HomeMy WebLinkAbout211 Dolan Ave - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
HOLLATZ HARLY
212 DOLAN AVE
PORT ANGELES
(360) 457 5692
Permit Fee
Issue Date
Expiration Date
Fee summary
T-1Policies11102.15R (1105)
Permit Fee Total
Plan Check Total
Grand Total
WA 98362
00
3/19/07
9/15/07
Charged
Signature of Contractor or Authorized Agent
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
07 00000272
912912
211 DOLAN AVE
06 30 09 5 2 1568 0000
PUBLIC WORKS UTILITES
RS7 RESDNTL SINGLE FAMILY
0
Contractor
OWNER
Permit RI3HT OF WAY
Additional desc INSTALL SIDEWALKS ON DOLAN
Permit pin number 97352
Paid Credited
00 00 00
00 00 00
00 00 00
Date
Plan Check Fee
Valuation
Date 3/19/07
Due
00
00
00
00
0
Separate Permits are required for el( ctrical 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 wor c as commenced, or if required inspections have not been requested within 180 days from the last
inspection I hereby certify that I In ve read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this t /pe of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Owner (if owner is builder) Date
CALL 417 -4807 FOR UTILITY 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
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
RESIDENTIAL
CONSTRUCTIONRW PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T•\Policies \1102.15R [1/05]
PERMIT INSPECTION RECORD
YES I NO
I I
I I
I I
I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION RW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
I I I
I I I
I I
I
BUD..DING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECflONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR COlVCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS ATJOB SITE.
INSPECTION TYPE .' DATE . ACCEPTED COMMENTS
I YFS NO .
FOUNDATION: ,
FOOTINGS .
'.
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPl) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG) .
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS I
CEILING I . I I '.'
FRAMING
JOISTS I GIRDERS
SHEAR WALL/HOLD DOWNS .
WALLS I ROOF I CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR ~.
INSULATION
SLAB I
WALL' FLOOR' CEILING I I I :
MECHANICAL .
tJEAT PUMP
GAS LINE
WOOD STOVE I PELLET' CHIMNEY
HOOD I DUCTS . .
PW UTILITIES' SITE WORK (Engineering Division) SEPARATE 'PERMIT #'5:
WATERLINE' METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #.s SEPA:
PARKINGlLIGHTING ESA:
LANDSCAPING " SHORELINE: ..
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE .
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
. YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL ,
LIGHT DEPT
CONSTRUCTION R. W:, PWI CONSTRUCTION - R. W. '.
ENGINEERING 417-4807 PW, ENGINEERING
FIRE 417-4653 FIRE DEPT. :
PLANNING DEPT. 417-4750 PLANNING DEPT. :
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1l02.15 [1111412003]
.......,
Application Number . . . . . 24-00000414 Date 5/07/24
Application pin number . . . 285220
Property Address . . . . . . 211 DOLAN AVE
ASSESSOR PARCEL NUMBER: 06-30-09-5-2-1568-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
GARY C BRUNDIGE AND MICHELE S BLACK DIAMOND ELECTRICAL CONTR
211 DOLAN AVE 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(605) 431-7050 (360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 95.10 Plan Check Fee . . .00
Issue Date . . . . 5/07/24 Valuation . . . . 0
Expiration Date . . 11/03/24
Qty Unit Charge Per Extension
1.00 95.1000 ECH EL-R- BRANCH CIR 1-4 95.10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95.10 95.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 95.10 95.10 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
EL1-2 SF 1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □Single-Family Residential □ Duplex / ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Unit Charge Quantity Total (Quantity x Unit Charge)
$190.20 $
$190.20 $
$285.30 $
$380.40 $
$475.50 $
$5.30 $
$95.10 $
$47.55 $
$95.10 $
$95.10 $
$190.20 $
$285.30 $
$380.40 $
$95.10 $
$95.10 $
$190.20 $
$190.20 $
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuit/Limited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.30 for each additional)$95.10 $
First 1300 Square Feet $190.20 $
Each Additional 500 square feet``$47.55 $
Each Outbuilding / Detached Garage $95.10 $
Each Swimming Pool / Hot Tub $190.20 $
TOTAL $
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□Owner □Electrical Contractor / Administrator)
Pe
r
m
i
t
#
:
New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
5/13/24 24-414 TAP
OWNER
Contractor
Black Diamond Electric
ADDRESS
211 Dolan Ave