HomeMy WebLinkAbout217 E 11th St - BuildingPREPARED 6/23/10 8 27 50 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/23/10
ADDRESS 217 E 11TH ST SUBDIV
TENANT NBR ASHLEY HANKINS
CONTRACTOR PHONE
OWNER ASHLEY HANKINS PHONE (360) 670 5354
PARCEL 06 30 00 0 3 2965 0000
APPL NUMBER 09 00000847 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 9/02/09 PB BLDG FOUNDATION FOOTING TIME 09 00
9/03/09 AP September 2 2009 9 35 55 AM 1pangrle
TREVOR 670 9431
FOOTING
MORNING
September 3 2009 8 40 05 AM pbarthol
BL2 01 9/04/09 PB BLDG FOUNDATION STEM WALL TIME 09 00
9/08/09 AP September 4 2009 9 10 24 AM 1pangrle
TREVOR 670 9431
STEMWALL
MORNING
ENTER THROUGH THE ALLEY
September 8 2009 8 21 39 AM pbarthol
BL3 01 4/13/10 JLL BLDG FRAMING TIME 01 00
4/13/10 DA April 13 2010 8 05 25 AM 1pangrle
ASHLEY 670 5354
FRAMING GARAGE
AFTERNOON
April 13 2010 4 44 40 PM jlierly
renail siding sheathing/ flash windows /some siding
sheathing not attached /block split panels and nail 6 oc
nail all split panels to blocking 6 oc /lateral brace roof
beam use lags brace stringers /air space in vaulted ceiling
for ventilation per code /j11 Verify balloon frame second
story or engineer design/ jll
BL3 02 5/27/10 JLL BLDG FRAMING
5/27/10 AP May 26 2010 8 32 50 AM 1pangrle
STEVE 461 1505
EXTERIOR SHEETING NAILING
May 27 2010 4 51 22 PM jlierly
BL99 01 6/22/10 JLL BLDG FINAL TIME 01 00
6/22/10 DA June 22 2010 8 58 55 AM 1pangrle
STEVE 461 1505
BUILDING FINAL
AFTERNOON
PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE SO HE CAN
MEET YOU THERE
June 22 2010 4 10 04 PM jlierly
electrical final guardrail around stairs /hand rail reqd /jll
BL99 02 6/23/10 j L All BLDG FINAL
June 23 2010 8 26 07 AM 1pangrle
1M STEVE 461 1505
BUILDING FINAL GARAGE
HE REQUESTED A LATE MORNING INSPECTION
COMMENTS AND NOTES
C�
PREPARED 6/22/10 9 02 03 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/22/10
ADDRESS 217 E 11TH ST SUBDIV
TENANT NBR ASHLEY HANKINS
CONTRACTOR PHONE
OWNER ASHLEY HANKINS PHONE (360) 670 5354
PARCEL 06 30 00 0 3 2965 0000
APPL NUMBER 09 00000847 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 9/02/09 PB BLDG FOUNDATION FOOTING TIME 09 00
9/03/09 AP September 2 2009 9 35 55 AM 1pangrle
TREVOR 670 9431
FOOTING
MORNING
September 3 2009 8 40 05 AM pbarthol
BL2 01 9/04/09 PB BLDG FOUNDATION STEM WALL TIME 09 00
9/08/09 AP September 4 2009 9 10 24 AM 1pangrle
TREVOR 670 9431
STEMWALL
MORNING
ENTER THROUGH THE ALLEY
September 8 2009 8 21 39 AM pbarthol
BL3 01 4/13/10 JLL BLDG FRAMING TIME 01 00
4/13/10 DA April 13 2010 8 05 25 AM 1pangrle
ASHLEY 670 5354
FRAMING GARAGE
AFTERNOON
April 13 2010 4 44 40 PM jlierly
renail siding sheathing/ flash windows /some siding
sheathing not attached /block split panels and nail 6 oc
nail all split panels to blocking 6 oc /lateral brace roof
beam use lags brace stringers /air space in vaulted ceiling
for ventilation per code /jll Verify balloon frame second
story or engineer design/ jll
BL3 02 5/27/10 JLL BLDG FRAMING
5/27/10 AP May 26 2010 8 32 50 AM 1pangrle
STEVE 461 1505
'EXTERIOR SHEETING NAILING
May 27 2010 4 51 22 PM jlierly
BL99 01 6/22/10 BLDG 2INA2 TIME O5 00 June 22 2010 8 58 55 AM
1pangrle
STEVE 61 I505
BUILDINNG FINAL
AFTERNOON
PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE SO HE CAN
MEET YOU THERE
COMMENTS AND NOTES
t -e y d4v
r rt.ti■ki
4 0 Q L/ Af
l
PREPARED 5/27/10 8 25 08 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/27/10
ADDRESS 217 E 11TH ST SUBDIV
TENANT NBR ASHLEY HANKINS
CONTRACTOR PHONE
OWNER ASHLEY HANKINS PHONE (360) 670 5354
PARCEL 06 30 00 0 3 2965 0000
APPL NUMBER 09 00000847 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 9/02/09 PB BLDG FOUNDATION FOOTING TIME 09 00
9/03/09 AP September 2 2009 9 35 55 AM 1pangrle
TREVOR 670 9431
FOOTING
MORNING
September 3 2009 8 40 05 AM pbarthol
BL2 01 9/04/09 PB BLDG FOUNDATION STEM WALL TIME 09 00
9/08/09 AP September 4 2009 9 10 24 AM 1pangrle
TREVOR 670 9431
STEMWALL
MORNING
ENTER THROUGH THE ALLEY
September 8 2009 8 21 39 AM pbarthol
BL3 01 4/13/10 JLL BLDG FRAMING TIME 01 00
4/13/10 DA April 13 2010 8 05 25 AM 1pangrle
ASHLEY 670 5354
FRAMING GARAGE
AFTERNOON
April 13 2010 4 44 40 PM jlierly
renail siding sheathing/ flash windows /some siding
sheathing not attached /block split panels and nail 6 oc
nail all split panels to blocking 6 oc /lateral brace roof
beam use lags brace stringers /air space in vaulted ceiling
for ventilation per code/j11 Verify balloon frame second
story or engineer design/ jll
BL3 02 5/27/10 JLL BLDG FRAMING
May 26 2010 8 32 50 AM 1pangrle
STEVE 461.1505
EXTERIOR SHEETING NAILING
COMMENTS AND NOTES
PREPARED 4/13/10 8 10 12 INSPECTION TICKET
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY
ADDRESS
TENANT NBR ASHLEY HANKINS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 9/02/09 PB
9/03/09 AP
BL2 01 9/04/09 PB
9/08/09 AP
BL3 01 4/13/10
217 E 11TH ST SUBDIV
PHONE
ASHLEY HANKINS PHONE
06 30 00 0 3 2965 0000
09 00000847 RES DETACHED GARAGE
BLDG FOUNDATION FOOTING
September 2 2009 9 35 55
TREVOR 670 9431
FOOTING
MORNING
September 3 2009 8 40 05
BLDG FOUNDATION STEM WALL
September 4 2009 9 10 24
TREVOR 670 9431
STEMWALL
MORNING
ENTER THROUGH THE ALLEY
September 8 2009 8 21 39 AM pbarthol
BLDG FRAMING TIME 01 00
April 13 2010 8 05 25 AM 1pangrle
ASHLEY 670 5354
FRAMING GARAGE
AFTERNOON
COMMENTS AND NOTES
(360) 670 5354
TIME 09 00
AM 1pangrle
AM pbarthol
TIME 09 00
AM 1pangrle
c&t o c1 1 1 p eu- .c. e-
1 ti1 C7a t,L)
t 4 0
PAGE 2
DATE 4/13/10
CooK
is da ►a
ADDRESS
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
DATE PERMIT INSPECTOR
51///0 09 --089'i
OWNER/CONTRACTOR
144 Ht, fL.4 2 14 t1 S
217 1 S�
APPROVED NOT APPROVED
DITCH
34. ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED: TArdy? crZ. ate c,'rA NT SZtEcisTTPtt a�,g
R,KAO l r aeil I
6i115v Tz.p'D Ez_ ac lac cr! A 1.1 t CAL
Cp r!kL r' L'4c 1 5KAtL, IS LYS
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{L¢_GMpTA GOv sEYZ NPc_A�Tv- TE U I i=..W_t>
v-1 c. '-10 L
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
C
i9 ORKS 6,W
DATE
Li �10
OWNER/CONTRACTOR
h-64.11.4) u 5
ADDRESS
247 s-i
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED: 04 Ac t. L PL-AMt✓S 'froac
%0 140■-ES r:J L r t 1.1 -1 /ti oF 15376E Or -yfr ov 11E! 300,
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
PERMIT It INSPECTOR
L4 t- tJic 3oe). `Isr
g licrtglzACIZ- 1-404. a
09 --089 1 °irk
t�ts�Pi.x�T Tr -g mn4 6 712..c..a,it &jiax itt.tnrcP_srO
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,Jr* c NO8
zic, 704-2
F) k) Srl c- r N11<— 110
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
DATE
1 1►ct1 io
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
I PERMIT N INSPECTOR
OWNER/CONTRACTOR
ib 1-) NO. C 11-.1,
ADDRESS
21? 1l 1
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
0. SERVICE
p FINAL
CORRECTIONS NEEDED: S VI WO O R) •Cny UJ 1,1H 1.
b 1"-1—`4" t. 3 9 36 4
nr.10 *Atli.' S. DF S u rPo-2:' FAD U 9A PLC
Lour L.) A/ 23L -466 7 t-10. 3
(.2) v tO 16
0.'8611 re_ Qcr Pte• Z9 -468-- Z30 ,mor
JL Ioo 6oi,4 X17 4dtlitScj
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
PREPARED 9/04/09 9 12 32
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY
ADDRESS 217 E 11TH ST
TENANT NBR ASHLEY HANKINS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
PERMIT BPR 00 BUILDING PERMIT
REQUESTED INSP
TYP /SQ COMPLETED RESULT
BL1 01 9/02/09 PB
9/03/09 AP
BL2 01
PHONE
ASHLEY HANKINS PHONE
06 30 00 0 3 2965 0000
09 00000847 RES DETACHED GARAGE
RESIDENTIAL
DESCRIPTION
RESULTS /COMMENTS
INSPECTION TICKET
SUBDIV
BLDG FOUNDATION FOOTING
September 2 2009 9 35 55
TREVOR 670 9431
FOOTING
MORNING
September 3 2009 8 40 05
BLDG FOUNDATION STEM WALL
September 4 2009 9 10 24
TREVOR 670 9431
STEMWALL
MORNING
ENTER THROUGH THE ALLEY
COMMENTS AND NOTES
(360) 670 5354
TIME 09 00
AM 1pangrle
AM pbarthol
TIME 09 00
AM 1pangrle
PAGE 5
DATE 9/04/09
PREPARED 9/02/09 9 38 56 INSPECTION TICKET
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY
ADDRESS 217 E 11TH ST
TENANT NBR ASHLEY HANKINS
CONTRACTOR
OWNER ASHLEY HANKINS
PARCEL 06 30 00 0 3 2965 0000
APPL NUMBER 09 00000847 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 9/0//09
11
JLL
SUBDIV
PHONE
PHONE (360) 670 5354
BLDG FOUNDATION FOOTING TIME 09 00
September 2 2009 9 35 55 AM 1pangrle
TREVOR 670 9431
FOOTING
MORNING
COMMENTS AND NOTES
,c4
PAGE 6
DATE 9/02/09
Application Number 09 00000847 Date 9/01/09
Application pin number 253705
Property Address 217 E 11TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 2965 0000
Tenant nbr name ASHLEY HANKINS
Application type description RES DETACHED GARAGE
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 34320
Application desc
572 SF DET GARAGE WITH 572 SF STORAGE ABOVE
Owner Contractor
ASHLEY HANKINS OWNER
217 E 11TH ST
PORT ANGELES WA 98362
(360) 670 5354
Structure Information 000 000 572 SF DET GARAGE WITH STORAGE ABOVE
Other struct info HARD SURFACE AREA
Permit BUILDING PERMIT RESIDENTIAL
Additional desc 572 SF DET GRG 2ND STORY
Permit pin number 152041
Permit Fee 518 75 Plan Check Fee 337 19
Issue Date 9/01/09 Valuation 34320
Expiration Date 2/28/10
Qty Unit Charge Per Extension
BASE FEE 417 75
10 00 10 1000 THOU BL -25 001 50K (10 10 PER K) 101 00
Special Notes and Comments
MAINTAIN CLEARANCES FROM SERVICE WIRES
Electrical load calculations and electrical permits are
required
The Fire Department has reviewed the project application and
has no comments
September 1 2009 2 51 39 PM sroberds
The proposal will result in a 527 sq ft detached garage
w /storage above the garage in the RS 7 zone Lot coverage
is 22% site coverage is 23% No land use issues
anticipated
MAINTAIN CLEARANCES FROM SERVICE WIRES
Electrical load calculations and electrical permits are
required
The existing sewer may be at the same location of the
proposed construction Any modification or damage to the
existing building sewer will require other permits and
inspections by Public Works Engineering
Other Fees
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 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 per nce of construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T.Forms/Building Division/Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
STATE SURCHARGE 4 50
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
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
PLANNING DEPT Separate Permit #s
Parking Lighting
Landscaping
Inspection Type
Date Accepted By
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump I Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T:FormslBuilding Division /Building Permit
FINAL Date Accepted by
FINAL Date Accepted by
SEPA.
ESA.
SHORELINE.
Comments
Date Accepted By
Application Number 09 00000847
Application pin number 253705
Fee summary Charged Paid Credited
Permit Fee Total 518 75 518 75 00 00
Plan Check Total 337 19 337 19 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 860 44 860 44 00 00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and
void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days
after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. 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.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:FormsBuilding Division/Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Page 2
Date 9/01/09
Due
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
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 Date Accepted By Comments
r i>
—Z —10 "SO-
UFK
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
FINAL Date Accepted by
)012o1' e 1 V atilinj
5 -27 -to s L(-
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
Z� —IO I 7LL_
Applicant
i
Property Owner's Address
Contractor L20(1/7 el'
Contractor's Address
License
Property Owner
Parcel Number
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
BUILDING PERMIT
CITY OF PORT ANGELES
Attn. Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
PROJECT ADDRESS 2- 1)1
Proiect Type Brief Description:
gi ck all that apply
ew Construction
Addition
Remodel
Repair
Demolition
Re -roof
Heat System
Other
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
-r
pi 71 p rfnwje k s Phone
ft.
AO
E-� Phone
Expires
Residential Multi- family Commercial Industrial
(A r h S e- Se, coy v Al +100 r'
104-e= 04, 09 -01- oci 1 c.41 akq 4 Q Pen. t set 6 ack
iFre t o Si y
House garage other tear off re -roof la layer
Heat pump wood burning stove gas fireplace pellet stove other /fJ
er°a t ,f P C (1K 25sut v�g�i��
Existing (sq. ft.) P (sc. ft.)
362- 572- S-h,ra ie 3o
TOTAL VALUATION 3 y., 3 2o
Total footprint of structures i5'' a S• sq. ft. T Lot size '7001 sq ft. Lot coverage .21:,c
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalk PP
and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage S4 c yo
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
that it is my responsibility to determine hat a its are r q fired, d to obtain permits prior to wo
Date °D Nam 5 Sig nat re
T:Forms /Building Division /Bldg Permit.doc
APPLICATION Print in ink
n
E -mail
For City Use Only
Date Receive F�-19 -fly
Permit O I`t
D ate Approved
pl
per sq. ft.
of bedrooms
of full baths
of half baths
9 1111 D 6L2s--4
Lot Zoning RS -7
71T1 GO
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for this permit a id understand
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
New garage 200 service 4 circuits
Owner
Hankins Ashley
217 E 11th Street
PORT ANGELES
Permit
Additional desc
Permit pin number 152678
Permit Fee 101 75
Issue Date 8/31/09
Expiration Date 2/27/10
Qty
4 00
1 00
Unit Charge
2 0000
93 7500
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983635829
ELECTRICAL ALTER RESIDENTIAL
101 75
00
101 75
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
09 00000891
876669
217 E 11TH ST
06 30 00 0 3 2965 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
OWNER
Plan Check Fee
Valuation
Per
ECH EL BRANCH CIRCUIT W /FEEDER
ECH EL 0 200 SRV FEEDER
Paid Credited
101 75 00
00 00
101 75 00
DATE.
.kiip
h ID
412,31 m
Date 8/31/09
RESULTS
14
00
0
Extension
8 00
93 75
Due
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
City of Port Angeles Permit Application
Building DivisionlEleCt[Ical Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph: (360)417 -4735 Fax: (360) 417-4711
Date: S/ 7 J UCic
2 Single Family Dwelling
Multi- Family or Commercial`
Commercial Addition Alteration Remodel Repair`
Plan Review Ma,yy_�Be Require Plgase omplete lectric
Job Address: o11' l �C 1
Building Square Footage:
Description of above >1 z) 4,5_2016E_ L 2 Y
Owner Inform
Name:
Mailin
City
Phon
License Exp.
Unit Charge
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
86.25
$116.25
$131.25
75.00
69.00
75.00
50.00
50.00
93.75
80.00
86.25
27.50
57.50
86.25
43.75
Si ature of owner electrical contractor or electrical administrator
Date:
1
rf
S ate: Zip: 9V3
RECE VED
AUG 31 2009
ELECTRICAL
INSPECTIONS
an evievXlnfo palnSheet
A a_pJ
Contractor Information
Name:
Mailing Address:
City
Phone:
License Exp.
Cash
Check
Credit Card
State: Zip:
Fax:
Total (Q Multiplied by Unit Charnel
q 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
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
Sign/Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi- Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
Total
J o t 7s
Owner as defined by RCW.19.28.261: (1) Owner will occupy the stricture 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.
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 cOfnpliance 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.