HomeMy WebLinkAbout622 S Valley St - Building °Rr CITY OF PORT ANGELES
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m,„ PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 10- 00000284 Date 3/26/10
Application pin number 306568
Property Address 622 S VALLEY ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 6250 -0000-
Application type description PUBLIC WORKS UTILITES
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS PARKS
Application valuation 0
Application desc
RUP #10 -01 annual renewal
Owner Contractor
BROWN STEVEN J OWNER
622 S VALLEY ST
PORT ANGELES WA 983625919
Permit RIGHT OF WAY
Additional desc RUP #10 -01 ANNUAL RENEWAL
Permit pin number 162735
Permit Fee 215.00 Plan Check Fee .00
Issue Date 3/25/10 Valuation 0
Expiration Date 3/25/11
4
Qty Unit Charge Per rl Extension
BASE FEE V,111 215.00
Special Notes and Comments A-TAP- G 6 (16 e
See attached conditions and agrement to remove encroachment.
e
Fee summary Charged Paid Credited Due
67,7
Permit Fee Total 215.00 215.00 .00 .00
Plan Check Total .00 .00 .00 .00 Qi7
Grand Total 215.00 215.00 .00 .00
N
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 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 regulating construction or the performance of
construction.
on 'PI
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T: \Policies \1102.15 [10 /08]
PERMIT INSPECTION RECORD
CALL 417 -4831 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
YES NO
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. PW/ CONSTRUCTION R.W.
ENGINEERING 417 -4831 PW ENGINEERING
FIRE 417 -4653 FIRE DEPT.
PLANNING DEPT. 417 -4750 PLANNING DEPT.
BUILDING 417 -4815 BUILDING
T: \Policies \1102.15 [10/08]
OF PORT ,y,,O F( CITY OF PORT ANGELES
717111 PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
�aCV
Application Number 10- 00000284 Date 3/25/10
Application pin number 306568
Property Address 622 S VALLEY ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 6250 -0000-
Application type description PUBLIC WORKS UTILITES
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS PARKS
Application valuation 0
Application desc
RUP #10 -01 annual renewal
Owner Contractor
BROWN STEVEN J OWNER
622 S VALLEY ST
PORT ANGELES WA 983625919
Permit RIGHT OF WAY
Additional desc RUP #10 -01 ANNUAL RENEWAL
Permit pin number 162735
Permit Fee 215.00 Plan Check Fee .00
Issue Date 3/25/10 Valuation 0
Expiration Date '3 -01k Jj 9/ Sew U 1 A.Ctl tU I' pl 1 0 -i
Qt Unit Charge Per �p ?,I jJ Extension
BASE FEE r�r' 110 215.00
Special Notes and Comments
See attached conditions and agrement to remove encroachment.
Fee summary Charged Paid Credited Due
Permit Fee Total 215.00 215.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 215.00 215.00 .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 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 herein or not. The granting of a permit does not
presume to gi.ve authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
constru n.
Signature of Contra or Authorized Agent Date Signature of Owner (if owner is builder) Date
T: \Policies \1102.15 [10 /08)
PERMIT INSPECTION RECORD
CALL 417 -4831 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
YES NO
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. PW/ CONSTRUCTION R.W.
ENGINEERING 417 -4831 PW ENGINEERING
FIRE 417 -4653 FIRE DEPT.
PLANNING DEPT. 417 -4750 PLANNING DEPT.
BUILDING 417 -4815 BUILDING
T: \Policies \1102.15 [10 /081
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
New' 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000702 Date 7/11/11
Application pin number 324610
Property Address 622 S VALLEY ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 6250 -0000-
Tenant nbr, name STEVEN J BROWN on your state excise tax form
Application type description RE -ROOF
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning PUBLIC BUILDINGS PARKS
Application valuation 8000
Application desc
TEAR OFF RE -ROOF THE HOUSE
Owner Contractor
STEVEN J BROWN OWNER
622 S VALLEY ST
PORT ANGELES WA 983625919
(360) 457 -8295
Permit BUILDING PERMIT NO PR FEE
Additional desc RE -ROOF THE HOUSE
Permit pin number 188896
Permit Fee 179.75 Plan Check Fee .00
Issue Date 7/11/11 Valuation 8000
Expiration Date 1/07/12
Qty Unit Charge Per Extension
BASE FEE 95.75
6.00 14.0000 THOU BL- 2001 -25K (14 PER K) 84.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 179.75 179.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 184.25 184.25 .00 .00 VT.
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 regulating construction or the performance of
construction.
e., 11P% Ar'
Date Print Name Signature of Contractor or Authorized Agent Signat of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
O
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 IN CONSPICUOUS 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 Slab
Rough -In
Water Line (Meter to Bldg) n\
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL: 1
Walls r
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 FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab L
Blocking Hold Downs f l
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735 1
Construction R.W. PW Engineering 417 -4831 1
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 3 21 1 31A,
T: Forms /Building Division /Building Permit
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PROJECT STATUS UPDATE
t '11)--31 (�22 V'a l tee 9t 4Ph d
Permit 12
Date: 'F1' 12' 1 6 0 4
1 phoned the: Applicant $k'&&Y\ V ?YOW n at P 'g2g r'
Property Owner at
Contractor at
I (left a phone message, or discussed):
The permit (has expired, or will expire soon). What is the status of this project?
Please call and schedule a final inspection.
Or
Submit a "permit extension request" letter.
Or
Let me know if the project is abandoned.
comp i-64-0
T:Forms /Building Division/Project Status Update
0R'41 BUILDING PER IT A'PPLLCATIOA Print in ink
CITY OF PORTANGELES
For City Use Only:
Attn: Building Permit Technician Date R 1
321 E. Fifth Port Angeles, WA 9
(36 Permit e e ceive Z
(360) 417 -4815 15 fax (360) 417 -47111 1
Date Approved
Applicant 5 e, vet Bb 1 11 Phone e g f
Property Owner Phone jf e 2 «f 1 194/(60/()
Property Owner's Ad r ss
ti r."
Contractor Phone
Contractor's Address
License Expires E -mail
P
PROJECT ADDRESS ev S
Parcel Number Lot Zoning
Project Type Brief Description: Residential Multi family Commercial Industrial
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
XRe -roof House; 4• ,rage other gear off re -roof lay over one layer
leat System Heat purni'❑ wood- burning stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1St Floor
2 Floor
3 Floor NIIIIIV
Garage
Carport O i 7?J
Covered Porch L. or. C. c o
Deck 11
Shed
Other
TOTAL VALUATION
Total footprint of structures sq. ft. T 'ot size sq. ft. Lot average sk
Site Coverage the amount impervious surface a parcel, includin• uctures, paved drivew. s, sidewalks, patios,
and other impervious surfaces. see PAMC 1 4.135 for exemptions) site coverage
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a lawn sprinkler system be instal)ed? Occupant load of full baths
Will a fire sprinkler system be install d2 Construction type of half baths
I have read and completed this application and know if to be true and correct. I am autho ized to apply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prior to -t ski on projects.
'Date_ 7/ Af Print Name .:ife,V1 1 f i Signatu:Fe` /44,4—; 1 ga-)-16,--ge,---.....
T:Forms /Building Division /Building permit application
T:Forms/Building DivisionBuilding Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 10 00000417 Date 5/03/10
Application pin number 403182
Property Address 622 S VALLEY ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 6250 0000
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS PARKS
Application valuation 3900
Application desc
TEAR OFF RE ROOF THE OUT BUILDING
Owner Contractor
STEVEN J BROWN
622 S VALLEY ST
PORT ANGELES
(360) 457 8295
WA 983625919
OWNER
Permit BUILDING PERMIT NO PR FEE
Additional desc RE ROOF TEAR OFF
Permit pin number 164418
Permit Fee 123 75 Plan Check Fee 00
Issue Date 5/03/10 Valuation 3900
Expiration Date 10/30/10
Qty Unit Charge Per Extension
BASE FEE 95 75
2 00 14 0000 THOU BL -2001 25K (14 PER K) 28 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 123 75 123 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 128 25 128 25 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 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 regulating construction or the performance of construction.
C .c7 az4(}11
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
cea
)c?' \o
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 IN CONSPICUOUS 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 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 Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood i Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit #s SEPA.
Parking I Lighting I ESA.
Landscaping I SHORELINE.
T:Forms /Building Division /Building Permit
1 FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
n
x a v l�A
Date Accepted By
Applicant c/e. 11t9-, Ht-e) LcJ/
cake e-
app �f C'lf �t
Contractor's Address
License
Property Owner
Property Owner's Add ress
er
Contractor
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
XRe -roof
Heat System
Other
T Forms /Building Division /Building permit application.
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
14/4v
Expires
r
PROJECT ADDRESS S L l/ y
Parcel Number (J(jOO I l i 2c0
Residential Multi- family
House garage Xother /y,)71-- h-/ /i ,»(tear off re -roof lay over one layer
Heat pump wood burning stove o gas fireplace pellet stove other
Floor Areas Existing (sq. ft.) Posed (sq. ft.)
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Phone
Phone
Phone
E -mail
Lot 1
TOTAL VALUATION
Total footprint of structures 435' sq ft. T Lot size sq ft.
Site Coverage the amount of impervious surface on a parcel including structures paved
and other impervious surfaces (see PAMC 17 94 135 for exemptions)
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
I have read and completed this application and know it to be true and correct. I am authorized to
that it is my resp sibility to determine what permits are required, and to obtain permits prior to
Date Print Name S V Eroto Signatur
For City Use Qnl
Date Received
Permit /D
Date Approved
per sq ft
of bedrooms
of full baths
of half baths
•ys7 �a9$
'/(9'/ (l)
Zoning IAsp
Commercial Industrial
Vn S
9oS
Lot coverage
driveways sidewalks patios
Site coverage
apply for this permit and understand
irig on projects
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Clallam County Assessor Treasurer Property Details 57216 STEVEN J BROWN for Page 1 of 5
Clallam County Assessor Treasurer
Property Search Results 57216 STEVEN J BROWN for Year 2009 2010
Property
Account
Property ID 57216 Legal Description LOTS 17 -20 BL 162 TPA
Geographic ID 0630000162500000 Agent Code
Type. Real
Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11
Open Space N DFL N
Historic Property' N Remodel Property N
Multi Family Redevelopment: N
Location
Address. 622 S VALLEY ST
PORT ANGELES
Neighborhood Cycle 5 Res
Neighborhood CD 10955130
Owner
Name. STEVEN J BROWN
Mailing Address. 622 S VALLEY ST
PORT ANGELES WA 98362 5919
Taxes and Assessments Due
Property Tax Information as of 05/03/2010
Amount Due if Paid on E.
Mapsco
Map ID
Owner ID 15817
Ownership 100 0000000000%
Exemptions.
First Second
Half Half
Statement Base Base Base An
Year ID Taxing Jurisdiction Due Due Penalty Interest Paid Du
2010 40223 ST SCH STATE SCHOOL $239 52 $239 53 $0 00 $0 00 $239 52
2010 40223 CC -GEN COUNTY $127 47 $127 46 $0 00 $0 00 $127 47
2010 40223 PORT PORT $17 92 $17 91 $0 00 $0.00 $17 92
2010 40223 PORT ANG PORT ANGELES $295 13 $295 12 $0 00 $0 00 $295 13
2010 40223 SD #121 SCHOOL DISTRICT #121 $310.25 $310.25 $0 00 $0 00 $310.25
2010 40223 NTH OLY LIB NORTH OLYMPIC LIBRARY $37 04 $37 04 $0 00 $0 00 $37 04
2010 40223 HOSP #2 HOSPITAL #2 $52.29 $52.29 $0 00 $0 00 $52.29
2010 40223 WSMET PK DIST WILLIAM SHORE MET PARK DIST $16 64 $16 64 $0 00 $0 00 $16 64
2010 40223 CITY STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $36 00
2010 40223 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $0 82
2010 40223 TOTAL. $1133.08 $1133.05 $0.00 $0.00 $1133.08 $11
2009 572162008 ST SCH STATE SCHOOL $273.24 $273.24 $0 00 $0 00 $546 48
2009 572162008 CC -GEN COUNTY $138.29 $138.28 $0 00 $0 00 $27657
2009 572162008 PORT PORT $19 59 $19 59 $0 00 $0 00 $39 18
2009 572162008 PORT ANG PORT ANGELES $303 33 $303 30 $0 00 $0 00 $606 63
2009 572162008 SD #121 SCHOOL DISTRICT #121 $337 91 $337 90 $0 00 $0 00 $675 81
20_09 572162008 NTH OLY LIB NORTH OLYMPIC LIBRARY $40 18 $40 18 $0 00 $0 00 $80 36
2009 572162008 HOSP #2 HOSPITAL #2 $56 71 $56 71 $0 00 $0 00 $113 42
2009 572162008 CITY STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72 00
http. /vpn.clallam. net. 8084 propertyaccess /Property .aspx ?cid =0 &year= 2009 &prop_td =57216 5/3/2010
PREPARED 2/13/09 8 44 18 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/13/09
ADDRESS 622 S VALLEY ST
TENANT NBR STEVE BROWN
CONTRACTOR ALL WEATHER HTG COOLING INC
OWNER STEVEN J BROWN
PARCEL 06 30 00 0 1 6250 0000
APPL NUMBER 08 00000747 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 2/13/09
SUBDIV
MECHANICAL FINAL TIME 01 00
February 9 2009 1 44 00 PM 1pangrle
FILAMENA 457 8295 HOME OR STEVE CELL 461 4194
MECHANICAL FINAL AIR HANDLER
AFTERNOON
COMMENTS AND NOTES
PHONE (360) 452 9813
PHONE (360) 457 8295
Application Number 08 00000758
Application pin number 629190
Property Address 622 S VALLEY ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 6250 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS PARKS
Application valuation 0
Owner Contractor
BROWN STEVEN J
622 S VALLEY ST
PORT ANGELES
WA 983625919
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
Date 6/30/08
WA 98363
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc SIMPSON/ PRE WIRE FOR HP
Permit pin number 128884
Permit Fee 46 00 Plan Check Fee 00
Issue Date 6/30/08 Valuation 0
Expiration Date 12/27/08
Qty Unit Charge Per Extension
1 00 46 0000 ECH EL R OR"RM 1 4 ALT CIRCUITS 46 00
Fee summary Charged Paid Credited Due
Permit Fee Total 46 00 46 00 00 00
Plan Check Total 00 00 00 00
Grand Total 46 00 46 00 00 00
N
SPECTION
TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
cow
TS:
zgos
71400 f4
ELECTRICAL
RESULTS INSPECTOR
Application Number
Application pin number
.Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
INSTALL AIR HANDLER
Owner
STEVEN J BROWN
622 S VALLEY ST
PORT ANGELES
(360) 457 8295
Qty Unit Charge Per
1 00 14 8000 ECH
Fee summary Charged
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
32] EAST 5TH STREET PORT ANGELES, WA 98362
WA 983625919
Permit MECHANICAL PERMIT
Additional desc INSTALL AIR HANDLER
Permit pin number 128736
Permit Fee 64 80
Issue Date 6/26/08
Expiration Date 12/23/08
Permit Fee Total 64 80
Plan Check Total 00
Grand Total 64 80
T.Forms /Building Division/Building Permit (05 /13 /08).wpd
08 00000747
350294
622 S VALLEY ST
06 30 00 0 1 6250 0000
STEVE BROWN
MECHANICAL APPL PERMIT
PUBLIC BUILDINGS PARKS
10755
Contractor
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452 9813
Plan Check Fee
Valuation
BASE FEE
ME INSTALL 100- FAU
Paid Credited
64 80
00
64 80
00
00
00
Date 6/26/08
Due
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 regulating construction or the performance of
construction
Extension
50 00
14 80
00
00
00
10755
A I O _d .0 Wll
ate Print Name
00
Signature of Contractor or Au(h ized Agent Signature of Owner (if owner is builder)
FOUNDATION•
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
I PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
I 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
CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES. CALL 417 -4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
PLANNING DEPT SEPARATE PERMIT N's
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
I FIRE 417 -4653 I
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T 1 dal i,i n,v n /Ri lr Pe d (05 /13 /081.wnd
BUILDING PERMIT INSPECTION RECORD
YES NO
I FINAL DATE ACCEPTED BY.
SEPA.
ESA.
SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
DATE YES NO COMMERCIAL
FINA)� I 6 9 DATE 3 -1 ACCEPTED BY.
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
DATE
ACCEPTED
YES I NO
I I I I
1 I. I I
I I I I
0
UO
-J
N
fi
Application Number 08 00000740
Application pin number 997380
Property Address 622 S VALLEY ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 6250 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS PARKS
Application valuation 0
Application desc
new furnace
Owner Contractor
BROWN STEVEN J
622 S VALLEY ST
PORT ANGELES
WA 983625919
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 128595
Permit Fee 35 00 Plan Check Fee 00
Issue Date 6/25/08 Valuation 0
Expiration Date 12/22/08
Qty Unit Charge Per
1 00 35 0000 EC EL LOW VOLTAGE
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
Charged Paid Credited
Date 6/25/08
ALL WEATHER HEATING COOLING
302 KEMP RD
PORT ANGELES WA 98362
(360) 9813
35 00 35 00 00
00 00 00
35 00 35 00 00
Due
Extension
35 00
00
00
00
N
INSPECTION
TYPE DATE RESULTS
DITCH
SERVICE
ROUGH IN
FINAL
COMMEI\
TS:
7/4mss AF
7iz/q5
ELF;CTRICAL
INSPECTOR
Jun 23 08 10•53a p 1
Basement
1 Floor
2 Floor
3` Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
BUILDING PERMIT
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant or Agent Rik W eanicvl�CO tnc (in 1
Owner Gi4ex)Q PA1\u'J to
Owner's Address f i i oa \IccA
Contractor /Engineer Alt It! Q(,tf'MPte r r out nc
Contractor /Engineer's Address Z t �t
License
PROJECT ADDRESS p ZZ E U(A I k'
Parcel Number
Project Type Brief Description. Residential o Commerc
Check all that apply
c New Construction
c Addition
o Remodel
c Repair
o Re -roof
o Demolition
o Sign
jeat System
Other
Floor Areas Existing (sq. ft.) Posed (sq. ft.)
r,c\t,1 s g ed.
lea{- -+c
Total footprint of structures sq. ft Lot size
T Forms /Building Division. /Bldg Permit Appt. -2006 Code doc
APPLICATION Print in ink
ft. Occupancy group
Occupant load
Construction type
St
For City Use Only
Date Received 0(0 2
Permit s
Date Approved
Phone Ld l
Phone _'2, q6
Phone X 57- Pi
Expires a, I 3
Lot Zoning
ial o o Industrial
V1CAK1C PV V 1 e &f
o wall- mounted a projecting o freestanding awning o other
Total sign area sq, ft. Maximum allowed sign area so. ft.
o Heat pump o wood burning stove o gas fireplace o pellet stove o other
per sq ft.
TOTAL VALUATION in, 7
sq ft. Lot coverage
of bedrooms
of full baths
of half baths
1 have read and completed this application and know it to be true and correct. 1 am authorized to app for this p
understand that it is my responsibility to determine at permits are required, an •b p s r t
protects.
Dave n' Print Name Wein Signature
rmit and
king on
t 135/25/213138 132:213 45792713
.-..
"
~... ?
Joh ..ired by ~Iectrical ContrBctor o Owner
SIMPSON ELECTRIC
~ou.( r>Uw\ IT M=
PAGE B1
ELECTRICAL WORKPERMJ'T APPLICATION
InSli\llatioTl description
o Comml!:rdal e5ldentisl
Date l1xpitcli
ON...
Itc~/^ddltlon
Electrical contractor no ~ /) _---r... . - /...i.ccnse. number
~~~
P"roh.,,,', a;, odd"" / 2M;:. )
_SJ'1,J03l<? ./or U
CHy fiJ- j:J- "Zlr Q,? 3/. :=;;
_, _ cp.)A-.~1 II?~
FAX number
;;;..70
Telephone number
57-
PremJsos o~+;;).p &rrwJVl
Add.... .f1nz;e:;r~ 5, [)~ S-).I
City <<.p" .
cVJ. '-t6/-
OwJJ(.Tilrdcjinell-by-/l:CW:fy.-cB:261-:(I;J-@vrJno.r-wilJ--OCCllpy.lhe_sJT:IjC!Ur~JOL'~.n__ ___~.__._
Yf!(1rJ after this electrical permJt is finalizt!d. (2) Owller j,t 1'etJujr'(.t/ 1(,1 hire an elec'rical
con/racto/' ff ohm'e said p'l'()perlY is for _fale. rt.nI nr lta'-Ie.
After relldi~~ the nbovt ~lBtemenL. J hereby certify lhat J am the OW'l1cr orthc nhove
n"",ed properTy or a licensed elcctric.al contrnctar. I pm maldng thc electrical inst31-
lDlion or .olter.llliotl in compliancc wilh the electrical InwR, N.E.C.. RCW. Chapter
19.28. WAC. Chapter 296-4613, Tht. City of Port Angelo:: Munkipnl Code. and
Utility Spr:ci tionf:.
Slgnnture
/-7 c/;e~
t::::y ~~
(e ~. l-d~}~n
r~
;ZY:
30ihj j~f!ft_1 o.;t.J.e..r
+r rnetaD+ hcwJ
~ UGHT DEPT.
o Cash 0 Check #
red;t Card ~ Mas!ercaid Discover
Card# ___Cf:Vl_~__.-:_---
.C'ntrDttor Dr declrlc:a' l'ldminlstrfttor
, Date: tb j,;, /p Jog'
Expiration Date
of card
ectrlcut Lo~1l Addltions..mlP_~lM!;
o NO WAO CHANGES
CI Baseboan:l KW
.IStJFumace J.5,KW
! . Heat Pump 1.'on _ lAR
t:I Fein-Wail .-.:. KW
$arvlce Intor.mmll!n
tJ Overhead Service
o Temp Service
e Underground Servioe
Voltage
Phase 01 0 3
Service Size:
Feeder SIze:
SAME DAY INSPECTlON CALL BEFORE 7-00 AM ::\60-4'7-47~5
r , , r . . ..
'" /' THERMOSTAT , SERVICE '"
r [(t;GRoIN
fi ~ rM7 APfl....vllcl tt,.-.J
" Ualt ^J'll'l'l'Ivt\J u~ Dnl" -'flfI7'l'va:I[)y " D,l~
/ /'
FINAL DITCH 1'1>t;lJ.t:1(
//~/~ ~ "
O)l~ fl.l'lIFIlVrll Dy DOle ^JlllromBy O.lt A"",~B~
in:lpcction Area, Bui1dinS or Equipfl1ent Inspected Action T&)kcfl Electrical
0:111: Inspector
0-J7-:IJK niL- AP f3. T jf
~
- ."
--~~
._1__...-.-------.-... .'
i
--.----- -" _.L__~_.___ j..
I /-1.------
_._..._____u_._~- ._ --_.._-_.~~.-._...._-- .-------...---.......-..1-. -_...~.._.._-~--'~-'-- ...~-'~----_.
, -
.. ""-IQ.l6.- D7.'::tCL.___ .-'
I
;
.-. ---- --- ~..
i-.
!
u
.cp
?-,
,j
\1\
CF
10'
C>>
1
~
..c:.
o
r
~
\
'"
f>
:i:
#-
(:,
Jun 23 08 10:53a
p.2
J
,
D6 -OlL-f ()
Q.
\~~
......
ELECTRlCAL WORK PERMIT APPLICATION
Job wired by
Electrical Contractor 0 Owner
[nSlallatlon descTip~L
CJ Commercial ~ Residential
Electrical contractor llllrnc
l\\i IX'fflMfv \-\c'Il\1~~ rml'M)
Purci1aser'~ mailing atldrcss
'2,:;01 ~lMtJ /Jt.
C9nVT A\1C/.f[e,
T~lephonc number
I
Premises owner's~me
~'1nJf 11\ u )[,1
A~rc" 01 ;n'~ion. J f'f. \ \ c..l-
rJ'(7, J' \ V\ {Uj -=>\.
cllCM--1n1G1J fS
Phone nu er to schedule in. .ection:
ticensl' number
Date Expir!:s
'H-oB
o New
')ill AlteredJAdditiGD
\)
(){
\
o
J
,J:
c
f'( I t."Fi.<l_~.1V
Jf
_\,
t-StfJ\.t ~
Slale ZIP
UJ A C1fJ~G 7-
fAX number
<S
JUN 3 8 2008
Owu('r (l.~ de/tll€<l byRCWI9.28.261:U) Owna.,.,.itl occupy Iii€. s(ruchweJor twO
yean aji!!r Ihfi electrical permit is finalized. (2) Owner is rl!quirerllo Mirt! an elccrrical
cfJfllracfo/' (( aoo"/: said properly IS for safe, relit or lease.
After reading the above slatement, I b::rcbr certify tlJat I am the owner of the a'ooYC
named property oJr a licensed electrical contrilctOr. 1 am makillg ti~e eleclrkal instal.
lation or illtcrnlion in compliance with the ele::tricallaws, N.E,C., RCW. Chapter
19,28, WAC. Chapter 296-46B, The City of Port Angeles Municival Code, and
Ulility S'Pe~ific:Hjons"
of owner. electr.'
X U -Z3-GV
o Cash 0 Cht4la'HT DEPT.
~reditCard Visa Mastercard
Card #
Discover
--------.--------
Elec rical Load Additions and or subtractions
D NO LOAD CHANGES
o Baseboard KW
o Furnace 112KW
o Heat Pump Ton
o Fan-Wall KW
Expiration Date
of card
Service Information
LAR
o Overhead Service
o Temp Ser\'ice
Cl Underground Service
CALL BEFORE 7'00 AM 360-417-4735
Voltage
PhaseD 1 D 3
Service Size: _
Feeder Size: __
S!\.ME DAY INSPECTIOl\""
. .
ROUGH-IN TIlERMOSTAT /' SERVICE '\
'7136/06 ~ I I
O~lt Appro",cu By O,IlO:: Apf'r(w<.:d By " D~l~ Approved II)" /
FINAL DJTQI ( FEEDER
1(2.'5 /cfJ -W
'- D~Ic"' APPf(>~cdBy ../ '-- D~lc "',""roved lIy ../ D~le AJlPIl.'~ed By
Inspection Area. Building or Equipment Inspected Action Taken Electrical
D:.\c tRspeC\()f
-
,
I
- !
I Cf6 1S'7~
I
,
-_.-
CITY OF PORT ANGELES
LICHT DEPARTMENT
ELECTRICAL PERMIT
Nt?
17154
,..--.
. ~. - I,> x' U
Port Angeles. Washlngtonm........m...m_..L"........m..mmm........... 19~_.....
In accordance with the City Ordinance to regulate the installation. extension. or repair of elec-
trillal equipment in. on. or about any building or other structure in the City of Port Angeles. per-
mi$sion is hereby granted to do electrical work as listed below.
Address ...__.t!?,2...;?o.m~.____~4~~,:t....____.._____..__... Occupancy.........."".'"'':'':::-::...__::.................__
. (j
OWner ..m...mm.m.m...-;.-::T........m.....1-.7!)!;--.z;&' T~n'nt....m.--..........._.........._...........m.........m..........m
Wiring Contractor ..tt;,~.~&iZr---Cd.~~. By.......m..................m...............m.......mmm.....
/ j,;Jt>/;JjCO
Service, volts .............7..-.................. Type of WIring:
No. wires .....___3........................00. Armored Cable _00_....00......__....._.__...
% //
Size wlres....4..__nn__..n....._......_..
.~.,o A
Main fuse n..L__~____.....................__..
Enclosure ....___~.Zi..~___.....
Licht Outlets___.................___...................
Re~eptacle Outlets_.______......._..._.....m...
Dq'er, KW.__nn.........n.._____.__h__..__..._..
Range, KW..__.n__...___n______n______._______._.
WQ.ter Heater:
YIr:
KW......_____.......1.<.u:::-:::......_____..
H~Jl' KW........r..Jf~~..fi.....
~~li}iiEi!~
Type of wiring:
Entrance Cable ...__.___m___nm__.
Rigid Conduit ._________....................
Metallic Tubing hnm.................._.
Current transformers:
No. & Size..nn__nn.n_.....nnn_...........
Ser. NO....._......nn.__n.........n_.............
Ser. No. _._00..00_0000......_._.................00._.
Ser. NO..__...___n__.nn.nn_..nnnn_.n....n.
Non-Metallic ........__._..__..........._.....
Knob & Tube.................n_............_
RIgid Conduit .___...........................
Metalltc Tubing ......._.___.........._..._
Raceway _.........................._..___.._
Circuits, LighLn...................._______...._..
Utlllty...........................___..............
Heat _______...........____..._........______..__
Range ....._____................__..__._...........
Water Heater ...............___.............
Motor .._..........._.________.__..........__....._
Dryer n..nnn................_n_nn.............._
Furnace .................._...._.____.__....__.......
Total Load....__nnnnnn_._...____. Ser. No......................................_...._.. Total ...._00._.00___..__.__.............__._
Remarks: mm.........~~!:~.#.L~~__.....::_1'-.f:.~"~.~..mm.........__.....mm...m.mmm...........
if .
_n..n_nn_nnnn_n_nnn_nn_nnnnnnnn_unn_hn.n___n.uu_un_u_n_un_nnnnnnnn__nn_n____n_n__nnn_nn_nn_n_n_nn_n__n____.u___
Permit Fee
.n.;jonn____.u_u_nn_n_nnnn_nn___nn_nn___n.__.____nn_n._.._.u__.__u_uu__.u..........n___u___u__uu_____n_n_nnn____nn_n_nnn.n__........n
By ....9d~it.~,k.~.2g~-L-
, .
Treas. Receipt
$~........................----........
No.............................
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
ce:;\led 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
ELECTRICAL PERMIT
N'?
17154
Address....___.__..._....._......................_.............._.......__.............................__.....................................Date..._......____..__._..........___...._..__......._
OlVner.___.__.___.__..._._......._......._.........._..............____..........____...._.__.____..________________.______.___.__Tenant._____.__...._........................................_..._.........
WlringContractor.______..____.__.._.....___.__....._______.............__._...............__..__..__.....__...._.._.._.__.._.....__.__._.By............................_.............._....._.._._.._....
NOTICE-Current must not be turned on untH Certificate of Inspection has been issued. It work is to be con.
culed due notice must be given the Inspector so that work may be inspected before concealment. .
\ ) ".
1M Olympic Printers, Irk. \
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15406
&, - d )/ j, <)
Port Angeles, Washlngtonnn______n____________nmm_m__m___m______mn____, 19_0000__:
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
tr.:cal 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.
Address __m_?;.__p._i:.____t:t;-:::e:..e~":f.,-----I:lmnn-m--mm- Occupancy_n___________nmn___________nm_______n__
~. Y' /:t"(' ~ -
~:::~::~~~~::::;.:t::::=:~!-;.:::::::~~:~:::::::::::----~~:~n:~:::::::::::::-_-_-_-_-_-:_-::::::::::::::::::::::::::::::::::::::::::::::::::
(/
LIght Outletsn................unnmm..______...
Service, volts ..m.........mmmmmm.......
No. wires 00000000__.00.00.....................00
Heceptacle Outletsnnm.................nm_.
Dlyer, K\Vj..nm.m.mm..mmmmmnnm
Size wiresm.u.onm.........h........m__.
Rcnge, KW h..un........nn
VI'"ater Heater:
Main fuse nmnnmm'h"h__""m,"nm
Enclosure _...mnnnm....uuu...h.hmn
Type of wirIng:
Entrance Cable n.n..mmmnnnm..n
KW._____________.......__________.._..__________.
H,at RW...I-t?.!..f..:..fJ./J
Rigid Conduit mon........
:h"otors; sIze, volts and phase:
MetalUc Tubing ..nnm.mmn.........
Current transformers:
No. & Sizenn_.nnnnnnnnnnnnn....__.
Ser. NO..nnnn................nn.nn.....nnn
Ser. NO.............n................___...nnn...
Ser. NO...........................n..._..._n........
Total Load....m..m......._........
Ser. NO.....n........_n......n..nnn..n..n....
Type of WiI1ng:
Armored Cable nmmhnhnn...........
Non.Metallic .
Knob & Tube...
Rigid Conduit nnmnnnn....nm.n....
Metallic Tubing ............mon....nm
Racew'ay .nnnn..nnnnn..nn_n............
Circuits, LighL.nmm....nnnm.nmnnm...
Utility nn...............n.n............n".nn
Hcat
Range .nnn.nnn.n....nnn.nnnnnnnn.
Water Heater ..............0........._...00.
:h.iotor ______...nn.n..nn.....nnnnn.....h
Dryer.......__..............._.........................
Furnace nnnnn.n.nnnnn_ _.......
Total ..............................._...n..
Remarks : _n_____nn_m_____._m_n_mmmm____m__nnm___nnn___mnm________m____mnn_____nn___m____mn_n_______m______nn_____m_
__h___nn..nnn~_n~nn..~__.n__..n__nnHnnn.nnnun~__________.h____~__h_n____n.~nnn.u.nnh__nnn__.n____~n..n~..nn.h~__nn.nnnnn.nuu
Permit Fee
$'m______________mn_________m___
Treas. Receipt
NOon_______mommmm___
By n_m_n__mm__________mmm__mmm__m______mm__m_
NOTICE-Current 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 before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
15406
I late called for inspection.....n._n..............n.n..........nnnnnn....nn_._.n.......hn___nn_n_.n..hnnnn.......h..nnn......nn__...n........nn...__000000........___...
F'relimInary inspection dates............................___....._....................._..................__.................................._.__.........__.....................__..................
1iotal Load .mnm.m...m.mm.nmnnm.nn.m.....
I.~spectioncompleted..._._...._.._...._..___._.._..._.._..........................._..._..............n___......................................._........__...........___._._............_......_
1M 3.72 Olympic Printers, Inc.
. .. . . ........__00.. noon... ... 0000.00 noon .. ......00 0..00.......00. ........___nn...n..........._._hn_.___....._
Application Number . . . . . 23-00000173 Date 2/22/23
Application pin number . . . 475722
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Outlets
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY ANGELES ELECTRIC
223 E 4TH ST 524 E. 1ST ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 417-2429 (360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee . . .00
Issue Date . . . . 2/22/23 Valuation . . . . 0
Expiration Date . . 8/21/23
Qty Unit Charge Per Extension
BASE FEE 86.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
MU LTI-FAMI LY / COMMERCIAL
ELEC TR CAL PERM IT APP ICATION
Public Wcrrl<s and Utilities Department
32,1 E,5th St.r'cct, Port Angeles, WA 983(;2
3 60,4 .I 7, 47 35 | wi.vtr cityofp a.u s I el ectri calpeLm its(ti)ci tyofir a .u s
Project Address:/3 (^ J-
->T"/lzl
Project Description
n Multi-Family Residential Commercial i lndustrial / Public Building Square Tootage
Name Email:
Mailing Address:Phone;
To-3
;+-s
Name:Anqeles Electric, lnc,
Mailing Address 524 E, First Street, Port Anqeles, WA 96362
License:ANGELE146O
Expiration Date:2t112020
Email;ksimpson@olympus,net Phone:360,452-9264
Item
Service/Feeder 200 Amp,
Service/Feeder 20 1 -a00 Amp,
Service/Feeder 40 1 -600 Amp.
Service/Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO S-'rvice Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp, ServiceiFeeder 201-400 AmP.
Temp. Service/Feeder 401-600 Amp,
Temp, Service/Feeder 601-1000 Amp'
Portal to Portal HourlY
Sign / Outline Lighting
Signal CircuiVLimited Energy - Multi"Family
Signal Circuil/Limited Energy/First :l'500 sf - Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec, Energy: SKVA System or less
Thermostat (Note: $5 for each additional)
Quantity ]glAl (Quantity x Unlt ChargeUnlt Char$l
$132,00
.$160,00
$225,00
$288,00
$410,00
$5.00
$74.00
$5.00
.$86,00
$t oz,oo
$121,00
$164,00
$185.00
$96,00
$,88;00
$88,00
$e6i00
-7**-ffid-.
o
$
$
$
$
$
o
+,
$
$
$
$
o
av
$
$
o
+J
$
$ 113;00
$56;00
$
,lj
$I r'eDla TOTAL
owner as deflned by RCW.19,2B .261: (iI owner will occupy the structure for two years after this electrical permit is finalized. (2) owner is
required io hire an electrical contractor if above said propeity is for sale, rent or lease, Permit expires after six months of last inspection'
After reading lhe above stalement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor' I
am making the electrica, installation or alteration ln compliance with the electrical laws, N.E,C,, RCW. Chapter 19'28, WAC' Chapter 296-
468, The City of port Angeles Municlpal Code, and Utiliiy Speciflcations and PAMC 14,05.050 regarding Electrical Permit Applications'
L7 Ken Sim son
Print Name Signatu p Electrical Contractor / Administrator)ta
[Electrical permitAprlications may be submitted to City Hallor electricalpermits@cityofpa.us or faxed Io 360'417'47111
PREPARED 2/21/23, 8:11:11 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000173 223 E 4TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 86.00
TOTAL DUE 86.00
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
10/19/2023 23-173
TAP
OWNER
CONTRACTOR
Angeles Electric
PROJECT ADDRESS
223 E 4th St