HomeMy WebLinkAbout924 Seamount Dr - BuildingPREPARED 8/06/07 10 00 24 INSPECTION TICKET
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY
ADDRESS 924 SEAMOUNT DR
TENANT NBR ARLAND ELSTROM
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
PERMIT
TYP /SQ
BL1 01
ARLAND ELSTROM JR
06 30 00 9 5 0215 0000
06 00000798 RES NEW SFR
BPR 00 BUILDING PERMIT
REQUESTED INSP
COMPLETED RESULT
9/06/06 JLL
9/06/06 AP
BL2 01 9/11/06 JLL
9/11/06 AP
BAIR 01 11/14/06 JLL
11/14/06 AP
BL3 01 11/14/06 JLL
11/14/06 AP
BLI 01 11/16/06 JLL
11/16/06 AP
DRW 01
BL99 01 8/06/07
4/23/07 JLL
4/23/07 AP
PW99 01 8/06/07 RV
8/06/07 AP
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME1 01 11/14/06 JLL
11/14/06 AP
ME99 01 8/06/07
PERMIT
TYP /SQ
PL2 01
PL 00 PLUMBING PERMIT
REQUESTED INSP
COMPLETED RESULT
11/14/06 JLL
L
RESIDENTIAL
DESCRIPTION
RESULTS /COMMENTS
SUBDIV
PHONE
PHONE
BLDG FOUNDATION FOOTING
ARLAND 457 0382
09/05/2006 08 47 AM DYASUMUR
09/06/2006 04 29 PM JLIERLY
BLDG FOUNDATION STEM WALL TIME
ARLAND 457 0382
09/11/2006 08 10 AM
09/11/2006 04 35 PM
BLDG AIR SEAL TIME
ARLAND 457 0382
11/13/2006 11 05 AM DYASUMUR
11/14/2006 04 14 PM JLIERLY
BLDG FRAMING TIME 13 00
11/13/2006 11 06 AM DYASUMUR
11/14/2006 04 14 PM JLIERLY
BLDG INSULATION
arlan 4570382
11/15/2006 10 39
11/15/2006 12 09
11/16/2006 03 36
BLDG DRYWELL
04/20/2007 09 05
ARLAND 457 0382
04/23/2007 04 54
BLDG FINAL
08/06/2007 09 16
ARLAND 457 0382
BLDG FINAL
PUBLIC WORKS FINAL
MECHANICAL
OVERRIDE
11/13/2006
11/14/2006
MECHANICAL
OVERRIDE
08/06/2007
ARLAND 457
MECHANICAL
DESCRIPTION
RESULTS /COMMENTS
TIME
AM DYASUMUR
PM DYASUMUR
PM JLIERLY
AM
PM
AM
TIME 13 00
DYASUMUR
JLIERLY
13 00
13
00
PERMITS
JLIERLY
LPANGRLE
PLUMBING ROUGH IN TIME 13 00
CONTINUED ONTO NEXT PAGE
13 00
PAGE 1
DATE 8/06/07
ROUGH IN TIME 13 00
TAKEN BY DYASUMUR DATE 11/13/06 TIME 11 06 38
11 06 AM DYASUMUR
04 14 PM JLIERLY
FINAL
TAKEN BY LPANGRLE DATE 08/06/07 TIME 09 16 51
09 16 AM LPANGRLE
0382
FINAL
PREPARED 8/06/07 10 00 24 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/06/07
ADDRESS 924 SEAMOUNT DR SUBDIV
TENANT NBR ARLAND ELSTROM
CONTRACTOR PHONE
OWNER ARLAND ELSTROM JR PHONE
PARCEL 06 30 00 9 5 0215 0000
APPL NUMBER 06 00000798 RES NEW SFR
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
11/14/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 11/13/06 TIME 11 07 03
11/13/2006 11 07 AM DYASUMUR
11/14/2006 04 14 PM JLIERLY
PL6 01 1/30/07 PB PLUMBING WATER SUPPLY
1/30/07 AP OVERRIDE TAKEN BY PERMITS DATE 01/29/07 TIME 14 30 52
01/29/2007 02 30 PM PERMITS
ARLAND 847 347 2690
01/30/2007 04 55 PM PBARTHOL
PL99 01 8/06/07 JAL PLUMBING FINAL
OVERRIDE TAKEN BY LPANGRLE DATE 08/06/07 TIME 09 17 18
08/06/2007 09 17 AM LPANGRLE
ARLAND 457 0382
PLUMBING FINAL
COMMENTS AND NOTES
N �POFT,k,O
tT T ��N
1_
Application Number 06 00000798
Application pin number 432596
Property Address 924 SEAMOUNT DR
ASSESSOR PARCEL NUMBER 06 30 00 9 5 0215 0000
Tenant nbr name ARLAND ELSTROM
Application type description RES NEW SFR
Subdivision Name
Property Use
Property Zoning
Application valuation
RS9 RESDNTL SINGLE FAMILY
134540
Owner Contractor
ARLAND ELSTROM JR
14732 EMERY LANE
WOODSTOCK IL
WOODSTOCK
Other struct info
T•\Policies \1102.15R [1/05]
IL 60098
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
OWNER
TOTAL LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Date 8/06/07
18 00
2 00
10658 00
1922 00
1 00
Permit STREET ALLEY RESTORATION
Additional desc STREET RESTORATION
Permit pin number 108282
Permit Fee 400 00 Plan Check Fee 00
Issue Date 8/06/07 Valuation 134540
Expiration Date 2/02/08
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
0
rs
e2.1
_co
Qty Unit Charge Per Extension
BASE FEE 400 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
A residential fire sprinkler system installed per NFPA
13D will be required
2nd option is to install an outside alarm bell that is
inter connected to the residence s smoke detectors
The alarm bell will be painted red in color and identified
as Fire alarm
07/25/2006 04 28 PM SROBERDS The proposal will result
in a new sfr in the RS 7 for total lot coverage of 18% No
land use issues anticipated
Electrical load calculations and elctrical permits are
required
Connection fee of $713 00 required
07/26/2006 04 14 PM GMCLAIN
Eelctrical service will be from the electrical pedestal on
the northerly property line
07/26/2006 04 15 PM GMCLAIN
Sidewalk to City standards required for school walking
route along 10th Street ADA ramp to be installed at
intersection of 10th Seamount Drive
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes 7.
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.
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T \Policies \1102.15R [1/05]
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 I NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
I
I I
I I
I I
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
Application Number
Application pin number
Special Notes and Comments
notice is required
Construct driveway and Sidewalks 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
Fee summary
T•\Policies \1102.15R [1/05]
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00000798
432596
RES UNDERGRND SERVICE FEE 713 00
SEWER SYSTEM DELV CHARGE 870 00
STATE SURCHARGE 4 50
PW WATER SYSTEM USE FEE 1200 00
Charged Paid Credited Due
Page 2
Date 8/06/07
Permit Fee Total 400 00 400 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 2787 50 2787 50 00 00
Grand Total 3187 50 3187 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
fora 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
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
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
T \Policies \1102.15R [1/05]
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
PERMIT INSPECTION RECORD
YES I NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
I I
I I
I
I 1
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
BUILDING
PREPARED 4/23/07 12 23 31 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/23/07
ADDRESS 924 SEAMOUNT DR SUBDIV
TENANT NBR ARLAND ELSTROM
CONTRACTOR PHONE
OWNER ARLAND ELSTROM JR PHONE
PARCEL 06 30 00 9 5 0215 0000
APPL NUMBER 06 00000798 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 9/06/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00
9/06/06 AP ARLAND 457 0382
09/05/2006 08 47 AM DYASUMUR
09/06/2006 04 29 PM JLIERLY
BL2 01 9/11/06 JLL BUILDING FOUNDATION WALL TIME 13 00
9/11/06 AP ARLAND 457 0382
09/11/2006 08 10 AM DYASUMUR
09/11/2006 04 35 PM JLIERLY
BAIR 01 11/14/06 JLL BUILDING AIR SEAL TIME 13 00
11/14/06 AP ARLAND 457 0382
11/13/2006 11 05 AM DYASUMUR
11/14/2006 04 14 PM JLIERLY
BL3 01 11/14/06 JLL BUILDING FRAMING TIME 13 00
11/14/06 AP 11/13/2006 11 06 AM DYASUMUR
11/14/2006 04 14 PM JLIERLY
BLI 01 11/16/06 JLL BUILDING INSULATION TIME 13 00
11/16/06 AP arlan 4570382
11/15/2006 10 39 AM DYASUMUR
11/15/2006 12 09 PM DYASUMUR
11/16/2006 03 36 PM JLIERLY
DRW 01 4/2)/07 I LL/ BUILDING DRYWELL
04/20/2007 09 05 AM PERMITS
II" ARLAND 457 0382
COMMENTS AND NOTES
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PREPARED 1/30/07 9 22 31 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/30/07
ADDRESS 924 SEAMOUNT DR SUBDIV
TENANT NBA ARLAND ELSTROM
CONTRACTOR PHONE
OWNER ARLAND ELSTROM JR PHONE
PARCEL 06 30 00 9 5 0215 0000
APPL NUMBER 06 00000798 RES NEW SFR
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 01 11/14/06 JLL PLUMBING ROUGH IN TIME 13 00
11/14/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 11/13/06 TIME 11 07 03
11/13/2006 11 07 AM DYASUMUR
11/14/2006 04 14 PM JLIERLY
PL6 01 1/30/07 JLL PLUMBING WATER SUPPLY
OVERRIDE TAKEN BY PERMITS DATE 01/29/07 TIME 14 30 52
t 542 01/29/2007 02 30 PM PERMITS
ARLAND 847 347 2690
COMMENTS AND NOTES
PREPARED 11/16/06 12 01 20 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/16/06
ADDRESS 924 SEAMOUNT DR SUBDIV
TENANT NBR ARLAND ELSTROM
CONTRACTOR PHONE
OWNER ARLAND ELSTROM JR PHONE
PARCEL 06 30 00 9 5 0215 0000
APPL NUMBER 06 00000798 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 9/06/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00
9/06/06 AP ARLAND 457 0382
09/05/2006 08 47 AM DYASUMUR
09/06/2006 04 29 PM JLIERLY
BL2 01 9/11/06 JLL BUILDING FOUNDATION WALL TIME 13 00
9/11/06 AP ARLAND 457 0382
09/11/2006 08 10 AM DYASUMUR
09/11/2006 04 35 PM JLIERLY
BAIR 01 11/14/06 JLL BUILDING AIR SEAL TIME 13 00
11/14/06 AP ARLAND 457 0382
11/13/2006 11 05 AM DYASUMUR
11/14/2006 04 14 PM JLIERLY
BL3 01 11/14/06 JLL BUILDING FRAMING TIME 13 00
11/14/06 AP 11/13/2006 11 06 AM DYASUMUR
/AI 11/14/2006 04 14 PM JLIERLY
BLI 01 11/16/06 BUILDING INSULATION TIME 13 00
arlan 4570382
11/15/2006 10 39 AM DYASUMUR
11/15/2006 12 09 PM DYASUMUR
COMMENTS AND NOTES
PREPARED 11/14/06 8 10 43 INSPECTION TICKET PAGE 9
CITY OF PORT ANGELES
ADDRESS 924 SEAMOUNT DR SUBDIV
TENANT NBR ARLAND ELSTROM
CONTRACTOR PHONE
OWNER ARLAND ELSTROM JR PHONE
PARCEL 06 30 00 9 5 0215 0000
APPL NUMBER 06 00000798 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 9/06/06
9/06/06
BL2 01 9/11/06
9/11/06
BAIR 01
BL3 01
PERMIT
11/4/06
11/14/06
JLL BUILDING FOUNDATION FOOTING TIME 13 00
AP ARLAND 457 0382
09/05/2006 08 47 AM DYASUMUR
09/06/2006 04 29 PM JLIERLY
JLL BUILDING FOUNDATION WALL TIME 13 00
AP ARLAND 457 0382
09/11/2006 08 10 AM DYASUMUR
09/11/2006 04 35 PM JLIERLY
BUILDING AIR SEAL TIME 13 00
ARLAND 457 0382
11/13/2006 11 05 AM DYASUMUR
JLJ BUILDING FRAMING TIME 13 00
11/13/2006 11 06 AM DYASUMUR
ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME1 01 11/14/06 J L I
l
PERMIT PL 00 PLUMBING P IT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
INSPECTOR JAMES L LIERLY DATE 11/14/06
MECHANICAL ROUGH IN TIME 13 00
OVERRIDE TAKEN BY DYASUMUR DATE 11/13/06 TIME 11 06 38
11/13/2006 11 06 AM DYASUMUR
PL2 01 11/14/06 J L PLUMBING ROUGH IN TIME 13 00
OVERRIDE TAKEN BY DYASUMUR DATE 11/13/06 TIME 11 07 03
11/13/2006 11 07 AM DYASUMUR
COMMENTS AND NOTES
Application Number 06 00001180
Application pin number 833260
Property Address 924 SEAMOUNT DR
ASSESSOR PARCEL NUMBER 06 30 00 9 5 0215 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Owner
SHAW JIM L /SHARRON G
6450 KINGLET WY
CARLSBAD
Permit Fee Total
Plan Check Total
Grand Total
CA 920092700
36 40
00
36 40
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
Contractor
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc PEN H/ T STAT
Permit pin number 89938
Sub Contractor PENINSULA ELECTRIC
Permit Fee 36 40 Plan Check Fee
Issue Date 11/13/06 Valuation
Expiration Date 5/12/07
Qty Unit Charge Per
1 00 36 4000 ECH EL LVT FIRST THERMOSTAT
Fee summary Charged Paid Credited Due
36 40
00
36 40
0 t
r tctn
Z1I7 Prrk FPF
va 1 ttat it
4
00
00
00
Date 11/13/06
PENINSULA ELECTRIC
761 FRESHWATER PARK RD
PORT ANGELES WA 98363
(360) 477 1764
Extension
36 40
00
00
00
00
0
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 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
DITCH 1 I 1
ROUGH -IN COVER I I I
SERVICE I I I
FINAL I A 0 t. f
I I
I I I
I I I
I I I
GENERAL COMMENTS:
rw- 1102.15I
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL 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 Contractor
ARLAND ELSTROM JR
14732 EMERY LANE
WOODSTOCK IL
WOODSTOCK
Other struct info
IL 60098
COMMENTS /ACTION NEEDED
06 00000798
432596
924 SEAMOUNT DR
06 30 00 9 5 0215 0000
ARLAND ELSTROM
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
134540
OWNER
TOTAL LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc PEN EL 1922 SQ FT SFR
Permit pin number 90183
Permit Fee 119 80 Plan Check Fee 00
Issue Date 11/07/06 Valuation 0
Expiration Date 5/06/07
Qty Unit Charge Per Extension
1 00 73 0000 ECH EL R SQFTAFIRST'T300 "1 73 00
2 00 23 4000 5C EL R SQFT ADDITIONAL 500 46 80
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
A residential fire sprinkler system installed per NFPA
13D will be required
2nd option is to install an outside alarm bell that is
inter connected to the residence s smoke detectors
The alarm bell will be painted red in color and identified
as Fire alarm. 07/25/2006 04 28 PM SROBERDS The proposal will result
in a new sfr in the RS 7 for total lot coverage of 18% No
land use issues anticipated
Electrical load calculations and elctrical permits are
required
Connection fee of $713 00 required
07/26/2006 04 14 PM GMCLAIN
Eelctrical service will be from the electrical pedestal on
the northerly property line
07/26/2006 04 15 PM GMCLAIN
Sidewalk to City standards required for school walking
route along 10th Street ADA ramp to be installed,at--•»-
intersection of 10th Seamount Drive *k
Sanitary sewer connection inspection is required by
-c ...a
to led
Date 11/07/06
18 00
2 00
10658 00
1922 00
1 00
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
CALL 41 -0735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 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
YES I NO
DITCI4 I N I
ROUGH -IN COVER N I
SERVICE I I I
FINAL I I I
M I
N I
COMMENTS
vw- I10x.13I"961
Application Number
Application pin number
Other Fees
Fee summary
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
06 00000798
432596
Special Notes and Comments
Public Works prior to back fill of ditch 24 hour advance
notice is required
Construct driveway and Sidewalks 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
Charged 'Paid Credited' Due
Page 2
Date 11/07/06
SEWER SYSTEM DELV CHARGE 870 00
STATE SURCHARGE 4 50
PW WATER SYSTEM USE FEE 1200 00
Permit Fee Total 119 80 119 80 00 00
Plan Check Total 00 00 00 00
Other Fee Total 2074 50 2074 50 00 00
Grand Total 2194 30 2194 30 00 00
o vi
o._ p�ou ing- cobnre;ta
r_.,�
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
DITCH
ROUGH -IN COVEk
SERVICE
FINAL
GENERAL COMMENTS:
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES NO
I -v7 .04-W
COMMENTS
Rwuat.I5 RAO
Application Number 06 00001008
Application pin number 350784
Property Address 924 SEAMOUNT DR
ASSESSOR PARCEL NUMBER 06 30 00 9 5 0215 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Owner
ELSTROM ARLAND
924 SEANOUNT DR
PORT ANGELES
WA 98363
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
Contractor
Date 9/20/06
PENINSULA ELECTRIC
761 FRESHWATER PARK RD
PORT ANGELES WA 98363
(360) 477 1764
Permit ELECTRICAL TEMPORARY SERVICE
Additional desc PENINSULA/ 60A TEMP
Permit pin number 86892
Sub Contractor PENINSULA ELECTRIC
Permit Fee 42 20 Plan Check Fee 00
Issue Date 9/20/06 Valuation 0
Expiration Date 3/19/07
Qty Unit Charge Per Extension
1 00 42 2000 ECH EL TEMP SRV 0 60 SRV FDR 42 20
Fee summary Charged Paid Credited Due
Permit Fee Total 42 20 42 20 00 00
Plan Check Total 00 00 00 00
Grand Total 42 20 42 20 00 00
COMMENTS /ACTION NEEDED
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 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
ELECTRICAL PERMIT INSPECTION RECORD
DITCI-1 I I I
ROUGH -IN I COVER I I I
SERVICE I I I
FINAL I 7-/R-661 Ati-r_ I
GENERAL COMMENTS:
I I
I I
I I I
I I I
RV-1102.1314196]
PREPARED 9/11/06 8 40 04 INSPECTION TICKET PAGE 11
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/11/06
ADDRESS 924 SEAMOUNT DR SUBDIV
TENANT NBR ARLAND ELSTROM
CONTRACTOR PHONE
OWNER ARLAND ELSTROM JR PHONE
PARCEL 06 30 00 9 5 0215 0000
APPL NUMBER 06 00000798 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 9/06/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00
9/06/06 AP ARLAND 457 0382
09/05/2006 08 47 AM DYASUMUR
09/06/2006 04 29 PM JLIERLY
BL2 01 9/11/06 J L BUILDING FOUNDATION WALL TIME 13 00
ti ARLAND 457 0382
JTT� 09/11/2006 08 10 AM DYASUMUR
COMMENTS AND NOTES
PREPARED 9/06/06 11 07 10 INSPECTION TICKET PAGE 18
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/06/06
ADDRESS 924 SEAMOUNT DR SUBDIV
TENANT NBR ARLAND ELSTROM
CONTRACTOR PHONE
OWNER ARLAND ELSTROM JR PHONE
PARCEL 06 30 00 9 5 0215 0000
APPL NUMBER 06 00000798 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 9/06/06
JLLn
BUILDING FOUNDATION FOOTING TIME 13 00
ARLAND 457 0382
09/05/2006 08 47 AM DYASUMUR
COMMENTS AND NOTES
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 Contractor
ARLAND ELSTROM JR
14732 EMERY LANE
WOODSTOCK IL
WOODSTOCK
Other struct info
IL 60098
Permit DRIVEWAY INSTALLATION
Additional desc
Permit pin number 84053
Permit Fee 170 00 Plan Check Fee 00
Issue Date 8/15/06 Valuation 0
Expiration Date 2/11/07
Qty Unit Charge Per
TOTAL LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
BASE FEE
Permit PUBLIC WORKS RES WATER SERV
Additional desc
Permit pin number 84061
Permit Fee 715 00 Plan Check Fee 00
Issue Date 8/15/06 Valuation 134540
Expiration Date 2/11/07
Qty Unit Charge Per
1 00 715 0000 EA PW W/M 1 SERV 5/8 METER
Permit RIGHT OF WAY
Additional desc
Permit pin number 84046
Permit Fee 50 00 Plan Check Fee 00
Issue Date 8/15/06 Valuation 134540
Expiration Date 2/11/07
Qty Unit Charge Per
1 00 50 0000 ECH RIGHT OF WAY PERMIT
Permit SANITARY SEWER HOOK UP
Additional desc
Permit pin number 84038
Permit Fee 110 00 Plan Check Fee 00
Issue Date 8/15/06 Valuation 134540
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.
T•\Policies \1102.15R [1 /05]
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5Th STREET PORT ANGELES, WA 98362
06 00000798
432596
924 SEAMOUNT DR
06 30 00 9 5.0215 0000
ARLAND ELSTROM
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
134540
OWNER
Date 8/15/06
18 00
2 00
10658 00
1922 00
1 00
Extension
170 00
Extension
715 00
Extension
50 00
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
INSPECTION TYPE
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
T•\Policies \1102.15R 1/05)
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
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
DATE ACCEPTED
YES I NO
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COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT.
I PLANNING DEPT
BUILDING
I I I
I I I
I I
I I
pone
T•\Policies \1102.15R [1/05]
Qty Unit Charge Per
1 00 110 0000 EA SAN SEWER HOOKUP
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
1045 00 1045 00
00 00
2074 50 2074 50
3119 50 3119 50
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Page
Application Number 06 00000798 Date
Application pin number 432596
Expiration Date 2/11/07
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
A residential fire sprinkler system installed per NFPA
13D will be required
2nd option is to install an outside alarm bell that is
inter connected to the residence s smoke detectors
The alarm bell will be painted red in color and identified
as Fire alarm
07/25/2006 04 28 PM SROBERDS The proposal will result
in a new sfr in the RS 7 for total lot coverage of 18% No
land use issues anticipated
Electrical load calculations and elctrical permits are
required
Connection fee of $713 00 required
07/26/2006 04 14 PM GMCLAIN
Eelctrical service will be from the electrical pedestal on
the northerly property line
07/26/2006 04 15 PM GMCLAIN
Sidewalk to City standards required for school walking
route along 10th Street ADA ramp to be installed at
intersection of 10th Seamount Drive
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance
notice is required
Construct driveway and Sidewalks 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
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
Charged Paid Credited
00
00
00
00
2
8/15/06
Extension
110 00
870 00
4 50
1200 00
Due
00
00
00
00
Separate Permits are required forelectrical 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. AU 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
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.
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
RESIDENTIAL
CONSTRUCTION LW PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T•\Policies\ 1102.15R [1/05)
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES I NO
I I
I I
I I I
I I I
I I I
I I I
I I I
I I
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FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION ILW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
COMMENTS
I I I
I I I
I I
I I
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 06 00000798 Date 8/15/06
Application pin number 432596
Property Address 924 SEAMOUNT DR
ASSESSOR PARCEL NUMBER 06 30 00 9 5 0215 0000
Tenant nbr name ARLAND ELSTROM
Application type description RES NEW SFR
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 134540
Owner Contractor
ARLAND ELSTROM JR
14732 EMERY LANE
WOODSTOCK IL
WOODSTOCK
Other struct info
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
IL 60098
PLUMBING PERMIT
84814
170 00
2/11/07
T•\Policies \I 102_15 building permit inspection record05.wpd [1/4/2005]
OWNER
TOTAL LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
18 00
2 00
10658 00
1922 00
1 00
Permit BUILDING PERMIT RESIDENTIAL
Additional desc
Permit pin number 83097
Permit Fee 1216 25 Plan Check Fee 486 50
Issue Date 8/15/06 Valuation 134540
Expiration Date 2/11/07
Qty Unit Charge Per Extension
BASE FEE 1020 25
35 00 5 6000 THOU BL -100 001 500K (5 60 PER K) 196 00
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 84806
Permit Fee 126 10 Plan Check Fee 00
Issue Date Valuation 0
Expiration Date 2/11/07
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 14 7000 ECH ME INSTALL 100- FAU 14 70
7 00 7 2500 ECH ME VENT FAN 50 75
1 00 10 6500 ECH ME VENT SYSTEM OTHER 10 65
Plan Check Fee 00
Valuation 0
Qty Unit Charge Per Extension
BASE FEE 50 00
13 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 91 00
1 00 7 0000 ECH PL EA INSTALL WATER PIPE 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 1-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.
Lr sue- 7 rs' -.14.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
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 I NO
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
BUILDING PERMIT INSPECTION RECORD
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
T• \Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
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FINAL
FINAL
SEPA.
ESA.
SHORELINE.
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
DATE ACCEPTED BY.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
Page 2
Application Number 06 00000798 Date 8/15/06
Application pin number 432596
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 and be
of contrasting color from the background
A residential fire sprinkler system installed per NFPA
13D will be required
2nd option is to install an outside alarm bell that is
inter connected to the residence s smoke detectors
The alarm bell will be painted red in color and identified
as Fire alarm
07/25/2006 04 28 PM SROBERDS The proposal will result
in a new sfr in the RS 7 for total lot coverage of 1St No
land use issues anticipated
Electrical load calculations and elctrical permits are
required
Connection fee of $713 00 required
07/26/2006 04 14 PM GMCLAIN
Eelctrical service will be from the electrical pedestal on
the northerly property line
07/26/2006 04 15 PM GMCLAIN
Sidewalk to City standards required for school walking
route along 10th Street ADA ramp to be installed at
intersection of 10th Seamount Drive
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance
notice is required
Construct driveway and Sidewalks 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
Fee summary
T• \Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
SEWER SYSTEM DELV CHARGE 870 00
STATE SURCHARGE 4 50
PW WATER SYSTEM USE FEE 1200 00
Charged Paid, Credited Due
Permit Fee Total 1512 35 1512 35 00 00
Plan Check Total 486 50 486 50 00 00
Other Fee Total 2074 50 2074 50 00 00
Grand Total 4073 35 4073 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. l- 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
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
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
BUILDING PERMIT INSPECTION RECORD
akio-4 64)
DATE ACCEPTED
I9 /6 /o,I ✓z
I I
ICf /ff /ex, I Iv�
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I I i
I FINAL v I C7 I 0 DATE I U- ACCEPTED BY.
0/lila cliN
06
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YES I NO
SEPA.
ESA.
SHORELINE:
COMMENTS
DOW 4/23/0} zi,L
01114 11 f�F�a6 J�
FINAL 1) 1 (17 1 67 DATE 711 ACCEPTED BY.
1
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/
417-4807 PW CONSTRUCTION RING W
ENGINEERING
FIRE 417 -4653 I I I I FIRE DEP I I I
PLANNING DEPT 417 -4750 I o I I I PLANNING DEPT I I I
BUILDING 417 -4815 I 97 167 in/ I TV I I BUILDING I I I
f• \Policies \l IO2_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST
COIVIP LETS to be accepted for review If you have an) questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
a LSTievIvt
Applicant or Agent: t..f J G L S A- r\
Owner a- R.Lt�+ =D G c- S [X4^1
Address 1J {?p ,x-" P42
r
Archltect/Engineer•
Contractor tit/1N eft 1 1 Lt2P,12-. State License
Address
PROJECT ADDRESS
City•
q s ,vvd fiJQ-
LEGAL DESCRIPTION Lot: 2L Block.
CLALLAM COUNTY PARCEL NUMBER. (7)4 73e1 •-C -°t SOZtS
TYPE OF WORK.
A Residential New Constr Re -roof
Multi family Addition Move
Commercial Remodel Demolition
Repair Sign
BRIEF DESCRIPTION OF THE PROJECT
PLANNING USE ONLY
Stove
Garage
Deck
Other
ESA/Wetland(s). Yes No SEPA Checklist required? Yes No Other
Exp
Subdivision.
STTh VVALUATION
IGl` Y1\- SF 7
SF
SF
TOTAL VALUATION
Phone ?too 457. 6
Phone 3f f$ 7 O 3 8)—
City 9 Oi—a And 4 Zip `i$.SCc
Phone.
Phone.
Zip
ZONING
Sir: LG
FOR OFF19 ]J 04
Date Rec. Date "�l !y/� fa
Permit I f -L
Date Approved. Sr
Date Issued.
ell
/SF 13 4 4d
/SF
/SF
$1 34, 540
COMMERCIAL/RESIDENTIAL. Occupancy Group R- 3 Occupant Load: Construction Type: V N1
No of Stories: Lot Size: 14 G 5£5 Existing Sq Ft.
Total lot coverage 19?
Proposed Sq Ft. l9 2L TOTAL Sq. Ft. VI ZZ
APPROVALS
PLAN
BLDG
DPWU
FIRE.
OTHER
l o (0 V I cam, 4 141 011 6batu4 46 Tel-r) nom.( x
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 Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request' by the applicant (see Section R105.3.2
of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work.
T \Polic=es\BL 1102_13.wpd ApplicaA 0 l Date: 7 Z'N(
a (Q 119- 4 in ��G�, C I( 1 S c✓1 L a 1 44
d 0%.,454-
I
Prescnptive Approach Simple Form
For the Washington State Energy Code 2003 Edition
Climate Zone 1
Site Information Building Department Use Only.
Lot: a (n C.STrkC 5
Address: 92-9 Sq,0
City Pn a-■ sS &LeS
State: W t- Zip 9.83(.•/.,_
Contact:Q E l_SoN„
Phone: 3 (,.,p Li o 3? 2
Phone 2. L 7 3 Lt7 Z (.1K
FAX. S E e'! I
Permit 06)
Notes:
Table 6 -1
PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
Unlimited Glazing Option Only
Option Glazing Glazing U- Factor Door Wall Wall Wall Slab
Area U- Vaulted Above Interior Exterior on
of Floor Vertical Overhead Factor Ceiling Ceiling Grade Below Below Floor Grade
Grade Grade
Unlimited
III Group R 3 0 40 0.58 0.20 R 38 R 30 R21 R 21 R 10 R 30 R 10
Occupancy
Only
This Project complies with the following:
The Project is a single family residence or duplex.
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
602.6 Exception 1 One door, that is 24ft. Or less, that does not meet the standards allowed.
Location of the door taking this exception
602.6 Exception 2. Doors with a U- Factor of 0 40 allowed without calculations, Option III only
Location of the Door (s) taking exception
Type of Heat Source: 144 -W Po/4j &C EA Pr i R
EXHIBIT A
90
Feet
N
?9
a
Vern a/ Datum NA VD 88
Ho Ital Datum NA 83/9/
3:
2 2
ab, e� 2 N
2' 2'
f
3
49
S
Area Map
909
Si
3
u9
F
N.
92
2 08
Seam °unt Dr
N
210
20 "^sk
818
This map is not Intended to be used a legal desntpnoi
This map /di ig pioth ed bi th Cih of Port Angeles (a its se and pi ipo
Ai whet use of this map /dra■ ig shall of be th responsibility of th Cin
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date ! - ,) <,- - 0 7
Time / /: ()i) fJ/J1 Received by
phone, person}
Location of Work to be inspected ~:) L/ ') ea/J1[vn t (J r
Name of person requesting inspection tr fa fer 0111
Address of person requesting inspection /7u3, <; d [S sT Phone No. (.1/7 - '/~Y7
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~ C ~tL Ie r
INSPECTION NOTES:
Inspected: Date ! -,J ') - D "7
Remarks:
Time d: ,riJ .,/'t4't
,
By 7/7
I/ffA1 /X% (..J,J/?.r S-CYt//;:e
RESTORATION REQUIRED . . . . .. YES NO X
fft 9 (
~ ~ ?"t,;I r
1&4' \-.:..
~
/0 f"- ."
\- l:l
'" 'i
'<. "t
'l.l
..... 10" fIe- \;)
,
\
SURFACE RESTORATION:
SURFACE TYPE: 1jfunimproved DGravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # ~Oy{~- ~S Y
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT _IDATEI
10/JO/06 14:51 FAX J606812086
Peninsula Heat
I4i 01
A1IrJ~ A-l () tM{LVl
ELECTRICAL WORK PERMIT APPLICATION
i
o Electrical Contraclor 0 Owncr
I
BleCLriH conlrac5r~ama J!ea r- Lic~~ ~~~
p""7rS~"?{~rfchen_ tJ;d-/;e1
Cily~Ulm a7;lc;9:SC
Td,t~7~h3333 FAXn"1b<r~ cJ8
E (,-:;--fnrJn
yvll\ u vd-I D-r
I
:He Expires
o New
o AJtered/AdditioD
Job wired by
Inslall:nioQ descrip~jon ____
D Commerdsl ~idential
~w ~ /k9~<3I-a,-f-
!Jf3W OJ!\/5TR ucn aNT"
SPf:ctionlf-5 I
Oa!/JI!/' fJS d(~f;tle.d by RCTY.J9.28.261:(J) Owner will occupy tile .nrur.rllrcfo,. tWO
yecm' "fie:,. Jhis electrical pert/lir ir fillali:.!.ed... (2) Ownerlis rr:quin'(f ICJ hin' an decrrica/
ermrr-acto,. if' abovt: ;:;aid properrv is for sale.. rem flr Jea.fe.
. I
Afler n:aclinj; lhe above sbtemcnt. I hereby certify that [ urn the owner of the above
named property or il. licensed el:coical can'tTactor. r ain Al'3king the electric::!l instal-
lation or alteration in cOJllpliance with the electrical laws., N.E.C" RCW. Cbapler
19.28. W ,Chapler 296-468, The City of Port ,{ngeles Municipal Code, :md
Utility' ci cations. I
;" t ele ,,,I "' t"I'e: 'j;7ito
~g' Load Additions and or subtractions
o NO LOAD CHANGES I
CJ Baseboard KW
~Fum.cn lJ)<w
~Heal Pump ;;J.!j:,Jon _ LAR
D Fan.Wall KIN
o Cash 0 Check #
~rcditCard (VtSa.J Mastercard
Card# __tJ_A/_FI.LE _-____
Discover
Expiration Date
of card
~h>~e~ 6' 'f!?-
Service Information
tJ Overhead Sel'\lice
o Temp Service
o Underground Service
Voltage
Phase 0 1 0 J
Service Size; _
Feeder Slze:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417 4735
i
ROUGH-IN
. r,
/1-IJ..c( . )(iyj
rhl~ ^flJ'rQ~o:tl 1',
THERMOSTAT
SERVICE
l,).t,,,
^P.l'n>~~<l ~y
Oll~ "'I'P"'''~oJ B)'
ANAL
~ -E.
. I ~
J}, ~ - Appm~e.d "'r
DITCH
FEEDER
D!,'~ ^~~rn~o1 f.ly
D;llt J\plln:l\'~d By
IllspeC:lion
DaL~
ID <II (J'"
Area. BJilding or EquiplTll:nt Inspected
I
Action Taken.
) ..i-crJ.(<..(/L
,I
~.~ -
",'O."~
~~
l~.'~'
't\~;
'tt-~.t'"
.....-"
ELECTRICAL WORK PERMIT APPLICATION
Job wired by
Electrical Contractor ;:] Owner
Installation Jescription /
o Commercial V Residential
Elcctric~J oonlra<;tor name , .
(L\i\\V\su..l, 'd-<L~[\L
Purchaser's mailing address
ll;>\ r::, .e.>\" \,VN\2,'
Ci'+-,
( U'ct
License number Date Expires
\.LV\;"'" '\4 '(;(y; .'-')-u
:J :"ie\,' 0 Altered/Addition
I .,J.:-
F/\X number
403<"'3
GO /t~d.. f"-l..v-'1> ,p-lt'
D..,1l.
Telephone
3(" U
4q.J-<.':l
number
-1..\" -\
State ZiP
(.;,
Pr"mises owner's rame
/J, 11f.LV\.] 'i1"~'L"^"-
Address of jn~ection {
~1 Jl\ -~.....VV\<-'-U'" ~
C ".>U'/ \- A-n(./ eX../..,>
Phone nllmber to schedule ins
3.,u. 4
Dft
LM~
q~JC.-'3
Owner as dejillea hy RCWIIj,28.2ti/.//J 01~ner will OCCUpl' (he structure jor two
vcars after this r.'lectl'lcll! permil is finalized. (::) Owner IS reqlllrcd to hire an electrical
contractor if ahove said properlY is forw/t!. rent or lease
After reading the above statement, I hereby certify thaI I am the owner of the above
named property or a licensed electric:!l contractor. J am making the electrical instal-
lation or alteration in compliance with the electrical la\\<;, ~EC, RCW. Chapter
19.23, W,\C Ch3pter 296-468, The City of Port Angeles vlunicipa! Code, and
Ltility SpecificJlionj.
Signature or owner, electrical contractor or electrical administrator
o C)'h 0 Check #
m:redit Card Visa
Mastercard
Discover
Card #
X'
Date: r -/ '3--0~?
Expiration Date
o f card
Electrical L ad Additions and or subtractions
o NO LOAD CHANGES
':J Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
o Fan-Wall KW
o Overr.ead Service
o Temp Service
Q Underground Service
Voltage
Phase 0 1 0 3
Service Size:
Feeder Size:
SAME 0 W I:\SPECTTON. CALL BEFORE 7:00 AM 360-417-4735
ROCGH-l:'i / THER\lOSTAT / SERVICE
I
" Dak Apprll.ed lh n,11<: Approv~d 8,' "- Dale Appro.ed By
/ /
FJ;'i,\L DITCH FEEDER
I
('7: r Ln ',"m"dB'~
/-{- -Cl
,- Dal" APP,UVCUl:l"./ "- D.u,' Da1~ Appm.cti lIy
1l1spcct\on Area, Building or Equipment Inspr:cted Action Takl.'n Electrical
Date Inspector
.&0
'7/ 1'1 ,0L
<I..,,~,~~
,t ' -.;;";.
~~
~~J;
'tt-~';
-~'
ELECTRICAL WORK PERl\1lT APPLICATIG..
~ectrical contractor name {I
(CA\\I'\,>"Jt\ yJ,d,;...
pur~~\ m~jlcg/~:ILS \.AJ1~
City
70",1;;- ,~u...L,
I
Telephone number
-; 0-
License number
{t) It \\~ tt Cf4\"J f
Vc,-,''L
ZIP
Date Expires
tOy) c-'Y{
Installation description
:J Commercial
~ew
esidcntial
Job wired by
lecrrical Contractor 0 Owner
o Altered/Addition
State
W<--
'1'6'\(,;-:;
wi
In"^-< 0
~
~ '-,-00 Co
(, '0U'
~l:..."- \
;:) GO
FAX number
'_[-...,Jot
, ,.etA-
~I
~_u..j: ~~
! 9 '2/2.. '.x) PI
Premises owner's name _ l
A-, l,^-~,,-J <C:~ <,\;-1 ~. "V\..
3'~ In,p"r;:;. ,{-- ~
~l. '-\ ,-e (__ ,v\. ( )U i:\.
~\- .~.d-lc. W\
Phone nllmber to sell dule Inspect I . ("
'''',L-C - \C
D?
Ci S ")<'<2-
O,Hler a.1 defined b) RClt:19,J8.261:(/j OWl/a ,'iI! occupy ,/if.' strllCllm: for !lliO
years aft;,r IIl'is elecrrical permit is finalized C!) Owner is /'(:quired [0 hire an electrical
contractor if ahove said property is for sale, rent ur lease.
After reading the above statement. I hereby certify that I am the owner of the above
named property or a licensed electrical contractor. ! am making the electrical instal-
lation or alteration in compliance with the electrical laws. s.E.e.. Re"',,' Chapter
19.28. \I.,'AC Chapter 296-468, The City of Port Angeles Municipal Code, and
Utility Specifications.
~;ta~.nlract.r .r el~t~I;;:/(:;':~:r
o Cash 0 Check #
~edit Card Visa
Mastercard
Discover
Card #
Expiration Date
of card
Electrical Loa
:J NO LOAD C
o Baseboard
o Furnace
o Heat Pump
:=J Fan-Wall
:4ddit;ons and or subtractjons
ANGES
KW
KW
Ton LAR
KW
o Overhead Service
o Temp Service
o Underground Service
V oJtage
Phase :J 1 0 3
Service Size:
Feeder Size:
THERMOSTAT '1 SERVICE
/- :!..t: b7 /CU
Dale Al'pro"c<.l lh "- Dale
DITCH FEEDER
"- [Jme Approved H~ Dale ApproHd 8,
Inspection Area, Buiiding or Equipment Inspected Action Taken Electrical
Date Inspector
,1- " -" /.. ,7 U~ il ~;r< ,-./ ,\," I . r-r--........ if J
l~ /1 :"'~I':'r-__ ~.7! (1;: I,'~'~"-"- - " ,-
I ~ -
I I
/)r7 ) Ilf /7!;,L
I /
SA:\IE DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-[;\'
~. l'i<-{
Dal~
-'
Appn"'ca By
FL"iAL
".
.-- f':
I _
Appmved Ih
""''''''-...--
""'
ELECTRICAL INSPECTION
WiRING REPORT
417-4735
/~/{l(; I~~, h~
~,y,~RACTOR . /
c:;/;//1L,_L'-'-
ADDRE:.,S /J
iLL~Ld~cvl#/
, IN5;};o
L?A:-
APPROVED NOT APPROVED
o ".................. DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . ROUGH IN/COVER. . . 0
D. . . . . . . , . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
D...................AN~................D
CORRECTIONS NEED@'/ &zll4C~p~~
j}IV ^/e~~"T-D-----&(r i&f2----C1~jC .:
-12, ---i7LU<iLl<. 71';6>-(:"" ~"- (:',10) i
O,c,v_ .NO I
(]) CkJ]:5aJ6; ~}4- i2~t- neD-TO !
I
-5E?::l.f1K/ ;:;J;Z..7ELL~"q::. //k~/J,-t/) i
@ t:t 10 /,~&(.d"P4''''/)' rJ70Jr {,~.NL)i
Loc 5.4-V1...LL~ 0 (;;;/-1 -or: Z)j~c.r-
,~J-J1644M:J goCL~ OIL k,,~r/&L~ I
tlI--52Z1&fc:.L {)/e..~ "LV (3:,.-LV-<-r:..;;,- i
I
h,~'/1 i
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC P!'lINTERS.INC. (360) ,152-1361
ELECTRICAL PERMIT
CITY OF PORT ANGELES 7 -
360-417-4735
Application Number 17-00001370 Date 9/26/17
Application pin number . . 324730
Property Address 924. SEAMOUNT DR. REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-9-5-0215-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning - RS9 RESDNTL SINGLE FAMILY
Application valuation . . . 0, •
Application desc
Addition of lights and RCPT.
Owner Contractor
TERRI A AND WILLIAM H PAQUIN OWNER
924 SEAMOUNT DR
PORT ANGELES WA 98363
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . 63.00 Plan Check Fee . . .00
Issue Date . . . 9/26/17 Valuation . . . . 0
Expiration Date . 3/25/18
Qty Unit Charge Per Extension
1.00 63.0000 ECM EL-R- BRANCH CIR WO/ SER FEED 63.00
Fee summary Charged Paid Credited Due
d
Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH
SERVICE
ROUGH-IN /0 /7 -z4Foce
1
FINAL ; A:
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
I
fid}?ORr-t,yCi
,. _ r
CITY OF PORT ANGELES PERMIT APPLICATION 400--_
Building Division/Electrical
t Inspections
o4 . ;.'' I Z'
321 Est Fifth Street— Port Angeles 98362 t E 4- %"
✓
lailliallalir
Ph: (360)417-4735 Fax: (360)417-4711
Date: /2&// _1 &2 Single Family Dwelling • ``Dl
* Plan Review May Be Required "Please Complete Electrical Plan Review Information Sheet
Job Address: � c- S2Cr pttoi '4 2c r 4)-e f f- 4A-1-91p S
Building Square Footage: I --t 2
�'"�f a L )C.G6 S� Aut1
Description of above LTJ.-�(( cs c--k.--1- L*- �S oc. £./4e-rite(' f/o ff kt.0 deo CAW CA,e r, f' X 1 c,Ct t--oC •
f 1r,2(Lei) 1<-9/44, % 64,10.3 c€-¢y A/c 4/- p o(`D
Owner InformationiContractor Information
Name: C.�> k t t4 cwt k ..?4--q(1,00. Name:
Mailin Address: y a_ q ,Zf deer?I— Mailing Address:
City: tate: tL)+Zip: q' --"?',6 5 City: State: Zip:
Phone: ax: Phone: Fax:
License#/Exp. License#/Exp.
Item Unit Charge Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp $205.00 $ .
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/Service Feed $ 5.00 $
Branch Circuit W/O Service Feeder $ 63.00 05 $ C c
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 Only $ 75.00 $
Temp.Service/Feeder 200 Amp. $ 93.00 $
Temp.Service/Feeder 201-400 Amp. $110.00 $
Temp.Service/Feeder 401-600 Amp. $149.00 $
Temp.Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $ 96.00 $
Signal Circuit/Limited Energy-1 &2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy-5KVA System or Less $102.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.00 $
Each Additional 500 Square Ft.or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $110.00 $
$ 6 3, co 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.
Signature of owner,electrical contractor or electrical administrator: 0 Cash 0 Check
12." edit Card#
X (6/— c/Dated: ! /C-6V/ 7-- 0210612012
ELECTRICAL PERMIT
CITY OF PORT ANGELES --.
360-417-4735
Application Number 17-00001415 Date 10/06/17
Application pin number . . 287185
Property Address 924 SEAMOUNT DR REPORT STATE SALES TAX.
ASSESSOR PARCEL NUMBER: 06-30-00-9-5-0215-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . 0.
Application desc
3 circuits
Owner Contractor
TERRI A AND WILLIAM H PAQUIN NORTH PENINSULA ELECTRIC
924 SEAMOUNT DR 761 FRESHWATER PARK RD
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 477-1764
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . 73.00 Plan Check Fee . . .00
Issue Date . . . 10/06/17 Valuation . . . . 0
Expiration Date . 4/04/18
Qty Unit Charge Per Extension
2.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 10.00
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
Fee summary Charged Paid Credited Due
Permit Fee Total 73.00 73.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 73.00 73.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN p li z /r7
FINAL tb/4 17 c417 's'
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
'" 1
.:-,:,:%------,-&,sNs!
CITY OF PORT ANGELES PERMIT APPLICATION ' •
3 .-`,{ —
Building Division/Electrical Inspections )
(
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 V
Ph: (360)417-4735 Fax: (360)417-4711 NNW
Date: t -3 ' 1" 1&2 Single Family Dwelling
*Plan Review May Be Re uired,.Please Complete Electrical Plan Review Information Sheet
Job Address: CI 2.L--\ -\c_.( `t-Y)()t) -!--
Building Square Footage:
Description of above — (1 \ r (4_v . \ -VA -
Owner
.S "Owner Info qn Contractor Inf. ati•n
Name: �r t 0:1)( l t L /1 Name: w(i:c - 'x_111 1-1..i.,_.A\(� �-/C '•- lC,
C.—
Mailing Address: Ci 2 LA �a(�__Y?� } i
I- Mailing Aggress: � Nov_
City: t' Stater f Zip: (t i))_-3(t�Z.- City: re= State: Zp:
Phone: Fax: — Phone:_a_ I- 4 1L ZCf C C=1
License#I Exp. License#I Exp. C\C �' 'f £'1.3 G C"l- _,_
Item Unit Charge (1ty Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp $205.00 $ .
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/Service Feeder $ 5.00 _ $
Branch Circuit WI0 Service Feeder $ 63.00 — , $ L .3. ,
L -
Each Additional Branch Circuit $ 5.00 c-, $ ‘ .
Branch Circuits 1-4 $ 75.00 $
Temp.Service/Feeder 200 Amp. $ 93.00 $
Temp.Service/Feeder 201-400 Amp. $110.00 $
Temp.Service/Feeder 401-600 Amp. $149.00 $
Temp.Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $ 96.00 $
Signal Circuit!Limited Energy-1&2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy-5KVA System or Less $102.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.00 $
Each Additional 500 Square Ft.or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $110.00 $ C'. -)$`-1 ?, . 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.
Signature of owner,electrical contractor or electrical administrator: ❑ Cash ❑_check •
x Cy/�� f 1 c�edacab# {� /`? , i
. 1/ r ( 1 Dated: ! L 1 R O1I01t2012
Application Number . . . . . 24-00001175 Date 10/30/24
Application pin number . . . 949950
Property Address . . . . . . 924 SEAMOUNT DR
ASSESSOR PARCEL NUMBER: 06-30-00-9-5-0215-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Alter circuits for furnace and heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
DARYL H AND KATHERINE E BOND CASCADE ELECTRIC & VAC INC
924 SEAMOUNT DR PO BOX 369
PORT ANGELES WA 98363 PORT HADLOCK WA 98339
(360) 477-0553 (360) 379-5347
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 95.10 Plan Check Fee . . .00
Issue Date . . . . 10/30/24 Valuation . . . . 0
Expiration Date . . 4/28/25
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
CORRECTIONS NEEDED:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
10/31/2024 24-1175 TMC
OWNER
Contractor
Cascade Electric
ADDRESS
924 Seamount Dr
Application Number . . . . . 24-00001162 Date 10/29/24
Application pin number . . . 826680
Property Address . . . . . . 924 SEAMOUNT DR
ASSESSOR PARCEL NUMBER: 06-30-00-9-5-0215-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Install heat pump system
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
TERRI A AND WILLIAM H PAQUIN AIR FLO HEATING CO INC
924 SEAMOUNT DR 221 W CEDAR ST
PORT ANGELES WA 98363 SEQUIM WA 98382
(360) 681-3901
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 95.10 Plan Check Fee . . .00
Issue Date . . . . 10/29/24 Valuation . . . . 0
Expiration Date . . 4/27/25
Qty Unit Charge Per Extension
1.00 95.1000 ECH EL-LVT-THERMOSTAT 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
'hr,;1011 ,>1J21 01 fl\
MECHANICAL
BUILDING PERMIT APPLICATION
Department of Community & Economic Development
321 E. 5th Street, Port Angeles, WA 98362
360.417.4817 I www.cityofpa.us I permits@cityofpa.us
CITY USE ONLY
App.#:------
Received: _
PROJECT INFORMATION
'¢) Single-Family Residential □ Multi-Family Residential □ Commercial D Industrial □ Public
Project Address: C\1,L\ 5 · ~'fOQJ..0-\ D0. ~O(\ ~..«~ 9<83lo3
Tax Parcel No.: CoZ'B7J Zoning:h,'.i-)_O _
Primary Contact: t-'Y 1=\o ~1-\."f\<j_ --- . ,._. . (Prop_~rty Owner: □ Yes ~ No)
Phone:1f.e.o C.Oi$3 ffiC\ Email: \\----4 , , .. , J ,- , '-0!1 , '" , ,_,.,,,_, •, ,,o, - --·. ,
•
Name:'fu o,:\-1 f :t Tur:'4 fu:1 c\ Phone: tfaD L\77 Cf.:::63
Mailing Address: '124 5, 5e£..xoruo\: :De.":?~-~ ~Jf> 9f23Co3 Email: {nf-5.\.t .e. -'t:ocrl ~o~,\
CONTRACTOR INFORMATION
tz.\ \):) !'.e.dc,,:: ~ ~ea
I
er, q License: (?il:C:F \ \ *2aiDC"l
Email: 1'eorri,-½. @, o..W::'--\cW.O.: --iµ ~ I',~ Expiration Date: L\\-Z.S\ z:C.,
.\-, r,p.. ' C..Orn Ph · quQ ' -$s • one. w 390\
Please indicate how many of each type of fixture is to be installed or relocated as part of the project.
Air Handler (S 10,000 cfm) #: \ I Air Handler(> 10,000 cfm) I#:
Heater (Suspended / Floor/ #: Heating/Cooling Appliance (Repair /Alter) I#: Recessed Wall)
Furnace/ Heat Pump / Forced air
#: \
Furnace / Heat Pump / Forced air Unit (> 5 #: Unit (S 5 Tons) Tons)
Appliance Exhaust Fan #: Pellet/ Wood/ Gas Stove, Fireplace, Misc. #:
Evaporated Cooler (Attached) #: Vent Fan (Single Duct) #:
Fuel Gas Piping # of outlets: Vent System #:
~ Mechanical Building Permit Application: Please complete this BPME form
¥ A Digital Copy of All Application Materials: E-mailed to: permits@ cityofpa.us
I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit and understand that
it is my responsibility to determine what permits are required and to obtain permits prior to work. I understand that plan review fees are not
refundable after review has occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is issued. I
understand that additional information may be required when determined necessary by the building official and if the permit is not picked
up/issued within 180 days of submittal, the application will be considered abandoned and the fees will be forfeited.
Date Print Name Signature(□ Owner~ Contractor D Representative)
1 - 2 S IN G LE -FA M ILY
E L E C T R IC A L PE R M IT A P P L IC AT IO N
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98 362
360.417.4735 I www.cityoCpa.us I clcctricalpennitsre.cityofpa.us
lJ
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3
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Project Address: 9 LL\ S, :ae.A Y'tt Q..ln + 12r . ¥C)f,\ M'M' \o ~ j~ ~lo 3
Project Description: ""I.V",?ID \ \ ~kt\ \-\ ~-\ Tu M':µ J$<J\--e vYJ
~ingle-Family Residential D Duplex/ ARU Building Square footage: _
Name:
' "' I ~ l ~c· ",.w . License: BrrF\.:,*Z.OloDE::t Z =\ ,&_r 'v\ ~U.\Yb q PftfJ2. Expiration Date: L\ -:Z.~ -2.C.~
.l?,rvv'\·, ~ Ci-,.,.~_\" \.,..,,,..~ ..... .rX..-"'- Phone:?loa Cof?~-'?B o,
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 CircuiULimited Energy - 1 &2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.30 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Unit Charge Quantity
$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
$95.10 _._\ __
$190.20 -~--
$47.55
$95.10
$190.20
TOTAL
Total (Quantity x Unit Charge)
$ _
$ _
$ _
$ _
$ _
$ _
$ _
$ _
$ _
$ _
$ _
$ _
$~---
$ _
$ _
$ _
$-=----,---- $Ot5.\0
$ _
$ _
$ _
$ _
$9'5-\0 ---
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 lectrical Contractor/ Administrator)
6
[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
CORRECTIONS NEEDED:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
11/13/2024 24-1162 TMC
OWNER
Contractor
Extra Mile Tech & Electrical
ADDRESS
924 S Seamount Dr.