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Home My WebLink About1115 1/2 W 17th St - Building RECEIVED Qvitr�•1Cf(� - �, , Crry op PORT, NGE,us PE, APPL'cA"oN MAR 10 2014 lop'�"'`��-- � Building DiviMon/Electricai Inspections 7-. :.. 321 East Fifth Street—1'.0.Box 1150/Port Angeles Washington,98362 E , -�; Yh: (360)4x.7-4735 Fax: (360)417-4711 1a Cate:* J �Q I &2 Single family Dwelling *Plan Review May Be Required Please ompiet lectrical Plan Review Information Sheet Jub Address: Building Square Footage: -- Description of above Owner Info�r ation Contractor I�R-02Name: [ "z 2 r I a 1f MailingA dress: ." Cahr A dre W zip: IM city: Stow., P' Phone:-4 ax: Phone; License 41 Exp. - ucensefll xp. item It Cha a Amt Tonal Ift lNutki k!ad Imf Unit Char-go) ServlcWFeoder200 Amp. $12D.D0 ---- ServicelFeWer 201,400 Amp. $146.00 ;f ServicePeeder 401-600 Amp $705.00 II Service/Feeder 801-1000 Amp: $262.00 - Sarvioe/Feeder over 1000 Amp. $373.00 a - Branch Circuit W1 Service Feeder $ 5.00 - Branch Circult W/0 Service Feeder $ 63.04 $.-- Ea0 Additional Branch Circuit $ 5100 Branch Circuits 1.4 $ 75.00 IC Temp.Service/Feeder 200 Amp, $ 53.00 $ Temp_SeralcelFeeder 201400 Amp. $110.00 - Temp.SoMeelFeeder 401.600 Amp. $149.00 Temp.SeMoelFeeder 601 1000 Amp. $168.00 - Portal to Portal Hourly $ 96.00 $�---- Signal CirG Y 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:35,00 for each additional T-Stat NPN CON UCTION to ' First 1300 Square Ft. $120.00 a_Each Additional 500 Square Ft.or Penton of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 - $ -- - Each Swimming Pool or Hot Tub $110.00 $— iTotal $ .L? Owner as defined by RCW.19.28161:(1)Owner will occupy the struclum for two years after this electrical permit is finalized.(2!i 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 can Iractor.I am making the electrical instalfatlan or alteration in compliance with the electrical laws,N.E,C,,RCW.Chapter 19.28,WAC,Chapter 46-41B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Appltcallans. Slg7at7 of owner,electrical co clear or electrical administrator. 00 Gash d Chear< Ay crcdlt cord* _ u D'led ��- 1 011016642 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 14-00000286 Date 3/11/14 Application pin number . . . 996404 Property Address . , . . 1115 1/2 W 17TH ST REPORT SALES TAX ASSESSOR .PARCEL NUMBER: 06-30-00-0-4-4075-0050- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name Property Use to the City of Pod Angeles , Property Zoning . , , . , . . R87 RESDN7L SINGLE FAMILY (Location Code 0502) Application valuation , . . , 0 Application desc Ductless heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CECIL / JOAN ORT'LOFF SIMPSON ELECTRIC 1115 W 17TH ST _ 243036 W HWY 101 PORT ANGELES WA 983637041 FORT ANGELES WA 98363 "" (360) 457-9.270 Permit , , , , , , ELECTRICAL ALTER RESIDENTIAL Additional desc 1-4 CIRCUITS Permit Fee 75,00 Plan Check Fee ,00 Issue Date 3/11/14 Valuation , , , . 0 Expiration Date 9/07/14 Qty Unit Charge Per Extension BASE SEE 75,00 ------------------------------- ---------------------------- Fee Summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75,00 75,00 .00 .00 Plan Check Total 00 ,00 00 00 Grand Total 76,00 75,00 00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: HP pot --- PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G T=11ANG&BUILDING Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner CECIL JOAN ORTLOFF 1115 1/2 W 17TH ST PORT ANGELES (360) 452 2175 Structure Information 000 000 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 2 00 14 0000 THOU Other Fees Fee summary Charged Permit Fee Total Plan Check Total Other Fee Total Grand Total T.Forms /Building Division/Building Permit (10 /01 /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983637041 123 75 00 4 50 128 25 07 00001150 766900 1115 1/2 W 17TH ST 06 30 00 0 4 4075 0000 CECIL ORTLOFF RE ROOF RS7 RESDNTL SINGLE FAMILY 4000 Contractor ARMOR ROOFING 2524 RYAN DR PORT ANGELES (360) 452 3667 TEAR OFF AND RE ROOF BUILDING PERMIT NO PR FEE TEAR OFF AND RE ROOF 112482 123 75 Plan Check Fee 10/04/07 Valuation 4/01/08 BASE FEE BL -2001 25K (14 PER K) STATE SURCHARGE Paid Credited 123 75 00 4 50 128 25 00 00 00 00 Date 10/04/07 WA 98362 Due 4 50 00 00 00 00 00 4000 Extension 95 75 28 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. td uk erk Ce.G« C9tLTLE V QeiR,a.1 l .X Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) FOUNDATION: FOOTINGS SHEAR WALLS 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 AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF /CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE /PELLET /CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED, HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R'. W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T Forms /Building Division /Building Permit (10/0 1 /07).wpd BUILDING PERMIT INSPECTION RECORD 0 CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES I 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 U.} KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FINAL FINAL PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING I I I ESA. LANDSCAPING I I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT 4'1° y BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. 51 s)\c• DATE ACCEPTED I YES I NO I ‘fi 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 Applicant or Agent Qe Owner CQC.A. t.v( F Owner's Address t't5 t' ST Contractor /Engineer Avi;.,tie,n..,a`. Contractor /Engineer's Address License PROJECT ADDRESS \.5 Lk.% Si' Parcel Number Project Type Brief Des Check all that apply New Construction Addition Remodel 5epair Re -roof Demolition Sign Heat System Other Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other cription. Topm o CSC wall- mounted Total sign area Heat pump ellesidential projecting freestanding awning sq ft. Maximum allowed sign area sq ft. wood burning stove gas fireplace pellet stove other Existing (sq. ft.) Pposed (sq. ft.) Commercial Phone Phone Phone Expires Lot Zoning Multi family Industrial per sq ft. For City Use Only Date Received je) --n 4 Permit# n 15r) Date Approved other TOTAL VALUATION tiOomQ. Total footprint of structures sq ft. T Lot size sq. ft. Lot coverage Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths I have read and completed this 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. n Date 1b�K40 1 Print Name Ce��k. C7etT%-0a Signature Co. A C T Forms /Building Division /Bldg Permit Appl. -2006 Code doc Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. ;;2?O L 8/f/f"O DATE Site Address: o READY FOR INSPECTION License Number: ~ILL CALL FOR INSPECTION Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. it Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Undergro~~ Voltage ./. 1.10 030 Service size ~Jl(JAmps o Temporary o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Detai IslDescription: M'1t ~~ j ~ ( ~ . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. ~ Ditch inspection O.K. o Rough-in/cover O.K. A/~ O.K. to connect service f)Flnal O.K. Size Comments Date Hoid for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Site Address/ / ~ fc Installer: 17~ Permit/Receipt No. .:2J?O c: ~ J~r WHITE - file by address YELLOW - file by number Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224. PO ;!!!!. "t~unt paid PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT . f OlYMPIC PRINTERS. INC.