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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use . . . .
Property Zoning . . .
Application valuation
04-00000002 Date 1/05/04
1332 W 9TH ST
06-30-00-0-3-0438-0000-
MECHANICAL APPL. PERMIT
RS7 RESDNTL SINGLE FAMILY
2800
Owner
Contractor
BARNES BRETT D
1332 W 9TH ST
PORT ANGELES
WA 98363
PA SWIMMING HOLE & FIREPLACE S
518 W 8TH ST
PORT ANGELES WA 98362
(360) 565-1163
permi t .. . .
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
PROPANE INSERT, LINES, TANK
57.65 Plan Check Fee
1/05/04 Valuation
7/03/04
.00
o
-
Qty Unit Charge Per
Extension
47.00
10.65
w
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]IN
~ ~
-D
+
{-S
\)\'
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BASE FEE
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.65 57.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.65 57.65 .00 .00
I
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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 violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
(Jill F/LI2'--
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
Date
Date
T:\PLANNING\FORMS\1102.15 [11114120031
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 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
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLiHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP
GAS LINE -:r; '/'1-01./ LL
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:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
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 IZ..-JY-r"J~ J.1 BUILDING
T:\PLANNING\FORMS\1102.15 [11/14/2003]
v-<eCTO~ ~ /lIon l-~-OLf
BUILI>>NG PERMIT - APPLICAtiON
fOR OPflC1AL USE ONLY;
Dllze: RIiC,: 1ilt-5-0\
Permit #: 0 -?" - a:..
Fill out COMPLETELY iLDd in INK. Y OUt application llnd site plan MUST BE
r.OMPLETE to be accepted for review. If you hil\lt: lilDY quesuons, Call
(360) 4174815
Dab:: Approveu:
Date Issued:
Phone: Sbi'S . .4.60--~~/
. Phone: tI'5"":J... -S"3CO
City:~e Jes _Zip: 9~?b,<
Architect/Engineer: Phone: "_ '_,
A - I " \ pASUJj;S~.J.J?tu I" ~ '>
Contractor'?. . SuJ~MM~f) NOI€ StateLicense#:.~ -'~EXp: Q.-lfO-\./7 Phone:~~-I'(;J
Address: 67q l('). .g~ City: ?oi+ Anej'€leS Zip: ~3t6~
PROJECT ADDRESS: /33~ LtJ ,9.:J&J ? j. ZONING:
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER: lX.~e.-.e'!>Da.<04 ~ ~~
Applicant or Agent: ~Jlr (j); / ~e ~
Owner: J3\~~
Addrese;:l33..J.. LO. q:J!:!.l 5+.
c~ed" Card Hold.. Name, <;lH)~'!-L 5'i1 et ~
Billmg Address: ' ----U..
Credit CardType VISA MC' #
TYPE OF WO:RK:
[J Residential 0 New Conslr. 0 Re-roof . Stove
o Multi-flUnily C Additiuu 0 Move U (iarage
o Commercial 0 Remodel 0 Demolition 0 Deck
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT: 'DI\€of
.qtp..<-1l1Q ~ Il4- d- /1C3f J ") fa <11 .<;e}-
~oM~R.bALhtkSIDENTIAL: Occupancy Group:
City: ?~)-+ An.j el@s :
SIZENALUATION:
SF. @ $_. /SF. "".$
SF. @ $ ISF. "" $
SF. @$ ISF. =$
TOTALVALUNrlON $ ~ ,
~+ ~ Jirir'ef'/oc.e 1t)SPO;-+- MV
(~
Occupant Load: COliStnlction Type:
No, ot" Stories: - Lot Size: Existing Sq, Ft. & PropOIic;u S"l, Fr_ = TOTAL Sq.Ft.
Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage %
u..JA
Exp. Date:
PLANNING USE ONLY:
APPROV Al."s:
PLAN:
BLOG:
DPWU:
FIRE:
OHIERI
-
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required'? 0 Yes CI No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide YOU with infoJTTl::ltion on the appHCl1tion aud
pllln snbmittilll'cqwLl;::l1lcnlS if you have qUestIons.
V ALUATJON 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 Bui1din~ Division to comply with ~IITTf.'nt f,,~ schedul~~, Contllct the r..nnlL Cuunlinator at 4! 7-48! ~ fOr assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and COllStlUction plans lire
submitted. All other permit fees are due at the time of permit issuance.
F.XPIR~TlON OF PLAN REVIEw; Ifi.1) pl;;uuil ill issued within nu days ofrhe date ofa . atiOll, the: application will expire. The
Building Official call extend the time for action by the applicant up to 180 days upon written est by the applicant (see Section 107.4 of
the Uniform Building Code, CUII~nt edition). No application can be extellded Tn rp. than on
T:\FORMS\A.PP$\Buildinb'Pl:I'miL wpd
Applicant:
ct. / am authorized to apply for this permit and
o fain such permits prior to work.
nMe: I~ - :.:.l L( -D J'
I hereby certify that I have read and examined this application and know the same t
understancl that it is my '/3spon.~ihilily to def9rmine what permits aro required, C'
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Application Number . . . . . 23-00000648 Date 7/31/23
Application pin number . . . 200192
Property Address . . . . . . 1332 W 9TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-0438-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
MARGARET E HOOPER BLACK DIAMOND ELECTRICAL CONTR
PO BOX 1902 502 BLACK DIAMOND RD
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 808-3961 (360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 7/31/23 Valuation . . . . 0
Expiration Date . . 1/27/24
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
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Pub! ic \Yorks and ULili ties Department
32 l E. 5th Street. Port ;\ngeles. WJ\ 98362
300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us
Project Address:--------------------------------------
Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _
OWNER JNFORMATtON
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRfCAL CONTRACTOR fNFORMATION
Name: ___________________________ License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x 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 W/ Service Feeder $5.00 $
Branch Circuit W/O 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 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal CircuiULimited Energy - 1 &2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Ren ewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional) $56.00 $
First 1300 Sql;Jare Feet $120.00 $
Each Additional 500 square feet" $40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool/ 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, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
'"'CJ CD
PREPARED 6/21/23,10:59:27 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
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APPLICATION NUMBER:23-00000648 1332 W 9TH ST
FEE DESCRIPTION AMOUNT DUE
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ELECTRICAL ALTER RESIDENTIAL 63.00
TOTAL DUE 63.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
11/22/2023 23-648 TAP
OWNER
CONTRACTOR
Black Diamond Electric
PROJECT ADDRESS
1332 W 9th St