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RECEIVED
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CITY OF PORT ANGELES PERMIT APPLICATION I JON 7 2013
Building Division/Electrical Inspections IN
321 East Fifth Street—PD. Box 1150!Port Angeles 'Washington,98362 aEcTRICAL
Ph:(360)417-4735 Fax: (360)417-4711 INSPECTIONS
Date: 4) l�3 Y 1&2 Single Family Dwelling
Plan Review y Be Re wired, P me Complete le ical Plan Review Information Sheet
Job Address' I y y7"-
Bullding Square Footage: Y& _---
Description of sbovs
Owner formation Contrac or Inform Ion Tw
Name: �' f' Name; r ,(vr e- 04t J 4-C
Mailing A rasa: l2 r�.r, S Mailing Ad res : G
City. state:�1 L�ZIP:, Clly: � a rc' State:h1�Zip: `z
phone; Fax: Phone O Fa✓{, �`i 94`/3
item License#I Epp. License#1 EKp, S' .vt
Unit C.�B4 Total Mu i ii nit Cha e
5ervicelFeeder200Amp. $120.00 _ g_
SefvlcelFeeder 204.400 Amp. $146.00 _ $
ServicelFeoder 401-600 Amp $205,00 $
Service/Feeder 601-1000 Amp. $262.00 $-
$ervicelFeedee over 1000 Amp $373.00 $
Branch Circuit WI Service Feeder $ 5,00 $
Branch Circuit W/O Service Feeder $ 63.00
Each Additional Branch Circuil $ 5.00 $
Branch Circuits 14 $ 75.00
Temp.Servicel Feeder 200 Amp, $ 93,00 _ $
Temp.Service/Feeder 201,400 Amp. $110.00 $
Temp.Service/Feeder 401.600 Amp. $149.00 $
Temp.ServlcelFeeder 601.1000 Amp, $168.00 $�
Portal to Portal Hourly $ 96.00 $
Signal Gircuitl limited Energy.1 &2 Family Duelling $ 64.00 $�^
Manufactured Home Connection $120.00 $
Renewahie Electrical Energy•5KVA System or Less $102.00 _ $
Thermostat $ 56,00 $
Note;$5.00 for each additional T-Stat
NEW PPINSTRUCTION ONLY:
First 1300 Square F1, $120,00 $
Each Additional 500 Square Ft,or Ponlon of $ 40.00 $_
Each Outbuilding or Delached Garage $ 74,00 $
Each Swimming Pool or Hol Tub $110.00 $
s 7 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 Inspectlon,
After reading the above statement,I hereby certify that 1 am the Owner of the above named property or a licensed electrical eantWtor.I am making
the electrical installation er alteration in compliance with the electrical laws,N.R,C„RCW,Chapter 19,26,WAC_Chapter 296-466,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14,05.050 regarding Electrical Permlt Applications.
Slgnatu of o nor,electrlCAl tract r electrical administrator; ghat
/� �Cndit card p...
x
Mad: E7 fs _
ELECTRICAL PERMIT
CITY OF PORT ANGELES
35.0417-4735
Application Number . . , . , 13-00000626 Date 6/07/13
Application pin number 740152
Property Address 1205 S CHERRY ST
ASSESSOR PARCEL NUMBt]R: 06-30-00-0-3-7845-0000- REPORT SALES TAX
Application type description ELECTRICAL ONLY on your excise fax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning . . . . . RS7 RESDNTL SINGLE FAMTLY (Location Code 0502)
Application valuation 0
Application desc
1-4 circuits ductless heat pump
Owner Contractor
Jacqueline M Lindquist CASCADE ELECTRIC & VAC INC
1902 W 5th st PO BOX 369
PORT ANGELES WA 98363 PORT HADLOCK WA 98339
(460( -----4924 5347
------ --------------- (360) 379=- ----
Permit , . : . . . ELECTRICAL ALTER RESIDENTIAL,
Additional desc . , 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee 00
Issue Date 6/07/13 Valuation , . , , 0
Expiration Date 12/54/13
Qty Unit Charge Per Extension
BASE 7EE -- 75.00 l'
FEe summary Charged Paid Credited Due 4
Permit Fee Total 75,00 75.00 .00 .00
Plan Check Total .00 .00 DO 00
Grand Total 75.00 75.00 .00 .00 O)
9 '
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:
GAEXCHANGEMILDING
North Peninsula Electric 928-9409 p.2
RECEND
!JUL 17 2013 ;= C�}}
CTry OF Pow ANGELES PERNM APPUCATION ELECTRICAL
Building DMsiowElectrical Inspections INSPECTIONS
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362
Ph.- (360)417-4735 F=(360)4174711
Date; :1— L� —� 'a ---'I &2 Single Faniily Dwelling
*Plan Review May RequlreoXease Compl t Electrical Plan Review Information Sheet
Jot)Address:— 1�2.0 -% CS r'rAryl
13vidiag Square FoULW._... j I
Dmaiption of above
Owner Info nlatio ContracW Information
Name:V,%r"T V L' T��. 1_3 Li Cs-
lvamng_A�d'rL"'
City: State. Zip'
ir A State: Zip:
e.�
te
Name:
C
Ph Phone:
License#I Exp.
License#(ExR,
Item Unit Charms Total Multiplied plied by Unit Charg Q,
Service/Feeder 200 Amp. $120.00 $_
Servio&rFeeder201400 Amp. $146.00 $_
SaM(>eJFeeder401.600 Amp $205.00 $_
Service/Feeder 601-1000 Amp. $262.00 $
Serv!WFeeder over IWO Amp. $373.00 $_
Branch Circuit Wi Service Feeder $ 5.00
Branch Circuit W10 Service Feeder $ 63.00
Eaz:h Additional Branch Circuit $ 5.00
Brands Circuits 1-4 $ 75.00
Temp Service!Feeder 200 Amp. $ 93.00
Temp.Service/Feeder 201-400 Amp. $110.00
Temp,ServicaFeederQMO Arrip. $149.00
Temp.Servio~er 601-10M Amp. $1•8.00
Portal to Portal Hourly $ 96.00
Signal Circuit/Limited Energy-1&2 Family Dwelling $ (14.00
[VanWactured Home Connection $120,00
Renewable Ee� cal Energy-5KVA System or Less $102.00
Thermostat 5 56.00
Note:$5,06 for each addton a[T-Slat
NEW CONSTRUCTION ONLY:
First 1304 Square Ft. $1200
Each Addition 4 500 Square Ft or Portion of $ 4030
Each OulbdIcM9 or Detached Garage $ 74,00
Each SW rnming Pcol or Hot Tub $110-00 $. ....... (r-m$
$_UJ- Total
Owner as defned by RCW.19,28,261:(1)OwnervAll occupy the structure For two years after this electrical permit is finalised.(2)Comer 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 t am the owner of the above named properly of a licensed electrica}contractor.I am malding
the elecLicali installation or alteration in compliance with the electrical laws,N.EC.,RCV4.Chapter 19.26.WAC;.Chapter 296-468,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC;14.05.050 regarding Electrical PermlitApplicatiDn&
Signature of owner,electrical contractor or electrical administrator: ❑ CIO L Cheri
Crdg (D i)
X _j'AJ d'.rL4 _r'fiDd: 01101)2012
uc� I-A
cA_ 2S ' SS ew
ELECTRICAL PERMIT
CITY OF PORT ANGELES Uc
360-417-4735 (�S
Application Number , , , , , 13-QO000789 Pate 7/18/13
Application pin number . . , 776849 V
Property Address , .. . , , . 1205 S CHERRY ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER, 06-30-00-0-3-7845-0000
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name , , . . . to the City of Port Angeles
Property Use . . . . , , . .
Property Zoning . , , , , . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation , , . . 0
Application desc
---^ 1 circuit? s
Owner Contractor
Jacqueline M Lindquist NORTH PENINSULA ELRCTRIC
1902 W 5th st 761 FRESHWATER PARK RD �
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(466) 4924 (360) 477-1764
---- --- ----- ----------- ----- ------------- --- -
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . , , , 63,40 Plan Check Fee 00 '�
Issue Date . . . , 7/18/13 Valuation 0
Expiration Date 1/14/14
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SRR FEED 63.00
----------------------------------- --
Fee summary Charged Paid Credited Due
Permit Fee Total 63.00 63.00 .00 OD
Plan Check Total .00 .00 .00 .OD
Grand Total 63.00 63.QD ,00 .00
� Y
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:
GAEXCHANGMBUILDING
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Rewire existing 8 circuits 1200 sqft
Owner
Trillingham Marie
1205 S CHERRY ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983627618
145490
71 50
5/08/09
11/04/09
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
09 00000410
934380
1205 S CHERRY ST
06 30 00 0 3 7845 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
DATE
Contractor
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452 6424
ELECTRICAL ALTER RESIDENTIAL
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
7 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT
Charged Paid Credited
71 50 71 50 00
00 00 00
71 50 71 50 00
Date 5/08/09
WA 98362
Due
RESULTS
AcP
00
0
Extension
57 50
14 00
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
JUN 26 -2005 06 47A FROM
City of Port Angeles Permit Application
Building OHhlonlEteedle$l Impatiens
321 East RIM Strut -P.O. Bey 1150
Pmt Angela Washington, 98302
Ph: 1300) 41747,3' Pae: (790) 4174711
Date:
1$ 2 Single Family Dwelling
MuIU -Family or Commercial'
Commercial Addition Alteration Remodel Repair'
Plan Review May Be Requited Please Complete EJ Ica! Plan Review tntannatia
Job Address: 120 5r
Bating Square Footage: t ic) 0
Description of above J si‘a- tr
j:
Contracts'
Melling
City.
Phone:)
Otener Name: M (J �O.N e- IV i 1-4-.4 c, k 4
Meiling Add \'2-o c- 5 t- 4-t^ ',Am,
City' Y State: WA. Zip: 1J
lei
Phone:
License d lap,
tinttCherae
5. 9375
$113.76
$180.00
X5.00
2.00
57.50
2.00
"72.50
86.25
$11625
$131.25
75.00
69.00
S 75.00
50.00
50.00
93.75
80.00
88.25
27.50
57.50
66.25
6 43.75
signahrrpf+0lenet,
gbt
ELECTRIC SERUICF4 E r E I)
MAY 7 2009
UGHT DEPT.
er err decides! edmlnlelnder
..1/
License 1
Total
by Unit
b it
Sent ci Feeds`
S Service/Feeder
Service/Feeds/
Servhafeedei,.
ServiceFeedor
.8 Drench Citadr
$.._„Branch Gull
1 N -d Each Addilont
1 Temp. Service
S Temp. Service
'Temp. Se vt
Tomp. Service
.8 Porlel to Port,
.8 Stara l
final Circuit/'
Menufecpned
Renewable
Fast 1300 Sq
'S Each Additiar
Each &faint
.5 Thermostat
Ju Tow
f i
I
t '1
n
2
State: Wv+ Zip 41i 4r�n
r O -rra a%
iT -c 1 1 �ZQtiv�
Amp.
100 AMA
Ark Amp.
!000 Amp.
1000 Amp.
Feeds
Service Feeder
Circuit
200 Amp.
iet 201 Amp.
m401400 Amp.
ar601.1000
dl►
TO 4174711
ed Energy Commealal
ed Energy 1$ 2 Fenny Dwelling
ad Energy Multl.Femily Delft
e Connection
Energy 5KVASyatemorLem
Square FL or Portion of
Detached Germm
or hat Tub
Owns* defined by RCNI11121 ,181: Mawr Mlloecupymas Orrs :tail Pawl naked. al Grn r MOWN/ m new
dacbtat cohorts Nfason meld property le Au OIL rent orarese.
After !Whig the above eomment. l hereby arl$y that lam the owner oldie above ramt i .f I ore licensed MEOW conbacter: I and meMag the olabtaal
Installation or efierellon In eonppanee dt the eledfical law. N.E.C. RCN. Mgr 19 e. W. Chapter 226488, The City of Port Angela Mmrktpet Code, cad
Utlltly Ppeelffcettene.
P 1/2
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
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 Zonihg,'.> '. '".,.'
cApplication valuation
07-00001124 Date
299032
1205 S CHERRY ST
06-30-00-0-3-7845-0pOO-
.ED BAYNE .'
FIRE ABANDON TANK INSPECTION
9/28/07
: >,~ ,",.
RS7 RESDNTL SINGLE FAMILY
1300
.., ,"""
J'".-"
Owner
Contractor
EDWARD L. BAYNE
PO BOX 294
MEADOW \fISTA
(916) 671-9806
CA 95722
PETTIT OIL CO.
638 MARINE DRIVE
PORT ANGELES
(360) 457-9404
WA 98362
Permit . . . , .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
UNDERGROUND TANK
300 GAL. TANK
111989
15.00
9/28/07
3/26/08
RES
. l',,'-
Plan Check Fee
Valuation
'..L
.00... '.
130'0"""''" i
. "
Qty"'" Uni t"Charge' Per:'
"\ .':
., Ex'tension
15.00
BASE FEE
Fee summary
Charged
Paid
Credited
\Due
Permit Fee Total
. Plan Check Total
.. '...c'.Griiiid:'Tcital .."....' ..'>:~._,;.
15.00
. . ..00.
" i 5':.'O'Cr"':-' ~",--
15.00
. 0.0 .
15'.00
.00
.00
. rio' <.
.00
.~O
.00"
. .
>;:;'~'f.~,::r.:
~~ .~'.,- -
i;
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; : :, ~_:
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': ... ~:/::::,- " .: " ,
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This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have 110tbeen requested with
180, days fromtbe last inspection. I hereby certify that I have, read and examimr! this application and know the. same to be
true, and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled
. with' whether specified herein or not. The granting of this permit does not presume to give authority 'to violat~ or can2el
. the provisi~~~.!: ~~X state or lo~allaw regula~ing the work specified J~..!~e P~~!!'
, ; :.f)~ ~/!'F:"iJ- ~J1:~JJ . -:: .,1 :. ;..:.' -~, . (J,t') d' '7 :.. , .. . -, :-. .
. r:'~l.7~,.j l2/f~~:-: \ . :' '- '. !~ ''"'' 0 ~~ _' ~ ~ - ,- ~ ~ . ~ :~~ ~" -
Si~2~tur~ o(Contractor orAuthoriz'eq.Agent.~:":. Date :::~}g!1~~ure of Owner (if Owner is builder).~....
<',-:.,'
<~.'t?:t;,. .
Date
~~b::f
_.,l,."":'O"'W_~.
~..........~.L~~~\ '-1~~"l:;^~'._
','.";'..
_ ' ~-'.~,;},;-~~~~~~~~~7:;:;~~:i~.~:_ _""~
. -
.,..:. ....,. ","_ ,M _~ _,~_
- . . .'~..' ~ ~~
_ _.' _ _ ~~..c~. .
~ .,,' -c----'
-t' _""- =,..,;..",..'.
._..~,;;~
FIRE PERMIT INSPECTION RECORD
*
~
\
-
Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate tJ
or conceal any work before inspected and accepted. Post permit in a conspicuous location. J:.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
Inspection Type Date Passed Comments
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough-in inspection
Alann final
LP-GAS Completed by Contractor:
Underground piping inspection/pressure test ,
Test #1
Above ground piping inspection/pressure test Piping pressure test pSI
Time initiated
Tank (container) inspection Test #2 J
Appliance inspection Piping pressure test pSI
Time initiated
LP-gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable/combustible liquids
Tank appropriately abandoned
UST abandonment final lo-~~o7 I<bD
PERMIT OTHER (specify)
permit final
;:::>
:5
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Ul
tf)
o
-:s-
;:1.
GENERAL COMMENTS:
p
Q'
?
~
.
2/15/00
,
PORT ANGELES FIRE DEPARTMENT
Abandonment of Residential Fuel Storage Tank
1,100 Gallons or Less u ~
./l ,/ \\
Application for Permit --* 0 '-
Please call the Fire Marshal's Office at 417-4653 for assistance with the processing this permit.
Site Address: ! J.. oS
, CtleA.A\
Name of Applicant: 4. TI I - (!) I t-
Address: /'3 J:?- /'1 /l
(p 0 IJ./J.. / /V B Id I'< I t/ c
Site Owner: E () 8 4 i'lL?
/ 300. tJO
Date: f- l 8' - 7
Telephone: fs 1- r "/ tJ
Telephone: 1- fit - t" 7/- 9~b
. 1/ IJ- {.. tJ b-
Permits are issued at the City of Port Angeles Permits Counter located at City Hall,
321 E 5th, Port Angeles, W A.
Permit fee $15.00 paid to the City of Port Angele;s Fire Department. Date paid:
Date Issued:
Date Issued:
Issued by:
Additional Comments:
I have read and understand the requirements of this application.
Applicant's Signature:
FP - 25 A (Revised 12/9/04)
Page 1 of 3
Section I - Required Information
Applicant is required to fumish the following information on the space provided on the next page.
1. A site plan showing the number, size, and location of the underground storage tank with
reference to the existing home.
~
2. Specify the type of liquid which was stored in the tame. - II eA Tt /tt J 0' L.
Section II - Requirements and Limitations
Issuance of a permit is subject to compliance with the listed requirements and approval by a field
inspection of the Port Angeles Fire Department. Residential underground storage tames may be
abandon in place or removed.
1. There shall be no welding, cutting, or other sources of ignition in the area while abandoning
operations are in progress. Welding or cutting on tanks require a separate permit from the
Port Angeles Fire Department.
,1
2. Removal of all flammable and combustible liquids from the tanle and all connecting lines
shall be pumped out. Please use a hand pump or other means to remove remaining
flammable or combustible liquids as far as practicaL
3. If the tank: is removed and stored on site temporarily, the tank shall be placed in a secure .
location and blocked to prevent movement. The tank: would be required to be inerted prior
to being transported. The hole created by removing the tanle shall be filled with a suitable
material (earth, sand, etc.).
4. There are three options for the abandonment of residential fuel storage tanks, All three
options require that the tank: is first completely pumped out.
Option # I - The tank: and all associated fill and vent piping can be removed completely. This
is generally the best method, however it is also the most expensive.
~ The tame fill and vent pipes are removed, then the tank is filled completely with
an mert mixture such as a sand slurry. If Option # 1 (complete removal) is not chosen, then
this method is REQUIRED if the tank: is within 5 feet of a property line, driveway,
sidewalk, swimming pool, deck or building foundation.
Option #3 - The tank: fill and vent pipes are removed below grade and capped. The tank: is
left in place. Ifusing this method, the applicant must read, understand and sign the following
statement:
"In using this method, I understand that the void created by the tank:
may cause a collapse ofthe adjacent ground if the tank rusts out over
time." ~
Applicant Signature: I LttvI OJ PI 1P...f
Date:
1-2.5'- 7
FP - 25 A (Revised 12/9/04)
Page 2 of 3
5'
Site Diagram
,
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t
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LrJ
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To be completed by Fire Department
Method of abandonment:
( ) Tank removed
( ) Tan1e filled with inert mixture
( ) Tank vent and fill lines capped below grade
FP - 25 A (Revised 12/9/04)
Page 3 of 3
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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
07-00001429 Date 12/05/07
827508
1205 S CHERRY ST
06-30-00-0-3-7845-0000-
MARIE TRILLINGHAN
RE-ROOF
RS7 RESDNTL SINGLE FAMILY
3620
Owner
Contractor
MARIE L TRILLINGHAM
1205 S CHERRY ST
PORT ANGELES WA 98362
(360) 452-2149
Structure Information 000 000
GARLAND CON ST. & MAINT.
2512 E. RYAN DRIVE
PORT ANGELES WA 98362
(360) 457-5186
TEAR OFF AND RE-ROOF GARAGE
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR OFF & RE-ROOF GARAGE
116988
123.75 plan Check Fee
12/05/07 valuation
6/02/08
.00
3620
Qty Unit Charge Per
Extension
95.75
28.00
BASE FEE
2.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- --~------- ---------- ----------
Permit Fee Total 123.75 123.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 128.25 128.25 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced. or if required inspections have not been 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 authonty to violate or cancel the proviSions of any state or 10 allaw regulating constr ction or the performance of
C07;c~on ~o7 ~4C;'rc~ tMa~ · ~
Date Print Name er (if owner is builder)
T. Forms/Building Divisiol1/Building Permit (IO/01/07).wpd
BUILDING PERMIT INSPECTION RECORD
CALL 4 17-4815 FOR BUILDING INSPECTIONS. CALL 4 17-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE 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.
o
..-J
,
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
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 WALL/HOLD DOWNS
WALLS / ROOF / CElLlNG
DR YW ALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION \
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEATPUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY:J ~
COMMERCIAL HOOD / DUCTS \
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING.
PLANNING DEPT. SEPARATE PERMIT II's SEPA:
PARKING/LIGHTING ESA:
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 (b
CONSTRUCTION R.W.I PW/ CONSTRUCTION - R.W. ,
ENGINEERING 417-4807 PW 1 ENGINEERING g
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 4 I 7-4750 PLANNING DEPT. ~
BUILDING 417-4815 12-ILt-1>7 :nJ BUILDING G;')
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T. FormslBuilding DiviSIOn/Building Permit (1010 1/07).wpd
L~
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BUILDING PERMIT APPLICA TION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax. (}GO) 417-4711
. .1-. (A c.) vVJl~ . V~ NLI1
Applicant or Agent G-CA v--(fk.~ LoYLS ir-tt-G (~(;J-I\
Owner ~ a. r i e -r., /-1 U
Owner's Address L.2 0 ~ s. fe'
Contractor/Engineer G-ex. r Let.
Contractor/Engineer's Address ,;L. { d-.. f
License # GAr.- L F\ ~ ;Yl 0 '-t cf Jl} CJ
0'\j{e~
N\ Ctt
+ I' ~ 0-. I\-.UL
Phone
Phone
For City Use Only:
Date Received \ 1..-- t;.-e> l
Permit # 0'1-14'2)=\
Date Approved
5 7-5 / 8
Lf5:;l-:2/'-!
/20 5
s. L-~e. 'f' y- L/
/ Lot
Zoning
I PROJECT ADDRESS
Proiect Tvpe & Brief Description:
Check all that apply
o New Construction
o Addition
o Remodel
--8 Repair
-B Re-roof
o Demolition
o Sign
Parcel Number
o Heat System
o Other
1 ~O- v
o Multi-family
o Industrial
o Commercial
~ ~o(){
o wall-mounted 0 projecting 0 freestanding 0 awning
Total si n area s . ft. Maximum allowed si n area s . ft.
o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other
o other
Floor Areas ExistinQ (SQ. ft.) Proposed (SQ. ft.)
Basement @$ per sq. ft. = $
1 sl Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $ ~ to '20. Q.Q
sq. ft.
ft.
Lot size
sq. ft. = Lot coverage
%
Total footprint of structures
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
# of bedrooms
# of full baths
# of half baths
Occupancy group
Occupant load
Construction type
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
un~erstand that it is my responsibility to determine w~a permits are required, and to
projects. L ,_/ - 1 -
Date i J..-- 5-01 Print Nameu t {Jf\..O\Y( ~ rL.a-t\. Signature
T:Forms/Building Division/Bldg Permit Appl.-2006 Code. doc
PROPOSAL
Page #
of
pages
Garland Construction
& Maintenance
25] 2 East Ryan Drive
Port Angeles, WA 98362
. 360-457-5] 86
Lie. &: Bonded Lie: # GARLACM044ND
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Proposal sU~itted To:
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Job Name
Job #
Job Location
PhOny
&J C~ Date I J - ;2. 7 o' () 7
{ 0 ~,f-1(Q l - 7 (i/g 0
Date of Plans
We hereby submit specifications and estimates for: __.___.______......_._____._..____._._________.__._.___-..--.----..-------.-------
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____-.J~.~_J~~\~O~_.__._ ::> ~_~~C:LL-O O---.----o-~!lL::.L_r..a.X-----tfJ'-- _1_____".-__ \
, ) "U~\
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$
~
We propose hereby to furnish material and labor - complete in accordance with the above specifications for the- .
~ 113,15 ~(us 1'6.-;1. "'\
5 0 ~ 0 . f) n (,.0 f\ Y.::Xc / (J it e.2 - teCi i vI
Re:~:~~~~~ v~;j'~ ~:
Note - this proposal may be withdrawn by us if not accepted within
with payments to be made as follows:
.. ----- -'DOIlars
(i /jn f\
f
Any alteration or deviation from above specifications involving extra costs will be
execufed only upon written order. and will become an extra charge over and
above the estimate. All agreements contingent upon strikes, accidents. or delays
beyond our control.
days.
Acceptance of \roposal
The above prices, specifications and conditions are satisfactory and are Signatur;-tJ7/7 A
hereby accepted. You are authorized to do the work as specified.
Payments will be made as outlined above.
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Date of Acceptance
<-
Signature
~rcPS. FORM 3850
FEE Rk~JN'2BER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
Ilsl
PERMIT NUMBER
.
TOTAL FEE
~Df}<Q
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-P.d.
CONT. L1C. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
- -
ELECTRICAL ~ER~ ~NLY NO OCCUPANCY OR ~SE ESTAB~IS~ED UNDER THIS PERMIT
Site Address I ~ 0 .s- {;-/1. { 12-
CORRECT ,DDRESS IS RES/ON BILlTY OF
Owner JV\ ~" A-LlT UJi'}-/,
Owner's'Address ~..s"}!}wl c:
, PERMITS WITH .WRONG ADDRE~ES ARE C~NCELLED
Installation ByO 17 ~r Z; c('
Installers Address
Day Phone Installers Phone
Application is hereby d for Permit to install Electrical Equipment as follow"
.\
'PAY\.c! 1/tvlQf. Qi>O /l-, _ /l r C 1:1. ,REU/f,e L
.
, I I , Wiring Method iEl1r; g
-~-
'r ,
NUMBER AMP .120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 100R FEE' USE OF CIRCUIT PER '100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT . 50 VOLTS
OR LESS ,
CONVENIENCE ,- MOTOR , .
CONVENIENCE ' , MOTOR -
APPLIANCE -. - MOTOR . .
DISHWASHER FIRE ALARMS ,
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
,
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS, OIL
FURNACE ENERGY FEE
ELECTRIC ,- ,
BASIC FEE
ELECTRIC HEAT .
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
,
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE AW.G.
I SUB,TOTAL ,
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
Icertify that the work to be perfo7t.~under this 'per,mit will be done by the installer and in conformance with the N.E.C.
Date Application made l: /1 g 7 ,19 By
Electrical Code.
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
..Pe~mission is hereby given to .d~ ~I)e aboye de~cribed work, acco[ping to the conditions hereon and .according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinance.s C?'!"!~QW of Port Ang~le~. ~ " .
. .' / (" i'17 . - ';:~ - R OF CITY,LIGHT ' ,
Date Permit Issued (, /6
.
WARNING
Notify Department of City Light by Street Address and ermit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457.0411 Ext. 158.
,
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
"" vuOI,.. OD,..,T<;:O<:: I...,..
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . , , ,
15- 00001323 Date 10/20/15
Application pin number . . .
296052
INSPECTOR:
Property Address . , . .
1205 S CHERRY ST
ASSESSOR PARCEL NUMBER;
06-30-00-0-3- 7845 -0000-
SERVICE
Application type description
ELECTRICAL ONLY
Subdivision Name . , . , . .
ROUGH -INS
Pxoper'ty Use . . , . . . . .
Property Zoning . , . . . , ,
R57 RESDNTL SINGLE FAMILY
Application valuation . . . .
0
COMMENTS:
Application desc
Ductless heat pump
Owner
Contractor
JOHN C SEHL
EXTRA MILE TECH & ELECT,,
LLC
PQB 3233
418 N. RACE ST,
PORT ANGELES WA 98362
PORT ANGELES
WA 98362
(360) 912 -3658
(360) 457 -5222
Permit . . . , . , ELECTRICAL
ALTER RE,;IQENTIAT,
Additional desc . .
Permit Fee 68,00
Plan Check Fee
00
Issue Date 10/20/15
Valuation
0
Expiration Date 4/17/16
Qty Unit Charge Per
Extension
1100 5,0000 ECH EL -ECH
ADDNT BRANCH CIRCUIT
5100
1.DO 63.0000 ECH EL -R-
RLZANCH CIR W01 SER FEED
63.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 68.00
68.00 .00
.00
Plan Check Total ,00
.00 .00
.DO
Grand Total 68.00
68.00 .00
.00
eDtA .n I, i, L:
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -INS
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (b) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G AEXCI iA NGE\ B UILD 1NG
a'
Cm ow -POR-T ANGELES LICA.UON OCT 2, o 2015
Bandi3mg DhIsionw0cmad +Q9 ffi
321 East FM Sb*et —P.O. Box 11501 Port AEVIes Washbgto% 93362 FLEWICAL
Pit: (360) 417-4735 Fax: (360) 417-4711
I & 2 Single F 6 Dwd"
Plan Review May Be fired, PISM Complete Sectdcal Plan €review rmaon Sheet
JobAddress:
Ruildfrig Square ROW--S.—
"7.j o-�_i"V'
Dascdp*m Of &M =7
emer Infou"Mon Cone r It atiorr
Name: 4xMN
!9
Name:
Mailing Add r>
Cot.
pho� FW
UCMGWEAP._ Home#/ EV_jEXzX
W Irk
&—M UnItch
Sen(looffiesdar24DAmp. $120.00
SwAcelFeeder 201-400 Amp. $146.00
Se oWeaderQ-600 Amp $205.00
&rWce,Feeder60I-IGG0 Amp. $26ZOO
3rviWFeederoverI000 Amp. $373.00
8MM11 CIPMA WISWCS Feeder $ Ho
Elrarmh CIMMO Service FbWer $ 63.00
ExA Addiffonal Branch Chmft $ 5.00
Brarch Ctmub 1.4 S 75.00
Temp. Semcel Feeder= Amp. $ 93.00
Temp, SaivicelFeeder 2014CO Amp. $110100
'Temp SerAceRedu401-COAmp- $1490
Temp. Serke[Feedff 601480O Amp. $168,00
Portal to Portal Hourly $ 96.00
Signal GhW LWIted EneW- 1 &2 Fady Dweftq $ 64.00
Manufactured Home Ccmnecftn $120.0
Renewable Ee&cd SwW-5K VA System DrUss $ 102-OD
Thermostat $ 56.00
NOW, $50foreach addifignAIT-Sla
MCONSTS QN_04L_Y:
S
First 1300 Square Ft' $120 Oa
Each AdMord 00 Square Ft orfttm of 40.00
Each OuttwHdWr Debchad Grime $ 400
Each Swimming Pool or HatTub $110.00
Total
Owner as defined by RCW.19.28.261: (1) Owwr will o=pythe stucWre for two years after Wis efeftal P=ft
Is ftliNd. (2) Owner is required
to Ifre an eleftW contracbr if aWa add property is for a% rent or team, PenWit expires aftrabi months of lad inspedon.
After rearing the above stftnerft, I hereby cer4 that I am the owner of thadmve named pr opaq or a UcensW
ekc#M contractor. I am MEWIng
to electrical jnMagon or abrabon in =nolance with the ebcWcW laws, H.U., RCW. Chapter 19.28, WAC. Chapkr 29648, lba City of POrt
Angeles Municipal Cod, Wd C y Spadficdons and PAMC 14.05.050 YeWing BacWcad PemA Applizallons.
Signalwe of owner, ejedAW conbactor or elecbicd admimMrdtor: 0 0 check
x1temd pd
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