HomeMy WebLinkAbout615 S Chambers St - Building
,
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
08-00000594 Date
144560
615 S CHAMBERS ST
06-30-00-0-2-1065-0000-
ELECTRICAL ONLY
5/21/08
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
SEELYE WALLACE/NANCY
615 S CHAMBERS ST
PORT ANGELES WA 983626426
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES
(360) 452-9264
WA 98362
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
ANGELES EL/ RAISE MAST
126862
34.00
5/21/08
11/17/08
Plan Check Fee
Valuation
.00
o
6"
-
<J"\
Qty
1. 00
Unit Charge Per
34.0000 ECH EL-R OR RM REPAIR METER/MAST
Extension
34.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 34.00 34.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 34.00 34.00 .00 .00
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000583 Date
.626258
615 S CHAMBERS ST
06-30-00-0-2-1065-0000-
ELECTRICAL ONLY
7/02/04
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
SEELYE WALLACE/NANCY
615 S CHAMBERS ST
PORT ANGELES WA 983626426
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452-6424
WA 98362
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
FURNACE/HP
ELECTRIC SERVICE
46.70 Plan Check Fee
7/02/04 Valuation
12/29/04
.00
o
6"
~
Qty Unit Charge Per
1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
46.70
It\
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.70 46.70 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 46.70 46.70 .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 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 apy .s!ate '9r.loc~~w regulating construction or the performance of
construction. . '. \. . V .
Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:\PLANNING\FORMS\1102.15 [11/14/2003]
~
BillLDING 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
1 YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGElDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: II
ROUGH-IN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS I ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET I CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT fl's:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT II's SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 7-.. 0" MD ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PWI , CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
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T:\PLANNING\FORMS\1102.15 [11/14120031
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FIRE PERMIT INSPECTION RECORD
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c.: .,.., '_'". "'> . ",- - .~~ --'-".'" .. -,',_ .. ';":'.:_' ,,-.':C:: " ", -~ -""" .. ::-.-<<, .::::."", ,_._ ,.0-' '._''-:'' :_'_.'..-.. >_ .... ". ,'.. '0. "".,.-., -". '..' ....-."/'..:.::..i..,...'....,J.'i..'.<<:..--.' ;-. _:_'_:.'....'::..'.;<.".:.............:.:.::'..':.....:..:....\......: ,,:' ,'.. ':. :;'...'.......;..'.'.:.: '. :',,' _......_'
Call 360-417-4655 foTtire inspectiol1So Please providea. rninirtlllm 24-hourI1()tjc;~oItisllnl~\Vfl1lt~(JpqX~r~ills1.11ate
or conceal any work before inspected and accepted. Post permit in a conspicuous locatiqp.~'
'-:;':':'~I,;:}iJ:;'$;f::;;
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KEEP PERMIT CARD AND APPROY~D PLANS AT.JQ~i;~Il'lT.i
!. Inspecti()oType
FIRE SPRINKLER
I Date Passed '. I
Comments ... .
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
Completed by Contrft(:t()r:
Underground piping inspection/pressure test
Above ground piping inspection/pressure test
Tank (container) inspection
Appliance inspection
LP-gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable/combustible liquids
Test # I
Piping pressure test
Time initiated
Test #2
Piping pressure test
Time initiated
psi
pSI
Tank appropriately abandoned
UST abandonment final
10 "'ze-CI-j
k.})J)
PERMIT OTHER (specify)
2/1 5/00
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CITY OF PORTANGELES
DEP ARTMENTOF COMMUNITY DEVELOPMENT - BUll..DING DIVISION
321 EASTSTH STREET; PORT ANGELES, W A 98362
Application Number
Pill number
property Address
ASSESSOR. PARCEL NUMBER:
Applicat~on description
Subdivision Name
Property Use
Property Zoning .. .
Application valuation
04-00000582 Date
.267588
615 S CHAMBERS ST ,
06-30-00-0-2-1065-0000-
ELECTRICAL . ONLY
7/01/04
RS7 RESDNTLSINGLE FAMILY
o
Owner
Contractor
SEELYE. 'WALLACE/NANCY
615 S CHAMBERS ST
PORT ANGELES WA 983626426
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360)452-6424
WA 98362
---------------------------------------------------------------~------------
Permit . . ..'
Additional desc
Sub Contractor
pexmit Fee .
Issue Date
EJq>iration Date
ELECTRICAL NEW RESIDENTIAL
T-STAT/DAVE'S HEATING
DAVE I S HEATING & COOLING
35.30 Plan Check' Fee
7/01/04 Valuation
12/28/04
.00
o
Qty Unit Charge Per
1.00 35.3000 ~CH EL-LVT-FIRST THERMOSTAT
Extension
35.30
~
---
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Fee summary Charged Paid Credited Due
----------------- ---------- - - - - - - --,,-- ---------- ----------
Permit Fee Total 35.30 35.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand.Total 35.30 35.30 .00 .00
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Separate Permits are required for electrical wOrl<,S,EPA, Shoreline,ESA,utilities, p.liyatean,d public improvemems''fhis~~P1I~ becoll'les
null and void if work orconstruction authorized is not commenced within18C),~ays, if Construction or work Is suspe'rideCI()rabanaoned
for a period of 180 days after the work as commenced, or ifrequired insPectlons~ave not been requested withilj1ftO,da~fnjmthe last
Inspection, I hereby certify that I have read and'examinedlhis applica\ion an,dknow'the same to be true and correcl.Ailprovisionsof
laws arid ordinarlfes governing this type of workwillbe compliedwi~ whether specified herein or not. T~egrantingofa,permitd()es not
presume to give authority to violate or cancel the provisions of any state or local law, regulating construction or the performance of
construction. .
Signature' of Contractor or Authorized Agent
Date
.Signature.of OWner (if owner is builder)
Date
T:\PLANNING\FORMS\J\02.IS [1111412003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILaING INSPECTIONS. CALL 417-4735 FaR ELECTRICAL INSP,ECTIONS.
pLEASE PROVIDE A MINIMUM 24110Ul'{NQTICB. ITISUNLAWFUL TO COVER,IN~UliATEORCONCpAL ANKWORKBEFORE
INSPECTEDANDA,CCEPTED. .POSTPERftPT IN A CO~SPIGUOUS LOC,ATlON. . '
KEEP 'PERMIT CARD AND APPROVED PLANS AT JOB.St'I.E.
, '
INSPECTION TYPE , DATE ACCEPTED .~ ',C 'COMMENTS
YES 1 NO .... . ,. .
FOUNDATION: ,
FOOTINGS .'
'.
WALLS,
FOUNDATION DRAlNAGEIDOWN SPOUTs '"
.
ELECTRICAL . (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I I
, PLUMBING .
.
UNDER FLOOR' SLAB .'
ROUGH-IN
I. WATER LINE (METER TO BLDO)
GAS UNE "
r .
BACK FLOW' WATER .
AI~ SEAL "
WALLS I I
CEIUNG .. I
FRAMING .
..
JOISTS' GIRDERS
SHEARWALLIHOLD DOWNS
WALLS' ROOF' CEILING
DRYWM-L (INTERIOR BRACED PANEL ONLY) ,
T.BAR: .... .'
INSULATION . .
SLAB .
WALL, FLOOR' CElUNG I
MECHANICAL ....
HEA1:.PUMP .
GAS. LINE
WOOD STOVE' PELLET' ClUMNEY
HOOD/DUers ' '.' '.' .... ( .'
"." . , (Engineering DivisiOn)
PW UTILITIES I SITE WORK SEPARATE PERMIT #'5:
"
W A TERUNEl METER -
SEWER CONNECTION
SANITARY ., .
STORM ....
PLANNING DEPT. SEPARATE PERMIT #.5' '. SEPA:
PARKlNGILIGHTING ~ ~
ESA:
LANDSCAfIN~ " ~SH~h'"
. . .' L;. i. ,
. . .~, '. FINAL ~PECI1Ofl1S'REQUIRED PRIOR TO OCcyP~~~.>. .
RESIDENTIAL riATE YES " NO COMMERCIAL DATE \ ACCEPTED
'.," - , I:. .-.-;;... ....NO
. , .' " YES
ELECTRICAL - LIGHT DEPT. , .... .
417-4735 '7"'2.-04 PeO ELECTRJCAL
. LIGHTDEPT
CONSTRUCTION R. W.IPW' .' CONsTRUCTION - R. W.
ENGINEERING 411-4807 PW, ENGINEERING
FIRE 411~3. FIRE D~.
P~D.EPT. 417-4750 P~G DEPT.
, - ...-c_ . .
BUILDING 417-481$' . BUILDING " " >
T:\PLANNlNG\FORMS\1 102.1S [1111412003]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll.DING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Lasered
CEO
Application Number
Appllcatlon pin number
Property Address
ASSESSOR PARCEL NUMBER:
Appllcation type descrlption
Subdivislon Name
Property Use
Property zoning . . .
Appllcation valuation
4/10/06
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 inspec~ons 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 is type of work will b complied with whether specified herein or not. The granting of a permit do ,not
presum .to give a !JhOrity 0 v: late or cancel the ~ visions of any state or local law regulating construction or the performan of
con ru Ion.
,
/
/
Sig ature of Contra-ctor or Authorized Agent Date Signature of Owner (if owner is builder) Date
06-00000323 Date
112369
615 S CHAMBERS ST
06-30-00-0-2-1065-0000-
RES REMODEL
RS7 RESDNTL SINGLE FAMILY
750
Owner
Contractor
SEELYE WALLACE/NANCY
615 S CHAMBERS ST
PORT ANGELES WA 983626426
GLASS SERVICES
P. O. BOX 2559
PORT ANGELES
(360) 452-7564
WA 98362
Permlt BUILDING PERMIT - NO PR FEE
Addltlonal desc WINDOW SILL/FRAME REPAIR
Permit pin number 74245
Permit Fee 59.15 Plan Check Fee .00
Issue Date Valuatlon 750
Expiration Date 10/07/06
Qty Unit Charge Per Extension
BASE FEE 50.00
3.00 3.0500 HND BL-501-2K (3 . 05 PER C) 9.15
Other Fees
4.50
STATE SURCHARGE
Fee summary
Charged
Paid
Credited
Due
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
.00
.00
.00
.00
59.15
.00
4.50
63.65
59.15
.00
4.50
63.65
.00
.00
.00
.00
T IPohcles\1102_15 buddmg permIt mspectlon record05 wpd [1/4/2005]
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I BUILDING PERMIT INSPECTION RECORD
I
I CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
I CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE
I INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
I KEEP PERM1T CARD AND APPROVED PLANS AT JOB SITE.
~
~
V'\
I ~NSPECTlON TYPE DATE ACCEPTED COMMENTS
I I YES I NO
FOUNDATlON:1
~ FOOTINGS I
SHEAR W AL'+S / WALLS
FOUNDA TIOlil DRAINAGE / DOWN SPOUTS
PIERS I
POST HOLES I(POLE BLOGS )
PLUMBING I
UNDER FL00R / SLAB
ROUGH-IN I
WATER LINl;' (METER TO BLOG)
"" GAS LINE I FINAL DATE ACCEPTED BY'
.......... BACK FLOWj / WATER
~ AIR SEAL I
WALLS I
CEILING I
FRAMING I
JOISTS / GIRDERS
I
SHEAR W ALL/HOLD DOWNS .
I
WALLS / ROOF / CEILING ?f11Jt Itx. rk/
I
DRYW ALL ~INTERIOR BRACED PANEL ONLY)
T-BAR I
INSULATION
I
SLAB I
WALL / FL00R / CEILING I
MECHANIC.}L
HEAT prn.r / FURNACE / DUCTS
GAS LINE i
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY
I
COMMERCIAL HOOD / DUCTS
MANUFACljURED HOMES
FOOTING ( SLAB
BLOCKIN? & HOLD DOWNS
SKIRTINGI
~ I
PLANNINp DEPT SEPARATE PERMIT #'s SEPA-
\\) PARKINQ/LIGHTlNG ESA
LANDSCAPING SHORELINE
, i FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
~ I RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
I YES NO
ELECTRIC!\L - LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
I
CONSTRUCTION R W 1 PWI CONSTRUCTION - R. W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE i 417-4653 FIRE DEPT.
I 417-4750 PLANNING DEPT.
PLANNING DEPT I }
I 'Ifl/lltJL IVUJ BUILDING
BUILDING 417-4815
T \Pohcles\11 02_15 bUlldmg penmt inspectIOn record05 wpd [1/4/2005]
\
PREPARED 4/11/06, 12.47 19
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
12
4/11/06
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
615 S CHAMBERS ST
GLASS SERVICES
SEELYE WALLACE/NANCY
06-30-00-0-2-1065-0000-
06-00000323 RES REMODEL
SUBDIV
PHONE (360) 452-7564
PHONE .
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3
01
4PPP-~
BUILDING FRAMING
04/10/2006 11.45
WARD 452-1155
CALL FIRST
AM PBARTHOL ---------------------------
-------------------------------------- COMMENTS AND NOTES --------------------------------------
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BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY
DateRec 4/ie;,/Oh
Penrut # eJ{, - ~2- '3
Date Approved ~A., I ct:.
Date Issued .;,/: () / (/ '"
,
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. 11 you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
ApplIcant or Agent' GLItSS .5 eR...l/ I ee-<;
Owner: W M..-V\.{ _ Sb~( 't (;r
Address: Co'S So (h~~ CIty: .pfJr
ArchItectlEngineer: ,.-ff Phone.
Contraclor~~ 5' ~V \/'G State LIcense #: c.l.A-SS S c 17'" DI/ Exp- fi,;, / tJIo Phone: IISZ-( I-S--J
Address: ~ X ZS~-q CitY' ptJP.!T ~e/fi'"~ Zip: ttf% z.-..
PROJECT ADDRES'S: (p I ~ 50 C--hPr1I/v~~
LEGAL DESCRIPTION- Lot: PJ1z - I () ~ II Block: ;;2/ '() SubdlVlsion:
CLALLAM COUNTY PARCEL NUMBER: (J6 500 DO L J () ftJ r; (j('()
a
Phone.
L.[ r-2 ~ I1SS
Phone.
ZIp.
Q>a3" 2-
ZONING:
V 43 F kl9
SUR-v
TYPE OF WORK:
'Res1dentIaI D New Constr D Re-roof D Stove
o Multi-family D Add1tlOn D MoveD Garage
o Commercial D Remodel D DemolItlOn D Deck
. RepaIT D S1gn D Other
BRIEF DESCRIPTION OF THE PROJECT' e~ IHe.g.
~tAeR ~{() i ~
SIZEN ALUATlON:
SF. @ $ /SF. = $
SF @ $ /SF. = $
SF. @ $ /SF = $~ __
TOTAL VALUATION $ "l'S LJ
1m WI &J 01'. ill S 1;L( ,~ d- '1=-R..A-1IA.:t kJG
J (rv ~
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stones: i Lot SlZe' EX1stmg Sq. Ft
T otallot coverage %
Occupant Load'
& Proposed Sq. Ft.
ConstructlOn Type'
= TOTAL Sq. Ft
PLANNING USE ONLY:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
ESA/Wetland(s). DYes D No SEPA ChecklIst requITed? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant.
This figure will be rev1ewed and may be rev1sed by the Buildmg DlVlslOn to comply w1th current fee schedules. Contact the Pennit
Coordinator at 417-4815 for ass1stance.
PLAN CHECK FEE: IF a plan check fee is due 1t must be submitted at the tune the building permit applicatlOn and constructlOn plans are
subJllitted. All other pefilllt fees are due at the tune of pefilllt 1ssuance.
EXPIRATION OF PLAN REVIEW: Hno pefilllt is issued W1thin 180 days of the date ofapphcatlOn, the application will expire. The
Buildmg Official can extend the tune for actlOn by the applIcant up to 180 days upon wntten request by the apphcant (see SectIOn
RI05.3.2 of the IntematlOnal BUlldmg/Res1dentlal Code, 2003). No apphcatlOn can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to
apply for this permit and understand that it is my responsibility to determine wh t permits are r. quired ,not the City's, and that I
must obtain such permits prior to work.
o
T \FORMS\BldgPenmtform wpd Applicant:
Date:
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles. WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. 7/7?r
? h/151
,
DATE
Site Address:
(;
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
ONner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW
o FAN/WALL KW _
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
;J>( SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
~ OVERHEAD SERVICE
o UNDERGROUN SERVICE
VOLTAGE: z-O
):9116 03
SERVICE SIZE 2.OD
FEEDER SIZE
AMPS
AMPS
DetailslDescription:
. LALlI Sv..ur~
VIm ~~ ~
IlJD ,{Jw.r /~\
.
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.
~fJ Rough-in/cover O.K.
./fjl'f'-'P O.K. to connect service"
~ ~ Final O.K. ~2A. ~1^"",--,
permi"177S-
New Meters
...---
.
Notify Port Angeles City Light by Street Address and Permit Numberwhen 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 Buil~ PHONE 457-0411, EXT. 224. LL.
~ NOQCCUPANCY OR USE ESTABUSHED UNDER THI5 PERMIT $ ~ ~
Elecli'callnspector Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC.
FROM :
FAX NO.
Jun. 30 2004 03:56PM Pi
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ElECTRICAL PERMIT APPLICATION
FO" OFFICJAf.U$f. ONlY
D:uclRe.c ____... _._
"c>'nolll'
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,
The Electrical Permit Application must be filled out completelv.
()~-"'S733-.
Please type or reprint in ink. If you have any questions, please call (360) 417..4735
Fax nvrnber; (360) 417-4111
CI 1.' (> . -(
Owner or Elec. Contractor Agent L ~ r I (, ~Q{V) u.. . 1 he... Phone:
\tJ all CHL-' .s~y..Q..... '
Address: Co l:> .s. C). ""..... b.R.;fS Clly:
Electrical controctQr:~ r 1 ~,.... I\' ~l V ,'(y, f. Tlt- _
Address: g ~ Dc-'1"u-' V CI- (<-7 ra:J CII)"
~('Jd
'-152 -{/i2'/Fax: '1'5':1..- f.?'i2t.J
Phone: 4.i7- 3. S' ~
Zip: Cf 8'3 C9 "L-
ey or;- Phon.:'-I?:J.-ftJ~:J./-
Zip: <]g3 f,?
Property Owner~
License #:
Billing Address:
^f.EU:.CTRICAL CONTRACTOR
o U- Ci~l- t.v
INSTALLATION WIRED BY: [J OWNER
Credit Card Holder Name:
Zip:
Credit Card Number:
ElCp. Date:
VISA: Me:
Co IS
~C;
r .b t'-L-~t ("~
PROJECT ADDRESS;
TYPE OF WORK:
Check all that apply: LJ New
~terationiAddition
,.Residential 0 MUlti-family
o Commercial 0 Mobile Home
Sq. Ft
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
o Low Voltage 0 Telecom. 0 Sign
Number of Circuits added Or altered:
2--
-P ljf"h CL(TL ... ~ o~ pv"'"p
, ':b-
~ leV"}'
DESCRIPTION OF THE ELECTRICAL PROJECT:
Electrical Heat Load Additions and or Subtractions
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
_KW
-1Q KW
.2.b.:TON_ LRA
KW
7'00'1
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 1 0 3
Service Size:
Feeder Size:
I hereby certify that I have read and examined this application and know that same to be true and correct, and I am
authorized to apply for this permit. I understand it is not the City's legal responsibilfty to determine what permjts
are required; it remains the applicants responsibility to determine what permfts are required and to obtain such
J (I /0 t.!r . Credit Card Holder's Signature: ~. 11~ DatG:~ /3. 0 I Dr
Owner or Elec. Cont_signa~Jre: ~ tJ~ Date: y/soIO'1
A(- V.t= A:-7 )~ -'llw~L
;;;RI:~/:~;^~"~"" ('La cI y -f6:Ei~[;:t,.~' zo
IIA/ fj'/V/ /7IV~ 7-z..-a'l
,
FROM :Dave's HeatIng & Cooling Srvc FAX NO. :13604520939
~, .;?~' ,'. ! - ,~j Gin OF f'A [:LJ~: DEFT ~'~; }; '::.
Jun. 30 2004 02:57PM P1
;
,
-,'
$'.'
~ ,
.
\
,,~
ELECTRICAL PERMIT APPLICATION
r;;;QRI!CI..l.USl~~
I pn",~, -~---._-
'tnnlllI _-:-______.
I ~~"";IJlrn...- .
~.~ad
The Electricai Permit Application ~ fjll.d out C'orn~
fl.... type ",r.print in Ink. It)''Uu h..". .flY' quntlon.. ,.,IDUe uall (!80) 417.4734
Fu (lumber: (360) 4U...711 .
o 'j-S8 Z-t:::l I
. ...' :;;;;.c:....
r . 9/1/1 a.., LL .
O..n.rorBlo,contnctofAQlont:.:Dave-ls Heet-M""'O -I-G::~_Ph"",,;.'-f5J-O 131 Fax: ,5;}-093Cj
propOltyOllin.r;_Wo..\\~~ryo..l'\s:~~e..l6-eJ , ____PhOfl.'_t.{I"1- 3 ~8'7
-"'''~l~-,- G-M....,be.r::?,2L-Ci'V-_~~-t;k~:;,..--.. z'p~~3r;..d..._
E\eolri"'Coninlclo" :Dav-els He",-h,,-~"'-Co,~I",,~ U..n..l c."I<jla.cEl<i>: 5/oS Phon.:.l{':>;;>-0'7~'39
D S ",'.:e.,::Z;". D .,4,.,_~ ' .. .
Addie..: r,O, I30x 1/3..__'-1~:- ror-<- cH(f'NL.<; Zip; q&'3~a-
. ,'--
lNSTAUATI0N1liIRED8Y: ",OWNER rlLECHICA.lCOI\ITAAc,'oR .....-- .... ...........
CndirC.rdHolderName: . J~V\..,~LQ1~-e.Y\'f<;!"na..f_l D..ve.'s f-\€=+,'n.~<\-Cc:x:,~(,,-~
SIDIng AtlCI18SS: fo. box, -:i13 _____ctry: fovf k~"" 0.-?4 ZJp,"'1g~
CterDrCrlnlNumber: ' + ",SA: V"'MC:_
TYPI! 0' WORK-
Clt8Cl< Jill thaI apply: lJ N_
D AI~retior JAddnlan
. Ph::-t- ~0r4s
PIlOJECT ADDlU!lI&:
0(5 5 Cha-:!'-'9crs S--(--re,e...--t'
~RlISidentjal Cl MUlti-flmlty
o Commercial 0 Mabile Home Sq. Ft
o Aemate Metar 0 Oetamed 9ar:a;0 CJ HoI Tub 0 Swim Pool CJ Septfc Pump
Number 01 Cln:ub added or allelWl;
u('L.oWVoltSge ClT~l..coin. 0 S:gl
~1Y1-C5iG>ci' ...,,"re,
bli.CRlPTION OJ'THE BL8C'fRICALPROJBCT: oCt.<c,{ I 'k () ~ ~ 0 S-\-.....::I\
_,-<-,,:..rt- ,'",s+"...ll..e>-k1'bV'\ 0.&- __e.J..-e..<:A--n'c --h...rnCk.<!JL "'-~ f<-<........P .
________~_2__..:?&_J&.~A-f)}Lro INS fEeT >If-*
ilectrlc_' HeM Lead Additions and or Subtnlctfo". Sarvlcl! Inform.tlll!!
o SaNbDllrd
.e1=l,lmace
II!1-Il8t Pu~
'1 ~an-W.II
. KW
IOKW
?1 TON 5"'- lRA
=KW-
o O."erh~1Id SeNice
o T omp Sarvl...
D Und8l1lround Service
Volllllle: ..~\L__
Phl88: "1 '" ~
Sarv". SI2e;
Feeder Size;
r herfJby csrlify /hall have read and examined tNs application and know that same to be tnJe and C(Jm~ct and I am
9uthorizsd 10 apply for this perm/I. I understand if i!< not the City's legal res
/reJ6(fuiaui;.ii.mmalnS-thA-.3pp/icanl.s.J.espollslblli4'.w.dBiBl7rlit>e .what.eetmlt$-at>iJ_~lJir-ed aRd40-6blaln-suGh---
7/t1~4- ......'"'..'_.'.N__~ ~ ",.ct.bo(O':i
OwnerOrEIeC,Cant,Slgn.ture'~ _ DBte:~
A (- ~e v'~5/1fMJY.4-5 -<:t41!- n1L-Z 0
:''''-~c:rRJC''lPE''''''T''''F'WC''TlO~-it(t'{~ ~I; W('(flf'/"l"'} .PERMIT FEE: $ "/67.9-
~ J 35.3D
~L
7/; h'l
f}ft7
05/16/2008 11:19 FAX 360 452 9265
Angeles Electric
I4J 0001/0001
Electrical contractor name
License number
Date Expires
ELECI1UCAL WORK PERMIT APPLICATI<)N~
-\
~
-{
InstaUation description _ _______.- ,
o Commercial 1OI'1l:..ldenlial
o New ' ~d1AddlUon
ti
Job wired by
ledrical Contractor DOwner
Purchaser's mailing address
ANr.FI F~ FI Fr.TRIt. INt.
524 EAST FIRST
PORT ANr.FI,.S WA qRl~7
State ZIP
&~~ j}/~
.~ L~,('(),.j
r7l!"r
,
City
Telephone number
PAX number
premilIt'.;Dcr'. name
.......~
City V. ~
.
PbODC number to stbe
-~~d't:2
s,' ," 4..!JAA
91'36 2
Owner as defined by RCW/.9.18.i6J:(J) Owner wil/ occupy the structure for two
years after .his electrical permit is finalized. (2) Owrler is required /0 hire an electrical
cOIl/rac/or 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 c1c:ctrical.instal-
lation 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.
Siloature ~ WDer, electrical cODtr ctor or electrical admin' trator
D Cash D Check #
~Card VISll
Maslercard
Discover
Card# ____;_.PAL-BY!_-..;..___
Date:
Expiration Dale
of card
.
Ie 0 dtio r
NO LOAD CHANGES
o Baseboard KW
o Fumace KW
Q,Heat Pump '_ Ton _ LAR
Q Fan-Wall KW
tr r D9
~ SeMce
a Tamp Service
a Underground. Service
Service InformatiDn
Voltage /?.If ~
Pha"~
SeMca Size: ~tf
Feader Size: ~ ,
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
F, ROUGH-IN F THERMOSTAT F SERVICE
I s/"'ll~ ~
"- D.~ Approved By "- 1>0. ApprovcdBy '- . Dat.e .
,. , F ,. fEEDER
FINAL DlfCH
5/;.{/~ ~; ,,,,.,,...By ./ "- Dale ',.,..,.,.By/
'-. .DII' "- Dale
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date ',' Inspector
IfU: \'a.: ft1 '~U
Mnv 1 Il ?mno
.
I
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
INSPECTOR
~'+
~
OWNER/CONTRACTOR
M FZ...LJ~ So
ADDRESS
<-
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . .. . . . . .. . . ROUGH IN/COVER. . . . . . . . .. . . .. . 0
"\lii.- . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . .~
~
CORRECTIONS NEEDED:
B~~l.2 ~'K... 'B L-l"I' f\.( \-L
~Q.l'l\ ~E:.p
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
Application Number . . . . . 23-00000181 Date 2/23/23
Application pin number . . . 453730
Property Address . . . . . . 615 S CHAMBERS ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-1065-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Furnace / Heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JANELLE K JERSEY CASCADE ELECTRIC & VAC INC
615 S CHAMBERS ST PO BOX 369
PORT ANGELES WA 983626426 PORT HADLOCK WA 98339
(505) 363-6315 (360) 379-5347
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee . . .00
Issue Date . . . . 2/23/23 Valuation . . . . 0
Expiration Date . . 8/22/23
Qty Unit Charge Per Extension
BASE FEE 75.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
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
Item Unit Charge 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 $
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 Outbuilding / Detached Garage $74.00 $
Each Swimming Pool / Hot Tub $110.00 $
TOTAL $
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
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)Permit #: New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
PREPARED 2/22/23, 8:18:12 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000181 615 S CHAMBERS ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 75.00
TOTAL DUE 75.00
Please present reciept to the cashier with full payment
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
3/3/2023 23-181 TAP
OWNER
CONTRACTOR
Cascade Electric
PROJECT ADDRESS
615 S Chambers St
Application Number . . . . . 22-00001568 Date 12/21/22
Application pin number . . . 210752
Property Address . . . . . . 615 S CHAMBERS ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-1065-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump system
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JANELLE K JERSEY AIR FLO HEATING CO INC
615 S CHAMBERS ST 221 W CEDAR ST
PORT ANGELES WA 983626426 SEQUIM WA 98382
(505) 363-6315 (360) 681-3901
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 56.00 Plan Check Fee . . .00
Issue Date . . . . 12/21/22 Valuation . . . . 0
Expiration Date . . 6/19/23
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 56.00 56.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 56.00 56.00 .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
Item Unit Charge 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 $
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 Outbuilding / Detached Garage $74.00 $
Each Swimming Pool / Hot Tub $110.00 $
TOTAL $
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
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)Permit #: New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
PREPARED 12/19/22, 7:44:06 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001568 615 S CHAMBERS ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 56.00
TOTAL DUE 56.00
Please present reciept to the cashier with full payment