HomeMy WebLinkAbout220 Dogwood Pl - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Date 3/06/03
Property Address ...... 220 DOGWOOD PL
ASSESSOR P~J~CEL NI~4BER: 0630156000060000
Application description . . , RE-ROOF
Property Zoning .......
Application valuation .... 4700
Owner Contractor
BRIEHLER DONALD J EMERALD ROOFING
PO BOX 566 114 MT PLEASENT CREST
CEP. RO ~OPd)O IL 61818 PORT ANGELES WA 98362
(360) 452-8173
...... Structure Information TEAR OFF, FELT, COMP .....
Construction Type ..... TYPE V NON-RATED
Occupancy Type ...... SINGLE FAM & CONGREGATES
Permit ...... BUILDING PERMIT - NO PR FEE
Additional desc .
Permit Fee .... 134.75 Plan Check Fee . . ,00
Issue Date .... 3/06/03 Valuation .... 4700
Expiration Date . . 9/02/03
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
Fee summary Charged Paid Credited Due
Permit Fee Total 134.75 134.75 .00 .00
Plan Check Total .00 .00 .00 ,00
Other Fee Total 4.50 4.50 .00 ,00
Grand Total 139.25 139.25 .00 ,00
E--~p arate 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 ol
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
~/ F/L ~-~ Date -
~ignature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder)
:\PLANNING~FORMS\ 1102,15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 41%4815 FOR BU1LDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITI$ UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERM1T IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB S1TE
INSPECTION TYPE { DATE IyEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DKAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGHdN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
Location of Work to be inspected
Name of person requesting inspection
of person requesting inspection Phone No.
Address
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Sewer Excav. Other
INSPECTION NOTES:
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~]Gravel []Asphalt []PCC [~Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
LIGHT DEPARTMENT
I
I
(
ELECTRICAL PERMIT
N? 15949
/0 -?' "/
Port Angeles. Washlngtonoooo.___..oo______oo_.._oo______..____________.......oo.___.. 19C."?
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 granted to do electrical work as listed below.
~= ~~~~_~~~i(~~;:;:;:~~";~:::=:==:::_==
>0 /~O/~~
Light Outlets....__........._..............._.._..... Service, volts ..................._.........._......
Receptacle Outletsm..L.:?:..........__... No. wires ..~-.:~?----..................-::i-....
Drver. KW nmu~nh........m........_....___... Size wiresm...~(!..~..._..
. 'l )
Range, Kw_____l.2_______________ Main fuse __m'-?!.~/m______n__
€:.
Enclosure ....___..m.........m_..m........_
Water Heater:
1.1
Heal~:~:::J.Z_Z2d:::_:::::-
Type of wiring:
Entrance Cable mmm"
Motors: s~e. volts and phase:
::J;!i::t~~:::~:::::::::::::::::::::::::
Rigid Conduit __mm_________
Metallic Tubing ...........................
Current transformers:
No. & Size.___..m_._mm___m.....
Ser. No.........-.......-.-...-.....---.-....-..-.....
Ser. No.............._...............................
Ser. No...............................................
Type of Wlrlng;
Armored Cable ..___...m...................
Non-Metallic m_m_...m_.............._.__
Knob & Tube....................__.........._
RIgid CDudult nn__..._m__._____..........
MetalUc TUbing .....m....m............
Raceway ........_.___..................._._..._
~~
C1rc~:~.lt~I~~_t::::E~::::::~::::::::::::::::::::
/;;;;.
I-Ieat ............._..'.__...................._...._
.;)
Range .__.._~_..._..................._...____.___
:;;.
Water Heater ....................._._._.....
Motor ..__...................____.__..____........
9-
Dryer..._.......____..._____..........................
Furnace ...................._.__.__........._m......
30
Total lAad..._.......__.........__..... Ser. No. .........._..._.._...._.._.................. Total ......................................_
Renlarks: __n.u__n.~___.:~_~.:':::~:.-:...__n;;;:'!:'?:!:."::':?::.kn_.h_n__.nn.unu_ununnnnn______nn__.un__________n____~____.........~.~u
.;:~~i;~.:.......-.....mmmm;~~~~...~~~~;~~..m-..nnn.m..n..-.nn.....~;zJ%~k;~:.2m.....
$oom_::..................nn.._.... No............................. By .,............................._........................"...";0,,,...
NOTICE-Current must not be turned on until Certificate of Inspection has been Jssued. If work is to be con.
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
/
E~ECTRICAL PERMIT
...
Address
N?
15949
Owner ..............n............n....._.........._n...._......_.._............_.........._...._........................_..... Tenan L...................................n..............._.___..........
Date_..__..._._____.._.._._........_....n___..______._....
WJringContractor._.____..._______.______....__...___......................_............._._.....__......................._...._..__..___By_..__........_............_................................_..
NOTICE-Current must not; be turned on until CertIficate of Inspection has been issued. If work Is to be con.
cealed due notice must be given the Inspector so that work may be inspected berore concealment.
I
,
\
1M
Olympic Printers, Inc.
Application Number . . . . . 23-00000442 Date 5/03/23
Application pin number . . . 817132
Property Address . . . . . . 220 DOGWOOD PL
ASSESSOR PARCEL NUMBER: 06-30-15-6-0-0006-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Panel replacement
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
MATTHEW AND KATHERINE MCCOY SEQUIM VALLEY ELECTRIC
3344 S MAZE AVE 11 LONE EAGLE LANE
BOISE ID 83706 SEQUIM WA 98382
(360) 681-3330
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 2X FEE WORK DONE W/OUT PERMIT
Permit Fee . . . . 260.00 Plan Check Fee . . .00
Issue Date . . . . 5/03/23 Valuation . . . . 0
Expiration Date . . 10/30/23
Qty Unit Charge Per Extension
BASE FEE 120.00
4.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 20.00
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 260.00 260.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 260.00 260.00 .00 .00
PREPARED 5/01/23,11:15:24 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000442 220 DOGWOOD PL
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 240.00
TOTAL DUE 240.00
Please present reciept to the cashier with full payment
PREPARED 5/01/23,14:42:06 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000442 220 DOGWOOD PL
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 260.00
TOTAL DUE 260.00
Please present reciept to the cashier with full payment
1 - 2 SINGLE-FA MILY
ELECTRICAL PERMIT APPLICATION
Public rks and lJLilities Department
321 E. 5Lh Street. Port /\ngeks. 98362
360.417.47351 wwwxityof"pu us I electricalpcn11it:-;rcL,t:ityoi'pa.u:;
. 220 E Dogwood Pl ProJect Address: ------------------------------------
• 200A panel replacement ProJect Description:-------------------------------------
Name: MATT MCCOY
Building Square footage: ________ _•
Mailing Address: 220 E Dogwood Pl, Port Angeles, WA 98362
Email: mattmccoy28@gmail.com
Phone: (208) 371-8920
Name: SEQUIM VALLEY ELECTRIC, INC.
Mailing Address: 11 LONE EAGLE LN, SEQUIM, WA 98382
Email: AHANOVA33(@.MSN.COM
lllm
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal CircuiULimited Energy -1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Addltlonal 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Poof/ Hot Tub
Unit Cbacge.
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
q
TOTAL
License: SEQUIVE901 L3
Expiration Date: _0_6/_2_1_/2_0 _2�4 ___ _
. --
ImilJ (Quantity x Unit Charge)
$.00
$ ____ _
$ ____ _
$ ____ _
$��---sz.b,cv
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _ $ ____ _$ ____ _$ ____ _
$ ____ _
$ ____ _
$ ____ _
owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit Is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C .• RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
05/01/2023 ANDREA HANA -� -;.,.
Date Print Name Signature (0 Owner 0 Electrical Contr actor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@city ofpa.us )
$20.00
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
5/3/2023 23-442 TAP
OWNER
CONTRACTOR
Sequim Valley Electric
PROJECT ADDRESS
220 Dogwood Pl