HomeMy WebLinkAbout604 K St - Building ffi"'ECEIVED
rcaar �"DEC 16
CITY OF PORT ANGELES PERMIT APPLICATION �®
Building Division/Electrical Inspections FUCTRIVAL
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 IHSPEMONS
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: °` AX - /3 1 &2 Single Family Dwelling
*Plan Review May Be Required, Plga7 e Complete ctrical Plan Review Information Sheet
Job Address: 21B4 % a-'7 - r
Building Square Footage:
Description of above
Owner Infor ation Contractor Information
Name: Name: c-r,&4-
Mailing ddress— s!. . -4� Orel- Mailing Address:
City:rx-5EJAPA 020 tate:— 7Q: !2 2J-er City: State: Zip:
Phone:a'W--.Pac-394z Fax: Phone: Fax:
License A I Exp. License 41 Exp,
Item Unit Charge Total(Qty Multiplied Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp, $146,00 $
Service/Feeder 401.500 Amp $205.00 $
Service/Feeder 601-1000 Amp, $262,00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit Nil Service Feeder $ 5.00 $
Branch Circuit WIO Service Feeder $ 63,00 i $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 75.00 $
Temp.Servicel Feeder 200 Amp. $ 93.00 $
Temp.Service/Feeder 201-400 Amp. $110.00 $
Temp.ServicelFeeder 401-600 Amp. $149.00 $
Temp.Service/Feeder 601.1000 Amp. $168.00 $
Portal to Portal Hourly $ 96.00 $
Signal Circuitl Limited Energy-1&2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy-5KVA System or Less $10200 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Scat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.00 $
Each Additional 500 Square Fl.or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $110.00 $
$ Total
Owner as defined by RCW19.28.261:(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 296-463,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 L9°heck
❑ Credit Card#
/tom
X �---- ` Dated: 3 � �' 0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . 13-00001450 Date 12/19/13
Application pin number . . . 374100
Property Address . . . . . . 604 K ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-4900-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Property Name to the City of Port Angeles
Pro ert Use
Property 'Coning , . , . . . . R87 RESDNTL SINGLE FAMILY (Location Cade 0502)
Application valuation , . . . 0
- - ---- --- --u`--
Application desc
DUCTLESS HP
Owner Contractor
RITNER TTE TERRY L/JOYCE E EXTRA MILE TECH & ELECT., LLC
25923 GREEN HAVEN RD 418 N, RACE ST.
PRAIRIE CITY OR 97669 PORT ANGELES WA 90362
(360) 457-5222
---------------------------—----------------_ -----_------------------
Permit , , , , ELECTRICAL ALTER RESIDENTIAL
Additional desc EXTRA MILE/ DUCTLESS HP V"
Permit Fee . . 63.Q0 Plan Check. Fee ,00
Issue Date . . 12/16/13 Valuation , . . . Q
Expiration Date 6/14/14 1 '
Qty Unit Charge Per Extension •'yam
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: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-INS
FINAL 1
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 13 00001450 Date 12/16/13
Application pin number 374100
Property Address , , , . . , 604 K ST
ASSESSOR PARCEL NUMBER; 06-30-00-0-1-4900-0000- REPORT SALES TAX
Application type description ELECTRICAL ONLY
Subdivision Name On Your excise tax form
Property use . . , , , , . to the City of Port Angeles
Application val
Property on val RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
uation 0
------------------------------------------
Applicaticn desc
DUCTLESS HP
Owner Coatractc4
RITNER TTE TERRY L/JOYCE E OWNER
25923 GREEN HAVEN RD
PRAIRIE CITY OR 97869
------------------------------------------------------- --------------------
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc EXTRA MILE/ DUCTLESS HP
Permit Fee , , , , 63.00 Plan Check Fee 00
Issue Date , . . . 12/16/13 Valuation , , , , 0
Expiration bate 6/14/14
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 QO .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-III
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTIiS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIHUI LDING
PREPARED 7/03/06 9 48 32 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/03/06
ADDRESS 604 K ST SUBDIV
TENANT NBR TERRY RITNER
CONTRACTOR PHONE
OWNER RITNER TTE TERRY L /JOYCE E PHONE
PARCEL 06 30 00 0 1 4900 0000
APPL NUMBER 06 00000694 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 7/03/06
7/3/6C,
JLL
BUILDING FINAL TIME 13 00
PH 452 4736 ROOFING FINAL
07/03/2006 08 02 AM DYASUMUR
COMMENTS AND NOTES
Application Number 06 00000694 Date 6/30/06
Application pin number 296694
Property Address 604 K ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 4900 0000
Tenant nbr name TERRY RITNER
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 1200
Owner
RITNER TTE TERRY L /JOYCE E
25923 GREEN HAVEN RD
PRAIRIE CITY OR 97869
Permit BUILDING PERMIT NO PR FEE
Additional desc
Permit pin number 81257
Permit Fee 71 35 Plan Check Fee 00
Issue Date 6/30/06 Valuation 1200
Expiration Date 12/27/06
Other Fees
Qty Unit Charge Per
BASE FEE
7 00 3 0500 HND BL -501 2K (3 05 PER C)
Fee summary Charged Paid Credited Due
Permit Fee Total 71 35 71 35 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 75 85 75 85 00 00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Contractor
OWNER
Extension
50 00
21 35
STATE SURCHARGE 4 50
co
Date
Date Signature of Owner (if owner is builder)
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
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
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I I
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I I
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FINAL
FINAL
SEPA.
ESA.
SHORELINE.
DATE ACCEPTED BY.
DATE ACCEPTED BY.
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/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I I I FIRE DEPT I
PLANNING DEPT 417 -4750 I I I I PLANNING DEPT I
BUILDING 417 -4815 I 3 b I ,IT i-I. I I BUILDING I
T• \Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
Applicant or Agent
Owner "et c.i e %r./
Address. 6";21=E-;v r City 41s+ -(2fe e e Zip
Architect/Engineer
Contractor
Address:
PROJECT PROJECT ADDRESS
CLALLAM COUNTY PARCEL NUMBER.
PLANNING USE ONLY
BUILDING PERMIT APPLICATION
State License
City
LEGAL DESCRIPTION Lot: Block:
TYPE OF WORK.
Residential New Constr ®"Ke roof Stove
Multi- family Addition Move Garage
Commercial Remodel Demolition Deck
Repair Sign Other
BRIEF DESCRIPTION OF THE PROJECT
COMMERCIAL/RESIDENTIAL. Occupancy Group
No. of Stones: Lot Size: Existing Sq Ft.
Total lot coverage
OA
x
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
Subdivision.
SIZF/VALUATION
SF /SF
SF /SF
SF /SF
T.gTAL VALUATION A
Occupant Load.
Proposed Sq Ft.
..Phone: y/- ,"zs 3 23 er
FOR OFFICIAL I}5E ODTLY
Date Rec.
Permit
Dar.. Appro•
Date Issued. 6
Phone t' 5/0
Phone:
Exp Phone:
Zip
ZONING
Construction Type
TOTAL Sq Ft.
30
APPROVALS
PLAN
BLDG
DPWU
FIRE.
OTHER.
04.
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
RI05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
1 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.
TAWORMS\B1dgPermitform.wpd Applicant: fi r ms V Date: C7
616