HomeMy WebLinkAbout1116 Eckard Ave - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner Contractor
GLENN TERRA GLENN TERRA INC
136 E 8TH STREET 9689 7TH AVE NE 124
PORT ANGELES WA 983629347 POULSBO WA 983707531
(253) 853 3535
Other struct info TOTAL LOT COVERAGE 25 00
NUMBER OF STORIES 2 00
LOT SIZE 9273 00
TOTAL LOT COVERAGE 2281 00
NUMBER OF UNITS 1 00
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc 2250 SQ FT HOME/ ELEC SRV
Permit pin number 99077
Sub Contractor ELECTRIC SERVICE
Permit Fee 113 00 Plan Check Fee 00
Issue Date 4/27/07 Valuation 0
Expiration Date 10 /24/07
Qty Unit Charge Per Extension
1 00 69 0000 ECH EL R SQFT FIRST 1300 69 00
2 00 22 0000 5C EL R SQFT ADDITIONAL 500 44 00
Special Notes and Comments
Address numbers shall be plainly visible from the street
Address numbers shall be a minimum of six inches high and. be
of contrasting color from the background
09/20/2006 12 10 PM SROBERDS The proposal will allow
the construction of a new sfr w /detached garage in the RS 9
for total lot coverage, of 25% No land use issues are
noted
Electrical load calculations and elctrical permits are
required
Ditches 12 culverts, will be installed to City Stanards
See Public Works Engineering for Standards
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance
notice is required
Construct driveway to City Standards No concrete with
exposed aggregate allowed in the City road right of way An
inspection by Public Works Engineering is required prior to
prouring concrete
Other Fees SEWER SYSTEM DELV CHARGE 870 00
STATE SURCHARGE 4 50
PW WATER SYSTEM USE FEE 1200 00
Fee summary Charged Paid Credited Due
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00000959
768452
1116 ECKARD AVE
06 30 14 5 4 0812 0000
GLENN TERRA
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
149373
Date 4/27/07
DriCH
ROUGH -II COQ
SERVICE
FINAL
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A M NIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
aw- 10.1514"461
Application Number 06 00000959
Application pin number 1768452
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
113 00
00
2074 50
2187 50
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
113 00
00
2074 50
2187 50
00
00
00
00
Page 2
Date 4/27/07
00
00
00
00
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO CO['ER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
DITCH
ROUGH -IN COVER
SERVICE
FINAL
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES NO
I 6 07 J.
`I Dl ie I
I 4 %26 -07 Aso 1
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BUILD'ING" DIVISION
CITY OF PORT ANGELES
* *
Correction Notice
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Job Located at
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Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
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covered until reinspection is made. When corrections
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for inspection.
Date
Inspector for Building Division
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00000959 Date
768452
1116 ECKARD AVE
06-30-14-5-4~0812-0000-
GLENN-TERRA
RES NEW SFR
9/27/06
RS9 RESDNTL SINGLE FAMILY
149373
Owner
Contractor
GLENN-TERRA
136 E. 8TH. STREET
PORT ANGELES
WA 983629347
GLENN-TERRA, INC.
9689 7TH AVE, NE #.124
POULSBO WA
(253) 853-3535
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
983707531
Other struct info .
25.00
2.00
9273.00
2281.00
1. 00
Permit PUBLIC WORKS RES WATER SERV
Additional desc 5/8" DROP IN WATER METER
Permit pin number 86520
Permit Fee 175.00 Plan Check Fee
Issue Date 9/27/06 Valuation
Expiration Date 3/26/07'
.00
149373
BASE FEE
Extension
175.00
Qty Unit Charge Per
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
86512
50.00
9/27/06,
3/26/07
Plan Check Fee
Valuation
.00
149373
Qty Unit Charge Per
1.00 50.0000 ECH RIGHT OF WAY PERMIT
Extension
50.00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
86504
110.00
9/27/06
3/26/07
Plan Check Fee
Valuation
.00
149373
Qty Unit Charge Per
1.00 110.0000 EA SAN SEWER HOOKUP
Extension
110.00
." .
----------------------------------------------------------------------------
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
09/20/2006 12:10 PM SROBERDS --The proposal will allow
the construction of a new sfr w/detached garage in the RS-9
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
insEction. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws nd ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
pres e to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
const uction. ' ,
Signature of Owner (if owner is builder)'
Date
T:\Policies\1102.1SR [1105]
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SlDEW ALK
CURB & GUTTER
DRIVEWAY APPROACH I
BACK.FLOW DEVICE I
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES. NO COMMERCIAL DATE ' ACCEPTED
YES NO
CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 P\V I ENGINEERING
FIRE 417-4653 FIRE DEPT.
,
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING -
T:\Policies\1 I02.15R [1105]
..., , T
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~~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 06-00000959
Application pin number 768452
Page
Date
2
9/27/06
Special Notes and Comments
for total lot coverage of 25%. No land use issues are
noted.
Electrical load calcurations and elctrical permits are
required.
Ditches & 12" culverts will be installed to City Stanards.
See Public Works Engineering for Standards.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway to City Standards. No concrete with
exposed aggregate allowed in the City road right of way. An
inspection by Public Works Engineering is required, prior to
prouring concrete.
Other Fees'
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
870.00
4.50
1200.00
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 335.00 335.00 .00 .00
Plan Check Total .00 .00 .00 ,00
Other Fee T9tal 2074.50 2074.50 .00 .00
Grand Total 2409.50 2409.50 .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 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. '
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)'
Date
T:\Policies\1102.15R [II05J
--
--
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRlVEW A Y APPROACH
BACK.FLOW DEVICE I I
I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE' " ACCEPTED
YES NO
CONSTRUCTION R. W./ PW/ CONSTRUCTION. R. W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417.4815 BUILDING -
T:\Policies\1102.15R [1105]
, .,._ORT ""
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNlTY DEVELOPMENT - BUll.,DING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
Owner
GLENN-TERRA
136 E. 8TH. STREET
PORT ANGELES
Other struct info .
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
9/27/06
06-00000959 Date
768452
1116 ECKARD AVE
06-30-14-5-4-0812-0000-
GLENN-TERRA
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
149373
Contractor
GLENN-TERRA, INC.
9689 7TH AVE, NE #
WA 983629347 POULSBO
(253) 853-3535
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
124
WA 983707531
25.00
2.00
9273.00
2281.00
1. 00
BUILDING PERMIT -RESIDENTIAL
85845
1300.25
9/27/06
3/26/07
Plan Check Fee
Valuation
520. 10
149373
Qty Unit Charge Per
Extension
1020.25
280.00
~
BASE FEE
50.00 5.6000 THOU BL-100,001-500K (5.60 PER K)
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
87346
129.50 Plan Check Fee
9/27/06 Valuation
3/26/07,
.00
o
Qty Unit Charge Per
BASE FEE
1. 00 14.7000 ECH ME- INSTALL 100- FAU
6.00 7.2500 ECH ME-VENT FAN
1. 00 10.6500 ECH ME-VENT SYSTEM OTHER
1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
Extension
50.00
14.70
43.50
10.65
10.65
~
?
~~
~~
~~
"
~
PLUMBING PERMIT
87353
177.00
9/27/06
3/26/07
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
14.00
1. 00
BASE FEE
7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
7.0000 ECH PL- EA. INSTALL WATER PIPE
Extension
50.00
98.00
7.00
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-certifythat-lhaveread 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
',esume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
c struction.
Signature of Contractor or Authorized Agent
4
Date
Signature of Owner (if owner is builder)
T:\Policies\II02_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDA TION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK nOW 1 WATER
AIR SEAL
WALLS I
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL(INTE~ORBRACEDPANELONL~
T-BAR
INSULATION
SLAB
WALL 1 nooR 1 CEILING
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING -
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKlNG/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R,W, 1 PWI CONSTRUCTION - R,W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:IPo1iciesIII02_15 buildmg permit inspection record05,wpd [1/4/2005]
. c190RT "'-"G
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll.,DING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
06-00000959
768452
Page
Date
2
9/27/06
Qty Unit Charge Per Extension
1.00 15.0000 ECH PL- EA. BLDG SEWER 15.00
1.00 7.0000 ECH PL- EA.WATER HEATER 7.00
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --~~ - - - - - -.-..'- -~'-".
Special Notes and Comments . ~, \/ ~'.' ; ','" ~".
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high~artd be-
of contrasting color from the background. " I
09/20/2006 12:10 PM SROBERDS --The proposal will allow
the construction of a new sfr w/detached garage in the RS-9
for total lot coverage of 25%. No land use issues are
noted.
Electrical load calculations and elctrical permits are
required.
Ditches & 12" culverts will be installed to City Stanards.
See Public Works Engineering for Standards. , . ,'".
Sanitary sewer connection inspection is required by ,... ",.'
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway to City Standards. No concrete with
exposed aggregate allowed in the City road right of way. An
inspection by Public Works Engineering is required prior to
prouring concrete.
~
~.\ i.j
. t"-\. .....f;. ..
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"\ .
Other Fees
SEWER SYSTEM DELV CHARGE
,STATE SURCHARGE
PW WATER SYSTEM USE FEE
870.00
4.50
1200.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1606.75 1606.75 .00 .00
Plan Check Total 520.10 520.10 .00 .00
Other Fee Total 2074.50 2074.50 .00 .00
Grand Total 4201.35 4201.35 .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 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 Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\II02_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
-"-
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS tOft{ /~ vev
SHEAR WALLS 1 WALLS p 1/ ~6 \fi..-/'
FOUNDA TION DRAINAGE 1 DOWN SPOUTS 10/ '1/0ft? 1)tt:J
I . I
PIERS
POST HOLES (POLE BLOGS,)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN 04/ ,s ~ 07 -SLL.
WATER LINE (METER TO BLDG) If II 'l'J1t r')~ jlA/
GAS LINE I , FINAL Y. -3D -0 g DATE JLL
ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS 411z/61 'jLt-
CEILING
FRAMING
JOISTS 1 GIRDERS ,
SHEAR W ALUHOLD DOWNS -2 }N. I t17 J 'J.. t
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING 't/l1/o1 ''''J'l-L
MECHANICAL Ll/rz.JCn ROUjh-;... Jt.t,.
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE '5/ i'l../Ot R<!lotl'jh- in "'J'L.-l-
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL Lf-~O-D8 DATE :s'LL ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING -
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKlNG/LlGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 ( ~-2 3-()~ "0L.L/ BUILDING
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T:\Policies\1102_15 building permit inspection record05,wpd [1/4/2005]
.. ~
BUILD!NG PERMiT - APPLICATION
at-I?:? FOROFFl~E~\)"J,Y:
ale Rec.:'lj'?(, V
Fill out COMPLETELY and in INK. Your applicatior. and site plan MUST B
C01\1PLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
/1 Il/l ~ 3(.00 Ca,,-I- qLL1~ C,E.L~
Applicant OJ Agent: 1i,N Dr ~ w / V ~ E R. R:C .s Phone: ~ b 0 ... ~'G. S- - 0 I 0 0
Owner: G L E.JJN;" T e. R.. R.. A, I N C~ Phone: .s (Q 0 - s- ~ .s- - 0 / 0 0
I
Address: /3 &;, E.. 8TH sr. 1=F'2.. '- ~ City: PD it. T A"'n. E:L.E:S Zip: 98>.s (o~. .
Architect/Engineer: C~ AS c..A p ~ P L A-AJ S & 1<: u.:r: c ~ Phone: '2- s: .]- 2-? "1- S /70
G C,'-E:.NN r:r :$(00-
Contractor Lf:.NAJ- T;;R.rt;t ~('-,StateLicense#: Cfgr(l A/A- Exp:~Phone: (Q z-J- '1'13.1
Address: ).3 ~ E.. "8 T' H S T. ;#:" z.. '- ~ City: Po R- i AN c.. €; L. C ~ Zip: q g.s (Q ""2-
PROJECT ADDRESS~Ec,..~ A R. \':) A \.J E: . ZONING:
LEGAi])ESCRIPTIO~'7~' . ., 'Block: Subdivision: -.f:,.c..l<.ARP He.L(-:tH T.s.
CLALLAM COUNTY PARCEL NUMBER: Ob~ \~5'\-08 \ Z-
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TiTE OF WORK:
~ Residential If New Constr, 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCrJPTION OF THE PROJECT:
City:
Exp. Date:
SIZE/V ALUATION:
o Stove '/Il'1S" SF.@$ 7r;,.0'1/SF.=$/....IO,3~Ca.OS-
~ Garage Yoo SF.@$ 2.1.J2/SF.=$ ~ .s-Sz...QO
~ ~f'o"'G.tf 3 (0 SF. @$I "2..0J' /SF. = $ , I 42(4. {l J}
o Other TOTAL VALUATI.ON $ I '1 q ) 3 7'Z.., Cf l
A) l:;. W c....n AI S T It u.c... T r O.AJ ~ F Ie.
COMMERClALIRESIDENTIAL: Occupancy Group: }<-.3,
No. of Stories: 2. Lot Size: ~ 'l.. 7l td Existing Sq. Ft.
Total lot coverage t -z. s:- %
Occupant Load: Construction Type: II N
-
& Proposed Sq. Ft. Z L'i' J = TOTAL Sq. Ft. '2. (.. 8 L
18''1$,-+ LlOO+J t'O
PLANNING USE ONLY:
.
APPRO V ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
ESAlWetland(s): 0 Yes 0 No SEPA Checldist required? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Pennit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan clreclcfeeis due it mustbesubmitted at the time the building permit application and construction plans are
submitted. All other pemrit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Uno peIDJit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section Rl 05.3.2
of the International BuildingIResidentialCode, 2003). No application can be extended more than once.
Ijc tion and know the same to be true and correct, I am authorized to apply for this permit and
its e required ,not the City's, and that I ust obtain such permits prior to work.
Date: 0 ~ Ofo
T:\PoJicies\BL-] ] 02_13 ,wpd
r '.
Prescriptive Approach - Simple Form
For the Washington State Energy Code (2003 Edition)
Climate Zone 1
Address:
City: P p R.. T
Lot I ~itel<~ IZtl~
E. c.l<:.AIZ-D ~
A N (, E: L E:S
State: (;l) A Zip:-3 g .s to. (..
contact----A N 0 R..f;.W M. TE:.l2..R:X..s
Phone: :s (00 -~(Or - (9 J C) (:)
,.:' ...'
Phone 2: 3 to 0 '-. (0 '2.. 1- q Y 1.1 c.G Lot
Fax: S GJ 0 - s;- (0 S- - 0 J D J
,Building Department tJseDnly - , '
. " ,
Permit#:
. . . .
()6 ~q?9i
..,....:. ,
,Notes:
n ullIte azmg )1 tlOn ny
Glazing Glazing U-Factor Door9 Wall Wan Wan SIab4
Option Area10 U- Ceiling2 Vaulted Above Int4 Ext4 Floors On
% of Floor Vertical Overhead II factor Ceiling3 Grade Below Below Grade
Grade Grade
ill Unlimited e c9 e ~
Group R-3 DAD 0.58 020 R-21 R-IO R-IO
Occupancy
Onlv
Table 6-1
PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
(D l' . d GI . O' 0 I )
See the code text for footnote references
Thi reject complies with the following:
:;- The project is a single family residence.er r;l1=lJ3le~
The project is wood frame OR all of the insulation is interior or exterior of the framing.
All building components meet the requirements listed in Table 6-1, Option III.
The project will meet all other provisions of the WSEC and VIAQ,
The project will take advantage of the following exceptions to the prescriptive option:
o 602.6 Exception 1. One door, that is 24 ft.2 or less, that does not meet the standards is allowed.
Location of the door taking this exception
o 602.6 Exception 2. Doors with a U-factor of DAD allowed without calculations, Option 1/1 only.
Location of the door(s) taking this exception
TvpE... D F '~\GAt- <2.0012-('..0'.' LO t>c..r....... /l _.... r c
f - ( ..r-~ c ~ c: ~ ,/I' 1_,,- t-' ..b-c~):,..&.:r:: c..
Copyright 2002, WSUCEEP02~056 f~o P 4.AJ Go F= :r::. R-G FLrl-vE.
Copied by permission from the Washington State University Extension Energy Program
Prescriptive - Simple Form - Climate Zone 1
7/26/2004
CASCADE RESIDENTIAL DESIGN INC.
102 S 26th Street
Tacoma, WA 98402
253.284.3170 Fax 253.284.3183
August 22,2006
Attn: Port Angeles Building Department
Building Location: Lot 15
Eckard Avenue
Port Angeles, WA
Glenn Terra Homes is authorized to construct our plan 1845/2A for a single use
on the site address referenced above, based on the criteria in the accompanying
construction documents and calculations. Any, revisions or alterations must be
authorized by Cascade Residential Design, Inc. prior to commencing 'Nork.
Sincerely,
M k M P E I EXPIRES: '''''i-o:zJ
ar yers, . . -
Project Engineer
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02/06/2007 13:53 2532843183
CAS RES ~~~,,1AF TDM
PAGE 01/03
CASCADE RESIDENTIAL DESIGN INC.
1901 Center Street
Tacoma, WA 98409
253.284.3170Fax 253.284.3183
February 6, 2007
Glenn-Terra Homes
136 East 8th Street, Ste 223
Port Angeles, W A 98362
Attn: Andy Terra
Ref: Plan 1845/2 at 1218 Rolling Hills Dr. & 1116 Eckard Ave.
This letter is in response to your question about spalling a few of the foundation straps
for the above referenced plan.
-
According to the layouts you sent, the straps at the front of the building experienced
spalling up to 2" below the embedment line. According to Simpson Strong-Tie's product
catalog, spalling between 1" and 4" below the embedment line results in the STHD
straps having 90% capacity. We have reviewed the calculations for this plan. and find
that the straps still have sufficient capacity to resist the design loads.
-
Sincerely,
\)'
\\\
~
^
~
p-
If you have any questions, please give us a call.
f
Mark Myers, P.E.
Project Engineer
fAt
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DNISION
321 EAST 51HSTREET, PORT ANGELES, WA 98362
CXtJ--qsq
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
_________Qty___U~~~_~::rge__pe~__~~:~_:~E________________________~~:~~
Owner
GLENN~TERRA
136 E. 8TH. STREET
PORT ANGELES
Other struct info .
Permit . . . . .
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Permit
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
9/27/06
06-00000959 Date
768452
1116 ECKARD AVE
06 - 3 0 -14 - 5 -4.- 0812 - 0000-
GLENN-TERRA
RES NEW SFR
/1/ it E C/CO/U! ~
(q/~/~
RS9 RESDNTL SINGLE FAMILY
149373
Contractor
GLENN-TERRA, INC.
9689 7TH AVE, NE #
WA 983629347 POULSBO
(253) 853-3535
TOTAL 't LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
124
WA 983707531
25.00
2.00
9273.00
2281.00
1. 00
PUBLIC WORKS RES WATER SERV
5/8" DROP IN WATER METER
86520
175.00 Plan Check Fee
9/27/06 Valuation
3/26/07
(1~~
17 .
.00
149373
RIGHT OF WAY
86512
50.00
9/27/06
3/26/07
Plan Check Fee
Valuation
.00
149373
, ;v
Ai . .
Qty Unit Charge Per ~x pn<::; n~
1.00 50.0000 ECH RIGHT OF WAY PERMIT <: 50.0~
---------------~------------------------------------------------~-- ----
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
86504
110.00
9/27/06
3/26/07
plan Check Fee
valuation
.00
149373
Qty Unit charge Per ~
1.00 110.0000 EA SAN SEWER HOOKUP 110.
------------------~----------------------~--------~-~---~------- ~----------
Special Notes and Comments .
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
09/20/2006 12:10 PM SROBERDS --The proposal will allow
the construction of a new sfr w/detached garage in the RS-9
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 constructi6n or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\II02.ISR [1105]
-c:l'0RT~
t,~~
"''dii
11 --
~:?
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TIfSTREllT, PORT ANGELES, WA 98362
Application Number
Application pin number
06-00000959
768452
Page
Date
2
9/27/06
Special Notes and Comments
for total lot coverage of 25%. No land use issues are
noted.
Electrical load calculations and elctrical permits are
required.
Ditches & 12" culverts will be installed to City Stanards.
See Public Works Engineering for Standards.
Sanitary sewer co~nection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway to City Standards. No concrete with
exposed aggregate allowed in the City road right of way. An
inspection by Public Works Engineering is required prior to
prouring concrete.
-----;~~~~-;~~~--~-~-~-~-~-~-~-~-~--~~~;~-~~~;;~-~;~;-~~;;~ ~7n A~:~~--
____________________________________~~~~;=;~:~~;;_~~~_~~~__~120~.~~
Fee summary Charged Paid Credited Due
Permit Fee Total
plan Check Total
Other Fee Total
Grand Total
335.00
.00
2074.50
2409.50
335.00
.00
2074.50
2409.50
.00
.00
.00
.00
.00
.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 J have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)'
Date
T:\Policies\II02.1SR [1105]
. .". . .
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . .
REQUEST:
Date II - S - 0 (.
Time
Received by
Rv
(phone, person)
Location of Work to be inspected -----11 lb. r; c.. k a.-~ A ve
Name of person requesting inspection ("e.-5 'P'r; .e!;i-
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
Phone No. 1-.1"7-,- /eoz.
Permit No.. 6 G" - '1 <::1
Final €wer Ex~ Other
INSPECTION NOTES:
Inspected: Date 11- S -Ob Time
Remarks: Ne.w CO"'v1~t-.'O" to exl~+~ 1.:," t>Vc..
'ii'<N~f'Q"'-t.., I,'",€- to lfoV-S'e--
By RV
J.<cde....Q.I, N e. l},J '1// Py<:.
"
Jt:'1i'C t.M..
RESTORATION REQUiRED...... YES
NO K
,
?IL
N
~
f'IL
I
ro--'3
,
4~..ep
"'e.~\)C.lIEr
'16
,
28
"'./"
Jr2.0'
'ISO
7'
cx;sh''':j b" ?v<-
!::: c. kfl.orJ.
\
c",'st:'5 ~"""e.v ~I VI.
A lie.-
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
.,
~
,
.
:
'"
,.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . . . . . .
/
REQUEST:
Date (O-ZI-67
Time
Received by
Rv
(phone. person)
Location of Work to be inspected III ~
Name of person requesting inspection Sec..IA.-
Address of person requesting inspection
Type of Inspection (circle appropriate one):
E G kc..v-cl A l{ '<-
~le. \.LV\. 1 ~""ro.
Phone No.
Sewer Foundation Framing Chimney Plumbing Final
Permit No. 0(, - '151
Sewer Excav. Other ')J,-,'lIe Wavy
INSPECTION NOTES:
Inspected: Date~{ Time
Remarks:
By R.V
Ok
NO It
RESTORATION REQUIRED . . . . " YES
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
!DATEI
, Ke)
,~
[,:i
'APPLICATION FORWATER-~;:-'i ,>
City Water Di~ision ' H ,~:. '-'
Port Angeles, Washington
lED
2 7 2886
I hereby apply for water to be furnished in accordance with rates
following premises:
Name of Applicant: G /{J 1111 If r V ti
Address: / ( / & P r kJu.J fru M. J
ac3D/4~ O&-n:....
Renewal 0 NewServi~Blk. Lot /5 ,Add ??~ ~
Size of Service / f ~ 1f4tf#1i'{h, ~r NU~be~~ 3
Service Left On 0 Service Left ~ Sign~
Installed by
Remarks:,!1:.,Jt.( IT if 0& -q?q
ISION
1'/ 7'SPE 1- $;2()') ~
N
E'~
j
'"
~
.~
~
...
~,
w
....::
~
k
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v'-
"
,
s
J
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . INSPECTION REPORT. . . . . .
v'
REQUEST:
Date &.f - z8-a8
Time
Received by
'RvV
(phone, person)
Location of Work to be inspected l \ \ C.o L::::cJ<.o...-cl
Name of person requesting inspection ~os k..
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Av~,
Sewer Foundation Framing
Chimney Plumbing
Permit No.
@ Sewer Excav. Other
Phone No. e,08 - 01'7
C>b- c:; 59
INSPECTION NOTES:
Inspected: Date 4- ze-~ Time
Remarks: ~u...\@r It -s - a ~
-----Dr-iv:;:~ . ~:2/-cn
-----"1l.cx.>J." -=--- '-"~ .f~+C \..\.,
By
RV'
RESTORATION REQUiRED...... YES
NO ~
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SLJPERINTFNDENT
/DATEl
(,-!e~
..
r ~ontractor ,Installation descriptio --
Job wired by DOwner o Commercial esidentiol
elcc~to:~~ ~me s:-:- Li~umbc;r - Dale Expires o New o Altered/Addition
-. c:."S'I~,""
IJurChaser'sBtH ad ,,'......~ V.D1 (!JL
Cil)' Vou- ~::. Stale ztp ~ 1';?~ 2.-- Sf A- ~Il.' 1\~
~ z.ua
Tell.phone number FAX number
Url.-& 41-'1 -
premt;,~~V""CA-
Adtcr O{;osPlon
l c,~.... oQ
City \I A-
Phone number to schedule Inspection:
Owner as de filled by RCWJ9.28.261:(I) Owner will occupy the structure!or two
yeors after' tills electrical permit is jinolfzed. (1) Owner i.~ rcquir(!d (0 hirr an electrical
con(r(/clor if ahove said property b' for sale. relit or lease. c] Cash c] Check #
After reading the above slnlemcnt, I hereby certify th:lt t am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal- [J Credit Card Visa MasterCard Discover
lation or alteration in <;ompliance with the electrical laws, N.E.C., RCW. Chapter ---o---~-----
19.28. WAC. Chapter 296-46B, Tbe City or Port Angeles Municipal Code, and Card #
Utility Specil'ications. .
I/~Hgnature of owner. electrical contractor or electricDI administrator Expiration Date e snspcctl" 3c 2 G
,X Date: of card
aM"
l~
~.~?
....
ELECTRICAL WORKPERMlT APPLICATION
Electrical Load Additions and or subtractIons
o NO LOAD CHANGES
o B~ard KW
~rnaca ~KW
o Heal Pump _ TOn _ LAR
o Fan.Wall KW
Q Overhead Service
OTe~
~Brground Service
Service Inlormatlon
Voltage 1l-bIJ:;>>o
Phaselti-11J 3
Service Size: ~
Feeder Size: "
SAME DAY INSPECTION. CALL BEFORE "00 AM 360-417-4735
.
ROUGH-~ ,r THERMOSTAT SERVICE
'1-.;1(.-07 g)
'1*-07 .
'- D~le App"H~d Dy '- D~l<: Approved By D~te AppfOved lJy
~AL ,r DITCH FEEDER
'-0.., ~~ -h.{,-eJ7 JsD
DDlc AppfOvelllty/ Dgu> ^pprovcd By
Inspection Area, Buildmg or Equipment Inspected Elcctricul
Date Action Taken InGpector
'-/-//-07 J7/J.0<:> C!oo,.J=--r" /'1'2- Ai'1'p>vrlJ V!.
lRl.J~~~OO 'Ii)
Ht"K ~ v-zuuI
"
r.
, DEPT.
t\G~
n2.17LT17 .01
1721792S17'
3JI~d3S Jld1J3l3:WOdj dSI:60 17002-0Z-d~W
DATE
2'D J (')B
OWNER/CONTRACTOR
'ZZ-L-JE:.c..'Q. t L-
ADDRESS
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
3A~'..: cz t;-cz
?~c..
I ~Ft
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. .. . . . .. . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . J3-.-..
CORRECTIONS NEEDED:
. ~
rqz:...X \0
'~?H \.(4. c At
C~!Ln)
~ 1'" r 1i's:>T' N:..L"J:: "'\to
-<;;, )"Pi"O\2......nz:p (B2o).;1E..
N. ~ t.f(){;'.44-
7ea~1 N t..l '& rJZbn
\)tAhl',-<'n17 'N~J ?"?J-f.!t;'~'?,
~ QrC'..l!/cY
'?t.-"'~ k lTCrl~~
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
Application Number . . . . . 24-00000389 Date 6/13/24
Application pin number . . . 244947
Property Address . . . . . . 1116 ECKARD AVE
ASSESSOR PARCEL NUMBER: 06-30-14-5-4-0812-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
NANCY RENEE/JON PATRICK HAMILT BLACK DIAMOND ELECTRICAL CONTR
1116 ECKARD AVE 502 BLACK DIAMOND RD
PORT ANGELES WA 983629347 PORT ANGELES WA 98363
(360) 912-5210 (360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 95.10 Plan Check Fee . . .00
Issue Date . . . . 6/13/24 Valuation . . . . 0
Expiration Date . . 12/10/24
Qty Unit Charge Per Extension
1.00 95.1000 ECH EL-R- BRANCH CIR 1-4 95.10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95.10 95.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 95.10 95.10 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
EL1-2 SF 1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □Single-Family Residential □ Duplex / ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Unit Charge Quantity Total (Quantity x Unit Charge)
$190.20 $
$190.20 $
$285.30 $
$380.40 $
$475.50 $
$5.30 $
$95.10 $
$47.55 $
$95.10 $
$95.10 $
$190.20 $
$285.30 $
$380.40 $
$95.10 $
$95.10 $
$190.20 $
$190.20 $
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuit/Limited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.30 for each additional)$95.10 $
First 1300 Square Feet $190.20 $
Each Additional 500 square feet``$47.55 $
Each Outbuilding / Detached Garage $95.10 $
Each Swimming Pool / Hot Tub $190.20 $
TOTAL $
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□Owner □Electrical Contractor / Administrator)
Pe
r
m
i
t
#
:
New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
7/31/24 24-389 TAP
OWNER
CONTRACTOR
Black Diamond Electric
PROJECT ADDRESS
1116 Eckard Ave