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Home My WebLink About1102 A St - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION P. -37 E 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001096 Date 10/04/11 Application pin number 586304 Property Address 1102 A ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3 -5100 -0000- REPORT SALES TAX Tenant nbr, name ZENAIDA T MONTOYA on your state excise tax form Application type description RE -ROOF Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 10500 Application desc TEAR OFF RE -ROOF THE HOUSE Owner Contractor ZENAIDA T MONTOYA EMERALD ROOFING INC 1102 S A ST P. O. BOX 879 PORT ANGELES WA 983637236 PORT ANGELES WA 98362 (360) 417 -3741 (360) 452 -4681 Structure Information 000 000 RE -ROOF THE HOUSE Permit BUILDING PERMIT NO PR FEE Additional desc RE -ROOF THE HOUSE Permit pin number 193821 Permit Fee 221.75 Plan Check Fee .00 Issue Date 10/04/11 Valuation 10500 Expiration Date 4/01/12 Qty Unit Charge Per Extension BASE FEE 95.75 9.00 14.0000 THOU BL- 2001 -25K (14 PER K) 126.00 N .4 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due c;61‘iN Permit Fee Total 221.75 221.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 226.25 226.25 .00 .00 \D Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. (O Ut5 Qf Date Print Name Signature ontractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type L Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab /1 Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 d Q- l 1 -1 T:Forms /Building Division /Building Permit r H 414-1 U H 0 0 w r- w r V' M N r to ar a 0 .0 O O to b M M A a w H (te a H Z Z °i H (0 (0 0 [0 0 0 m r W 41 0 fJ X Li) W W N d' 0 H.< t0 z H h M O 0 0 (0 N a H 0 0 H E H E H 0 (0 U PI PI U Z o NH H (1,0., W W cn cn (0 Z E -0 E HH w O 0 4 O H 0 H� Z u r:4 u) H 0(0 a H H W W o 2 a 7 A4 0)0 0 w o Boa 00w U o w z 0 F H 0 o a H w 0 0 0 (0 w aH] N Z HZ a a cnw 0 (0 0 M 7. (0 M E0E H W 0 0 o o Z a h HrxH o H n A FC 0 0 0 �-7 c W 0 o (0 o o 04141 HI H 111 H H O 0 z w z. m 7� (0(0(0(0(0(0 0 4 1 H HP< (0(0(000(0 0 X a (0 OX 0 o a a oau w •w z Z a O W W Q H E W 0 In a 0 rL W (0 a' (0 W Z N a o wF CL 0Z0 g a m IX H 0140 3 0(0 0 r a a U rj H U 0 a Q M H W BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM (To be used for projects that do not require plan review.) Date Received l 1 4` Permit 10 City of Port Angeles Please print in ink. Date Approved Attn: Building Permit Technician Approved by 321 E. 5 St., Port Angeles, WA 98362 360- 417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm Contact person: q j S aue Phone: 1160 44J 7 J Property owner: 2 mQto_ro f Phone: L 7-3 7q( Property owner's mailing address: f 0 .5 4 T Contractor's business name: C 446 y Z o 0 F t I G j A) Phone: r (or property owner's name if h she is doing overseeing the work) '92 b 8 1 Contractor's mailing address: l'° o. Sox 8 Contractor's L &I license number: Expiration date: F ille t° 7 fP 1 /1 Project Address: /1 o2 ,Sort z�-f U Project Type: XResidential D Commercial ID Industrial D Multi- family Project Business Name: (for commercial, industrial, or multi family projects) The following permits are usually issued over the counter immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project. Re -roof: Ouse 17 garage i7 other far off re -roof lay over one layer V) Licensed contractor: Submit a ,gopy of your re -roof bid. Project Valuation /0 (labor materials, not including sales tax) Re -side: '�•ir other a a n (labor materials, not including sales tax) Repair: (explain the project) Project Valuation *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project Valuation T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011) Page 1 of-2 Swimming Pool or Spa (2 24" deep): For prefabricated swimming pool or spa projects that do not require plan review: Obtain the City of PA handout entitled "Pools Spas" follow the requirements. Project Valuation Demolition: A demolition permit is needed when an entire building gets demolished. What will be demolished? house garage other Note: some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. Agree to ensure that all utilities are /will be properly turned off (and capped off if needed) prior to demolition. Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to be demolished. Submit the map with this application. Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA) Demolition Permit Application. Contact ORCAA at 360 -417 -1466 to discuss whether or not an1ORCAA Demolition Permit will also be needed. yes no Will the debris be going to the Regional Transfer Station in Port Angeles? yes No If yes, will a licensed contractor be taking it there? If yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technician, now (or later if asbestos testing is needed). Plumbing Permit: (explain the project) Project Valuation Mechanical Permit: (explain the project) Project Valuation I have read and completed this 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 per its are required, and to obtain permits prior to working on projects. Date /0 Signature Print e 1, Page 2 of 2 Clallam County Assessor Treasurer Property Details 59612 ZENAIDA T MONTO... Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 59612 ZENAIDA T MONTOYA for Year 2011 2012 Property Account m.....,...,.. Property ID: 59612 Legal Description: LT 1&E2 LT 2 BL 351 Geographic ID: 0630000351000000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: i Location Address: 1102 S A ST Mapsco: PORT ANGELES, WA 98363 'I Neighborhood: PA West Res Map ID: 2 Neighborhood CD: 5151000 \IA Owner Name: ZENAIDA T MONTOYA Owner ID: 41732 Mailing Address: 1102 S A ST Ownership: 100.0000000000% PORT ANGELES, WA 98363 -7236 Exemptions: SNR /DSBL Taxes and Assessment Details Property Tax Information as of 10/04/2011 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. First Half Second Half Year I Statement ID I Base Amt Base Amt Penalty Interest Base Paid Amount Due Statement Details 2011 154219 $211.97 $211.93 $0.00 $0.00 $423.90 $0.00 Statement Details 2010 42504 $199.51 $199.49 $0.00 $0.00 $399.00 $0.00 Values Taxing Jurisdiction Improvement Building Sketch Property Image Land Roll Value History ;Deed and Sales History s Payout Agreement This year is not certified and ALL values will be represented with "N /A Website version: 9.0.32.2200 Database last updated on: 10/4/2011 3:48 AM 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =59612 10/4/2011 1 y I L I L .cam �-1 e i i 1 0 i N 1 1 I i t l ll1 i l' i l1 11 vJ l I 1 i '1 j I I I c 1' I I 1 II .1 �i I i f 1 1 I -11 I it s 1 i I j /an Q„� 1 1 ,4 i 1 1 I I I i i '1 'i I i U I 1 1 1. -I I i J a I �1 I I I 11 cp> .I I 1 i I 1 Il I I .I c 1 I 1 1 t I I di 1 1 \I 1 1 1 1 I I I 1- 1 1 kt:. .I .1 I kl •'''"k\ I �,1 1 1 I I 11 1 f i I jI I i 1" I 1 I I i t I. 1 i I I i 1 I 1 I I 1 1S) 1 I 1 i I I I I it 1 I I 1 I cr i I C4,... 1 I 1 I 1 c- t -I 1 1 1 I ri C i i 1 I I I 1 1 1 T I I i j I I 1 I 1 1 IN ill 3 I I II i j 1 1 I I 9 1 I �)1 1) {e le I I� 1 )1 I Ili 1, h I I .--1 I 1 1 (11 I _DI. 0 .o- 1 1 Cpl 1 (�1 I I 'i 1 i 1 1 ...;CS i 1 `J II I 1, I '1 I 1 1 1 l 1 I I, I 1 n I Z I 1 I I 1 1 1 1 I II I I I; t 1 •6 1 I.I 1 1 11 I T I 1 1, a 1.- 1 I. 1 1 S' I 1, I i V11 I I 1 I I I I �1�1 j• 1 1 1 in i .'i I 1 cL 1 P�1 1 1 I I I I i C.41.? •1 i 1 I Iii 1 I l 1 I 1 I. �-1 r r .1 1- i 1 I 1 1 1 I 1 sue, I I 1 I I I I =4a i I I 1 1 1 I I 1 II i 1 I fi' 1 I I 1 1 I I I I I 1 1 t I I I I 1 1 I II u I 1 1j 1 i s.. n .0 �i _�t+r. 1 1 :-p s' t, I r lr' .y-a +�.n!'»l.: w _:�9 KKK n,." 4 M a fi n, I CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 08 00001520 Date 12/29/08 Application pin number 627760 Property Address 1102 A ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 5100 0000 Tenant nbr name ZENAIDA T MONTOYA Application type description RES REMODEL Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 768 Application desc ADD A 64 SF DECK ON THE EXISTING ROOF Owner Contractor ZENAIDA T MONTOYA DOWNS KYLE 1102 A ST 224 EMERY PORT ANGELES WA 983637236 PORT ANGELES WA 98362 (360) 417 3741 (360) 461 9911 Structure Information 000 000 64 SF SECOND -STORY DECK ON TOP OF ROOF Permit BUILDING PERMIT RESIDENTIAL Additional desc 64 SF DECK ON ROOF Permit pin number 138925 Permit Fee 59 15 Plan Check Fee 23 66 Issue Date 12/29/08 Valuation 768 Expiration Date 6/27/09 Qty Unit Charge Per BASE FEE 3 00 3 0500 HND BL -501 2K (3 05 PER C) Special Notes and Comments December 12 2008 4 45 33 PM sroberds The proposal is strictly to provide a secondary access as required for second floor use No land use issues anticipated Two accessory structures shown have been removed Other Fees Fee summary Charged Paid Credited Due Permit Fee Total 59 15 59 15 00 00 Plan Check Total 23 66 23 66 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 87 31 87 31 00 00 T:Forms/Building Division/Building Permit Extension 50 00 9 15 STATE SURCHARGE 4 50 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. e r -L /4--/D A (91V Te, v' .4- Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if mer is builder) Z1 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s Parking Lighting Landscaping T /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 Date Accepted By Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by FINAL Date Accepted by SEPA. ESA. SHORELINE. Comments FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By L:- Zxpire -A 3 1 Applicant or Agent :zE N 4 i D 7 AnoAl 4 y4 Property Owner 54 1_ 45 ,4 b o VL. Property Owner's Address o S o. T /-1 —4 ST2F rr P A 112,4 91'3 L 3 Contractor /Engineer Ky /e f) Phone 1/4/ -95// Contractor /Engineer's Address I o Z?o,c 93 C 4 r $off, 1�#1 `$.7z.y License Do-'fS/C 0 q .5 Expires PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel �tepair Re -roof Demolition Sign Heat System Other Floor Areas Basement 1st Floor 2 Floor> 3rd Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structureL Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? projects. Date ///0/O SI Print Name z E M 4/DA r T /Building Division /Bldg Permit Appl. 2006 Code doc (F (bt�s11/4 4 )'-WO BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 0 3- 5e) 7 4-- 57 2EET P A LOA %Y34 -3 Lot Zoning /Residential Commercial 1� t In A ,4 peC/I Existing (sq. ft.) Proposed (sq. ft.) ma (QUD For City Use Only Date Received t�' Permit V 6 fate Approved IF] o Phone (34 3 71 9 Phone .3 4" F Multi- family Industrial wall- mounted projecting freestanding Total sign area sa ft. Maximum allowed sign area sa ft. Heat pump wood burning stove gas fireplace pellet stove other FOIE Ese4 PE "DECK" ON T"p of 01(7$1 Ca I `zlob i s s nv� �j ,tea W CDn�` o w e awning others per sq ft. lbr 61 11.0"'"' \,\G 7g1 /,,K f (.,TOTAL VALUATION r l sq ft. Lot size AS I sq ft. Lot coverage ft. Occupancy group Occupant load Construction type I have read and completed this 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 working on of bedrooms of full baths of half baths Rod F 7 6g-co M o%I uy4Signature�,� r I ✓'/O f £4 I p 2 Lam« g /7 /34 b'od''aS32 360.461.9911 PO Box 1183, Carlsborg, WA 98324 License DOWNSK *954PQ HOME RESTORATION REMODELING 1 EAS7 PLEV t. a_ NLY'a, _L I (c r I 1---)r, L 1 I 1 L_. .r 1 1— 1 OC '1 f --1-1 1-- i• i i ,...,i- I i.1 1_ I. I ,11.1113111 I I os t ti IS t i il i 4 1.1 st ii •-t 4-i ___`'‘,X LS i ita_ r-V4 Fig 1_ i 1 1 i 1 t i tio -A -Ho ------1------T I I __I ----4- ---i----i- e_ A >(2k P( i __1_, i --i---- c OPOORTANdEL Henrri 1 IN Is twice of this permit based upon these plans_specifi- caftan; and Other data shall not prevent the building official l .-fro i--1 aereafter-rionifing-the-oorrention-pf-ormrs-in-i-said-- ph' ;c !specifications and other data, or from preventing I iini dir roire'ratiOili t..dilied in i tli; id. p of ea codes ad or inances of this jorisdiqtion. zo=4" 11 0 LU I C/3 CO coo-- C4 ik;pitetA.4,- -1 n rus aORSti rk,„, 7_ or MERCER ISLAND Si OFFC BOX MERCER ISLAND WASHINIi.?N 98040 206/232-8815 LARRY V' INKELMAN T5 7 -J JOB NAME JOB LOCATION SHEET OF SALESMAN BY DATE CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 Application Number 06 00000801 Application pin number 094052 Property Address 1102 A ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 5100 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor MONTOYA ZENAIDA T 1102 S A ST PORT ANGELES Fee summary WA 983637236 Qty Unit Charge Per 1 00 66 9000 ECH EL -R OR RM 0 200 ALT SRV FDR COMMENTS /ACTION NEEDED SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 Charged Paid Credited Date 7/26/06 WA 98363 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc MOVE METER/ ALTER SVC Permit pin number 83295 Sub Contractor SIMPSON ELECTRIC Permit Fee 66 90 Plan Check Fee 00 Issue Date 7/26/06 Valuation 0 Expiration Date 1/22/07 Due Permit Fee Total 66 90 66 90 00 00 Plan Check Total 00 00 00 00 Grand Total 66 90 66 90 00 00 Extension 66 90 4 1 GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD CA L 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 ACCEPTER KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO DITCH I I I ROUGH -IN COVER SERVICE I 7- 67 FINAL. I7 -,?-5- D I.R+GC) I I I I I I I I I COMMENtS P`v- I102.15l4961 7/A ar c 2 6 Electrical Contractor 0 Owner Electrical contractor name License number D• to he "€L 973,x. Purchasci mailing address 4.4. �f3 Job wired by City A st, te Telephone number rJ- number X57 i Premises e 6 2 7 C) Address of s t City Pars# .in 9.eA.s, U17 Phone humbey ttp schedule inspection. �7 r Owner as defined by RCW I9.28?6l •(l) Owner will occupy the structure, for two years after this electrical permit is finalised. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease, After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.(: RCW Chapter 19.28. WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. /Signature owner, electrical can X Electrical Load Additions anti or $tMraFtlons O NO LOAD CHANGES O Baseboard KW O Furnace KW 0 Heat Pump Ton LAR CI Fan -Wall KW SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360- 417 -4735 rte. Inspection Date 7 —mot! Z0 39tid ROUGh IN THERMOS` AT Due 7 Approved By FINAL Z, 4- Due Approved Dy xpires ceor or electrical admIn strator ExpirationDat ate 7 V/0.4 /`f card Dine r DIb10313 NOSdWIS Overhead Service O Temp Service O Underground Service Area, Building or Equipment Inspected ELECTRICAL WORK PERMIT APPLICATION (tastn11auun description 0 Commercial A Residential 0 New Altered /Addldon Cash Cl Check CI Credit Card Card Approve! ay J I DITCH Dula Approved ay rl)/ 0 i%e m e 7 Date Mastercard Discover Voltage Phase I 0 3 Service Size: Feeder Size: SERVICE 6 Dale Approved ay FEEDER Action Taken Inspection Ice Service Information Approval Dy Electrical Inspector OLZ6LSP 9S ZZ 9002/£Z/L0 1 J \o9-5 /i Si• 6‘ Sk" Co �P.TarL� 3 i 2 �12 3�2 t, I 20 15 f o" CITY OF PORT ANGELES Cc nstruction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not preven the building official from thereafter requiring the correct( in of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinance; of this jurisdiction. (o 2 Approval Date 41 I4 CV/ By! )C L_ .2 3' G f3 SE ST P WA FILE exi 5 1_ r o+\cce4L �sLVEw'^/ b N igb" V- }1 x 5 0S`v. Po. ‘42 \\..vto y,‘5 a a. )1 VA 0 4 ci l c, to r (94? .4. fo0 4111 Dr D,F I 1 16' REY,SF0 12N f r rg ENO' btlie, INC. .4k 09 S CI—Vi\SE S1' ?-I ce PORI" PV,C,S° ES, \NA 119'c P Co° 5\or- eN. E\eqc- l et gm saf&--- k wefa 16 0 0 1,211) 0 05$ 4 4ec, ear- I\1P6 2-A d yo ii 9 REVISED BY CY INC `,44 1"01 Li 619 CHASE ST PORT 3' iL Cfr \QC r k *Ow v. dVe Drs 0 T.& v-d‘k c or- i) A 4$L jp EN gi.L.05, fi 6i9 S C1-1,P,, E. ST v-t PORT it4q„-i-74 A-a C a‘Jefe,A r.5 d a Ch i p\ AIN rtr 3 -7 9° X71 1' 3 16 EN 619 PORT Ytr ST d \NA o, .... CITY OF PORT ANGELES °*~,~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 11/04/2002 PERMIT NO: 13836 OWNER/APPLICANT PROPERTY LOCATION 1102 ASTS ZENAIDA MONTOYA Lot: 1 & El/2OF 2 1102 S. A STREET Port Angeles, WA 98360 Block: 351 [~ Long Legal 360/417-0665 Subdivision: TPA T: S: Parcel No: CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $1,500.00 SFD Units: 0 Commercial: 0 Project Type: PORCH-NEW SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES ADD NEW FRONT PORCH RECEIPT~9892 FEES ASSESSMENT Building Permit: $54.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $58.50 Plumbing: $0.00 AMOUNT PAID: $58.50 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned I for a period of 180 days after the work as commenced, or if required Inspections have not been requested within 180 days from the last inspection, I hereby certify that I have read and examined this application end know the same to be true and correct. AI~ provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not !presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder)( ' Da~e T:\PLANNING[FORMS\I I02.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I No FOUNDATION: FOOTiNGS WALLS FOUNDATION DRAiNAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-iN WATER LINE G^SLINE ii-- z-oz BACK FLOW / WATER AIR SEAL FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PWUTILITIES/ SITEWORK (EnglneerlngDivision) SEPARATE PEKMIT #'$: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PEK, MIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 4174735 ELECTRICAL LIGHT DEPT 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 ~/~/~ /2 nZ'~z ~/~'~ BUILDING T:\PLANNiNG\FOKMS\1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date /! ~/'~.P'Z.- Time Received by ~ ~ (phone, person) Location of Work to be inspected //~' <7*'~b~ A ~ ! Name of person requesting inspection Address of person requesting inspection Phone No. /'7/ /'~- ~ '~ ~// Type of Inspection (circle appropriate one): Permit No. J--~ ~-~ Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: ~ Inspected: Date Time By Remarks:. RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel [~Asphalt ~]PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) f pORT ~ $'.J,O~~~ ,. 11::: -- ~-~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Applicatlon pln number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Applicatlon valuation 06-00000107 Date 121347 1102 A ST 06-30-00-0-3-5100-0000- ZENA MONTOYA RES DETACHED GARAGE 3/14/06 ~ RS7 RESDNTL SINGLE FAMILY 5040 HN~~ ?/gO/tJ~ flU Owner Contractor MONTOYA ZENAIDA T 1102 S A ST PORT ANGELES OWNER WA 983637236 Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 30.20 1. 00 2811.00 10491.00 285.00 3176.00 1. 00 F0 Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit pin number 72827 Permlt Fee 151.75 Plan Check Fee 60.70 Issue Date 3/14/06 Valuation 5040 Expiratlon Date 9/10/06 Qty Unit Charge Per Extension BASE FEE 95.75 4.00 14.0000 THOU BL-2001-25K (14 PER K) 56.00 -- -- 11\3 ~ Speclal Notes and Comments The Flre Department has reviewed the proJect appllcatlon and has no comments 02/22/2006 11:14 AM SROBERDS -- The proposal identlfies a new carport for total lot coverage of 30%. Storage sheds MUST be removed so that 30% lot coverage is not exceeded. Electrical load calculations and elctrical permits are required. MAINTAIN CLEARANCES FROM SERVICE WIRES Public Works Utlllty Engineering has no requirements for this plan review. (D ~ '+ , Fee surrunary Charged Pald Credlted Due ----------------- ---------- ---------- ---------- ---------- Permlt Fee Total 151.75 151.75 .00 .00 Plan Check Total 60.70 60.70 .00 .00 Grand Total 212.45 212.45 .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 orwork 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. ---- ;4L 3-(S-~O' Signature of Owner (if owner is builder) Date \ I V>-- Signature of Contractor or Authorized Agent Date T:\PoIiCles\11 02_15 bUlldmg penmt Inspection record05. wpd [1/4/20051 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. ~ \ ...- 3 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING I FRAMING JOISTS I GIRDERS SHEAR W ALLlHOLD DOWNS . WALLS I ROOF I CEILING '?/7D / FJ ~ ~ DRYWALL (INTERIOR BRACED PANEL ONLY) I I T-BAR INSULATION SLAB WALL I FLOOR I CEILING I MECHANICAL HEAT PUMP I FURNACE I DUCTS GAS LINE WOOD STOVE I PELLET I CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: P ARKlNGILIGHTING ESA: LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 O/?JO/~ crw BUILDING T:\Policle5\1I02 15 buildm rmitl ecl10n record05. 1/412005 - o <:: ~~ l j! \j ~ g pe nsp wpd[ PREPARED 3/30/06, 12-23-36 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 3/30/06 ADDRESS TENANT, NBR: CONTRACTOR OWNER PARCEL APPL NUMBER 1102 A ST ZENA MONTOYA SUBDIV: MONTOYA ZENAIDA T 06-30-00-0-3-5100-0000- 06-00000107 RES DETACHED GARAGE PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 ~ BL99 01 ~ -------------------------------------- COMMENTS J~ BUILDING FRAMING TIME 13:00 03/30/2006 08_08 AM DYASUMUR TOM 775- 072 0 BUILDING FINAL TIME 13:00 03/30/2006 08 08 AM DYASUMUR TOM 775-0720 ~ AND NOTES -------------------------------------- BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 ApplIcant or Agent Owner: 2fU\.~ Address: lIo,;l. Phone. ~I\ht.l\ ..;' A 51'. CIty. ~rf Phone: A~e.k 417"37L{ \ ZIp: c(~~Cr.2 PROJECT ADDRESS: State LIcense #'>>GLPJf..IH~YltB Exp: CIty. fart A~ A. Sf. Phone: 1/0g Archltect/Engmeer. Contractor HL\f l\~ ~J ~ID~ Address. to (0)( ~tt;r lD62 1102. Phone: 77'5-072..0 ZIp: q~3~2- ZONING: LEGAL DESCRIPTION: Lot' Block: CLALLAM COUNTY PARCEL NUMBER: SubdIVlSlon: TYPE OF WORK: ~ ResIdentIal .8:'New Constr 0 Re-roof o Multl-farrnly 0 AddItlOn 0 Move D Corrnnerclal D Remodel D DemohtlOn o Reparr 0 SIgn BRIEF DESCRIPTION OF THE PROJECT: oVer ~j'5+t'~ c",,~.r€.+e.. D Stove o Garage D Deck 1( Oiher CC<r/>c::('f C <.AI\";> +r L." t-- I c. dn\/~ SIZEN ALUATION' 21.5 SF @$ , /SF. =$_ H SF. @ $ /SF. = $ SF. @ $ /SF = $ TOTAL VALUATION $ ,,?;,o--rJ-O .pre(.. S~o'\.tU,.....~ (,~,ifPO (-f-, 10, . X 15-'- ~ .?-~'l , Occupant Load: & Proposed Sq. Ft Constructlon Type: ~'if5 = TOTAL Sq. Ft. "317 , COMMERCIALIRESIDENTIAL: Occupancy Group' '^' No. of Stones: Lot SIZe: l~ 4-41 EXlstlng Sq. Ft. Total lot coverage '00. 'Z.. % ESAlWetland(s): DYes D No SEPA ChecklIst requrred? DYes 0 No Other. APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: T~}~C;~~ l02_13T:m A:C:~t: I T2::f+'O ~ u) / ~ ~.Jvt~ VALUATION OF CONSTRUCTION, In all cas"" a valuation amonnt mn" be entered by the apphcont. This figure will be "..ewJ and may be revIsed by the Buildmg DIVIsIon to comply Wlth current fee schedules. Contact the Penmt Coordmator at 417 -4815 for assIstancd. PLAN CHECK FEE: IF a plan check fee IS due It must be subrrntted at the trme the building penmt apphcatlOn and constructlOn plans ar~ submitted. All other pennit fees are due at the time of penmt Issuance. I EXPIRATION OF PLAN REVIEW: Ifno penmt IS Issued WIthIn 180 days of the date of apphcation, the application will expire. The Buildmg OffiCIal can extend the trme for actlOn by the apphcant up to 180 days upon wrItten request by the apphcant (see SectlOn R1 05.3.2 of the International BuildmglResidential Code, 2003). No applicatIon can be extended more than once. I I hereby certify that I have read and exammed this application_and know the same to be true and correct. I am authonzed to apply for this permit ana understand that It IS my responsibility to determine what permits are req 'red ,not the City's, and that I must obtain such permits prior to work. Date: ~ 2-7--ob f lrh.l f -.Lo +;,.-It-#- .to ~ ~ JfG ~~ ~I)(~~~ ff/'/of, 4 SEASONS ENGINEERING, INC. 619 South Chase Street PORT ANGELES, WA 98362 [1~uu~w @[? UW&[R]@U!i]Ouum[1 DATE (360) 452.3023 FAX (360) 452.3047 LllY OF- Th~ A-/J'C-rI:::dA;;,-<; ? ATTENTION TO RE WE ARE SENDING YOU > D Attached D Under separate cover via D Shop drawings D Copy of letter D Pnnts D Plans D Samples the following Items: D Specifications D Change order D COPIES DATE NO DESCRIPTION K.AL THESE ARE TRANSMITTED as checked below: D For approval D Approved as submitted D Approved as noted D Resubmit copies for approval copies for dlstnbutlon D For your use D Submit > D As requested D Returned for corrections D Return corrected pnnts D For review and comment D D FOR BIDS DUE D PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: ~ If enclosures are not as noted, kindly nOtif~ at once. ... #~ 40 Feel Vertical Datum =NAVD 88 kOrlzontal Datum = NAD 83/91 ", "'" ~,' ~t' '''^ ~". <>., ;~ ,. ; ft , I N Area Map ""'<<<~ ;' / /" "'<>> ';1', , ~'.."'., ^', This map IS not Jntended to be used as a legal descnptlon ThIs map/drawing IS produced by the Otv of Port Angeles for Its own use and purposes Anv other use of/his mapldJQwmg shall not be the responslbll1tv of the Cz~v ~, (~ ~ CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15625 Port Angeles, wasbJngtonmmm_..L_::LJ:::___m_...._..__._mm.., l~k In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure In the City of Port Angeles, per- mission is hereb granted to do electrical work as listed below. . .- 110;:; II /1 ../ ",_ _!C:m__n__.m_m. Address mm_ _ ._.LL__mn___~..-fAm.m-----.--nmm--.--.___---------- Occupancy____n,.....,.~ \1. .. Owner _000_" _ _ _ _ _"nm. _m__.______nm.m_mm TenanLmm______.mm_..._n___._.__mm_.____.__._mnm_..m__.. Wiring Contractor m.9.4!t:..~""--------.--n-- By...nnm_m.._._.___m_mnmmn_m_m____._.__m.__.n.n C Light outlets__.........if....____._...___......... Receptacle Outletsn..:J:;Q.___.____....... Service, volts ..00...00...00_..........._............ No. wires ._00................................__. Dryer, KW uun...._.........___..__.__n._________ Size wires.n...._.................__........_.. Range, KW h__.....___..._._h_..__ Water Heater: Main fuse ..........._.........._.00_..__...00... Enclosure ........._m._....____.___m..n__.__ Heal~:~::::$:-.~.::::...:::::.::::::.:..:: Type of wiring: Entrance Cable .......m..___m.____...... Motors: size, volts and phase: Rigid Conduit __mm_.____m______..___... Metallic Tubing ........_.......___._ Current transformers: No. & Slze_............_.............._n._ Sec. NO.....__._n........_.........n.............n. See. No. ._._..00_.._...........................__.... Sec. No. ..00.._...00_......00........................ Type 01 Wiring: Armored Cable m___..___.............._.._ Non-MetalHc ...................00........_... Knob & Tube......._._..__h................_ RIgid Coodult m.mmm...........m. Metallic TUbing .__..00_00......._...__.. Raceway _._............................_....._ Circuits, Light.___n._..........._.........___n..... Utillty.m._..__..........m_.m___._.......... I-Ieat ---._._..___.................._..............._ Range ...______..............____..__.............. Water Heater _n..nn___................... Motor ........._.....__.00......................... Dryer _.00..00..............._..00...................... Furnace ......_..................'_......_._...__..._. Remark:~ta:n=~~:_.~::~..&~:.~~z:=;:~::....____...mmmm__~_~~::n~::.:::_:::~::.~._~:::~::~::~:: Permit Fee Treas. Receipt NO.m.__m_......n.......... By n.mnnmm___mmm_mnm_m_____mm__mmn..n_n_ $:m____m__m__mmm.m.mn. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due noUce must be given the Inspector so that work may be inspected berore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15625 Address....._....__......._................................._....._....___....................................................................Date...........__._.._.__.........._.............._.__...... Owner ._................................._00_..._.._......_......_.._.00....._........00...._......_..___....._.._.....__..__... TenanL___...__...n...n_.n_..n___......n......................_...._. WiringContracto~;.-............................................................_.._...._._..__......_......___...._....._..........._..___.By___..__.._____._.._.__.............................._........_ NOTICE-Current must not be turned on until Certificate or Inspection has been issued. It work is to be con- cealed due no~ce must be given the Inspector so that work may be inspected before concealment. . 1M Olympic ~rinters, Inc. INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMrF WILL EXPM SIX {6) MONTHS F?,MLAST INSPECTION Signature of owner or Electrical Contractor X Date: ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 16-00001909 Date 12/30/16 Application pin number . . . 408504 Property Address . . . . . . 1102 A ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5100-0000- on excise tax form Application type description ELECTRICAL ONLY your Subdivision Name . . . . . . to the City Of PW Angeles Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation : 0 --------------- ------------------------------------------------------------- Application desc Ductless heat pump --------------------------------------------------------------------------- Owner ------------------------ Contractor ZENAIDA T MONTOYA ------------------------ BLACK DIAMOND ELECTRICAL CONTR 1102 S A ST 502 BLACK DIAMOND RD PORT ANGELES WA 983637236 PORT ANGELES WA 98363 (360) 417-3741 (360) 565-1035 ------------------------------------------------------- Permit . . . . . . ELECTRICAL --------------------- ALTER RESIDENTIAL Additional desc . . Permit,Fee . . . . 63.00 Plan Check Fee .00 Issue Date . . . . 12/30/16 Valuation . . . . 0 Expiration Date 6/28/17 Qty Unit Charge Per Extension 1.00 63.0000 BCH EL -R- ---------------------------------------------------------------------------- BRANCH CIR WO/ SER FEED 63.00 Fee summary Charged ------------------ Paid Credited Due ---------- Permit Fee Total 63.00 ---------- ---------- ---------- 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMrF WILL EXPM SIX {6) MONTHS F?,MLAST INSPECTION Signature of owner or Electrical Contractor X Date: ;�;,„; ELECTRICAL INSPECTION WIRING REPORT `F 417-4735 DATE: PERMIT # 11 A4 �6�►ga� OWNER CONTRACTOR T-3 �A�c- Imo/ �� G t> ADDRESS ..�- k 1 S\ ON APPROVED NOT APP ❑ ....................DITCH............... ❑................ ROUGH IN/COVER ............... ❑ CI .................... SERVICE ................... 11 ❑ .....................FINAL.................... ❑ CORRECTIONS NEEDED:R.% l.•1►FZ.r.:� /W NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS -- DO NOT REMOVE -- CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 4174711 Date: A -- 2 - ( 4� V1 & 2 Single Family Dwelling * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: I1022. 5. lk s r—f— Building Building Square Footage: Description of above Owner Information Contractor Name: M b r77 A, Name: !!�L !!V Mailing Address: Mailing Address: City: State: Zip: City: State: Zip: Phone: �VS2—yler Fax: Phone: Fax: License # / Exp. License # / Exp. 3-1—A6 Oz - Item Unit Charqe QQtyt Total (Qtv Multiplied by Unit Charqe) 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 $� 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 $ �r S C`% J 3 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 installationor alte tion in c pliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, an tility S ifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of own ec cal co r ctor or electrical administrator: ❑ Cash Check El Credit Card # x _ ( Dated: 02106/2012 ELECTRICAL PERMIT CITY OF PORT ANGELES 3604174735 Application Number . . . . . 16-00001909 Date 12/30/16 Application pin number . . . 408504 Property Address . . . . . . 1102 A ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -5100 -0000 - Application type description ELECTRICAL ONLY Subdivision Name Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Ductless heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ZENAIDA T MONTOYA ------------------------ BLACK DIAMOND ELECTRICAL CONTR 1102 S A ST 502 BLACK DIAMOND RD PORT ANGELES WA 983637236 PORT ANGELES WA 98363 (360) 417-3741 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee .00 Issue Date . . . . 12/30/16 Valuation . . . . 0 Expiration Date . . 6/28/17 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due --------------------------- Permit Fee Total 63.00 ---------- ---------- ---------- 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 INSPECTION TYPE DATE: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION RESULTS: REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR: Signature of owner or Electrical Contractor X Date: