/20031
PREPARED 10/11/04, 12:30:58
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
1117 S CHERRY ST
R & N BUILDERS
CARTER ALBERT L/BETH
06-30-00-0-3-4555-0000-
04-00000494 RES REMODEL
SUBDIV
PHONE. (360) 460-0979
PHONE
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
9/02/04
9/02/04
9/03/04
9/03/04
BL99 01 ~r~
----------------------------------- CONTINUED
BL3
01
BLI
01
JLL
AP
JLL
AP
BUILDING FRAMING
RYAN 460-0979
BUILDING INSULATION
RYAN 460-0979
BUILDING FINAL
Beth 457-4451
PAGE
DATE
2
10/11/04
ONTO NEXT PAGE -----------------------------------
Le b r;fL ~ i P I oM. i..--t- ~ 'j..( oJ-
V~-O ~ W 120oYZ-?,
~
IS'!?
PREPARED 10/11/04, 12 30-58
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
10/11/04
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1117 S CHERRY ST
R & N BUILDERS
CARTER ALBERT L/BETH
06-30-00-0-3-4555-0000-
04-00000494 RES REMODEL
SUBDIV
PHONE - (360) 460-0979
PHONE
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
PL1 01 8/09/04 JLL PLUMBING UNDER SLAB TIME 17 00
8/09/04 AP TODD 808-0668
PL2 01 8/24/04 JLL PLUMBING ROUGH-IN TIME. 17 00
8/24/04 AP Todd 808-0668
""_"'__~__~___"UMe'N:':::::, ,::M:oT:: '"____________________________________
PREPARED 10/11/04, 12 30 58
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER-
1117 S CHERRY ST
R & N BUILDERS
CARTER ALBERT L/BETH
06-30-00-0-3-4555-0000-
04-00000494 RES REMODEL
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
~:::_::__~__~___~E~HANICAL FINAL
SUBDIV
PHONE
PHONE
(360) 460-0979
PAGE
DATE
3
10/11/04
CONTINUED ONTO NEXT PAGE -----------------------------------
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
FOR OFFICIAL USE ~
Date Rec to - ~ -
Pe11l11t# ~
Date Apploved ~~
Date Issued
BUILDING PERMIT - APPLICATION
ApplIcant or Agent: & in. r!.a (C..{err
Owner: ~ ~ ./4-ppl,'(()if
Address:_1 (/7 SO. (~M.I(~ CIty. /JA
Phone:
Phone:
1((J -r;{~/~ W(C-
$--AJtt~
Zip: q ~ j f;;:J-
ArchItect/Engmeer: Phone:
Contractor11i11 Bu....,' J~ State LIcense #lNSUr.'lf.97~~~p: 3/<1.4 loG'
Address: 1'7 J ~ 6(Vl Lt1 . CIty: Pol4 ~lL-~ .
PROJECT ADDRESS: U \, $;0 I eN- vno ~') .
LEGAL DESCRIPTION: Lot~ \ ~ I: (J-- Block: ~c.r <;: SubdIvISIOn:
CLALLAM COUNTY PARCEL NUMBER: () 0 .3 D 00 ,.0 3 ~~~
Phone:Lf(gO -0979
ZIp: qg~(p~
ZONING:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
o ResIdentlal 0 New Constr. 0 Re-roof 0 Stove
o Multl-fanuly lZY']'(ddItlOn 0 Move 0 Garage
o CommercIal 0 Remodel 0 DemolItIOn 0 Deck
o RepaIr 0 SIgn 0 Other
BRIEF DESCRIPTION OF THE PROJECT: fJJJ....c1.nlfj fA
City:
Exp. Date:
SIZEN ALUATlON:
<%0 SF.@$ /SF.=$ 4t::)~o.o~
SF @ $ /SF. = $
SF @ $ /SF. = $
TOTAL VALUATION $
t6a PLVOTIM . +.0 F)(t5f/~
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stones. Lot SIZe: EXlstrng Sq Ft.
Total lot coverage
Occupant Load:
& Proposed Sq. Ft.
Constructlon Type'
= TOTAL Sq. Ft.
%
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA ChecklIstreqmred? 0 Yes 0 No Other
BUILDING PERMIT APPLICATION SUBMITTAL: The Bmldmg DIVISIon can proVIde you WIth informatlOn on the applIcatlOn and
plan subImttal requIrements If you have questlOns
VALUATION OF CONSTRUCTION. In all cases, a valuation amount must be entered by the applIcant Tills figure WIll be revIewed
and may be revised by the Bmldmg DIVISIOn to comply WIth cUlTent fee schedules. Contact the Penmt Coordmator at 417 -4815 for aSSIstance.
PLAN CHECK FEE: IF a plan check fee IS due It must be subll1ltted at the trrne the bmldrng pelTlllt applIcatIOn and constructIon plans are
subll1ltted All other pemnt fees are due at the tIme of pelTlllt Issuance
EXPIRATION OF PLAl"~ REVIEW: 1fno permIt IS Issued wlthm 180 days of the date ofapplIcatlOn, the application will expire. The
Bmldlllg OffiCIal can extend the trrne for action by the applIcant up to 180 days upon wntten request by the applIcant (see SectIOn 107.4 of
the Ulllform Bmldlllg Code, cunent edItIOn). No applIcatIOn can be extended more than once.
T \FORMS\APPS\BUlldmgpel1ll1t wpd
ApplIcant'
-,
/
/
FILE
THE CITY OF PORT ANGELES:
BUILDING DEPT.
FlI;r
ADDRESS: 1117 SO. CHERRY
PORT ANGELES
TO WHOM IT MAY CONCERN, _ ;xfcc
j],4S8/7J8A.// .
THE SOUTHEAST ROOM LOCATED IN THE l~T FLGeR OF THE ABOVE
ADDRESS, WILL NOW BE CONSIDERED A REC/COMPUTER ROOM.
m/JRELYj)
/{JJ!~H CARTER
V~ (ftWG-
~~ ((; ~ OWl ~ ~
OCT I 2 2flIII! ]
CITY OF PORT AN
Depf. of CommunIty 0 G/ELES
eVe opment
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Le Issuance of t.tl!-s permit bas~cl upon these plans. specIfi-
cations and other ~ata shall not prevent the bUilding officIal
tram thereafter flrQulflng the correction of errors In said
plans, speclflcatlqns and other data, or from preventing
-.-.-.-,--- - uurtdlng operatrurls being carried on thereunder when In
ViolatIOn of all c9des and ordinances of this JUrlSdlctlon.
(SECTION 3031c) -jUnlform Ulldln COde.)~
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PREPARED 9/03/04, 12 33 05
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
5
9/03/04
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1117 S CHERRY ST
R & N BUILDERS
CARTER ALBERT L/BETH
06-30-00-0-3-4555-0000-
04-00000494 RES REMODEL
SUBDIV'
PHONE (360) 460-0979
PHONE :
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01 9/02/04 JLL BUILDING FRAMING
9/02/04 AP RYAN 460-0979
~~~__~:__~~_~___~~~D~N:o::::::~::: NOTES ______________________________________
PREPARED 9/02/04, 13 37.49
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
6
9/02/04
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1117 S CHERRY ST
R & N BUILDERS
CARTER ALBERT L/BETH
06-30-00-0-3-4555-0000-
04-00000494 RES REMODEL
SUBDIV
PHONE
PHONE
(360) 460-0979
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01 df~I~~1 ~L BUILDING FRAMING
~ RYAN 460-0979
------------------------ ------------- COMMENTS AND NOTES --------------------------------------
BUILDING DIVISION
CITY OF PORT ANGELES
* *
Correction Notice
Job Located at JJ I ~
s
cJtQ(? I ~
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
::tF- c4 - Cf4/
=U~O ~rL)
~~~ at-(
y 4-t'Lb
~p'7S:)f)
w~ ~ t,-
oj
~
These corrections must be made and are not to be
covered until reinspection is m de. When corrections
have been made, please call {
for inspection
Date
no NOT RI;MOVI; THIS TAG
PREPARED 8/24/04. 12 27 51
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
5
8/24/04
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1117 S CHERRY ST
R & N BUILDERS
CARTER ALBERT L/BETH
06-30-00-0-3-4555-0000-
04-00000494 RES REMODEL
SUBDIV
PHONE
PHONE
(360) 460-0979
PERMIT, PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
PL1 01 8/09/04 JLL PLUMBING UNDER SLAB TIME 17 00
8/09/04 AP TODD - 808-0668
'C'~~"'~~~~P;~~~~~~:;~:::;::::~":'D ::::, "~""~~~~~~~______~_~_____~~_______~__
PREPARED 8/09/04, 12:09'08
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
6
8/09/04
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
111 7 S CHERRY ST
R & N BUILDERS
CARTER ALBERT L/BETH
06-30-00-0-3-4555-0000-
04-00000494 RES REMODEL
SUBDIV:
PHONE
PHONE :
(360) 460-0979
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
;:;/,;,:,:~"1"~:~f:J",,ii~::~~~~;:::'NO:::;':":O;::::'::''::'':::'''::'':''':
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457.0411
Site Address:
ELECTRICAL PERMIT
Installed By:
/11 So.
~[..+Z.
Owner/Business:
Owner/Business Address:
PERMIT NO. s9'S 7
DATE d<. ~ 7 /90
, I'
o READY FOR
INSPECTION
License Number:
)><! RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
~ SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o FAN/WALL KW _
/AAS4//
j /() ~ ;'&tC OJ I A~t.{SC
K4n'AJ -hi.
.
Details/Description:
~cl
f
.;;;:2190
~
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
o RISER
g OVERHEAD SERVICE
o UNDERGROU~ERVICE
VOLTAGE: /?61 0
~1 rjJ 0391
SERVICE SIZE ~O
FEEDER SIZE
AMPS
AMPS
RC+14./J~
/J/Jric /
/
t9-t-t
&tAh/cJ~
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough.in/cover O.K.
o O.K. to connect service
o Final O.K.
Site Address:
Installer:
New Meters
Permit/Receipt No.
S'/.3 7
----
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224. r#
~tJ..+vt NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ;r 3.0
JectricaJ Inspector Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC.
~----'-
GREEN - TW Mete, Dept., Bottom: C'7.....:......111
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nl!
17395
Port Angeles. washlngtonnmnLf.:.n._.._..................mn.......mm. 19.!0
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 grlllltlld to'dvelectrlcal work as listed below.
Address ....!!/.Z.::I/~.m~...m......mm....m..mn.m. Occupancy.n:(.~n.......m......m.nm.m
r!
~::~~.~:~~:~~~.:::O:::q;;:;.~:::::~:~;y::::::n..~~:~~~;:::::::::::::....:....~~:::::::::=::::::::::::::::::=:::::::::::::::::::
. -dJ. /.:2l.u.:1.%
Light Outlets....................__.._uh___.._..... Service, volts _..':.______..........___.......___h...
.,. ,
\ ,-'
Receptacle Outlets___m__h__........____....... No. wires __mm_m___........___.._:.......
59'.' n
Size wlreB....n......I:!!!t::~........
/~A
Matn fuse ......................_.____...........
S
Enclosure __m__.m__........h....hm.
Dryer, KW........____._.____.._____________________
Range. KW hh....h__..h____________.nn__
Water Heater:
KW.n......n..nn....nnn.....nn..n.......
Type of wiring:
Entrance Cable ......____....m__...
Heat: KW.h..._..___.....__....................h..__
Motors: sIze, volts and phase:
Rigid Conduit ...............................
Metallic Tubing m__mmm__mm.._..
Current transformers:
No. & Size_....__..._.___._..,m___.m__......
Ser. No............_.__._...._1.:...___.......___......
f
Ser. No. ...............:::...........................
Sec. No..__.....__.._______..........__.__..._........
Type of Wiring:
Armored Cable ...__um__h_.._d........_
Non.Metalllc .__.....__.___...................
Knob & Tube..................................
RIgid Conduit ...............................
Metalllc Tubing ...........................
Raceway ............................._._....._
Circuits. Light.......................................
Utillty.............................................
Heat ....................................-.._..--
Range ._.....~........................____........
Water Heater ....__.........................
Motor .........................~:':':.~~"':.........
Dryer _.._______......h__...___...... .......:~...~._::
Furnace .........................._......_...........
,,'
Total I..oad.u....._.................... Sec. NO.................._.........._.hh_...__._. Total __.__u.____n........_.._____._._._...
o ~
Remarks: nmf..,:Z..(?::~~:..m.m.(J::>:.~--:v--...n.....nmnm--.mn.mmnmmmmnmnmmmmm.m........n:mnnnn
uu..u....__n.nnon.n.UU_.hh.'UU_.ouu....ou.nU.hun..._u.....u...__..nnn.nn.nnnnn.u...n.__u.........hn.nnnnn__n....nu.nnn.....n
.:;:.m....___..mm.mmm....mmmnnmnn__n.mmn"m.m..mmmn...................;....:;;' n...'mnm..'7.;.7n.:..mm................n.. '7."'.00 '
Permit Fee Treas. Receipt IV Y ~" ~ '
$:mnmn.m......___....mmm. NO.nm.............._....... By ....n-:..__.m.:m':.m.~mm?.~.t;;';:.:~f..~'!::.~g, .....!'c---
,/
NOTICE-Current must not be turned on until Certtflcate of Inspection has been Issued. It work Is to be CODo
cealed due notice must be given the Inspector so that work may be Inspected before concealment.
. '.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
",
"
,
ELECTRICAL \ PERMIT
"
".
Address
\
I
N?
17395
Date..._......__._.._.._.........._......_..._._......._
Owner.._.____.............:.............~~...._____......_......_.._...........__...___....._.........._..___.__....._._______.Tenant::..._._....___.__...................._..__......._..________.......
~ Wiring Contractor ......__..:_..._.....___........0.._..._..___.._.._...__._..............._.............___......_._.................... By_______.._..._..._................................._.._.....0_
,>...~ NOTICE-Current must not be tur~'ed on until Certtflcate of Inspection has been Issued. It work is to be con.
. cealed due noUce must be given the Inspector so that work may be inspected before concealment.
::
" 11
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. Olympic Printers, I~c.
, .
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FROM
FRX NO.
Rug. 17 2004 07:36RM Pi
[
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t'
"ilil......
ELECTRICAL PERMIT APPLICATION
FOJ. OFFICIAL us.t l)!'oII.Y
DalVlec: _..
"m!\Ill':._.____....
141_A,pprtlved:___
Dl~lulll!d'
lhe E..Iec;;lric;al Pennit AppliGaoon "'1,151 be fined out COMDlete'v.
Plea.. typO or roprlnt In Ink. ~ you n..o ony ClUeslion., pI.... ""II (360) 417-4735
Fa. number: (380) 417-4711
O~-~9'-/
Owner or Eleo. ContraetorAgent, _ E ~r){, Se.(Y~PI>on.:
Pn;)p~rty Owner: ~ ~
Addre... _It 'I S. CJ~..~.v-:.....::::r----:.- City' :t-
EI.clneol Contractor -J:d.~~I~' [\:0, ....~flt-_ U""nse#' ~~;0I"'l E"l" q
Addross. ~ 1. nf'~L' If c... ['1 raJ City. PClrl An a.L\~:>
INST Au.A TION WIRED BY: C OWNER J<E~ECTRiCAl CONTRACTOR
o b_c~- tv
Exp. Dale:
~ '5 ':l-(~ 't~a>.: 'i '5 ':J.. - ~.., 2 <-j
Phone: 'l:s- '2 - '"'7 ~~ ~
Zip,. 'tf''l ~ ?
(x)' pnon.:J..j~:l.-;''t~
Zip '1g3 "2
Credll Card Holder Name:
Billing Address:
Zip:
o MUlti-family
n CommerCial 0 Mobile Home
Sq. Ft
VlSA:_ Me:_(
-t
,
..l
Credit Card Number:
PROJECT ADDRESS:
JI/7
.s.
.
n N~~ratIOnlAddltion
CheCk ellthet apply:
o Remote Meter 0 Detached garage U Hot Tub 0 Swim Pool 0 Septic; Pump
Number of Circuits added or altered: .-3.-
w Low Voltage 0 Telecom.
--J
o Sign -I
DESCRIPTION OF THE ELECTRICAl. PROJECT:
p~
r~
ElectrIc,,' Heat Load Additions and or Subtractions
Service Information
o Baseboard
o Furnace
o Heal Pump
o Fan-Wall
_KW
I<NV
TON LRA
KW--
o O.erhead Se","",
r. Temp Service
C Underground Service
Voltage: l v'I '-"f:>
Phase: 10-1 0 3
Service Size: 2-=
feeder Size:
~ .
o I hereby certify that I have read and examined this application and know that same to be true and correct, and I 8m
authorized to apply for this permit I understand it is not the City's legal responsibility to determine what permjts
are required; i/ remains tl16 applicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signature: .~ 9;~ Date: ..I
,
~~~\\~ \O~
Owner or Elee. Cont. Signature:
Date:
J
PERMIT FEE: $
4f1 /0
~:IE~eCTRICALPERM;T APPLICATION
;tV 8);01
'77-
ELEE X CAL PERMrr
MY ANGELES
Application Number . . . . . 19-00001239 Date 8/15/19
Application pin number 787858 REPORT STATE SALES TAX
Property Address . . . 2117 S CHERRY ST on your @XCISe tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-45$S-0000-
Application type description ELECTRICAL ONLY to the City of Port Angeles'
Subdivision Name (Locadon Code 05502)
Property Use . . . . .
Property Zoning . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . 0
------------------------------ i
Application desc
DHP
OW1Wr Contractor
----------------------- ------------------------
CARTER ALBERT L/BSTH BLACK DIAMOND ELECTRICAL CONTR
1111 S CHERRY ST 502 BLACK DIAMOND RD
,PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 565-1035
Permit . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 63.00 Plan Check Fee .00
Issue Date 8/15/1.9 Valuation . . 0
Expiration Date ,. 2/11/20
Oty Unit Charge Per
Extension
1.00 63-0000 BCH EL-R- BRANCH CIR WO/ SER FEED' 63.00
-------------------------------------------------------------------
Fee summary Charged Paid Credited Due -----
Permit Fee Total, 63:00 63.00 .00 .00-
Plan Check Total OG .00 .00 .00
Grand Total 63.00 63.00 .00 .00
1
INSPEC'110N TYPE ,DATE: RESULTS: ,INSPECTOR.
DITCH
SERVICE
ROUGI IIv
0 MW
FINAL _ R hi�-
P [T WILL EXPftt[~Six(6)MONTHS FROM LAST.iNSPtx:r[QN
Signature of owner or Electrical Contractor X Date:
�� � _ �, x x a �v r
_., ,
H
.�. �. �,_. _„ ,,.,'i
i
-.. c
a
. .
�: � 'l,
1 - 2 SINGLE-FAMILY '
ELECTRICAL PERMIT APPLICATION RECEIVED
Public Works and Utilities Department 416 If 1019
i�1 F. 5ih Street. Port \ngeles. \VA 9536-1
30(1.417.473; vv-\v.citvofpa.us electricalpermits'ir citvofpa.us
Project Address: 1117 S Cherry st
Project Description:Add circ for ductless
el Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Carter Email:
Mailing Address: 1117 S Cherry st Phone:360-775-8150
ELECTRICAL CONTRACTOR • ' •
Name: Black Diamond Electrical License:BLACKEC894D2
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
112M Unit Charas Quantity Total(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 1 $ 63
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 DU. $64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec.Energy:5KVA System or less $102.00 $
Thermostat(Note:$5 for each additional) $56.00 $
First 1300 Square Feet $120.00 $
Each Additional 500 square feet" $40.00 $
Each O ding/Oeta W Garap $74.00 $
Each Swilnming Pool 1 Hot Tub $110.00 $
TOTAL $ 63
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-
466,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
7-30-2019 Benjamin Shamp
Date Print Name Signature(V Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]