HomeMy WebLinkAbout221 W 6th St - Building RECEIVED
erur�,t,
CITY OF PORN ANGELES PERMIT APPLICATION if JUL 16 2013
Building Division/Electrical Inslpections ELECTRICAL
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington, 98362 1NSPrCl'I0NS 00
Ph: (360) 417-4735 Fax: (360)417-4711
Date:
_/-1(0y 1 &2 Single Family Dwelling I
"Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of above
Owner Infor ation Contractor Information
rA
Name: iL 'h�L�e— 1'° P,�rCLL Name: il0 f _
Mailing Address: Mailing Address ���
City: State: Zip: City: State: Zip:
Phone: X7-014'1 Fax: Phone: Fax;
License#1 Exp. License#1 Exp. F4 AC_"C, H A
Item Unit Charge Qty Total(Qy Multiplied by Unit Charge]
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 WlSerVice Feeder $ 5,00 $
Branch Circuit WfO Service Feeder $ 63.00 _� $
Each Additional Branch Circuit $ 5,00 $
Branch Circuits 1-4 $ 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 60 1-1000 Amp, $16800 $
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 7-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft, $120.OD $
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 laws,N.E.C.,RCW, Chapter 19,28,VVAC,Chapter 296-46B,The City of Port
Angeles Municipal o e, and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications,
Signature o er ctrical contractor or electrical administrator: E7 cash XI Check
❑ Credit Card#
X Dated: ~�� 01f0112012 l�r�j
ELECTRICAL PERMIT
CITY OF PORT ANGELES a
360-417-4735
Application Number 13-00000785 Date 7/17/13 r�e0
Application pin number , . . 296120
Property Address , . , . . , 221 w 6TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06�-30-00-0-0-9255--0000
Application type description ET,E.CTRICAL ONLY on your excise tax form
,Subdivision Name
Properrty to the City of Port Angeles
y Use ,
Property Zoning . . . . , . RESIDENTIAL HLGH DENSITY (Location Code 0502)
Application valuation , . , . 0
Application desc
1 circuit ductless heat pump
Owner Contractor
MARTELL JR RAYMOND C BLACK DIAMOND ELECTRICAL CONTR
221 W 6TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983626008 PORT ANGELES WA 9836.3
(360) 565-1035
---------------- ------- -----
Permit , . . , ELECTRICAL ALTER RESIDENTIAL
Additional desc , ,
Permit Fee 63,00 Plan Check Fee 00 e.a
Issue Date , . . . 7/17/13 Valuation 4
Expiration Date , , 1/13/19
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: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN `
FINAL 8 l L
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contra_ctor X Date:
GAEXCHANGRBUILDING
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections RECEIVE
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711 SEP 5 2913
Date; `' �3
1 & 2 Single Family Dwelling
ELECTRICAL
f NSPE'C'flON's
Plan Review May Be Reckired, Please Complete
Electrical Plan Review Information Sheet
Job Address 2- t Lj E_ ST. ,. IC, 774
Building Square Footage:
Description of above
D I tLe, v t
1— uc_ti s1' r_.irr,
_
Owner Information
Contractor Infor
ion
n "
Name: D &A I 4e^C�1�r LL
Name:
Mailing Address: Z2, W
Mailing Address:
City: State: Zip:
City:
State: Zip:
Phone:_ 7 -11)1 7 Fax:
Phone:
Fax:
License # 1 Exp.
License # I Exp.
Item
Unit Charge Qtv
Total (Qty Multiplied by Unit Charge)
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 WI Service Feeder
$ 5.00
$
Branch Circuit W/O Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 14
$ 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 Circuitl 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
$
$ 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
the electrical installatfon or alteration in compliance with the electrical laws, N.E,C.,
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding
Signature le ical contractor or electrical administrator:
X Dated:
reamed property or a licensed electrical contractor. I am making
RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port
Electrical Permit plications.
❑ Cash Ck
❑ Credit Card t
g- 5-- C
01101/2012
7� Z
vim
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
,r
SERVICE
ROUGH -IN
360- 417 -4735
Application Number . . . . .
13- 00001010 Date 9/05/13
Application pin number . . .
581330
Property Address . . . . . .
221 W 6T11 ST
REPORT SALES TA
ASSESSOR PARCEL NUMDER;
06- 30-00 -0 -0- 9255 -0000-
Application type description
ELECTRICAL ONLY
on your excise tax form
Subdivision Name . . . . . .
to the City of Port Angeles
Property use
Property Zoning . . . . . . .
RESIDENTIAL HIGH DENSITY
(Location Code 0502)
Application valuation . , . .
0
Application desc
Ductless heat pump
Owner
Contractor
MARTELL QTR RAYMOND C
BLACK DIAMOND ELECTRICAL CONTR
221 W 6TH ST
502 BLACK DIAMOND RD
PORT ANGELES WA 9B3626008
PORT ANGELES WA 98363
{360} 565 -1035 .
- - - -- -----------------------------------
Permit . . . . . . ELECTRICAL
------------------- __--- __ - - - -_
ALTER RESIDENTIAL
Y
Additional desc . .
Permit Fee 63.00
Plan Check Fee 00
I9sue Date 9/05/13
Valuation
Expiration.Date 3/04/14
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
vim
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
,r
SERVICE
ROUGH -IN
L ! l
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDiNG
\
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
\0
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000717 Date
294035
221 W 6TH ST
06-30-00-0-0-9255-0000-
PLUMBING REPAIR
8/05/05
RESIDENTIAL HIGH DENSITY
3800
Owner
Contractor
~
\~
MARTELL JR RAYMOND C
221 W 6TH ST
PORT ANGELES WA 983626008
A DEPENDABLE CONTRACTOR
P. O. BOX 1574
PORT ANGELES WA 98362
(360) 452-8770
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
ALTER-PLUMBING
56788
61.00
8/05/05
2/01/06
Plan Check Fee
Valuation
.00
o
\\~
.... .
~
~
\"
~
\~
Qty Unit Charge Per
Extension
47.00
14.00
~~
~.
~
BASE FEE
2.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 61.00 61.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 61.00 61.00 .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. ')
I
9~ ') - 0;;-
Date
Signature of Owner (if owner is builder)
Date
Sig
T:\Policies\ II 02.15 building permit inspection record05.wpd [1/4/2005J
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 LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA nON DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN ~. {O-O\' -::.r l..-L--
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I =
FRAMING
JOISTS I GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS I ROOF 1 CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMF 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COM.l\1ERCIAL HOOD I DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIl)SE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 4 I 7-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. IPWI CONSTRUCTION. R.W.
ENGINEERING 4 I 7-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 ~ _t'\~-"",,-r (.)A BUILDING
T:\Policies\1102 15 buildin ermit ins ection record05.wp [ 1/4/2005)
gp p
BUILDING PERMIT - APPLICATION
Date Issued:
Fill out COMPLETELY and in INK. Y our applicatio~ and site plan MUST BE
COMPLETE to be accepted for review. If you have any qnestions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: {; ~tJ C
Owner: {2.~r (!. ;4-1'), Ov rIl/7 A (2- rt?tu-
Address: 7- 2... I W (oR TH City:
Phone:
Phone:
tVI), f\ lUG t:L
15, 0/47
Zip:
Architect/Engineer: Phone:
ContractorA D&PttV04fSL~ Cc,.)ri~lt~iTcense#:()r.nN q7.2.~tp: 3-f'/ -07 Phone: :51:.>0 4S';L ~77tJ
PROJECT ADDRESS:
').. 2- I
City:
c....J (p,. .J...{
Zip:
ZONING:
Address:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL N1J1\1BER:
Block:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
~ Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial ~Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
SIZENALUATION:
L/-S-- SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @$ /SF. = $
TOTAL VALUATION $
3:?oo -
o Stove
o Garage
o Deck
o Other
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: Lot Size: Existing Sq. Ft.
Total lot coverage %
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
PLANNING USE ONLY:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTRER:_
ESAIW etland(s): 0 Yes 0 No SEP A 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 mustbe 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 R1 05.3.2
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 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.
T:\Policies\BL-Il02_13.wpd Applicant:
Date:
12 ,4-- J Il/ft It 1" t LL
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REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGIST. # EXP. DATE
CCOl DEPEN**972DM 03/14/2007
EFFECTIVE DATE 03/14/2003
DEPENDABLE CONTRACTOR, A
POBOX 1574
PORT ANGELES WA 98362
:).l~.(t;llLJfl~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
04-00000414 Date
.739412
221 W 6TH ST
06-30-00-0-0-9255-0000-
ELECTRICAL ONLY
5/24/04
RESIDENTIAL HIGH DENSITY
o
Owner
Contractor
MARTELL CAROL
221 W 6TH ST
PORT ANGELES
WA 983626008
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452-6424
WA 98362
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
200 A SERVICE CHANGE NEMA 3R
ELECTRIC SERVICE
64.90 Plan Check Fee
5/24/04 Valuation
11/20/04
.00
o
~~
t--
~t
('J
Qty Unit Charge Per
1.00 64.9000 ECH EL-R OR RM 0-200 ALT SRV FDR
Extension
64.90
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.90 64.90 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.90 64.90 .00 .00
~~
~ \;l
~~
~\
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 Owner (if owner is builder)
Date
A
\~
Signature of Contractor or Authorized Agent
Date
T:\PLANNING\FORMS\1102.15 (11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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
'I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA nON DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS ,
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEA l' PUMP
GAS LINE I
WOOD STOVE 1 PELLET 1 CHlMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 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 5/:;"~ /,,~ ;W ELECTRICAL
LIGHT DEPT
, CONSTRucnON - R.W.
CONSTRucnON R.W. 1 PWI
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\] ]02.15 [11/14/2003]
<:IVOll'~
'(I
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
121 EAST 5TH STREET. PORT ANGELES. WA 9!B62
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000738 Date
846342
221 W 6TH ST
06-30-00-0-0-9255-0000-
ELECTRICAL ONLY
8/16/05
RESIDENTIAL HIGH DENSITY
o
Owner
Contractor
MARTELL JR RAYMOND C
221 W 6TH ST
PORT ANGELES WA 983626008
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457-9270
WA 98363
permi t . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
SIMPSONI 1-4 CIR. BATHRM
57364
SIMPSON ELECTRIC
48.10 Plan Check Fee
8/16/05 Valuation
2/12/06
.00
o
Qty
1.00
Unit Charge Per
48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
48.10
~
~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 48.10 48.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 48.10 48.10 .00 .00
_.
t_
~
\t
~
~
CQblM!.:.NTSI ACTION NEEDED
~
ELECfRICAL PERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
Vi rCH
R (llle iH.IN I LU V n.K
SERVICE
I 6'.A/7I ~4'Prn tZ'-rA?7~) 0 If..{_
FIN A T 1/:;...t./b5~ I A7./')
, ,
GENERAL COMMENTS:
PW-II02.lS (4196)
~ ~ORT ~
$4.0~~~
ha
"- -==--
:-==-
"t<i:~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
04-00000413 Date
.552120
221 W 6TH ST
06-30-00-0-0-9255-0000-
RE-ROOF
5/14/04
RESIDENTIAL HIGH DENSITY
4270
Owner
Contractor
MARTELL JR RAYMOND C
221 W 6TH ST
PORT ANGELES WA 983626008
o T M SERVICES
309 S ENNIS
PORT ANGELES
(360) 417-0124
WA 98362
Permit BUILDING PERMIT - NO PR FEE
Additional desc TEAR OFF, FELT, COMP
Permit Fee 134.75 Plan Check Fee .00
Issue Date 5/14/04 valuation 4270
Expiration Date 11/10/04
Qty Unit Charge Per Extension
BASE FEE 92.75
3.00 14 . 0000 THOU BL-2001-25K (14 PER K) 42.00
Other Fees
STATE SURCHARGE
4.50
't=>
V
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 134.75 134.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 139.25 139.25 .00 .00
--
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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 vi ate or cancel the provisions of any state or local law regulating construction or the performance of
CO/f%1iOn
I!/Ztt ~! fJr/f, 117 D Y
Signature of Contractor or Authorized Agent Dat Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\] ]02.]5 [I111412003J
BUILDING PERMIT INSPECTION RECORD
CALL 4 I 7-48 I 5 FOR BUILDING INSPECTIONS. CALL 4 17-4735 FOR ELECTRICAL INSPECTIONS.
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 LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA nON DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKING/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. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 ,.c: -':)-S--o.../ Kv BUILDING
T:IPLANNING\FORMSII ]02.15 [1111412003]
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~I.ctrical Contractor 0 Owner ~'''''''~.'?'
,6 AnDu~d Permit [J Alum Q Carnival 0 Cuma1t~rci...l
ELECTRICAL WORK PERMIT APPLICATION
o Request Inspection
'f:!Electric;d Contractor 0 Owner
Lj"e~ number
, "
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~ase~.r" ~3~.dd,.ss~ I~I (.-.J
Ci Stato ZIP
'P rf- . ---e.. , /(/11 iJ I!dfp l'
Telephone nu.mber FAX number
:5 -"7.9-70 ~
II 1./
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IDlihlllaliaD descripti\ln
L~'CJ'l.' . C r' 1Z- C!.'--i I 'k
9 ~d{.~
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~Resjdeptial a RcsidcDtill1 Mai.ut. 0 Sips a Tbermodat [J Telecom.
Job wired by
~
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Cl Cash 0 Check #
1 hereby certify that 1 am tbe QWn.er of 1111:: abuve named property ur a licensed r: di C d ~ d D'
Ie t 1lI 1,50_ MasteIcllI Iscover
electrical contractor (or lhe finn's aUlhorU.c:d. agent) and am making ml) clcccrical
installation or alteIation Ul compliance with the eletmcJ:d Jaw, Cbapter 19.28 RCW. Card # _ _ _ _ _ _ _ _ _ _ _ _ __ _ __
electrillul IIdnliltislrlltlJr
Expiration Date
of card
x
..~
wALLS
Imullllion Only
ruuJNG
Insulation Only
THERMOSTAT
SERVICE
OIlLt.
A,)t\(o~~4 By
DIl'~
..\pprovoli 0)'
~ Approvc48y
~oYer1gQ,
~o ApprovudBy
<P' COY" ,M?
OJ'/C as-' /..
Ill~ "'PI',vv~-4 lily
DITCH
FEFDm
l>ILUI AI)provt!d By
Oal.. Aflprovuli 8)
Electrical Load Additions and or subtraetlons
o NO LOAD CHANGES
a Baseboard KW
CJ. Furnace KW
o Heat Pump _ Ton _ LAA
o Fan,Wall KW
Service Information
o Overhead Service
Cl Temp Service
CJ Underground Service
Voltage
PhasoO,03
Service Size: _
Feeder Size:
In~pection
Da.tc
Area. Bui1din~ or Equipment In:tpcclt:d
ActioD'l'aken
Electrical
Inspcctur
r fLIr/'L
/1Z-CJ
~I~1~313 NOSdWIS
0a5LS~
SS:Sl S00G/S0/S0
MA~-17-84 88:22 AM
3532872/7378423
3744138
P.81
.
ELECTRICAL PI:.RMIT APPI.ICATION
TOk orH,'<O,t "H QN...\'
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.
TI1~: EICCblt:<:l' p(:UI1-r Appl'(;dl'Of! !!]U;;t be f!ll~l'1 out [;omjJl~
.'c",",~ _
IJ~'~ ^I'I"',.,.,J
rJ.., 1"lIt,1 _~ .
PICil5e type nr reprint in ink. If you have ,Illy questions, pre:350 call (360) 41704735
Fa:r m,ml.Jer. (360) 417-4711
or.
L!/Zj
lec. Cn"tr."", Agon' -S,ktf.1.L/. ---Sl C:!...U::g. .1r~ _ Phe,,'" 2.,",.L ~.~JJL _ .ax _l:tD.~ -:I Lf
ncr - ...c. (Lv c...J J1AaJr'LLlI__. -c' _ _ __ _. Phone ~~ 7- .DI ~ 7 _
:l ':?-l_. 0J. ~ __ _ _ C"y_P Jl__~._. __ __ _z'P5l.?;; :( b :>
t--/ _ .J (' .' I$~fx:r
nt'.Clor_I=:...u'_Lc-/.Y LU. ~xrJ '-t~lrx...... "o)"'#~ J.32P"exp _' ___P''''oeJ--tS-.2 -G:>n~
{(:L J)f~~ l1r~ r.,,~. ~A_ ___ _z;p~~3 ~.::J....
OWNER
~L&(:TRJ::AI ,:ONTHA~:""OR
o
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Y\-' +-t'Ct~ --.-----
. _ _ Exp.Datc:
____ Zip:_
VISA~ Me:
2 ~L-. .W .---lQ-I /1\
Check all thai 8pply: ~ New )'Alle'alion/Addition
["; Mulli-famHy I i Commerci81 r' Mobile Horne Sq Fl
Meier ::J Delar;hod garage .j ~iol Tub r I Swim Pool
,cirCUits addnd o' ~Il~rcd. _.3
1:.1 Septic Pump
I Low Vollage 'J Telecom. 0 S,gn
.ION OF THE ELECTRICAL PROJECT:
St .r 0 r{~-
c-ll.Q VI' !Jl- ...
-'---
'}.O tJ ?~
eaLLoad Additions anlLor SLJbl~;!ct'ons
Service Infor'!1,ation
\i
_KW
KW
TON
-:WG1j)
-;:"\\ ~
& I .
,~
.rtily that I have road and examined this application and know thaI S;Jme (0 be truo and correct, and I am
'10 apply fOr this permit. I wlderst,md it is not Ihp. City's legal responsibility 10 determini! what permits
.d; it remains the applicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signature:__..%f .U-t!~. ..._ Date:~:zJn.r
Owner or Elec. Cont. Sigl1ature:~~l. ~4-- ._ Date:...i.j 4
.S: ( ~f J) k. -Cor. ~MIT FEE: $
r.) .
~~. '1 It: tJ :2 <; ~ 9
IRA
)'\lOverll~<Jd S("!rvlCO
T_ T etnp Service
--; Underground Servrce
VOlt"9o:_'o..~-(D
Phase: i?l u 3
Service Sin ~ 0 V A
F.cder Size ~~~-
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