HomeMy WebLinkAbout1750 E 5th St - Building CITY OF PORT ANGELES PERIMIT APPLICA'T'ION I�i Z 330
Building Division/Electrical Inspections i
321 East Fifth Street—P.O. Box 1150/Port Angeles Washington,98362
Ph: (360) 417-4735 Fax: (360) 417-4711 P�i Dat e; �2° 11 `�3 &2 Single Family Dwelling
*Plan Review May Be Required, Plea D Complete Electrical Plan Review Information Sheet
Job Address; l"I E Sir
Building Square Footage:
Description of above
nye
Owner I ormation Contractor I nfarmati on
Name: 41J 1�1 t"i�1-F F�lL S Name:
Mailing Address: 17 Sb C S Mailing Address:
Cif : State: Zip: City, State: Zip
Phone: Fax: Phone: Fax:
License 4.1 Exp. License#1 Exp, __k-F_G r- D L
Item Unit Charge Qty Total{Qty Multiplied by Unit Charge}
Service/Feeder 200 Amp, $1200 $
Service/Feeder 201-400 Amp $14600 $
Service/Foodor 401-600 Amp $205.00 $
Service/Feeder 60 1-1000 Amp. $262,00 $
Service/Feeder over 1000 Amp $373.00 $
Branch Circuit WI Service Feeder $ 5.00 $
Branch Circuit W/O Service Feeder $ 63.00 L $�--
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 7500 $
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 $
Slgnal Circuit/Limited Energy-1 &2 Family dwelling $ 64.00 $
Manufactured Homo Connection $120.00 $
Renewable Electrical Energy-5KVA System or Less $102.00 $
Thermostat $ 56,00 $
Note $5.00 for each addltional T-Scat
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 $
$ Total
Owner as defined by RCW.19.28,261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required
to hire an electrical contractor if above said property is for sale,rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor.I am making
the electrical installation or alteration in compliance with the electrical caws,N.E.C,, RCW,Chapter 19,28,WAC. Chapter 296-4613,The City of Port
Angeles Munid a de, d Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications
Signature o e ,el rical contractor or electrical administrator; ❑ cash Ll check
X ^
r r Credit Card#—
�r-
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735 `
Application Number • . , . , 13-00001474 Date 12/24/13
Application pin number , . , 265456 ,
Property Address . , . , , . 1750 E STH ST REPORT SALES FAX
ASSESSOR PARCEL NUMBER: 06--30-00-0-1-8504-0000-
Application type description ELECTRICAL ONLY on your excise tax form
subdivision Name . , . . , , to the City ofPottAngeles
Property Use
Property Zoning . . . , , , . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . 0
Owner Contractor
------------------------ ------------------------
a
WITHERS DANIEL J BLACK DIAMOND ELECTRICAL CONTR
1750 E 5TH ST `: 502 BLACK DIAMOND RD
FORT ANGELES WA 983624318 PORT ANGELES WA 98363
(360) 565-1035
Permit . , , . , ELECTRICAL ALTER RESIDENTIAL
Additional desc DUCTLESS
Permit Fee 63.00 Plan Check Fee 00
Tasue Date 12/24/13 Valuation . . . . 0
Expiration Date 6/22/14
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WOO 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 G3.00 63.00 .00 ,00
1
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN Ae
FINAL k
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM EAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAIEXCHANGt~IWILDING
CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000356 Date
142244
1750 E 5TH ST
06-30-00-0-1-8504-0000-
RES ADDITION
5/18/05
RS7 RESDNTL SINGLE FAMILY
6670
Owner
Contractor
WITHERS DANIEL J
1750 E 5TH ST
PORT ANGELES
WA 983624918
AAWNINGS & SUNROOMS
141 TIMBERLINE DR
SEQUIM
SEQUIM
(360) 681-2727
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
OF DISTINT
WA 98382
Other struct info . . . . .
21.00
V-N
1. 00
1400.00
7000.00
94.00
1494.00
1. 00
Other Fees
STATE SURCHARGE
4.50
~
~
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Permit BUILDING PERMIT -RESIDENTIAL
Additional desc 94SF SUNROOM
Permit pin number 49163
Permit Fee 162.75 Plan Check Fee 65.10
Issue Date 5/18/05 Valuation 6670
Expiration Date 11/14/05
Qty Unit Charge Per Extension
BASE FEE 92.75
5.00 14.0000 THOU BL-2001-25K (14 PER K) 70.00
Special Notes and Comments
05/12/2005 04:55 PM SROBERDS ---------------------------
The proposal will result in a residential addition in the
RS-7 zone for total lot coverage of 21%. No land use
issues are noted.
Public works electrical engineering has no requirements for
this plan review.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 162.75 162.75 .00 .00
Plan Check Total 65.10 65.10 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 232.35 232.35 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. 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 ordinance governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give a rity to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Owner (if owner is builder)
Date
T:\Policies\ 1 ~ 2_15 building penn it inspection record05. wpd [1/4/2005]
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 UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
-
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
.-
FOUNDATION;
FOOTINGS
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
s
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEA T 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 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. 417-4735 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 7/r~-/o! v~ BUILDING
T:IPoliciesl 11 02 15 buildin ennit inspection record05.wpd f 1/4/2005]
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BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
ate Rec.:t?..5" '-r'J(o -(i')/:;
(lermit#: 0> - ~~~:>
/ (Date Approved:
I. ' Date Issued:
I
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
tJr::r=, 1.<L j' C (" L L--
ApplicantOTAgen~W"\:<0&.A-O 8'u?h.s+>r Phone: [081-2-12-'(, 41..01 ~ 2..tp2..1
Owner: DI'\-/'-..\ VJ~.s Phone: Lf5'7 -'iDI ~
Address: 11...50 t:, 5 71+- SI' City: PD~ .Al-Jb-e'Le5 Zip: qg3/..p~
Architect/Engineer: .5TA-tJL-e:-f f21J6)Me.e,t"'I(\:J Phone: 7r3 -crt..f&-C(f)DO
ContractorA-tk'~\~ i~ 5v{'rov,,~ 4- O&lrSt~l~License #:/rAt.r.JVI.\ \'lf~IWxP: D3/oU? Phone: (ogl ~ 2-, 2.7
Address: 14~T/l1A6eiLLlvte.... City: ~VIN\. Zip: '1 <6:;gL-
PROJECT ADDRESS: 1150 C, 5 ~ .sf, ZONING: P-.S'7
LEGAL DESCRIPTION: Lot: i- Block: 105 Subdivision:
CLALLAM COUNTY PARCEL NUMBER: () (JJ3 oOO{) /6504 () 000
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA
TYPE OF WORK:
'10 Residential 0 New Constr. 0 Re-roof 0 Stove
o Multi-family 0 Addition 0 Move 0 Garage
o Commercial )q Remodel 0 Demolition 0 Deck
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT: ~ ~
City:
MC
#
Exp. Date:
SIZEN ALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $
('{'(pI' XII' ~~
(j{P1 D I oD
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: Lot Size: 7COD Existing Sq. Ft. IQOO
Total lot coverage 2-1 %
Occupant Load: Construction Type:
& Proposed Sq. Ft. ~4- = TOTAL Sq. Ft. (LjC1Lf
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2
of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same
understand that it is my responsibility to determine what permits are required
be t~ e and correct. I am authorized to apply for this permit and
ust obtain such permits prior to work.
Date: ~/&/~
, ,
T:\R VESS\BLDG- forms-brochures\2004-Buildingpermit. wpd Applicant:
AAwnings & Sunrooms of Distinction, Inc.
'j1 Family Tradition Since 1928"
50'
(J..E.Af2-
(360) 681-2727
N
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/750 l?, 5tr. S\,
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141 Timberline Dr. · Sequim, WA 98382
Reg. #AAWNJ/*991DA
1804
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Area Map
This map is not intended to be used as a legal description. .~.+::.:.~<.,'"
This map/drawing is produced by the City of Pal1 Angelesfor its own use and purposes. '}"%~:ll(
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
'//~6-
/'5'- ,;;ltJ- 'f':?
DATE
ELECTRICAL PERMIT
Site Address:
READY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
Sq. Ft.
'lilI' RESIDENTIAL
e COMMERCIAL
D BASEBOARD KW _
D FURNACE KW _
D FAN/WALL KW
D HEAT PUMP KW_O
D SI~,(c,)../.fL
i.TEMPORARY SERVICE
PERMANENT SERVICE
NEW CONSTRUCTION
REMODEL
D ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
D SPECIAL EQUIPMENT
(LIST BELOW)
'IZl" OVERHEAD SERVICE
'[J UNDERGROUND SERVICE
VOLTAGE:
D SINGLE PHASE
D THREE PHASb
SERVICE SIZE 00 AMPS
DetailslDescription:
~ ri~~ oL~
,
.
W.S. No. SERVICE SIZE
CAPACITY:
D O.K. NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
D OTHER
D Ditch Inspection O.K.
;t.gtJ'r/s. Rough-in/cover O.K.
;1tt1'.o.K. to connect service
N~Final O.K.
Site Address:
Installer:
cpr-
Permit/Receipt No.
'-1/ ~
New Meters
.
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for co ring has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PH E 57-0411, EXT. 224.
~
Electrical Inspector
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
c50.00
Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC
.
Site Address:
Installed By:
Owner/Business:
Owner/Business Address:
'0 RESIDENTIAL
/0 COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
DetailslDescription:
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
DATE
-
f39f's
pl-:/;;J ~'Z 3
PERMIT NO.
ELECTRICAL PERMIT
rr
,
o WILL CALL FOR
INSPECTION
Phone:
READY FOR
SPECTION
License Number:
Phone:
Sq. Ft.
V TEMPORARY SERVICE
/n~O'''PERMANENT SERVICE
NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
~~
.~. OVERHEAD SERVICE
'0 UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
A'#- "$ O.K. to connect service
IV' 0 Final O.K.
Site Address:
Installer:
.
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Per t. prONE 457-0411, EXT. 224.
1_.... NO OCCUPANCY OR USE ESTABUSHED UNDER THIS PERMIT ..., ~
$ de rOL/
Permit Fee
OLYMPIC PRINTERS INC
YELLOW - file by number
GREEN - Top: Meter Dept., Bottom: City Hall
PINK - Top: Eng, Bottom, Customer