HomeMy WebLinkAbout1019 1/2 W 6th St - Building b
CITY OF PORT ANGELES
rim' DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000787 Date 7/26/12
Application pin number 886840
Property Address 1019W 6TH ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -1 -0866 -0000- REPORT SALES TAX
Application type description RES ACCESSORY RESIDENTIAL UNIT on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0$02)
Application valuation 15000
Application desc
CONVERT SHOP TO 500 SF ARU
Owner Contractor
WALTERS, GARY NANCY OWNER
1019 W 6TH ST
PORT ANGELES WA 98362
(425) 870 -3788
Permit BUILDING PERMIT RESIDENTIAL
Additional desc CONVERT SHOP. TO ARU
Permit Fee 277.75 Plan Check Fee 180.54
Issue Date 7/26/12 Valuation 15000
Expiration Date 1/22/13
Qty Unit Charge Per Extension
BASE FEE 95.75
13.00 14.0000 THOU BL- 2001 -25K (14 PER K) 182.00
Permit MECHANICAL PERMIT
Additional desc
Permit Fee 101.65 Plan Check Fee .00
Issue Date 7/26/12 Valuation 0
Expiration Date 1/22/13
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 7.2500 EA ME -VENT FAN (SINGLE DUCT) 7.25
3:00 14.8000 EA ME HEATER(SUSP /WALL /FLOOR -MTD) 44.40
Permit PLUMBING PERMIT
Additional desc
Permit Fee 113.00 Plan Check Fee .00
Issue Date 7/26/12 Valuation 0
Expiration Date 1/22/13
Qty Unit Charge Per Extension
BASE FEE 50.00
5.00 7.0000 EA PL- PLUMBING TRAP 35.00
1.00 7.0000 EA PL -WATER LINE 7.00
2.00 7.0000 EA PL -DRAIN VENT PIPING 14.00
1.00 7.0000 EA PL -WATER HEATER 7.00
Special Notes and Comments
July 26, 2012 8:56:38 AM permits.
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.
7 to I a.hc G� a `ac' e �'s ..,o VoLuxit4
y
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
4
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS
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
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
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 tis 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
T•Fnrme /Ri iilrlino nivisinn /Ri tilriinn Permit
i y
E CITY OF PORT ANGELES
�`�1 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number 12- 00000787 Date 7/26/12
Application pin number 886840 REPORT SALES TAX
Special Notes and Comments
on your state excise tax form
CUP 12 -02 APPROVED 7/25/12.
Address numbers shall be plainly visible from the street. to the City of Port Angeles
Address numbers shall be a minimum of six inches high and be (Location Code 0502)
of contrasting color from the background.
Electrical load calculations and electrical permits are
required.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required. Public Works Inspection request line
417 -4831
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 492.40 492.40 .00 .00
Plan Check Total 180.54 180.54 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 677.44 677.44 .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. 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.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
r
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS A
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. 3
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings n
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In 5(
Water Line (Meter to Bldg) 1;1- 10 d a 1'I 1
Gas Line
Back Flow Water FINAL Date 0.5' 1ZAccepted b01.4,„,
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling Q°
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling 0
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date °b' IZ. Accepted by a L�
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
T•Fnrmc /Riiilriinn nivisinn /Riiilrlinn Permit
a°` �w CITY OF PORT ANGELES
UWE PUBLIC WORKS UTILITIES
N MIMMW 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000787 Date 7/26/12
Application pin number 886840
Property Address 10191W 6TH ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -1 -0866 -0000- REPORT SALES TAX
Application type description RES ACCESSORY RESIDENTIAL UNIT on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 15000
Application desc
CONVERT SHOP TO 500 SF ARU
Owner Contractor
WALTERS, GARY NANCY OWNER
1019 W 6TH ST
PORT ANGELES WA 98362
(425) 870 -3788
Permit PUBLIC WORKS RES WATER SERV
Additional desc WATER METER FOR ARU
Permit Fee 1280.00 Plan Check Fee .00
Issue Date 7/26/12 Valuation 15000
Expiration Date 1/22/13
Qty Unit Charge Per Extension
'1.00 1280.0000 EA PW W/M 1" SERV 5/8" METER 1280'.00
Permit EUGA SAN SEWER HOOKUP
Additional desc CONNECTION TO EXISTING SEWER
Permit Fee 135.00 Plan Check Fee .00
Issue Date 7/26/12 Valuation 0
Expiration Date 1/22/13
Qty Unit Charge Per Extension
BASE FEE 135.00
Special Notes and Comments
July 26, 2012 8:56:38 AM permits.
CUP 12 -02 APPROVED 7/25/12.
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.
Electrical load calculations and electrical permits are
required.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required. Public Works Inspection request line
417 -4831
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
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.
a fe
r 'f owner is builder
Signature of Contractor or Authorized Agent Date Si nature of O (I o D
'T:Forms /Building Division /Public Works Permit
PERMIT INSPECTION RECORD 4
CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. PW/ CONSTRUCTION R.W.
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 FIRE DEPT.
PLANNING DEPT. 417 -4750 PLANNING DEPT.
BUILDING 417- BUILDING
4815
T:Forms /Building Division /Public Works Permit
of PORr qvC�
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5T1-1 STREET, PORT ANGELES, WA 98362
Page 2
Application Number 12- 00000787 Date 7/26/12
Application pin number 886840
REPORT SALES TAX
Permit Fee Total 1415.00 1415.00 .00 .00 our state excise tax form
Plan Check Total .00 .00 .00 .00 on y
Other Fee Total 4.50 4.50 .00 .00 to the City of Port Angeles
Grand Total 1419.50 1419.50 .00 .00 (Location Code 0502)
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:Forms /Building Division /Public Works Permit
PERMIT INSPECTION RECORD
CALL 417 -4831 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
I INSPECTION TYPE DATE YES ACCEPTED COMMENTS
I NO
I'W UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R W. PW/ CONSTRUCTION -R.W.
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 FIRE DEPT.
PLANNING DEPT. 417 -4750 PLANNING DEPT.
BUILDING 417- BUILDING
4815
T:Forrns /Building Division /Public Works Permit
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C ITY OF O T NGELES For City Use
Permit 12-' -'g i" w
Wz
W A S H I N G T O N U. c c ,c7
ff
Date Received: I b a" en a it
321 East 5th Street 1 W z
Port Angeles, WA 98362 Date Approved: a� j o g.
P: 360- 417 -4817 F: 360 417 -4711 S
hcatuzo @cityofpa.us j 1111
1
Building Permit Application
Project Address:
I 010 (fi sT
Main Contact: Phone
;Property Na r9 R w (A)/4-41 PI- O 3
Owner Mailing Addr s Email
t l v' Q N vl c iAtig-
City State Zi
Contractor Name Phone
Mailing Address Email
City State Zip
Contractor License Expiration:
Project Value: Zoning: Tax Parcel Lot
lam, be n IZ5M O693O 00 0 103t0 Co a BLtOg
Type of Residential Commercial Industrial Public
Permit Demolition Fire Repair Reroof (tear off /lay over)
For the following, fill out both pages of permit application:
New Construction Remodel 0 Addition Tenant Improvement
Mechanical Plumbing Other
Existing Fire S rinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes No I t
Project gevMOoleil e h rn S\10 e i -MM
Description
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 working on projects. I understand the plan review fee is not refundable after review has
occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before
plan review has occurred. I understand that if the permit is not issued within 180 days of receipt, the
application will be considered abandoned, and the fees forfeit.
Date Print Name Signature
6- Kb/ z COI 60. t qevui/ w. /,0,0eL,
Residential Structures
Area Description (SQ FT) Existing Proposed Minimum For Office Use
value
Basement
First Floor 1 0 g g
Second Floor
Covered Deck /Porch /Entry
Deck 11P T
Garage 500 ex V\ relMOCI
Carport '-t c0
Other (describe) w
Area Totals cSoo
Commercial Structures
Area Description (SQ FT) Existing Proposed Minimum For Office Use
value
Structure (s)
Addition
Tenant Improvement
Other (describe)
Area Tot
Lot /Site Coverage Calculations
Footprint (SQ FT) of all Structures: Lot Size: O Lot Coverage
'11 0
0
SQ FT Site coverage (all impervious Site Coverage
2:1 structures) 21 '51k �l 2Q 3 I
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler Size: Haz /Non -Haz Piping of Outlets:
Appliance Vent Heater (Suspended, Floorcessed wall) 5
Boiler /Compressor Size: Heating /Cooling appliance
repair /alteration
Evaporative Cooler (attached, not Pellet Stove /Wood- burning /Gas
portable) Fireplace /Gas Stove /Gas Cook Stove /Misc.
Fuel Gas Piping of Outlets: Ventilation Fan, single duct
Furnace /Heat Pump/ Size: Ventilation System
Forced Air Unit
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps Fuel gas piping of Outlets:
Water Heater I Medical gas piping of Outlets:
Water Line Vent piping 2.
Sewer Line -I Industrial waste pretreatment
interceptor
Other (describe):
Heather Catuzo
From: Roger Vess
Sent: Tuesday, July 03, 2012 11:24 AM
To: Heather Catuzo
Cc: Sue Roberds
Subject: ARU for Walters
When approved the new residence will have the address of 1019 %2 West 6th Street. I will create the address in HTE after
the ARU is approved.
Roger Vess
Assistant Civil Engineer
City of Port Angeles
360 417 -4812
cell 360 775 -8901
rvess@cityofpa.us
1
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Clallam County Assessor Treasurer Property Details 56578 GARY W AND NANC... Page 1 of 1
Clallam County Assessor Treasurer
Property Search Results 56578 GARY W AND NANCY G WALTERS for Year 2011 2012
Property
Account
Property ID: 56578 Legal Description: LT 16 EXC N50' OF
E3' &S90'
LT 17 BL108
Geographic ID: 0630000108660000 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:
Location
Address: 1019 W SIXTH ST Mapsco:
PORT ANGELES, WA
Neighborhood: PA West Res Map ID: 3
Neighborhood CD: 5151000
Owner
Name: GARY W AND NANCY G WALTERS Owner ID: 211591
Mailing Address: 7903 57TH DR NE Ownership: 100.0000000000%
MARYSVILLE, WA 98270
Exemptions:
Taxes and Assessment Details
Values
Taxing Jurisdiction
Improvement Building
Sketch
Property Image
Land
Roll Value History
Deed and Sales History
Agreement J
Website version: 9.0.32.2200 Database last updated on: 6/19/2012 3:51 2012 True Automation, Inc. All Rights
AM Reserved. Privacy Notice
http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =56578 6/19/2012
PRESCRIPTIVE APPROACH- SIMPLE FORM
For the Washington State Energy Code (WSEC) 2009 Edition
Climate Zone 1
CITY GOVERN MEN Site Information: Building Department Use Only:
Lot: 11 BL-1 Permit �1 9-S1-
Address: w Ls 1 1 1 Notes:
City: To. Kr gnat€ 5
State: vit. Zip: l Z
Contact: AA/ (',v e[/A4 —r e.6
Phone: #/75- '7O- 37 gT
Phone 2:
FAX:
WSEC Table 6 -1
PRESCRIPTIVE REQUIREMENTS FOR SINGLE FAMILY RESIDENTIAL OR DUPLEX
CLIMATE ZONE 1
(Unlimited Glazing Option Only)
Glazing Glazing U factor Door Wall Wall Wall
Vaulted Inteno "r Exterior Slab on
Option Area %o of U= Cei C eilin g Above below' Below Floor Concrete
Floor Vertical Overhead d Factor G "rade
G rade.
R 49
or R -21 R -21 R -30 R -10
III Unlimited 0.30 0.50 0.20 R -38 R -38 int TB R -10 U=0.029 2'
adv
This Project complies with the following:
The project is a single- family residence or duplex.
4 The project is a wood frame OR all of the insulation is interior or exterior of the framing.
4 All building components meet the requirements listed above.
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 2. One unlabeled or untested exterior swinging door, 24 sq.ft. or less, may be
installed per unit for ornamental, security, or architectural purposes.
Location of the door taking this exception:
602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical
glazing U- factor listed above.
Location of the door(s) taking exception:
Type of Heat Source: LC G. W a,-tt
T:Forms /Building Division /Prescriptive Approach Simple Form
G4 y 4 7 ,4� 712 g7� gy
/o 7 3
RECEIVE
JUN 19 2012.
r a j
/ice'
CITY OF PORT ANGELES �n� >1 c'
BUILDING DIVISION -a' I
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it
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FILL_
I i�
CITY OF PORT ANGELES Construction Plans
i
The Iss of this permit based upon these plans, specifi-
cations and other data shall not prevent the building official i t V
1 from thereafter requiring the correction of errors in said
1 plans, specifications and other data, of from preventing,
building operations being carried on thereunder when in
.7 i
violation of at codes and ordinances of this juris c
1
jIV 1 .r ;n, pcw1 i
H Approval Date By JLL 1;141s� I I
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ELECTRICAL PERMIT
CITY OF PORT ANGELES it 1
360 417 -4735 O'
Application Number 12- 0000/028 Date 8/07/12 O
Application pin number 173528
Property Address 1019 1/2 W 6TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -1 -0866 -0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
New studio apartment
Owner Contractor
WALTERS, GARY NANCY APS ELECTRIC
1019 W 6TH ST 546 BENSON RD.
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(425) 870 -3788 (360) 452 -6753 0
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc --It
Permit Fee 170.00 Plan Check Fee .00
Issue Date 8/07/12 Valuation 0
Expiration Date 2/03/13
Qty Unit Charge Per Extension
10.00 5.0000 ECH EL- BRANCH CIRCUIT W /FEEDER 50.00
1.00 120.0000 ECH EL -0 -200 SRV FEEDER 120.00
Special Notes and Comments
August 7, 2012 11:10:17 AM banders.
Location approved for overhead service mast on the west side
of garage approximately at mid point as discussed on site.
Provide minimum of 12 feet of clearance above ground to
service drip loop.
Fee summary Charged Paid Credited Due
Permit Fee Total 170.00 170.00 .00 .00
4
Plan Check Total .00 .00 .00 .00
Grand Total 170.00 170.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE t1q I L-� P
ROUGH IN c4 l 6
r 7
1
FINAL 9, /2
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X r Date:
G: \EXCHANGE \BUILDING
/A
o ORT44, ELECTRICAL INSPECTION
WIRING REPORT
G� 4i
417 -4735
cw oaKS e.`
DATE: PERMIT INSPECTOR
s i l s z.-1620
OWNER
CONTRACTOR
-411F r
ADDRESS l t/` l„
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
C._01-1,170 1, 0
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
?0
R CITY OF PORT ANGELES PERMIT APPLICATION V f 1V
i/o
Building Division /Electrical Inspections AUG "x`
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 2�
Ph: (360) 417 -4735 Fax: (360) 417 -4711 ELECTRICAL O
r 7 hal o? INSPECTIONS I��
Date: l
Y 1 2 Single Family Dwelling
Plan Review May Be Required, Please Co plete ElectriQal Plan Review Information Sheet
Job Address: 4 t q *j IkJ 6 V !P R2 %3
Building Square Footage: 1*4. t1
Description of above _c... 1 T
Owner I ormation 1 Contractor Information
Name: WAJ -'trS Name: A ,P 5 6 1 e- c*Pe
Mailing Address: PO 14 W /V Mailing Address:
City: PA State: Zip: el Z 3f City: State: Zip:
Phonegal4 10 Fox y ;t g' Phone: Fax:
License Exp. License 11 Exp.
Item Unit Charlie gty, Total (Qty Multiplied by Unit Charge}
Service/Feeder 200 Amp. 120.00 _-j_____ O
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 Circuits 1-4 75.00
Branch Circuit W/ Service Feeder 5.00 /0
Branch Circuit W/O Service Feeder 63.00
Each Additional Branch Circuit 5.00
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
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
$1 Total 7V
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
CredltCard#
X u 4 A r Dated: 6 0110112012