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Home My WebLink About3011 Regent St - Building ccry OF PORT ANGELES :LIGHT DEPARTMENT ELECTRICAL PERMIT N'! 17350 Port Angeles, washlngtolLa..~.---2,_..---..-----...-------.---.----.---. 19.?::6 , I . . In accordance with'tli< City Ordinance to regulate the Installation, extension, or repair of elec- t~lcal equipment in, on, or about any building or other structure In the City of Port Angeles, per- nUssion is hereby grahted to do electrical work as listed below. A~dreSS 3'On/.L.___!fL!.d~L!.~~___.~~...n_.___..__ Occupancy______.~__~.-.--....----- . I) "..J r r'" . ~--... olwner ___I_m.!.___'YY.1...!Ll.LL.f._'&--!.<!.-4..:yn. ---.-- Tenant.m.____.______.............___________._______......_.__...___... I :.,. . 'f -'" -, t v- Wiring ContractorC-4.A-:!..{f,->.---f;;;.-'!!.Ldc ..__~..._____n_______ By......____.__..._______.....m___.__.___.n_...._.._________.__ Llght out1ets..._..........m..m........~I_..._ Service, volts .l~..rJ../~'2.~.~(..i-L.. Type ot Wiring: , . (. R~ceptacle Outlets............................... No. wires ....................................... Armored Cable .............................. Dnye<, KW....____......__...__m_m..._.__m.__. SIze wIreB.e~~j.4)........-.. Non.MetallIc ----.......----....----........-- -::? iJ-7) +. Knob 8< Tube___............................._ R~nge, KW m.._...m_____...mm_____..mm_.. MaIn lUBe ...~..-.........-m..~. ..m.... -~, v;.~ater Heater: Enclosure ....................................... H,~t~:;:.::::..~K:k1I.: - Type ot wiring: Entrance Cable ...............m........... Mptors: size. volts and phase: RigId Conduit m............. Meta1l1c Tubing .nm.......m........... Current transformers: No. & Size....................__................. Ser. No............................................... Ser. No.............................................. Ser. No. ............................................. RIgId ConduIt .................--............ Metalllc TubIng ____......._.._.....___.... Raceway ..............................._.__._ Circuits. LlghL.......n........................._n UtIlIty............._____....___..__............__ lIeat .......................-........-....--- Range ............................................. Water Heater ..........n................... Motor ..._...nn................................. Dryer ................................................- Furnace ..........................~.........._....... Total wad............................. Ser. No. ................._.......................... Total....................................... Rdmarks: ...5..=.~-----~-------.e..J......-~,...-.~~-..a-'!::Q---~... ____:5..cJ.:&!__.___A::..________9f..__.t:bdf.AJ.~L..__.~1.:.__K__w...__.B.:i3___m_____.mm____mm.m..____m________.m_ m-+-.mm__..__..__m._____.mn._mm__m.______mm..__mL--_.__m._________.mmnm__._m_____.m.mm.m______.______m..mm__.m.m.____m__ Pamit Fee $..'..m___m...___m.m__..._____. Treas. Receipt NO.....mm.......__......... By&t:~.m~~.-=.~ NOTIC~urrent must not be turned on until Certificate of Inspection has been Issued. It work is to be con. cealed due notice must be given the Inspector so that work may be inspected betore concealment NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N'? 17350 Address..................._...................................................................................................................Dnte..._......_.._.._.._..........-......-......-.......- Ow~er..................................._......_.._......_......___.............._...........................................Tenant.................................................................... WirlngContractor..................................._......................_.............................................................By.............................................................. !NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. It work Is to be COD- cea1~d due notice must be given the Inspector so that work may be inspected before concealment. -. 1M Olympic Printers, Inc. Address: 3011 Regent Street PREPARED 2/26/16, 9:09:50 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/26/16 ------------------------------------------------------------------------------------------------ ADDRESS . : 3011 REGENT ST SUBDIV: CONTRACTOR : PHONE OWNER PRUSS JOHN F PHONE PARCEL 06-30-15-5-6-1400-0000- APPL NUMBER: 16-00000276 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL99 01 2/26/16 A, BLDG FINAL February 26, 2016 9:12:05 AM jlierly. Travis 460-4471 -------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 16-00000276 Date 2/25/16 Application pin number . . . 14811G Property Address . . . . . . 3011 REGENT ST ASSESSOR PARCEL NUMBER: 06-30-15-5-6-1400-0000- REPORT SALES TAX Application type description RE-ROOF Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . Property Zoning . . . . . . . to the City of Port Angeles Application valuation . . . . 13700 (Location Code 0502) ---------------------------------------------------------------------------- Application desc TEAR OFF COMP, INSTALL COMP -------------------------------------------- ------------------------------- Owner Contractor ------------------------ ------------------------ PRUSS JOHN F OWNER 3011 S REGENT ST PORT ANGELES WA 983626949 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF/INSTALL COMP Permit Fee . . . . 263.75 Plan Check Fee .00 Issue Date . . . . 2/25/16 valuation . . . . 13700 Expiration Date 8/23/.16 Qty Unit Charge Per Extension 1. .-�i BASE FEE 95.75 12.00 14.0000 THOU BL-2001-25K (14 PER K) 168.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . .� . STATE SURCHARGE 4.50 K_�-t- ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 263.75 263.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 268,25 268,25 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 180 days after the work has 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 state or local law ceg t' PAGtio r the performance of construction. _91al ing co 2-Z54 . Date Print Name Signature of Contractor or thorized Agent Signature of Owner(if owner is uilder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor I Slab Rough-in Water Line(Meter to Bldg) Gas Line Back Flow/Water AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump/Fumace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs jSkirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 TH For City Use 'ORUT AN G� -E, LE,)- , crl�y OF '7 P Permit# '�7 WASH I NGTON. U. S. Date Received: 321 E Sth Street Date Approved g 5- - 1 (0 Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits0cityofVa.us BUILDING PERMIT APPLICATION ProjectAddress: OLT --i'k,w I Phone: L&O 0 lyq-7� Primary Contact: Email: Name Phone Property Mailing Address Email Owner city State Zip Name one U—ME"bb RVOFIA)�? Ph 9&0 q5�2-- Li6EI Contractor Address Email Information city State Zip C??362 Contractor License# Exp.Date: Legal Description: Zoning: ax Parcel# Project Value: (materials and labor) $ 13, 290 Residential 13�- Commercial El Industrial 11 Public 11 Demolition Fire 11 Repair 0 Reroof(JLear Permit ,.o Aay over) 4 Classification For the following,fill out both pages of permit application: (check New Construction 13 Exterior Remodel Addition 11 Tenant improvement E] appropriate) Mechanical 11 Plumbing 11 Other Fire Sprinkler System ProposedT—irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms or Existing? Yes E3 No 13 1 Existing? Yes 13 No [3 1 In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwater&9WW,R§ Project Description 6--F( CQA4f0,S1-0VA-) 1A)57—AV, Co(�t-P05MOA-) Is project in a Flood Zone: Yes 13 NoE3 Flo d Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ 1 have read and completed the application and know it 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 and to obtain permits prior to work. I understand that plan review fees are not refundable after review has occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is issued. I understand that if the permit is not picked up/issued within iL8o days of submittal,the application will be considered abandoned and the fees will be forfeited. 2- ,26 Date Print Name SigiWure Residential Structures Existing Proposed Construction For Office Use Area Descriptions(SQ FT) Floor area Floor area $Value new area Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or 2'd floor) Garage Carport Other(describe) Area Totals Commercial Structures Area Descriptions(SQ FT) Existing Proposed Construction For Office Use Floor area Floor area $Value new area Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) Site Area Totals Lot/Site Coverage Calculations Lot Size(sq ft Lot Coverage(sq ft)foot print of %Lot Coverage (Total lot cov lot size) Max Bldg Height all structures sq ft Site Coverage(Sq Ft of all impervious) %of Site Coverage (total site cov+lot size) Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler I Size: # Haz/Non-Haz Piping Outlets: Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # I repair/alteration Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) Fireplace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit Plumbing Fixtures Indicate how many of each type of fixtu e to be installed or relocated Plumbing Traps # Water Heater # Plumbing Vent piping # Medical gas piping #of Outlets: Water Line # Fuel gas piping #of Outlets: Sewer Line # Industrial waste pretreatment I interceptor(Grease Trap) Size Other(describe): T:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx Application Number . . . . . 25-00001064 Date 8/22/25 Application pin number . . . 575352 Property Address . . . . . . 3011 REGENT ST ASSESSOR PARCEL NUMBER: 06-30-15-5-6-1400-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Panel and circuits ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ANDRE PHILIPPE BOURDET FELTON ELECTRIC ANNA HOLLY BOURDET 196 GANDALF RD 10858 FOOTWALL DRIVE PORT ANGELES WA 98363 GRASS VALLEY CA 95945 (360) 775-5001 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 206.10 Plan Check Fee . . .00 Issue Date . . . . 8/22/25 Valuation . . . . 0 Expiration Date . . 2/18/26 Qty Unit Charge Per Extension 3.00 5.3000 ECH EL-BRANCH CIRCUIT W/FEEDER 15.90 1.00 190.2000 ECH EL-0-200 SRV FEEDER 190.20 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 206.10 206.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 206.10 206.10 .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 $ $216.20 $ $285.30 $ $380.40 $ $475.50 $ $5.30 $ $95.10 $ $5.30 $ $125.10 $ $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 COMMENTS: NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 8/27/25 25-1064 TAP OWNER CONTRACTOR Felton Electric PROJECT ADDRESS 3011 Regent St