HomeMy WebLinkAbout210 Orcas Ave - Building
PREPARED 12/03/07, 10-29_35
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES LIERLY
PAGE
DATE
2
12/03/07
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER
210 ORCAS AVE
KEVIN & RACHEL SCHMIDT
HATHAWAY CONSTRUCTION
SCHMIDT KEVIN/RACHEL
06-30-10-5-0-1912-0000-
07-00000610 RES ADDITION
SUBDIV
PHONE
PHONE
(360) 457-5627
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLRI 01 7/19/07 PB BLDG REBAR INSPECTION
7/19/07 AP 07/18/2007 10:37 AM LPANGRLE
RACHEL 565-1179
REBAR
07/19/2007 03: 30 PM PBARTHOL ---------------------------
BL1 01 7/19/07 PB BLDG FOUNDATION FOOTING
7/19/07 AP 07/18/2007 10.36 AM LPANGRLE
RACHEL 565 -11 7 9
FOOTINGS
07/19/2007 03 30 PM PBARTHOL ---------------------------
BAIR 01 10/03/07 JLL BLDG AIR SEAL
10/03/07 AP October 3, 2007 8:52 35 AM Ipangrle
RON 460-5143
AIRSEAL
BL3 01 10/03/07 JLL BLDG FRAMING
10/03/07 AP October 3, 2007 8:52 07 AM Ipangrle
RON 460-5143
FRAMING
October 3, 2007 4:29 03 PM )llerly.
BLI 01 10/08/07 JLL BLDG INSULATION
10/08/07 AP October 8, 2007 8:30 34 AM Ipangrle
RON 460-5143
tf INSULATION
EARLIEST POSSIBLE
BL99 01 12/03/07 BLDG FINAL TIME 03.00
December 3, 2007 8 40 53 AM Ipangrle
RACHEL 565-1179
BLDG FINAL
AFTER 2 30 PM
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
~~~~-~~---~;/~;/~;---~~~;-- ---~l~:1;i,;l!I:-:-:i~;-i::;i;:::::::------------~~~----------~
AFTER 2:30 PM
------------------------- ---------------------------------------------------------------------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
TYF/SQ
PL1 01 7/13/07 PB PLUMBING UNDER SLAB
7/13/07 AP 07/12/2007 04-35 PM LPANGRLE
VINCE 565-1179
UNDER SLAB PLUMBING
07/13/2007 03 27 PM PBARTHOL ---------------------------
PL2 01 9/18/07 PB PLUMBING ROUGH-IN TIME 01 00
----------------------------------- CONTINUED ONTO NEXT PAGE -----------------------------------
PREPARED 12/03/07, 10 29 35
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR' JAMES LIERLY
PAGE
DATE
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER
210 ORCAS AVE
KEVIN & RACHEL SCHMIDT
HATHAWAY CONSTRUCTION
SCHMIDT KEVIN/RACHEL
06-30-10-5-0-1912-0000-
07-00000610 RES ADDITION
SUBDIV
PHONE
PHONE
(360) 457-5627
TYP/SQ
REQUESTED
COMPLETED
DESCRIPTION
RESULTS/COMMENTS
INSP
RESULT
9/18/07 AP 09/17/2007 10.34 AM LPANGRLE
VINCE 461-9635
"ROUGH-IN PLUMBING PRESSURE TEST"
AFTERNOON
09/18/2007 04,00 PM PBARTHOL ----------------------
PL99 01 12/03/07 ~ PLUMBING FINAL TIME, 03,00
~~\ December 3, 2007 8,42 21 AM Ipangrle.
RACHEL 565-1l79
PLUMBING FINAL
AFTER 2.30 PM
3
12/03/07
-------------------------------------- COMMENTS AND NOTES --------------------------------------
ELECTRICAL PERMIT AND INSPECTION RECORD
CITY OF PORT ANGELES
360-417-4735
Application Number
Applicat10n pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr, name
Application type description
Subd1v1s1on Name
Property Use
Property Zoning
Application valuation
07-00000610 Date 10/09/07
157010
210 ORCAS AVE
06-30-10-5-0-1912-0000-
KEVIN & RACHEL SCHMIDT
RES ADDITION
RS7 RESDNTL SINGLE FAMILY
21740
Owner
Contractor
SCHMIDT KEVIN/RACHEL HATHAWAY CONSTRUCTION
2301 WEST 18TH ST 324 E 7TH STREET
PORT ANGELES WA 98363 PORT ANGELES
PORT ANGELES WA 98362
(360) 457-5627
Structure Information 000 000 RES ADDITION
Other struct info HARD SURFACE AREA
Permit
Add1t1onal desc
Permit pin number
Sub Contractor
Perm1t Fee
Issue Date
Exp1rat1on Date
ELECTRICAL NEW RESIDENTIAL
CURRENT/ 200A PNL+CIRCUITS
112011
CURRENT ELECTRICAL
75 00
10/09/07
4/06/08
CNTRG INC
Plan Check Fee
Valuation
~
00
o
........
~
Qty
1 00
Un1t Charge Per
75 0000 ECH EL-RM-0-200 1ST SRV FEEDER
Extension
75.00
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
06/12/2007 11 32 AM SROBERDS --The proposal will result
1n a res1dent1al add1tion 1n the RS-7 zone for total lot
coverage of 24$ No land use issues anticipated
San1tary sewer connect1on 1nspect1on 1S requ1red by
Public works prior to back fill of ditch 24 hour advance
notice is requ1red
~
~
Other Fees
STATE SURCHARGE
4 50
~
Fee summary Charged Paid Credited Due
- - -------------- ---------- ---------- ---------- ----------
permi t Fee Total 75 00 75 00 00 .00
Plan Check Total .00 00 00 .00
Other Fee Total 4 50 4 50 00 00
Grand Total 79 50 79 50 00 .00
SPECTION ELECTRICAL
,
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
OUGH - IN
i
,
,
I
FINAL
OMMENTS:
,
I
I
I
,
I!P
;1iJ 4c-~
PREPARED 10/0a/07, 9 39 06
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR: JAMES LIERLY
PAGE
DATE
14
10/0a/07
210 OR CAS AVE
KEVIN & RACHEL SCHMIDT
HATHAWAY CONSTRUCTION
SCHMIDT KEVIN/RACHEL
06-30-10-5-0-1912-0000-
07-00000610 RES ADDITION
SUBDIV
C
\
PHONE
PHONE
(360) 457-5627
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLRI 01 7/19/07 PB BLDG REBAR INSPECTION
7/19/07 AP 07/1a/2007 10 37 AM LPANGRLE
RACHEL 565-1179
REBAR
07/19/2007 03 30 PM PBARTHOL ---------------------------
BLl 01 7/19/07 PB BLDG FOUNDATION FOOTING
7/19/07 AP 07/1a/2007 10 36 AM LPANGRLE
RACHEL 565-1179
FOOTINGS
07/19/2007 03 30 PM PBARTHOL ---------------------------
BAIR 01 10/03/07 JLL BLDG AIR SEAL
10/03/07 AP October 3, 2007 52:35 AM lpangrle
RON 460-5143
AIRSEAL
BL3 01 10/03/07 JLL BLDG FRAMING
10/03/07 AP October 3, 2007 a 52 07 AM lpangrle
RON 460-5143
FRAMING
October 3, 2007 4 29 03 PM ]llerly
BLI 01 10/0a/07 ff BLDG INSULATION
\( October a, 2007 30 34 AM lpangrle
RON 460-5143
INSULATION
EARLIEST POSSIBLE
-------------------------------------- COMMENTS AND NOTES ------------------------------------__
PREPARED 10/03/07, 10 10 44
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR, JAMES LIERLY
PAGE
DATE
14
10/03/07
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
210 ORCAS AVE
KEVIN & RACHEL SCHMIDT
HATHAWAY CONSTRUCTION
SCHMIDT KEVIN/RACHEL
06-30-10-5-0-1912-0000-
07-00000610 RES ADDITION
SUBDIV
PHONE
PHONE
(360) 457-5627
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLRI 01 7/19/07 PB BLDG REBAR INSPECTION
7/19/07 AP 07/18/2007 10.37 AM LPANGRLE
RACHEL 565 -11 7 9
REBAR
07/19/2007 03,30 PM PBARTHOL ---------------------------
BL1 01 7/19/07 PB BLDG FOUNDATION FOOTING
7/19/07 AP 07/18/2007 10,36 AM LPANGRLE
RACHEL 565-1179
FOOTINGS
07/19/2007 03 30 PM PBARTHOL ---------------------------
BAIR 01 10,0(3/07 Ip- BLDG AIR SEAL
October 3, 2007 8'52 35 AM 1pangr1e
RON 460-5143
AIRSEAL
BL3 01 10/03/07 ~ BLDG FRAMING
\l October 3, 2007 8 52 07 AM 1pangrle
RON 460-5143
FRAMING
-------------------------------------- COMMENTS AND NOTES --------------------------------------
'':J
~
PREPARED 9/18/07, 13 20 44
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES LIERLY
PAGE
DATE
9
9/18/07
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER,
210 ORCAS AVE
KEVIN & RACHEL SCHMIDT
HATHAWAY CONSTRUCTION
SCHMIDT KEVIN/RACHEL
06-30-10-5-0-1912-0000-
07-00000610 RES ADDITION
SUBDIV
PHONE
PHONE
(360) 457-5627
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
PL1 01 7/13/07 PB PLUMBING UNDER SLAB
7/13/07 AP 07/12/2007 04 35 PM LPANGRLE
VINCE 565-1179
UNDER SLAB PLUMBING
07/13/2007 03 27 PM PBARTHOL -----------~---------------
PL2 01 fii- JLL PLUMBING ROUGH-IN TIME 01 00
;YP 09/17/2007 10 34 AM LPANGRLE
(0 VINCE 461- 9635
"ROUGH-IN PLUMBING PRESSURE TEST"
AFTERNOON
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 7/19/07, 8 34 56
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES LIERLY
PAGE
DATE
10
7/19/07
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
210 ORCAS AVE
KEVIN & RACHEL SCHMIDT
HATHAWAY CONSTRUCTION
SCHMIDT KEVIN/RACHEL
06-30-10-5-0-1912-0000-
07-00000610 RES ADDITION
SUBDIV
PHONE
PHONE
(360) 457-5627
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
#L BLDG REBAR INSPECTION
07/18/2007 10 37 AM LPANGRLE
RACHEL 565-1179
REBAR
BLl 01 7/19/07 JLL BLDG FOUNDATION FOOTING
~ jf2 07/18/2007 10 36 AM LPANGRLE
~ RACHEL 565-1179
I FOOTINGS
----------- -------------------------- COMMENTS AND NOTES --------------------------------------
BLRI 01
7/r/07
7,/]
PREPARED 7/13/07, 11,06'35
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL ,
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES LIERLY
210 ORCAS AVE
KEVIN & RACHEL SCHMIDT
HATHAWAY CONSTRUCTION
SCHMIDT KEVIN/RACHEL
06-30-10-5-0-1912-0000-
07-00000610 RES ADDITION
PHONE
PHONE
(360) 457-5627
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
PL1
~W-
01
SUBDIV
DESCRIPTION
RESULTS/COMMENTS
PLUMBING UNDER SLAB
07/12/2007 04 35 PM LPANGRLE
VINCE 565-1179
UNDER SLAB PLUMBING
PAGE
DATE
11
7/13/07
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Appllcation Number
Appllcatlon pln number
Property Address
ASSESSOR PARCEL NUMBER.
Tenant nbr, name
Appllcatlon type descrlptlon
Subdivlsion Name
Property Use
Property Zonlng . . .
Applicatlon valuatlon
07-00000610 Date 6/14/07
157010
210 ORCAS AVE
06-30-10-5-0-1912-0000-
KEVIN & RACHEL SCHMIDT
RES ADDITION
RS7 RESDNTL SINGLE FAMILY
21740
Owner
Contractor
SCHMIDT KEVIN/RACHEL
2301 WEST 18TH ST
PORT ANGELES
HATHAWAY CONSTRUCTION
324 E 7TH STREET
PORT ANGELES
PORT ANGELES
(360) 457-5627
Structure Informatlon 000 000 RES. ADDITION
Other struct info HARD SURFACE AREA
WA 98363
WA 98362
Permlt
Addltional desc
Permlt pln number
Permlt Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
220 SF. ADD BATH & OFFICE
103119
375.75 Plan Check Fee. .
6/14/07 Valuatlon
12/11/07
150.30
21740
Qty Unit Charge Per
Extension
95.75
280 00
BASE FEE
20.00 14.0000 THOU BL-2001-25K (14 PER K)
Permlt . . . . .
Addltional desc
Permit pin number
Permlt Fee
Issue Date
Explratlon Date
MECHANICAL PERMIT
103135
78.55 Plan Check Fee
6/14/07 Valuation
12/11/07
00
o
Qty Unlt Charge Per
Extenslon
50.00
7.25
21 30
Fijzctkd
/2-'/
':>-07
BASE FEE
1 00 7.2500 ECH ME-VENT FAN
2 00 10.6500 ECH ME-OTHER APPL N/R
Permlt PLUMBING PERMIT
Additional desc
Permlt pln number 103127
Permlt Fee 93.00 Plan Check Fee .00
Issue Date 6/14/07 Valuation 0
Explratlon Date 12/11/07
Qty Unit Charge Per Extension
BASE FEE 50.00
3.00 7 0000 ECH PL- EA.FIXTURE ON ONE TRAP 21. 00
1.00 7 0000 ECH PL- EA. INSTALL WATER PIPE 7.00
1. 00 15 0000 ECH PL- EA BLDG SEWER 15 00
~\\
Special Notes and Comments
The Fire Department has revlewed the proJect appllcation and
Separate Permits are reqUired forelectncal work, SEPA, Shoreline, ESA, utilities, pnvate and public Improvements ThiS permit becomes
null and void if work or construction authonzed 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 herem 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
constcuct'on ~ S~ Id!rt-/01
Signature of Contractor or AuthOrized Agent Date Signature of Owner (If owner IS bUilder) Date
T IPoheleslll02_15 buIldIng pennJt IIlspeelIon reeOld05 wpd [1/4/2005]
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BUILDING PERMIT INSPECTION RECORD
CALL 417-48]5 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTJONS
CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES
PLE'\SE PROVIDE A JvlINIMU!v1 24 HOUR NOTICE IT IS UNLA WFUL TO COlfER, INSULATE OR CONCEAL AN1' /VORl. BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TJON
KEEP PERMIT CARD AND APPROVED PLANS AT lOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
! I YES. NO
FOUNOA TlO~
FOOTINGS
SHEAIl W A~LS 1 WALLS
FOlJNDA TIG>N DRAINAGE I DOVm SPOUTS I
PIERS I I
I I
POST HOLES (POLE BLDGS )
PLUMIlING I
UNDER FLOOR 1 SLAB
ROUGH-IN !
WATER UN!" (METER TO BLDG)
I
GAS LlNE FIN A.L DA.TE ACCEPTED BY
BACK FLOW I WATER
AIR SE<\L I
WALLS I
CEILING I
FRAMING I
I
JOISTS 1 GIRDERS
I I
SHEAR WALL/HOLD DOWNS
I
WALLS 1 ROOF I CEILING
I
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR I
1
INSULA TJON!
SLAB I
WALL 1 FLOOR I CEILING
MECHANldL
ROUGH-IN I
HEAT PUMY 1 FURNACE 1 DUCTS
I
GAS LINE I FINAL DATE ACCEPTED BY
I
WOOD STO:rE 1 PELLET 1 CHIMNEY
:
I
MANUFACTlJRED HOMES
FOOTING I SLAB
I
BLOCKING I &. HOLD DOWNS
,
SKJRTlNG
PLANNINd DEPT SEP ARA TE PERMIT #' 5 SEPA
P ARKING/1--IGHTlNG ESA
LANDSCA~ING SHORELINE
I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
, RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
I
YES NO
I 417-4735 ELECTRICAL
ELECTRICAL - LIGHT DEPT
LIGHT DEPT
I
CONSTRUCTIONR W IPWI CONSTRUCTION - R W
ENGINEERING 417-4807 PW 1 ENGINEERING
I
FIRE I 4J 7-4653 FIRE DEPT
PLANNING DEFT 4]7-4750 PLANNING DEPT
I
BUTLDlNG 417-4815 BUTLDlNG
T \POllCI05\] JO~ 15 bUlldmg penmt 1l15peCtJon recOld05 wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number . . . . . 07-00000610
Application p~n number 157010
Page
Date
2
6/14/07
Spec~al Notes and Comments
has no comments
06/12/2007 11.32 AM SROBERDS --The proposal will result
~n a res~dent~al add~tion in the RS-7 zone for total lot
coverage of 24$ No land use ~ssues ant~c~pated
San~tary sewer connect~on ~nspect~on ~s requ~red by
Public Works prior to back f~ll of ditch 24 hour advance
not~ce is requ~red
Other Fees
STATE SURCHARGE
4 50
Fee summary Charged Pa~d Cred~ted Due
----------------- ---------- ---------- ---------- ----------
Perm~t Fee Total 547.30 547.30 .00 .00
Plan Check Total 150.30 150 30 00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 702.10 702.10 00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pnvate and public Improvements. ThiS permit becomes
null and void If work or construction authonzed 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 compiled 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 Authonzed Agent
Date
Signature of Owner (If owner IS builder)
Date
r \Pohcles\1102_15 bUlldmg penmt IIlSpectlO11 rccOld05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
C<\LL 417-48]5 FOR BUILDING INSPECTIONS C<\LL 417-4735 FOR ELECTRICALlNSPECTJONS
CALL 417-4807 FOR PUBLIC WORKS l1TILITIES
PLEASE PROVIDE A IvllNIMUM 24 HOUR NOTICE IT IS UNLA H'FUL TO COVER, INSULATE OR CONCEAL A.I\'1' WOPJl BEFORE
l/VSPECTED A.ND ACCEPTED. POST P.cRMIT IN A CONSPICUOUS LOCAT10N 0
KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE ---1
,
6"'
, INSI'ECTION TYPE DATE ACCEPTED COMMENT,-
i YES. NO
FOUNOA nON n ba.r I f I q / 01 J"L-L
FOOrlNGS i ({19Ic)( -:)LL-
SHEAR WALjLS 1 WALLS ,
FOlJNDA TION DRAfNAGEI DOWN SPOUTS
PIERS i I I
POST HOLESi (POLE BLDGS ) I
I'LUMlIlNG i
UNDER FLOORI SLAB 1'1301 n, 1 '\L.-L.-
ROUGH-IN I Gf ~I~-Ol :rIA,.
WATER UN1=' (METER TO BLDG)
GAS LINE FINAL l2.-63-()7 DATE J:U- ACCEPTED BY
,
BACJ~ FLOW / WATER
AIR SEAL ! I t) - I"~ -o"l dL....L,
WALLS ,
CEILING i I
FRAMING , 10-03-01 ':rL.,0
,
JOISTS 1 GIRDERS
,
SHEAR Vi ALL/HOLD DOWNS
WALLS 1 RO:OF 1 CEILING
DP.I'WALL (,INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION! 10 -0<6-01 :ru....
SLAB I
WALL 1 FLQOR 1 CEILING
I
MECHANICAL
ROUGH-IN i
HEATPU~/FURNACE/DUCTS
GAS LINE i FINAL 12-3-01 DATE :ILl- ACCEPTED BY
WOOD STO% 1 PELLET 1 CHIMNEY
,
MANUFACTURED HOMES
,
FOOTING 1 SLAB
BLOCKING 1& HOLD DOWNS
SKJRTING ,
,
PLANNINci DEPT SEPARATE PERMIT #'s SEPA
PARKING/!l,IGHTING ESA
LANDSCARING SHORELINE
,
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
, RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
, YES NO
,
ELECTRJCAL - LlGHT DEPT 417-4735 ELECTRJCAL
, LIGHT DEPT
CONSTRUC1;IONR W IPWI CONSTRUCTION - R W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING BEPT 417-4750 PLANNING DEPT
, lZ....O.~-i)l -Sf..,L.,
BUILDING 417-4815 BUILDING
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Appl~cation p~n number
Property Address
ASSESSOR PARCEL NUMBER.
Tenant nbr, name
Applicat~on type descr~pt~on
Subdivis~on Name
Property Use
Property Zoning .
Application valuat~on
07-00000610 Date 6/14/07
157010
210 ORCAS AVE
06-30-10-5-0-1912-0000-
KEVIN & RACHEL SCHMIDT
RES ADDITION
RS7 RESDNTL SINGLE FAMILY
21740
Owner
Contractor
SCHMIDT KEVIN/RACHEL HATHAWAY CONSTRUCTION
2301 WEST 18TH ST 324 E 7TH STREET
PORT ANGELES WA 98363 PORT ANGELES
PORT ANGELES WA 98362
(360) 457-5627
Structure Information 000 000 RES. ADDITION
Other struct ~nfo HARD SURFACE AREA
Perm~t SANITARY SEWER HOOK UP
Add~tional desc ALTER SEWER
Permit pin number 104471
Permit Fee 40.00 Plan Check Fee 00
Issue Date 6/14/07 Valuation 21740
Expiration Date 12/11/07
Qty Un~t Charge Per Extens~on
BASE FEE 40.00
Special Notes and Comments
The F~re Department has reviewed the project application and
has no comments
06/12/2007 11'32 AM SROBERDS --The proposal will result
in a residential addition in the RS-7 zone for total lot
coverage of 24$. No land use ~ssues anticipated
Sanitary sewer connect~on ~nspection is required by
Publ~c Works prior to back f~ll of ditch. 24 hour advance
not~ce is required.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Cred~ted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 40.00 40.00 00 00
Plan Check Total 00 00 00 .00
Other Fee Total 4.50 4 50 .00 00
Grand Total 44.50 44 50 00 00
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 180aays 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 any stat or local law regulating construction or the performance of
construction. ~ _ ~
Signature of Contractor or Authorized Agent
Date
T.\Pohcles\1102.15R [1/05]
PERMIT INSPECTION RECORD
CALL 417-480Y FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER,
INSULA TE 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
I
YES NO
PW UTILITIES ! (Engmeenng DIvIsIOn)
WATERLINE 1 METER
I
SEWER CONNECTION
SANITARY I
STORM I
SITE DRAINAGE
!
SITE EROSION <[ONTROL
PARKING I
I
SIDEWALK
CURB & GUTTER
I
I
DRIVEWAY APPROACH
I
BACK-FLOW DEVICE I I
I
,
I
I
I
.
I
I
i
I
I
I
,
I
I
,
I
,
!
I
I
I
I
i
I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
I RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
I
YES NO
CONSTRUCTION R W 1 PWI CONSTRUCTION - R W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE I 417-4653 FIRE DEPT.
I
PLANNING DEP! 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
I
I
T-\Pohcles\1102 15R [1/05]
r
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\...~./
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your applicatIOn and site plan MUST B
COIviPLETE TO be accepLed Ioy rtvie-V\. If ymi have aDY questIOns, :;~11
PERMITS (360) 417-4815 FA.X(360)417-4711
Apphcant or Agent \4;J~ \"-' l ~kl SJ.u~t
Owner.J~'.e~\~ ! ~~\ ~~
Address' ~O ~ O'(~ A:J0 Clty _frwi-
Phone.
~~k-s
ArchItect/Engmeer Phone.
Contractorllq~t'-&p~/, Co,.,rI~ ~l0-- State LIcense # /flrtIHtCiDJ.:J..~XP' O"-O?~afPhone. 'f-~/- 5'o~7
Address: (:2- Y c-.. 7:t::i- ~ /' CIty: P A ZIp. r~ '< 6' ~-
PROJECT ADDRESS. ~i 0 E Oy{lJLS /+Ii J
Phone. 5tJG-/i 1~
~b-I,1q
ZIp: cr8{J&2-
ZONING:
LEGAL DESCRIPTION: Lot.
CLALLAM COUNTY PARCEL NUJY.D3ER'
Block:
SubdIVIsIOn'
TYPE OF WORK: SIZENALUATION:
o Res1dential 0 New Constr 0 Re-roof 0 Stove SF. @ $ /SF = $
o MulTI-fannly 'l(;Addmon 0 Move 0 Garage :J..21'J SF.@$ 76.0'\ /SF =$ 16) 1'3C}, 2s0
o CommerCIal V Remodel 0 DemolItion 0 Deck SF @ $ /SF. = $ t) 000 .0-{')
o R,p'" 0 S'gn 0 Oth", TOTAL V,ALUATION $ ~21~
~~ES~kh~~~^~J ~:taJ:r1~~~::D:7add~
U?tILJhro1m _ ~~. ~-~Jnec- s
COMIVIERCL4.LIRESIDENTlAL: Occupancy Group: Occupant Load. ConstrucTIon Type:
No of Stones.....L Lo~ S~e. 1UVO EXlStmg Sq Ft \ ~~ & Proposed Sq Ft 2-1-0 = TOTAl. Sq Ft J', OS-
Total lot coverage ~ %
ESA/Wetland(s) SEPAChecklIstrequrred? 0 Yes 0 No Other
APPROVALS:
PLAN:
BLDG:
DPWD:
FIRE:
OTHER:_
PLANNING USE ONLY:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applIcant Tills figure WIll be revIewed
and may be revIsed by the Buildmg DIVlSlon to comply vnth current fee schedules Contact the P eIIDlt CoordInator at 417 -4815 for aSSIstance
PLAN CHECK FEE' IF a plan check fee IS due 1t must be subnntted at the tIme the buildmg peIIDlt apphcaTIon and construCTIon plans are
subnntted All other penmt fees are-due-at-the tJme of penmt Issuance.
EXPIR.A.TION OF PLA.N REvIEw: lino peront is 1ssued Wltlnn 180 days of the date of application, the application will expire. The
BUlldmg Official can extend the TIme for actlOn by the applIcant up to 180 days npon wntten request by the applIcant (see SectlOn RI 053.2
ofllie InternaTIonal BUlldmg/Res1denttal Code, 2003) No applicaTIon can be extended mOle than once.
I hereby certify that I have read and exammed this application and know the same to be true and correct., I am authonzed to apply for thiS permit and
understand that ft is my responSIbility to de~ i:.2m~ reqUl,:d ,not the edy's, and that J mt obtam such permits pnodo work
T\Pohcles\BL-l102_13wpd ApplIcant: C;~ate: 5r1..,.~ 01
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__-:~~:~- _--:_~~~~ge J I
From:
To:
Date:
Subject:
Robert Larson
James Lierly
6/8/2007 5:02 PM
Permit 07-610
The addition at 210 Orcas Ave will enclose the electnc meter and create a code violation with the existing overhead service
conductor. The existing overhead electnc service and meter WIll need to be relocated.
Bob Larson
Electncal Englneenng Specialist
360-417-4706
rlarson@C1tyofpa.us
o
c/;;o
......~ ,.f
ELECTRICAL WORK PERMIT APPLICATI<Y-\!
iJ
.
Job wired by
)( Electrical Contractor 0 Owner
Installation description
o Commercial ~sidential
License number Date Expires
f;~E:7'L /!.J,J 6c-r ~ -j/ Ot:,7,. c3
Purchaser's mailing address
/ ~b 2-- 77H" ~ CU'~r /UJ
City State ZIP
_~~~ ~ 9r'Z.. Rz.....
FAX number
3 t-/i-g /0
Electrical contractor name
1<.. 1.A2
o New
)'altered/Addition
fZC3P'-J'fC6
H66 /t1-vt?t:..
I~c-c- 0{-
..
Premises owner's name
Eo 1/ J#H'1<<c-n-
Address of inspection
? 2-0 ot:.Cfl-S Me
Cit
')3~ lLr /hr.Jh ~ .U/ /!
(,.J / r/r
2-00
N'c-.J
'*- P'
0/
~
..... -
~
-<.
Owner as defined hy RCW./9.28.26J:(I) Owner will occupy the structure for two
years after lhis electrical permit is finalized. (2) Owner is required to hjre an electrical
contractor if above said property is for sale. relit 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 electrical instal-
lation or <.Ilteration 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.
Signature
o Cash
o Check #
~reditCard
Card# -og_-E/t'-~
Visa ~astercard
Discover
x
Date:
-I' -Ob
Expiration Date
of card
-c---
Electrical Load Additions and or subtractions
D NO LOAD CHANG28
)i!i..Baseboard z... ~
o Furnace KW
o Heat Pump Ton
D Fan-Wall KW
Service Information
LAR
;l..Overhead Service
o Temp Service
o Underground Service
Voltage I ~-Zj;tO
Phas~ 1 3
Service Size: ~ 1'1-
Feeder Size: ~,If
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
_/
Dale
Approved By
SERVICE
ot~
Dale Approved By
ROUGH-IN
~ WB'
THERMOSTAT
FINAL
.~6~
DITCH
FEEDER
Date Approved By
Date Approved By
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
'1-1'/-0(..
/.10 ~w";I?l-T fie
AfJI'[l.ova.
j.
/
Electrical Load Additions and or subtractions
I:l NO LOAD CHANGES
o . Baseboard KW
o Furnace KW ....Overhead Service
o Heat Pump _ Ton _ LAR D Temp Service
o Fan-Wall :t KW Q Underground Service
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
TIlERMOSTAT
Jul 26 07 0743a
'1./7 </7/(
.'-
~--'~~.,~ ..
..-
,,".~-....
"\t- ~~
-...
Job wired by
){Electrical Contractor 0 Owner
Elj~ical ~ontra.}tor name
IC- GJ bee", ~
Purchaser's mailing address
IF37- r""y~
Cilv
:s Gc.ttrr ~
Telephone number
<17
License number
Date: Expires
flc..J ~&It: ~ Ob3C ~
C-W~r d/J
State ZIP
91'S ,J-'Z-
Ur1-
FAX number
PremiSCii owner's name
e/J
Address of inspection
;;2 ~O
Citv j)
. t:...() If..;,
/1/4 PH I#C!-rt.-
C) tt..C /.I S /I-u;
I1-uJ f1 eu::-S
UA4
Phone number to schedule inspection:
Owner os uejifll!d by RCWJ9.28.26/ :(f) OlvNcr will OCCUpy (he strllcture for two
}'l'ars aji~r this dee-tricot permit i.s finalized. (2) Owner ;s required tu hire an electrical
COIl/raclO, If above said properly is for sale, renl or lea.~e.
After reading the above statement, I hereby certify that I am the owner of the abo....e
named property or a licensed electrical contractor. I am making the electrical instal-
lation Of" alteration in compliance with the electrical Jaws, N.E.C., RCW. Chapter
19.28, W^C~ Chapter 296-468, The City of Port Angeles Municipat Code. and
Utility Specifications.
Signature owner, electrical cOlltractor or electrical admini.strator
x.
Date: 7- U-o'7
:TDn
Appro...ed 8y
D~l"
DITaI
pp'o...ed &y
Dale
. Inspection
Date
Area, Building or Equipment Inspecled
7- j/-<J 7
---
01"-10
p1
'.
J
.
h
ELECTRICAL WORK PERMIT APPLICATION
/'
~
Installation description
o Commercial ... Residential
DNew
D Altered! Addition
INS I
PGC"ZJ
Nc-zV
"Z..-<'D ~ ~ "
r ff,t.,.> w h _I
~ ~-=-c... - ,
.
n r _
I<-L.~';.~
i!.t5~L
I/-r
G;rc.rsr
/ /p-...~
"Z.<D Rz-;,<J
,fzu:J ;t2.G La;C.d-72.-=-
/Va-...> 1L.t>~
.0 k~ TV
o Cash 0 Check #
<<..credit Card Visa Mastercard Discover
Card# _t?~~-~~t--6- ___-__~_
Expiration Date
of card
Service Information
VOltagelZi('Z fC
P~ase..s-1 0 3
Service Size: ~
Feeder Size: '- 0 0
Af'JII"Ovell [;I)"
u,
ERVICE
~
....rl'''w~,j tly
FErnER
Appru\lc<l B).
D..1C
Ar.r.m'eu lly
AClion T"kcn
Eh:ctricaJ
IlIspector
IP
eX
.
CITY OF PORT ANGELES
LIGHT DIVISION
FAX TRANSMISSION COVER SHEET
Date:
To:
Fax:
Re:
Sender:
8/8/07
--(OD
Inspe ons
thy Trainor
Phone: 417-4724
. Fax: 417-4729
YOU SHOULD RECEIVE 1 PAGE, INCLUDING THIS COVER SHEET.
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (360) 417-4724.
Please inspect for:
Becker Electric - Richard Becker
477-1398
220 Orcas
t~~ CfrItIC
e:f 6~'~
Wall Cover Inspection
Thank you,
Kathy
S, B' 01
-V 3 \ ~. Of
Br~'O ~ 01
t(L/~ .
.~
'}:;vc--r-
,. ~~
,G
Sep 28 07 07:05a
Current Electric
3604571873
p.1
.
,
G.-5B
ELECTRICAL WORK PERMIT APPLlCATIO"'.w:'
r /installation descriplion
Jvb wired b)' ':Q. Electrical Contractor DOwner o Commercial Q Residential
Electrical contractor name: License number Date Expires DNew }\AlteredlAdditioD
"',",K~G'II""';.r'[ C L.-f;L-:--r.e ,L. A- l .c.~cJLE;;b.c:...:\ lo:o l prJ
Purchaser's: mailil1{: address
pc, C>O'(.:. Z-"1~ 7 Mn,/;::" 5&'-C.vlL-E- ""Or) .
J ,
Citll StOlte ZIP i
rrf-l A-., 6~C 65 v./+ '1S3c; 2- C'U:Lt,<:'" ~
Teh.:phone number fAX number ~j
3t;o- '1 ')7- j $3~j 3(.Cl - L/57-t?:l73 I
Premises owner's name
j-f,tf '7"-"1-,,-/4./ c(;.v> , r,2v~'~ a...'~
Addres!> of inspectioll - - - - -
Z; 0 o..z.c"t-5 13fJ
Cit ,A.vCEU::.5 C?05W
Pog..,..
Phonc number to schedule .iosp4:ction.: J /;2 - /Y3 - {) 7
3GO-' (. 7C.'" 3"1 '7'1
Owner a:~ defined by RCW./9.18.26/:(I) o.\'""r wiJ{ occupy tlte struclllrcfor two //0.
years after tM\ elecrrical permit is finalized. (2) Owller is required to hire an elecrrical EL., "
c:omractor if abave said propert)' is for .,-ale, r-r!lIf or tease. r //-/-'/.L-
A ficr reading thc above statement. [ hereby certify that I am the owner oi the above
named propert}' or 3 licensed eleclrica.l conlroclor. [ am ma'king the electrical ins1al- card Discover
Jalion or alteroiltion in compliance wilh the eleClrical laws, N.E.C., RCW. Chapter
19.28. WAC. Chapter 296-468, The City of Port Angeles Municipltl Code, and -
Ulilily SpecificOllions. ----- -
:g~nec.:;::::;: "~t~i:;: a;i;;;;' r Expiration Date -
( I nsp;]iOn fee
of card $. 5"" o..J2
Eleclrical Load Ad itions nd or subtracti ns /
~.~,.
~ ..'.,.'.'
~~
\'S~:o:l
~
i
cif
d a
o NO LOAD CHANGES
o BaseboaJd v:yv
a Furnace _ K:rN
ClHeatPump _,Ton_LAR
CI Fan-Wall K:rN
Service Information
o
Vottage
Phase 0 1 0 3
Service Size:
Feeder Size:
,Q'6verhead Service
o Temp Service
D Underground Service
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN J~ n
'~!::~h7 ~
I1INAL
"1!/~~ ~B'
THERMOSTAT
SERVICE
7~
Dale
}\f1prol'ctl By
DITOI
FElDER
D~te
~flrlClvcd Ily
I);alc
ApprovcJ By
Inspcclion
Dale
Area, Building OT Equipment lnspcctcd
Action Taken
10-,>".07
I '
r 10 /11/1,,,,,714/-.1 37z. I~
.~.... /11,f$r 71>
/l'IIIs'T
/
El~ctrical
Inspector
-fi
"'.;;;.>
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:121 EAST 5TH STREET. PORT ANGELES. WA 98J62
ELECTRICAL PERMIT
Issued: 12/08/97
Permit No:
6147
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
DOROTHY RASSMUSSEN 210 ORCAS E
Lot:
Block:
Sub:
Parc No:
Port Angeles,
360/000-0000
T:
WA 98360
Long Legal:'
S:
CONTRACTOR-----------------------------DESIGNER---------------------------------
ANGELES ELECTRIC
524 E. FIRST ST.
PORT ANGELES, WA 98362
360/45:1-9264
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: RES. MISC. prj Value: $0.00
Occ Type: Cnstr Type: SERVICE CHANGE
Occ Grp: Occ Load: Land Use:
Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
o
o
o
o
Service Type
Riser
X Overhead Service
Underground Service
Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
120,240
X-I -3
200 AMPS
DAMPS
PROJECT NOTES-------------------------------------------------------------------
CHANGE SERVICE ONLY
c'
,
,
PROJECT FEES ASSESSMENT---------------------------------------------------~-----
~ervice: $57.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
$57.00
$57.00
---------------------------------
---------------------------------
TOTAL FEE:
$57.00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. rr IS UNLA WFUL TO COlIER.
INSULA TE OR CONCEAL ANY WORK BEFORE rr IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATI< ACC1ll'TED COMMENTS
YES I NO
IlnTlr.u_IN I CUYbK
:b /~ 101/2 I t1.:J"'-,
F I I I
GENERAL COMMENTS:
PW-IID2.UI4I96J
Application Number . . . . . 23-00000177 Date 2/22/23
Application pin number . . . 764178
Property Address . . . . . . 210 ORCAS AVE
ASSESSOR PARCEL NUMBER: 06-30-10-5-0-1912-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JAMES AND JEANINE DEMARCO BLACK DIAMOND ELECTRICAL CONTR
210 ORCAS AVE 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(920) 213-1741 (360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 2/22/23 Valuation . . . . 0
Expiration Date . . 8/21/23
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:--------------------------------------â–¡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
PREPARED 2/21/23, 8:19:48 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000177 210 ORCAS AVE
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 63.00
TOTAL DUE 63.00
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
11/22/2023 23-177 TAP
OWNER
CONTRACTOR
Black Diamond Electric
PROJECT ADDRESS
210 E Orcas Ave