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Home My WebLink About808 Golf Course Rd - BuildingPREPARED 10/15/10 8 18 59 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/15/10 ADDRESS 808 GOLF COURSE RD SUBDIV TENANT NBR LAWRENCE NANCY LANG CONTRACTOR PENINSULA HEAT INC PHONE (360) 681 3333 OWNER LAWRENCE AND NANCY LANG PHONE (360) 452 4348 PARCEL 06 30 14 5 7 0030 0000 APPL NUMBER 10 00000977 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 10/15/10 V� MECHANICAL FINAL TIME 01 00 October 13 2010 3 39 17 PM 1pangrle LARRY 452 4348 MECHANICAL FINAL HEAT PUMP AFTERNOON COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Ductless heat pump Owner LAWRENCE AND NANCY LANG 808 GOLF COURSE RD PORT ANGELES (360) 452 4348 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 1 00 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total Unit Charge Per 73 5000 ECH 2 6000 ECH WA 983624940 10 00001141 231353 808 GOLF COURSE RD 06 30 14 5 7 0030 0000 ELECTRICAL ONLY Contractor ELECTRICAL ALTER RESIDENTIAL 3 174946 76 10 10/07/10 Valuation 4/05/11 Plan Check Fee EL BRANCH CIRCUIT WO /FEEDER EL ECH ADDNT BRANCH CIRCUIT Charged Paid Credited 76 10 76 10 00 '00 00 00 76 10 76 10 00 INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 OLYMPIC ELECTRIC CO INC 4230 TUMWATER PORT ANGELES (360) 457 5303 Date 10 /15 /10 RESULTS 4s? WA 98363 00 0 Extension 73 50 2 60 Due 00 00 00 Date. REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. 10 05/2010 15 21 FAX 360 452 3498 City of Port Angeles Permit Application Building Division/Electrical Inspections 321 at Fifth Sweet P.O. Box 1150 Port Angeles Waehington, 90362 ph; (360) 417-4735 Fax; (380) 417.4711 Date: ,ii,/4 /O yet 2 Single Family Dwelling Multi- Family or Commercial' Commercial Addition I Alteration Remodel Repair' Owner information Name; Mailing Addre City' /:;./9/7 �itir/r i/ r Stale: s, /.7 Zip: ric 7 Phone; Its 2 Fax: License Exp. Unit Chergg 119.90 146,50 204.90 262,20 372.60 5 2.60 73.50 2.60 5 92.70 110.30 3148.70 167.90 95.90 88.20 95.90 53.90 63.90 119.90 $102.30 110,30 3 35.20 73,50 5110.30 55,00 Check )(��i� Date: Olympic Electric Co PA CITY INSPECT a 001/001 Credit Card 0 Ju j� 6 2003 ELECTRICAL INSPECTIONS Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet JOb Address: _2 Y Building Square Footage: Description of above 11-r ,-rs fr/, l/: //1i. 7 y Total (Qtv MuIliolled by Unit Ctlarael ServlcelFeeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401 -600 Amp, Service/Feeder 601 -1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service feeder Branch Circuit W/0 Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Tamp. Service /Feeder 201400 Amp. Temp, Service /Feeder 401.600 Amp. Temp, ServicelFeeder 601 -1000 Amp. Pone) to Portal Hourly Sign /Outline Lighting Signal Clrcult/ Limited Energy Commercial, Addldonel 1600 $5.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi -Family Dwelling Manufactured Home Connection Renewable EIecM WI Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square FL•or Potion of Each Outbuilding or Detached Garage Eacn Swimming Pool or Hot Tub Thermostat Total ►�D Name: r/ it I Mailing Ad City; Stele; i__/ Zip: Phone: 475 Fax: Yj,Z J» y p License Exp, �i1c 49ia. eRri,e Signature of owner, electrical contractor or electrical administrator D Cash Owner as defined by RCW.19.28.281 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner b required lo hire en electrical contractor ff above 'ski property to for Nam rent or lease. Permit expires offer six months or last Inspection. After reading the above etatement, I hereby certify that 1 am the owner or the above named property or a licensed electrical contractor. I am making the electrical Installation or alteration In compliance with the electrical lewe, N.E.C. RCW. Chapter 18.28, WAC. Chapter 1.96-488, The City of Port Angeles Munlclpel Code, and Utility Speclllcallone. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL A MINI SPLIT HEAT PUMP Owner LAWRENCE AND NANCY LANG 808 GOLF COURSE RD PORT ANGELES (360) 452 4348 Permit MECHANICAL Additional desc MINI SPLIT Permit pin number 172890 Permit Fee 64 80 Issue Date 9/07/10 Expiration Date 3/06/11 Qty Unit Charge Per 1 00 Fee summary Charged T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983624940 PERMIT HEAT PUMP BASE FEE 14 8000 EA ME FURN /HP /FAU Permit Fee Total 64 80 Plan Check Total 00 Grand Total 64 80 121//) ALA 10 00000977 601733 808 GOLF COURSE RD 06 30 14 5 7 0030 0000 LAWRENCE NANCY LANG MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 3436 Contractor PENINSULA HEAT INC 782 KITCHEN DICK RD SEQUIM WA 98382 (360) 681 3333 64 80 00 64 80 Plan Check Fee Valuation OR 5 TON Paid Credited Due 00 00 00 Date 9/07/10 00 00 00 0 0 0 Extension 50 00 14 80 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) c (IAA 10-15 -10 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 compli with whether specified herein or not. The granting of a permit does not presume to give authority to violate or camel the provision o any state orlocal law regulating construction or the performance of construction Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 1 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 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 1 Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 Inspection Type PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping 1 SHORELINE. FINAL Date Accepted by 05 FINAL Date I I Accepted by �L FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By 09/07/10 11 03 FAX 3606812086 Peninsula Heat a 02 Applicant (if G r 66 f- Property Owner rrv, Property O er's Address-) Contractor P 1 hSi c,r' Contractor's Address License PROJECT ADDRESS Parcel Number BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St, Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Phone Na n cu Phone Phone Expires 2g 6-0 i Covtir R� E-mail Lot For City Use Only: Date Received c i 1 O Permit 10 qJJ Date Approved /3 Ye' /Sr -33'3 Zoning Protect Time Qrf f Descriroton: f R dentiel o Muhl family o Commercial D Industrial Check all that appy o New Construction o Addition o Remodel o Repair o Demolition q Re-roof a House o garage o other o tear off re-roof o lay over one layer g Meat System o Heat pump o wood burning stove o gas fireplace o pellet stove der o.O ier PI/ n i 4a/17 1 I Pluck= &x sllinq fsa. R) fposed Basement per sq. ft 1 'r Floor 2 Floor 3i Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION S .5.43 6 c42 Total footprint of structures sq. ft. T Lot we sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel. including structures, paved driveways. sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage Max. height of proposed structures Will a lawn sprinkler system be installed? WII a fire sprinkler system be installed? R Occupancy group Occupant load Construction type I have need and cnmpleled this application and MOW it to be true and correct. l am authorir Mat it is my responsibility to determine whet permits are requl and to obtain permits prior Date$'? L Print Name C4 er3 Signature T:Fvme1Bulding DMsteW tIy Permit.doc of bedrooms of full baths of half baths Clallam County Assessor Treasurer Property Details 67376 LAWRENCE AND NA Page 1 of 6 Clallam County Assessor Treasurer Property Search Results 67376 LAWRENCE AND NANCY LANG for Year 2010 2011 Property Account Property ID 67376 Legal Description. UPLANDS THE LT4 Geographic ID 0630145700300000 Agent Code Type Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space N DFL N Historic Property N Remodel Property N Multi Family Redevelopment: N Township Section. Range. Location Address: Neighborhood Neighborhood CD Owner Name Mailing Address: Taxes and Assessment Due Property Tax Information as of 09/07/2010 Amount Due if Paid on. M. 808 S GOLF COURSE RD Mapsco PORT ANGELES WA Cycle 5 Res Map ID: 10955130 LAWRENCE AND NANCY LANG 808 GOLF COURSE RD PORT ANGELES WA 98362 -4940 Exemptions. Year Statement ID Taxing Jurisdiction 2010 49230 ST SCH STATE SCHOOL 2010 49230 CC -GEN COUNTY 2010 49230 PORT PORT 2010 49230 PORT ANG PORT ANGELES 2010 49230 SD #121 SCHOOL DISTRICT #121 2010 49230 NTH OLY LIB NORTH OLYMPIC LIBRARY 2010 49230 HOSP #2 HOSPITAL #2 2010 49230 WSMET PK DIST WILLIAM SHORE MET PARK DIST 2010 49230 CITY_STORMWATER CITY STORMWATER 2010 49230 WEED_CONTROL WEED CONTROL 2010 49230 TOTAL. 2009 673762008 ST SCH STATE SCHOOL 2009 673762008 CC -GEN COUNTY 2009 673762008 PORT PORT 2009 673762008 PORT ANG PORT ANGELES 2009 673762008 SD #121 SCHOOL DISTRICT #121 2009 673762008 NTH OLY LIB NORTH OLYMPIC LIBRARY 2009 673762008 HOSP #2 HOSPITAL #2 2009 673762008 CITY_STORMWATER CITY STORMWATER 2 Owner ID: 36044 Ownership 100 0000000000% First Half Second Half Base Due Base Due Penalty Interest Base $268.71 $268.71 $0 00 $0 00 $2€ $143 00 $142 99 $0 00 $0 00 $14 $20 10 $20 10 $0 00 $0 00 $331 10 $331 07 $0 00 $0 00 $3Z $348 05 $348 05 $0 00 $0 00 $34 $41 55 $41 55 $0 00 $0 00 $4 $58 66 $58 66 $0 00 $0 00 $E $18 66 $18 67 $0 00 $0 00 $1 $36 00 $36 00 $0 00 $0 00 $0 82 $0 81 $0 00 $0 00 $1266.65 $1266.61 $0.00 $0.00 $12E $306 98 $306 98 $0 00 $0 00 $61 $155 36 $155 37 $0 00 $0 00 $31 $22.01 $22.00 $0 00 $0 00 $4 $340 76 $340 77 $0 00 $0 00 $6E $379 62 $379 63 $0 00 $0 00 $7E $45 14 $45 14 $0 00 $0 00 $E $63 71 $63 72 $0 00 $0 00 $12 $36 00 $36 00 $0 00 $0 00 $7 http. /vpn.clallam. net. 8084 propertyaccess /Property.aspx ?cid =0 &year 2010 &prop_id =67376 9/7/2010 d''''''~. $fi~~ Da '\oi:~" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :12I EAST 5TH STREET. PORT ANGELES. WA 911:\62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000090 Date 354140 808 GOLF COURSE RD 06-30-14-5-7-0030-0000- RES ADDITION 5/23/05 ., RS7 RESDNTL SINGLE FAMILY 40302 Owner Contractor LANG LAWRENCE A/O J 808 GOLF COURSE RD PORT ANGELES .DOUBLE S CONST. PO BOX 1386 WA 983624940 PORT ANGELES (360) 452-0824 000 000 261 SF ROOM ADDNT & 189 TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL-% LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Structure Information Construction Type Occupancy Type Other struct info Pe rmi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL S&J ELECTRIC/ ALTER 5 CIR. 49460 S & J ELECTRIC 64.00 5/23/05 11/19/05 Plan Check Fee Valuation .00 o G'\ o r 1\ Qty 1. 00 3.00 Unit Charge Per 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS 5.3000 ECH EL-R OR RM ALT ADDNT CIRCUITS Extension 48.10 15.90 o o ~ <A r" Special Notes and Comments When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. The proposal will result in a 240 sq. ft. room addition with a 188 sq. ft. covered deck for total lot coverage of 2436 sq. ft. or 18%. Setbacks are good. No land use issues are noted. > Public works electrical engineering has no requirements for this plan review. > Service Connection Fee DOES NOT Apply. ~y modifications to the electrical facilities will be at the customer's expense. Other Fees STATE SURCHARGE 4.50 ~ Fee summary Charged Paid Credited Due Permit Fee Total 64.00 64.00 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPEg.lON 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 I ACCEPTED COMMENTS I YES I NO UITCH IHlIICyH_IN / CUVbK SERVICE FINAL I I I . : ... GENERAL COMMENTS: PW.II02.1'14I961 'S "'r .....-,... CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 911:\62 . Application Number Application pin number Plan Check Total Other Fee Total Grand Total .00 4.50 68.50 COMMENTS/ACTION NEEDED 05-00000090 354140 Page Date 2 5/23/05 .00 4.50 68.50 .00 .00 .00 .00 .00 .00 ELECTRICAL PERMIT INSPEQ'JON RECORD I CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COliER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEcnON TYPE DATE COMMENTS NO Exp,uD 5' ~ lS ~ 0 6 GENERAL COMMENTS: PW-II02.I' [4'961 .... cr rOR" ~ ....~~ ~rGii~ ~-- ~~ CITY OF PORT ANGELES DEPARTMENT 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 Owner LANG LAWRENCE A/O J 808 GOLF COURSE RD PORT ANGELES Structure Information Construction Type Occupancy Type Other struct info Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Qty 05-00000090 Date 354140 808 GOLF COURSE RD 06-30-14-5-7-0030-0000- RES ADDITION 4/20/05 P~1 Ekft~ ll/-z--t:f IOJ RS7 RESDNTL SINGLE FAMILY 40302 Contractor DOUBLE S CONST. PO BOX 1386 WA 983624940 PORT ANGELES (360) 452-0824 000 000 261 SF ROOM ADDNT & 189 TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98363 SF DECK 18.90 V-N 1. 00 2000.00 12941.00 450.00 2450.00 1. 00 ..." \:X c:;:) ~ BUILDING PERMIT -RESIDENTIAL 261 SF ADDNT/188 SF DECK 46664 576.35 Plan Check Fee 4/20/05 Valuation 10/17/05 230.54 40302 Unit Charge Per Extension 414.75 161.60 ~ <::, - '-0 o c .... \/" it BASE FEE 10.1000 THOU BL-25,001-50K (10.10 PER K) 16.00 -------------------------------------------- Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . MECHANICAL PERMIT REPLACE FIREPLACE 47597 .00 Plan Check Fee 4/20/05 Valuation 10/17/05 .00 o Special Notes and Comments When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. The proposal will result in a 240 sq. ft. room addition with a 188 sq. ft. covered deck for total lot coverage of 2436 sq. ft. or 18%. Setbacks are good. No land use issues are noted. > Public works electrical engineering has no requirements for this plan review. > Service Connection Fee DOES NOT Apply. Any modifications to the electrical facilities will be at the customer's expense. ~ 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 presu~Ye authority to viola e or cancel the provisions of any state or local law regulating construction or the performance of constr tion. , ~ . - --' -j--. c------_ Iv\, ~c-""'--- '--, Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Date T:\Policiesll 102.15 building pennit 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 UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOC~ TION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: , FOOTINGS WALLS FOUNDATION DRAINAGE / DOWN SPOUTS '7/' /C.(j ;1U-- PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL *.w::. WALLS 11h.cj lot) ,Jw CEILING I I FRAMING JOISTS / GIRDERS '0/~"0j,)7 .:::JcVC. SHEAR W ALL/HOLD DOWNS I;? WALLS / ROOF / CEILING i /)/1 !V'tJ {2Vtfi,:; DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING ' '" i j /0':7 Ju. 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 SEPA: PARKING/LIGHTING 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. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\II02.I5 building pennit inspection record05.wpd [1/4/2005] -I. 0" rORl ~~ .t~~ na ~ -- ~';;iF' CITY OF PORT ANGELES 'DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ---------------------------------------------------------------------------- Application Number . . . . . 05-00000090 Application pin number 354140 Page 2 Date 4/20/05 Other Fees STATE SURCHARGE 4.50 ----------------------------------------- ---------------------------------- Fee summary charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 576.35 576.35 .00 .00 Plan Check Total 230.54 230.54 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 811.39 811.39 .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. Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\PoliciesllI02.15 building pennit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 4 I 7-48 I 5 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 4'- 2./ -05 Ji-L WALLS 4 .' ;l t..,tJ:;- JLt... FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) 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 ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 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 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 BUILDING T:IPoliciesll102_15 building pennit inspection record05.wpd [1/4/2005] (J)O!:IJ(J)O!:IJO!:IJttlOO"OtII I-3UlC::I-3lJ1C::oI::>:::OC::oI::>tiol::>C::::' tI:!..........H tI:!..........H..........H H..........I-'...........H ~~b~~b~~b~~~b ..........H ..........H.......... H.......... ..........H rvZ rvzrv Zrv,p.rvZ OGJ OGJO I GJOO'lOQ 01::>0 ,p.0 0 000 CT\UlI"IjO'llJ1)::>Ul 1"IjlJ11 UlI"Ij o :::00 H 01::>0 IJ) 0 ~O~~O::OO~~O~O~ rvUlHoI::>UlC/)oP-It:lOOVJCDU W .. Z rv.. tI:!.. 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'" c:... ~ ~. Lo...lI'\ J Phone: Owner: ~~ Phone: Address: 20 ~ b,tI>({- (~u....vs ~ RJ City: po or./-ArA..f e..lI<.~ Architect/Engineer: ItA.. {'(" ~ Co.. .Q.. I G "'t.l^ k-y Phone: Contractor ~ I tJe.- > ~ c<s:t-State License #: Exp: 1-SL-~3VJ{ Zip: 9rf3~""\..- <(C7-7~~{) Phone: Address: City: PROJECT ADDRESS: 8' ~ s< c; tI (F Co u.. \f3 ~ 1? d LEGAL DESCRIPTION: Lot: Block: CLALLAM COUNTY PARCEL NUMBER: Zip: ZONING: Subdivision: Credit Card Holder Name: L '" UJ C~ C-.Q.... A... L nmingAddr"" go)< <;. (~ C. V-.rs", R<! - Ci!::;;::I-+- ""-<><'7 ....,;".i: , w t.. Credit Card Type VISA ---- MC #_ . , - _ Exp. Date: _ TYPE OF WORK: SIZEN ALUATION: ( ~sidential D New Constr. D Re-roof D Stove Md4 2.. ~ I SF. @ $ /SF. = $ 'To -;}oZ Go C D Multi-family IOYAddition D Move D Garage"PeJ:K. j S ~ SF. @ $ /SF. = $ D Commercial !;YRemodel D Demolition iit15eck SF. @ $ /SF. = $ D Repair D Sign D O~r 2~:~ VA:U~~~Or~ /, D ~ :0 :SD~ ~ BRIEF DESCRIPTION OF THE PROJECT: ~ Z. 0 S D' of+: :L'" ~ = """~!:!::: -H _ C-. '" C-Jr~ k / c>... fA 0....., . \JJ: f---'r.-. C <0 0 F d.o. ~ k., .-t, J J F,' Ie: p/~ l' e. 9R:1 b ~ , COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: -1- Lot Size: f2.'j111 Existing Sq. Ft: ZDcx.:> Total lot coverage I 2, , q % Occupant Load: Construction Type: & Proposed Sq. Ft._ 45'0 . ~ = TOTAL Sq. Ft. 2i(S.O APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): DYes D No SEPA Checklist required? DYes D 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 RI05.3.2 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 requ' not the City's, and th~ust obtain such permits prior to work. T:\RVESS\BLDG-forms-brochures\2004-Buildingpermit.wpd Applicant: ~ ~::... Date: 2-/7 / 0 ~ . ( i2e-l...l V;", f:IlJ ~ oc...( .., llfllos- A~~ O~ t.( /20/ ~~. .Jtc.- 60 Area Map This map is not intended to be used as a legal description. "r' This map/drawing is produced by the City of Port Angelesfor its own use and purposes. :'~ An,v other use f:?fthis map/drawing shall not be the responsibility of the Cj(~'. ;~. I Vertical Datum = NA VD 88 Hor;wntal Datum = NAD 83191 N Feet /' "'0 a::: Q) ~ ::J o U \t- (5 (9 -.. . ...-' .~ d..ii-..a,_,,-,,'>,"" ~ ----~~ --~-- G w olTE FLAN ~ eCALe, I" . 1~'-~' PRoPOSED NEW 1'100FIpECK lBe SF. ROPClseD LlVIN::; 1'100I'1 4DD ITION 24~ 6F. EX/6TING 61N::;LE PAMIL .,. ~5IDENCE 200" SF, (J1 ~ PLAN NORTH . ~--_.'- -, -~ -.~- I ~4 ~GiO..tI'\Jc,( - A<)~/7""^"" >41(' t3as 4Du:' G;i4"y2.S-{ RJ) PD'I)... -r /;Nt4~fi / I-l..~, i( ~AJ,/G"'; ~~S' ~ ,".,1 ~"t'Vlj: )O;;;j1,A~, ~I{,,/J C. 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('-{ \':1'.:3(( 67)'0 ''l-l.:;)z..DL <9. .,)' .t ? 11..' 1'2..1) A ., ^ 1..(' tJl'S\t<~ L,"""'::l " LI,:) ;>yt.(/)... ~o.)LF ( LI C'A....,/( ~v-t-<.. /- /' '",- (!_2C;Q\ I~ ~ <- \ ~t!> '{..JoY-z. 60'0 Z'1~ ~ J C tf(u.-..( J'bt~""~ -- -., 9, 5' S?~l...-' ~~~~ ( VJ -:.. 25 ;1:::/ ("2 \ -. 5 D jJ lL t1/\ --6D(~,SY\~ (.1 ~ bibB b ~It~ ::: 6"")(;;>15. : 4. ~-; 9~ (l.\\'ll\\\)(ks) -.L4"-d:. ~~IId-, ~ ~ ~--&'., 2.A( 9.'5/2 )C~0 \ ~ 1"78 'L II A -=- (I f3'.l ":._ I . 2 /.,..1.- - J 5""D I.:> JB1P -rc a-It)'1~ ;t'.-.J ('1'04-<.( A ~ /, 77 ~Dlt.. ...-- z( -ru~ oft I..nM 6,12... ELECTRICAL WORK PERMIT APPLICATION i ~ Electrical Contractor 0 Owner o Annual Permit 0 Alarm 0 Carnival 0 Commercial M Residential 0 Residential Maint. CJ Signs 0 Thermostat 0 Telecom. Job wired by I!!l' Electrical Contractor 0 Owner License number Electrical contractor name ") 11:r Fl-ed/.c Nw Purchaser's mailing address Po /30 2 City Port tP-yl..S Telephone number Premises owner's name [<il'! y <;~i. AJ.....~~ Address of inspection 1053 GoLF CC'JS~ C~d ,"he I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the finn's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapler 19.28 RCW. L1...It"L FAX number Lr.'J (?J.. x Signature of owner, electrical contractor or electrical administrator WALLS Insulation Only Dale Approved By Cover Date Approved By / CEILING Insulation Only Date Approved By Cover Date Approved By Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAA o Fan-Wall KW Inspection Date ~ 5)'l~~ Installation description -At f-w1. .57" C ,'I' c......'tS 7 o Cash 0 Check # o CrcditCard Card # , Visa Expiration Date of card THERMOSTAT Date Approved By DITCH Dale Approved By CJ Overhead Service o Temp Service CJ Underground Service Area, Building or Equipment Inspected { IUL.D Mastercard Discover , tTD Inspection fee $ /' SERVICE "- Dale Approved By /' FEEDER " Dale Approved By Service Information Voltage PhaseD 103 Service Size: Feeder Size: Action Taken Electrical Inspector Application Number . . . . . 23-00000015 Date 1/06/23 Application pin number . . . 019510 Property Address . . . . . . 808 GOLF COURSE RD ASSESSOR PARCEL NUMBER: 06-30-14-5-7-0030-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LAURA BULLEN BLACK DIAMOND ELECTRICAL CONTR 808 GOLF COURSE RD 502 BLACK DIAMOND RD PORT ANGELES WA 983624940 PORT ANGELES WA 98363 (360) 477-9447 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 1/06/23 Valuation . . . . 0 Expiration Date . . 7/05/23 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 1/05/23,14:04:27 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000015 808 GOLF COURSE RD FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- 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 11/21/2023 23-15 TAP OWNER CONTRACTOR Black diamond Electric PROJECT ADDRESS 808 Golf Course Rd