HomeMy WebLinkAbout1807 Nancy Ln - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
MC NUTT EVA LEONA
621 W LEE S CREEK RD
PORT ANGELES WA 98362
T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00000669
490360
1807 NANCY LN
06 30 11 5 6 0800 0000
RE ROOF
RS7 RESDNTL SINGLE FAMILY
5336
Contractor
Fee summary Charged Paid Credited Due
2 6-Or
Date 6/26/06
HATHAWAY CONSTRUCTION
324 E 7TH STREET
PORT ANGELES
PORT ANGELES WA 98362
(360) 457 5627
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF COMP
Permit pin number 80911
Permit Fee 151 75 Plan Check Fee 00
Issue Date 6/26/06 Valuation 5336
Expiration Date 12/23/06
Qty Unit Charge Per Extension
BASE FEE 95 75
4 00 14 0000 THOU BL -2001 25K (14 PER K) 56 00
Other Fees STATE SURCHARGE 4 50
Permit Fee Total 151 75 151 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 156 25 156 25 00 00
\q
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 -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 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 Contractor or Aut rized Agent Date Signature of Owner (if owner is builder) Date
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
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
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING /LIGHTING I I I ESA.
LANDSCAPING I I I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
ELECTRICAL LIGHT DEPT
T \Policies \1102_15 building permit inspection record05 wpd [1/4/2006]
BUILDING PERMIT INSPECTION RECORD
YES 1 NO
FINAL
FINAL
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I 1 1
1 FIRE DEPT
PLANNING DEPT 417 -4750 I i �,7 1 I 1 PLANNING DEPT
BUILDING 417 -4815 1 e )(0 d I n. �l W 1 BUILDING
DATE ACCEPTED BY.
DATE ACCEPTED BY.
Applicant or Agent.
Owner C A g
Address: r i�
TYPE OF WO F.
CI Residential
Multi family
Commercial
Repair
K.
New Constr
Addmon
Remodel
Sign
T•\FOP.MS\BldgPermitform.wpd Applican
BRIEF DESCRIPTION OF THE PROJECT
COMMERCIAL/RESIDENTIAL. Occupancy Group:
BUILDING PERMIT APPLICATION
Trill out COMPLETELI and in WIC. 1 our application and site plan MUST I}E
COMPLETE to be accepted for review If you have any questions. call
PERMITS (360) 41.7 -481 FA.X(360)4I7 -4711
4 /.f(City p f'
Arc]ntect/En ineer• /7 /ice
Contractor r'')( State License 4
Address: �2 7C -�S City
PROTECT ADDRESS /7C
LEGAL DESCRIPTION Lot: Bloch.
CLALLAM COUNTY PARCEL NUMBER.
1 Re -roof Stove
Move Garage
Demolition Deck
Other
No. of Stones: Lot Size Existing Sq Ft.
Total lot coverage
PLANNING USE ONLY
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
Phone: Ck
Phone.
Subdivision.
STZF/VALUATION
SF /SF
SF (cv /SF
SF /SF
TOTAL VALUATION 4
Date: d''.2 tC
FOR OFF3C SE QNLY
Date Re,:
20'
Permit
Date kppro" ed:
Date ]ssueda 7
l
Grp 7.ef P (.2
Phone. 62
g 2 2 -L Exp
Zip
ZONING
Occupant Load. Construction Type.
Proposed Sq Ft. TOTAL Sq Ft.
APPROVALS
PLAN
BLDG
DPWU
FIRE.
OTHER.
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant.
This fibre 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 PLAN REV 1 i W 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
R105.3.2 of the International Building/Residential Code, 2003). No application 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 what permits are required ,not the City's, and that 1
must obtain such permits prior to work.
CUSTOMER'S ORDER NO.
NAME
ADDRESS
HATHAWAY CONSTRUCTION
309 W 7th St.
PORT ANGELES WA 98362
(360) 457 -5627
PHONE
C l r -l—
71 7
L� r� LC l cJ
"Lf-1� ��`-i� y e -(7/4F 7j'
SOLD BY CASH C.O.D. CYIARGE ON ACCT MDSE. RET'D. PAID OUT
'QTY: <DESCRIPTION =PRICE r... .;AMOUNT
RECEIVED BY
D ':PRODUCT 610T
3.034
fir. r- -ts-7 G G
r r lhri LL
C C1� /Z
/RZ, 7 ill r
/ert'r
DATE
£3 O C
r
$cPa etc,
TAX I/;3 g
TOTAL X335
All claims.and returned goods must be,accompanied by this bill.
ft To Reorder
or nebs.com THANK YO U
CITY OF PORT ANGELES
LIGHT DEPARTMENT
I .
ELECTRICAL PERMIT
N?
17180
,;; - :5 Y 1"6
Port Angeles, Washlngtonm..m__.m......_..__.......m..m...m.m.....mm, 19........
;) ,X
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 ~sted below.
Address ./Z~t?-it;.~r.I.?-::.dl~.~~.<!#----.:~~. ocCUpancy..oood~~~-;2!2--....ooo.--
~::~~.~.~::~~.5~~:32::;1~~--.~~.:~~~;~..::::::::::...:::~::::::::::~::::::::::::::::::::::::::::~:::::::::
Light outlets............~...~m..m_.._.m. Service, volts ../~.~L~.?Y Type ot Wiring:
Receptacle outletsC--.1'P--..mm.m No. wires --""...?27":~r'diP2.. Armored Cable .......--.......----.".....-
81 i / / (/ Non.Metallic m..mm.......___............
:::,::.:~:~.~ ::::],,~~1=-= :: ~::===
/ 1 ~ Metallic TubIng ......................__m
KW..__..........n...............___..__.. Type of wiring: Raceway ...._........m..m.._m..____
Heat: KW........,G.~."!..m................... Entrance Cable _...__.__....m____......... CIrcuits. LlghL..;?m............m....m....
Motors~s~ze.~~s and phase: Rigid Conduit ........________m ~te. ~tltY,,:::::~:::::=::=::::::::=::::===
,..1.::..~ Metallic Tubing ___.m........ ;;;
.Cffi1i..~=:::::::::::::::.:.:::::: curr;:~ ::~::o.r=:'.s.:..m__... ~:t:: ~::~:;.:~::::::::::::::::::::::::
Ser. No... ......-.........-.--......--.......... ..-.' :r:::~. ..~~~~.2...~~~~~~~~~~~.~.:.~~~~~~~~~~~~..~~
Ser. No.........____.............____................ /..~.......
.m...m__..m..__.."m__........m______.m....._ Furnac".;;;;::-'7d-)(..;;J-..-..m.
SeT. No...........................__...___............ -- f Y! 1
Remark:~ta:__~~.~;;~~___.__....c..:;;::.:~2__:__.::::.:.:::~....____....oooooo____..~~:::..~::..::=~~~::~:::.:::~.:
u... ...nnu.n.hun.n.u.nunn.nnnn.nu......u...u..nun.nnn.u.n...nn.nnn.unu....nnu.n_.....nn.nnn...uuun.n.n......u.nn.unn
.;~;;.i/i~---.-----ooo----m--.-----.;~~~::.;~~~~~~.----....ooo------------------Z},7J;:.j(~:.Z~:~.;~~.~~
$______m____ooo.oooooo__ooo_________. NOhoooooo_____m____.._____ By r____.m_ooo______,.__.ooo__ooo__.______ooo.ooo_______m______ooo_
NOTICE--Current must not be turned on until Certificate 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.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
--
....
"
ELECTRICAL PERMIT
N?
17180
Address
...................-.........................-....--..................................................-........................-.......
Date..._......_d_.._.._......._d_......_......_.........
./
Owner..................................._......_.._......_......___..........................._::...:...............__.......Tenant..~.............~...................................................
V{iring Contractor ...................................................................................._..................................... By .............d....................................._.........
NOTICE-Current inust not be turned on until CertIficate of Inspection has been issued. If work is to be eon.
cealed due notice must be given the Inspector so that work may be inspected before concealment. .'
--C-,. ~>,.
1M Olympic Printers, Inc.
Application Number . . . . . 22-00000609 Date 5/18/22
Application pin number . . . 958662
Property Address . . . . . . 1807 NANCY LN
ASSESSOR PARCEL NUMBER: 06-30-11-5-6-0800-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
GILMORE, RICHARD & STEPHANIE BLACK DIAMOND ELECTRICAL CONTR
1410 W 5TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 417-3409 (360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 5/18/22 Valuation . . . . 0
Expiration Date . . 11/14/22
Qty Unit Charge Per Extension
1.00 63.0000 ECH 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 .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Pub! ic \Yorks and ULili ties Department
32 l E. 5th Street. Port ;\ngeles. WJ\ 98362
300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us
Project Address:--------------------------------------
Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _
OWNER JNFORMATtON
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRfCAL CONTRACTOR fNFORMATION
Name: ___________________________ License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
Item Unit Charge Qy51ntit3£ :To1s.l (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 CircuiULimited Energy - 1 &2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Ren ewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional) $56.00 $
First 1300 Sql;Jare 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-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
'"'CJ CD
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
DHP
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
5/31/2022 22-609 TAP
OWNER
CONTRACTOR
Black Diamond Electric
PROJECT ADDRESS
1807 E Nancy Ln