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Home My WebLink About820 S Race St - Building CITY OF PORT ANGELES PERMIT APPLICATION RECEI - Building Division/Electrical Inspections 321 East Fifth Street--P.O.Box 1150/Port Angeles Washington, 98362 Ph: (360)417-4735 Fax; (360)417-4711 ELECTRICAL Date: 1 &2 Single Family Dwelling INSPECDONS *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 92-0 J. AA- -,.__.... ..._.._ Building Square Footage: Description of above d'" .ti 'T� Owner Information Contractor nffor ation Name; J�I 1qS '1'E-2 Name _ Mailing Address: Mailing Address: City: State: Zip: City: State: Zip: Phone:_ oo-_ g Fax: Phone: Fax: License#l Exp. License#l Exp.2(Af g Item Unit Charge Qtv Total (Qty Multiplied by Unit Charge) ServicelFeeder.200 Amp. $120.00 $ Service/Feeder 201-400 Amp, $146.00 $ Service/Feeder 401-600 Amp $205.00 $ ServicefFeeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit WO 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,ServicelFeeder401-600 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 named property or a licensed electrical contractor. I am making the electrical installatign alteration in compliance with the electrical laws, N.B.C.,RCW.Chapter 19,28,WAC.Chapter 296-46B,The City of Port Angeles Municipal C de, nd U 'fly Specifications and PAMC 14,05.050 regarding Electrical Permit Applications, Signatur of o n el tri I contractor or electrical administrator: ❑ Cash Check c, El Credit Card# x Dated: ��/~I 01!0112012 T-- ELECTRICAL PERMIT , CITY OF PORT ANGELES 360-4174735 Application Number . . . . . 14-00000003 Date 1/06/14 f'3 Application pin number 221736 V Property Address , , . a20 S RACE ST REPORT SALES TAX ASSESSOR PARCEL NUMBER; 06-30-00-0-2-7590-0000- Application type description ELECTRICAL ONLY on your excise fax form Subdivision Name . . . to the City of Port Angeles Property Use n c Property Zoning . . . . , . . R57 RESDNTL SINGLE FAMILY (Location Code OJ`'�2) Application valuation , . . , 0 Application desc Ductless heat pump Owner Contractor NEIL E ANA TENT L LESTER BLACK DIAMOND ELECTRICAL CONTR 420 S LAUREL ST 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 /^y (360) 565-1035 (�J/ Permit . , . . , . ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee , , . 63,00 Plan Check Fee .00 ISaue Date 1/06/14 valuation . . , . 0 Expiration Date 7/05/14 Qty Unit Charge Per Extension 1.00 63.0000 ECB EL-R- BRANCH CIR WO/ SER FEED 63.00 Fee sammary Charged Paid Credited Due Permit Fee Total 63.00 63,00 .00 ,00 Plan Check Total 00 ,00 .00 QO Grand 'Total 63.00 63,00 00 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGDBUILDING LL Application Number 06 00000289 Application pin number 907672 Property Address 820 S RACE ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 7590 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor BURTON LAUREL L 820 S RACE ST PORT ANGELES WA 983628023 CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 OWNER Date 4/19/06 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc OWNER ADD 3 RECEPTICLES Permit pin number 73569 Permit Fee 48 10 Plan Check Fee 00 Issue Date 4/17/06 Valuation 0 Expiration Date 10/14/06 Qty Unit Charge Per Extension 1 00 48 1000 ECH EL R OR RM 1 4 ALT CIRCUITS 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 COMMENTS /ACTION NEEDED DITCH I f ROUGH -IN COVEk I YS/a SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE 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 I NO j )C1O)i 6-2/-07,441) PW- 1102.151 Job wired by Electrical contractor name daJlei& Purchaser's mailing address /c9 r d City State ZIP a,f r 4y yz. /t Telephone number FAX number r G 6 A/5'7 -x'1/ 4 Premises owner's name 1 atie Address of inspection Agee" tSre7 s,e ,4,v e l /AL 9136a Phone number to schedule inspection 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. 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 instal- lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC Chapter 296 -46B The City of Port Angeles Municipal Code, and Utility Specifications. /Signature of owner electrical contractor or electrical administrator ,c -.1 4. c1 ,o-, Date Electrical Load Additions and or subtractions NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360- 417 -4735 Inspection Date X Date FINAL ate Electrical Contractor Owner ROUGH-IN i Appr ed By License number Date Expires %b Overhead Service Temp Service Underground Service Date THERMOSTAT DITCH Date Appr ed By Area, Building or Equipment Inspected Act ess qb t-41/4S ELECTRICAL WORK PERMIT APPLICATION ti�� \(Installation description Commercial Residential New Expiration Date .of card Approved'By Al Altered /Addition f a- e,oTh s' CI Cash Check Credit Card Card Date 7 Date Visa Mastercard Discover Inspection fee Service Information Voltage Phase 1 3 Service Size: Feeder Size: SERVICE Approved By FEEDER Action Taken Approved By Electrical Inspector a CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32 I EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000490 Date 645370 820 S RACE ST 06-30-00-0-2-7590-0000- LAUREL BURTON RE-ROOF 4/28/08 RS7 RESDNTL SINGLE FAMILY 3470 Application desc TEAR OFF AND INSTALL 30-YR ARCHITECTURAL Owner Contractor LAUREL L. BURTON 820 S RACE ST PORT ANGELES WA 983628023 (360) 457-8714 Structure Information 000 000 TEAR GARLAND CONST. & MAINT. 2512 E. RYAN DRIVE PORT ANGELES WA 98362 (360) 457-5186 OFF AND RE-ROOF 30-YR ARCH. permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE TEAR OFF & RE-ROOF 125286 123.75 Plan Check Fee 4/28/08 Valuation 10/25/08 .00 3470 Qty Unit Charge Per Extension 95.75 28.00 BASE FEE 2.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 123.75 123.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 128.25 128.25 .00 .00 ~ o 1, ~ ~ '5 Y ~ 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 an state or local I regul ing construction or the performance of constr ctio . ()T Signature of Owner (if owner is builder) T:Forms/Building DivisionlBuilding Permit (1010 liD?). wpd 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. o ()O I .-e.. -D o INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOVNDA TION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLOG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLO DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULA TION SLAB WALL / FLOOR / CEILING I MECHANICAL HEA T PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: 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 1()5-ol-0g l;r LL-- BUILDING 0<) ~ \f) /0 ~ (t) l/) ~ T:Forms/Building Division/Building Permit (1010 1/07).wpd ~ , d ~ ~ "'''' riO ..... ri 0 ..... "' MOO t:>... ..:..: "'Q \0'" ~ "'ri 0 ri" 0 "'''' Q , , "" ~ "'"' U "'''' ..: III 00 00 \0 \0 Cll :r: >< MM ri ... ..:I '" ~ , en >< 00 , -- s:: III H , > cO ..:I , H MOO 0. 00 ... , Q ZZ ..... ..:I MOO , gJ 00 ~ 00 ~M , :r::r: ... ~~ , 00 0.0. ~ ... 0 , Z ....., , ~M , 0 O:r: Q Z .. , "' 0... ~ O~ , ~ HO , 00 o 1.0 I Z ...... , ... MCO~O 00 UU , Z ".-i~ ... MOO , 00 "'"' 00 Z 0.0. , :>: , , H 00 0000 , ~Z:>: "'" ~ ZZ , 00 HOlOHf-l H H , i><HU ~O'l:t'IC(H 0 , ........ ZN Z:>: U , ~"'oo H ~H~ , I><H", tLI.. ~ ~ , OrJS ri I>< , , t:> t:> ... 0 ZOOOO 9 ~~ 9 gJ Z 0 MOO H 0 'Q~ 1ll:>:t:>Ill... ~ o~ '0 !-< 00 H ~Z"'~ ~I><~ dr: 0"" N . f-l r-- M "' &;8t;~~~ 1><00 ZOO '" f-l Z m 10 t:>HM 0 tJg18 0'" Z ~ '''' H '" ":Ill ..:100 9 00 ~ ~ 00 00 H H I 0 HQQ -..:I (1)rz1 ~oo bOOM '" "'00 0g1~g1'(';' Ill...... 0 ot:> 0000 ..... ~~ ~~t:>~~~ ggJp; ..... 0 0 0:>: ..... ........ 1><000 "' "'~ ~ ~ o~U 0 -Ill ~ -00 ~ I>< ZO III Q ... -~ M~ 00 -U ..... ~o 00.....: ..:IZ !-< 0 0 ..: ~~~f:itJ..:I H 00 1><>< ~ ..... m 00... Qi;j1H~g; 0. m ~H >< ..:I o.u ~"'UOo...: I>< ... III PROPOSAL Page # of pages Garland Construction & Maintenance 2512 East Ryan Drive Port Angeles, WA 98362 360-457-5186 Lie. .I: Bonded Lie # GARLACM044ND Proposal Submitted To: Job Name Job # Address Job Location /-- <:. C{ ;; 1-{ /:r Date of Plans Date Fax # We.~ submit specifica~ns and e7ti , teshfor: !ii'" /- 1ft _ _; / / -- /'F" '/ ~ './.:J - / "...... ",Lg , . /' / ? /. " ._ Ear O-C-C :.{f/L''"' . e -. ltyV l c/l"}of///'1(;.7"'-?\ .?-.f_(V (-;? /~ .~ .-) .{ r4 / L ~/ ;'/Jc/r ":~ ,1-/ -"' // /A-.' h~"- (/ I/ (') , /y'/, ;: .t. . /"./ ........"I'>J-- /4.'-t /.0- - ""7/7-1 /l'~7Yl-1' r J..c1.:{/____ :::[I::'iL.':c V - /'72-. .r. .cIe./!//:.j1t- " ._/no.. '/...-- I /j "'7' ~/~ /] /; / / /. / ____ / / / /i'i51<711 1-(; I.~Of'f1C ~ l-e/,r ::7I1C:f /:fi; (,;tf//J P?'j;:(; i:d/- ,tf.x;t:2d~. . 7;; dJ ....-.7'k.,---v;/ L. /') J.d.c>or -::?/_. .r~ ~.-/.Q/ T~-' I /....,.~ //tC?,'7':-;. -Sh;:;/~+' ~:~;6~ ,- -)lJl~~OU-!~;;;;;~7dg:~;;I?tjl~:~f!!_ ..~ - --- .-.. ---#~t4-~e. .~l!-lyLi!/t2;;:L':7:fJJ/.eC'fL-tJ'1- ._adL)I~1: rJ:~rd2 . , p ~ f'1jJ c.;:.... # I, '"'-, r , -, ,/+ . ;') 'r .... 0 1\ (' " (. ~,+- l- J /--1 f<"~- --...--'..... tLL_.:~l..:__':_ _ -~'--l_'.. ""'7'__ fJ~_._.~~-'--...l.--_....:o.-2:j~..__~ /\f.:.:...___w(L:.~.~____ --- -- - --- -.- ---- n ----.--.--.....--.---- , i (:/~J<::~~r _...-1 ll-)' .'rr- r' ..--4-.\ - I' ':"" ./-J..O-:::' ,~~ (! v ..,.... ..... --- ---'" / :! \ We propose hereby to f~rn~~ti rrlaterial and lab~; T, ccPlete ~ ac~~rdanc(-'~'ith t~~ a~v7 s~ecifications for the sum of: $ ,~- 0 I'" /1, ~ (/ I 11 ---: ( 4 A 6, /'1' /0 . - <P with payments to be made as follows: ~ Any alteration or deviation from above specifications involving extra costs will be executed only upon written order, and will become an extra charge over and above the estimate. All agreements contingent upon strikes. accidents, or delays beyond our control. Dollars Respectfully ,.r l / ! 1-1~ ,/ days. '- ~ Acceptance of Proposal Signature ~;->--,; ), ,'. C". ,/,"7 b" .-.-.. /~/// /'. /..~.~-:y~..) The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. ...---!~ Date of Acceptance Signature ~Tops FORM 3850 Applicant or Agent Property Owner Property Owner's Addr Contractor/Engineer Contractor/Engineer's Ad License # BUILDING PERMIT APPLICA TION 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 For City Use Only: Date ~eceived~~-07 PermIt # C) - Date Approved ~yat{ Phone Phone i.~7- '3 1/ If Phone <<5';-:~7! /Jr,. M2L_~~)'. Expires Parcel Number PROJECT ADDRESS Zoning Project Tvpe & Brief Description: Check all that apply o New Construction o Addition o Remodel o Repair p~e-roof lb Demolition o Heat System o Other Lot 8Aesidential o Commercial o Multi-family o Industrial o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other Floor Areas Existinq (sq. ft.) Proposed (sq. ft.) Basement @$ per sq. ft. = $ 15t Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALVA TlON $ '3Lf 7fJ, t2J2---. Total footprint of structures sq. ft. 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 per'lits are required, and to obtain petzmits p ior to working on pr0ec~. r-- ~ ~ Date Print Name &""{I{'<-) &"tJ Signature , ~ T:Formsl uildi 9 Division/Bldg Permit Appl.- ode.doc c! pORT ~Q S' '!:: -- ~"'~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Applicat~on type description Subdivision Name Property Use Property Zoning . . . Applicat~on valuation Owner BURTON LAUREL L 820 S RACE ST PORT ANGELES permi t . . . . . Addit~onal desc . Permit pin number Permit Fee Issue Date Exp~ration Date 4/17/06 '\::) ~ '\ 06-00000301 Date 695345 820 S RACE ST 06-30-00-0-2-7590-0000- LAUREL BURTON RES REMODEL \~NAVC50 C"?/Zs- I () ~ W' ~ <:) RS7 RESDNTL SINGLE FAMILY 3500 ~ ~ ~l ~ 'I Contractor OWNER WA 983628023 BUILDING PERMIT -RESIDENTIAL ATTIC REMODEL W/BATH 74351 123.75 Plan Check Fee Valuat~on 49.50 3500 \..asered CED 10/14/06 Qty Unit Charge Per Extens~on 95.75 28.00 BASE FEE 2.00 14.0000 THOU BL-2oo1-25K (14 PER K) Permit . . . . . Additional desc . Permit pin number Perm~t Fee Issue Date Expiration Date MECHANICAL PERMIT 74336 57.25 Plan Check Fee Valuat~on .00 o 10/14/06 Qty Unit Charge Per Extension 50.00 7.25 BASE FEE 1.00 7.2500 ECH ME-VENT FAN permi t . . . . . Add~t~onal desc . Permit pin number Permit Fee Issue Date Expirat~on Date PLUMBING PERMIT 74344 71.00 Plan Check Fee Valuat~on .00 o 10/14/06 Qty Unit Charge Per Extension 50.00 21.00 BASE FEE 3.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP Spec~al Notes and Comments The F~re Department has rev~ewed the proJect applicat~on and has no comments 04/05/2006 11:28 AM SROBERDS -- The proposal will not add additional area to the structure. No land use ~ssues. Electrical load calculations and elctr~cal perm~ts are required. MAINTAIN CLEARANCES FROM SERVICE WIRES 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, jf construction or work is suspended or abandoned for a period of180 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 goveming 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 perfor ance of construction. Signature of Contractor or Authorized Agent Date T:\Pohcies\1102_15 bUlldmg penmt mspecllon record05 wpd [1/4/2005] s~ L~ ---- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Applicat10n Number . . . . . 06-00000301 Appl1cation p1n number 695345 Page 2 Date 4/17/06 Special Notes and Comments Public Works Util1ty Engineering has no requirements for this plan review. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 252.00 252.00 .00 .00 Plan Check Total 49.50 49.50 .00 .00 Other Fee Total 4 50 4.50 .00 .00 Grand Total 306.00 306.00 .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 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 Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T IPoliclesll102_15 bUlldmg penmt mspectlOn 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 LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. ~ ~ ~ INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO 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) FINAL sj~/dG GAS LINE DATE :fiu ACCEPTED BY. BACK FLOW / WATER AIR SEAL WALLS :SJqlOb J2u CEILING I I I FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF / CEILING ~ /1 lilt" rj'''1J DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB . I WALL / FLOOR / CEILING 11>/tOIC)(~ IJvv I MECHANICAL HEAT PUMP / FURNACE / DUCTS tl.-l ~ rk ICl. (fW GAS LINE ~/~/o{, WOOD STOVE / PELLET / CHIMNEY FINAL DATE U2- ACCEPTED BY' COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'5 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 CONSTRUCTlONR W /PW/ CONSTRUCTION - R W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 I PLANNING DEPT. BUILDING 417-4815 ~ /)..Jr7/}f Vr-- BUILDING T \PohCles\ II 02 15 bUlldmg permIt mspectlon record05 wpd [1"74/2005] - PREPARED 5/25/06, 10 59 56 CITY OF PORT ANGELES ADDRESS TENANT, NBR: CONTRACTOR OWNER PARCEL . . APPL NUMBER' 820 S RACE ST LAUREL BURTON INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 19 5/25/06 SUBDIV: BURTON LAUREL L 06-30-00-0-2-7590-0000- 06-00000301 RES REMODEL PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BUILDING FRAMING TIME 13:00 05/03/2006 10:18 AM DYASUMUR ---------------------------Laurel 457-8714 05/04/2006 04 40 PM JLIERLY ---------------------------- electr~cal rough reqd to be approved before frame note needs mechan~cal bath fan/}11 BUILDING AIR SEAL 05/10/2006 12.25 PM PBARTHOL --------------------------- 05/10/2006 12 26 PM PBARTHOL --------------------------- BUILDING FRAMING 05/10/2006 12:25 PM 05/10/2006 12:26 PM BUILDING INSULATION 05/09/2006 02 01 PM TIM 457-8714 05/10/2006 04:14 PM JLIERLY ---------------------------- BL99 01 ~25 0 ff BUILDING FINAL TIME 13.00 LAUREL 457-8714 OS/24/2006 09,07 AM DYASUMUR --------------------------- ------------------------ ---------------------------------------------------------------------- BL3 01 5/04/06 5/04/06 JLL DA BAIR 01 5/09/06 5/10/06 JLL AP BL3 5/09/06 5/10/06 JLL AP 02 BLI 5/10/06 5/10/06 JLL AP 01 PBARTHOL --------------------------- PBARTHOL --------------------------- TIME 13:00 DYASUMUR --------------------------- PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS MECHANICAL ROUGH-IN 05/09/2006 08:12 AM TIM 05/10/2006 12.26 PM PBARTHOL --------------------------- ME99 01 ~1.25/ 6 ~ MECHANICAL FINAL TIME' 13 00 LAUREL 457-8714 OS/24/2006 09 07 AM DYASUMUR --------------------------- ------------------------ ---------------------------------------------------------------------- ME1 5/09/06 5/10/06 JLL AP 01 TIME. 13 :00 DYASUMUR --------------------------- PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 5/04/06 JLL 5/04/06 AP PL99 01 ~ ~ PLUMBING ROUGH-IN 05/04/2006 04:45 PM JLIERLY ---------------------------- 05/04/2006 04:46 PM JLIERLY ---------------------------- PLUMBING FINAL TIME 13 00 LAUREL 457-8714 OS/24/2006 09:08 AM DYASUMUR -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 5/10/06, 13 31 14 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 820 S RACE ST LAUREL BURTON BURTON LAUREL L 06-30-00-0-2-7590-0000- 06-00000301 RES REMODEL INSPECTION TICKET INSPECTOR JAMES L LIERLY PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 5/04/06 5/04/06 JLL DA BAIR 01 5/09/06 JLL 5/10/06 AP BL3 02 5/09/06 JLL 5/10/06 AP BLI 01 ~ -AfL- PAGE DATE 6 5/10/06 SUBDIV PHONE PHONE BUILDING FRAMING TIME 13 00 05/03/2006 10 18 AM DYASUMUR ---------------------------Laurel 457-8714 05/04/2006 04'40 PM JLIERLY ---------------------------- electr1ca1 rough reqd to be approved before frame. note needs mechan1ca1 bath fan/)ll BUILDING AIR SEAL 05/10/2006 12 25 PM PBARTHOL --------------------------- 05/10/2006 12 26 PM PBARTHOL --------------------------- BUILDING FRAMING 05/10/2006 12:25 PM 05/10/2006 12:26 PM BUILDING INSULATION 05/09/2006 02 01 PM TIM 457-8714 PBARTHOL --------------------------- PBARTHOL --------------------------- TIME: 13 :00 DYASUMUR --------------------------- -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 5/09/06, 9.22 38 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER: 820 S RACE ST LAUREL BURTON BURTON LAUREL L 06-30-00-0-2-7590-0000- 06-00000301 RES REMODEL INSPECTION TICKET INSPECTOR JAMES L LIERLY SUBDIV- PHONE PHONE PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME1 01 5/09/06 JLL MECHANICAL ROUGH-IN TIME. 13 00 05/09/2006 08:12 AM DYASUMUR --------------------------- TIM PAGE DATE 17 5/09/06 COMMENTS AND NOTES ---------~~-----~--- ------ ------ (/.ArM"- @!& ? q . AIL ~vrv & ~ PREPARED 5/04/06, 13'09 34 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 11 5/04/06 ADDRESS TENANT, NBR. CONTRACTOR OWNER PARCEL APPL NUMBER: 820 S RACE ST LAUREL BURTON SUBDIV: BURTON LAUREL L 06-30-00-0-2-7590-0000- 06-00000301 RES REMODEL PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 *04/06 ~JL~ BUILDING FRAMING TIME 13 :00 ~ 05/03/2006 10.18 AM DYASUMUR ---------------------------Laure1 457-8714 -------------------------------------- COMMENTS AND NOTES -------------------------------------- ~fl~ ~-J~ BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST B COlvIPLETE 10 be accepieu for 1 evieVL Ifyoli have an}' quc&tivTIs, ~~ll PERMITS (360) 417-4815 FAX(360)417-4711 Apphcant or Agent. lAtuec-L i3t1Je/cr.J Owner. LA("f(.'t;:L jJ"li: 1 n..) Phone: 3'. c,.. ~ $7-1'7 /.,,1 Phone Address' ~';{t $0((7/1 1i';1c!.C.- -S7. ArchItect/Engmeer. 11'1 '4FC cL ;;f/t /C T4 tJ Crty: ;:;",7- ;:J/l-'v?~ IE'5 I ZIp' 9 <f.'S l.- ;L. Phone Jlvtl - 45 7- ??/t:/ Contractor CJII/I!I~Y State LIcense #: Exp Phone: Address' Crt)" PROJECT ADDRESS' S;{Ci .,56t<171 Rnc.(F .5r~e-e/ LEGAL DESCRlPTION' Lot.5 ; 1 i I! Block. .it 7 .-5- SubdlVlSlon. CLALLAM COUl\1TYPARCELNUMBER f{;'J c((:} (}/JOt);2 75'1' C'ClC'(:'>l-"I ZIp' ZONING: /1'1 '\, SIZENALUATION: ~ SF.@$ /SF =$ SF @ $ /SF = $ SF @ $ /SF = $ TOTAL YALUATION $ [}tJyc hJ i:ne tV i h J t,;.1IIt-'tJ(}(~) - TYPE OF WORK: o Resldentml ~ew Constr. 0 Re-roof o Mul1:1-family 0 AddI1:1on 0 Move o CommercIal ~Remodel 0 Demohtlon o Reparr 0 SIgn BRIEF DESCRIPTION OF THE PROJECT ~ ~lLA'L.. o Stove o Garage o Deck o Other . ut I;;> I II frO Occupant Load & Proposed Sq Ft ConstructIOn Type V - /V 6t = TOTAL Sq Ft-L/ pO_ COMMERCHLJRESIDENTLA.L: Occupancy Group No. of Stones..i?::- Lot SIZe. IP.q /do EXlStmg Sq Ft Total lot coverage % J ESAlWetland(s)' 0 Yes 0 No SEPA ChecklIst requrred? 0 Yes 0 No Other APPROVALS: PLAN: BLDG: DP,VU: FIRE: OTHER: PLANNING USE ONLY: VALUATION OF CONSTRUCTION' In all cases, a valuation amount must be entered by the apphcant TIns figure ,vill be revIewed and may be reVIsed by the Buildmg DIVISIon to comply WIth current fee schedules Contact the P emt Coordmator at 41 7-4815 fOl aSSIstance. PLAN CHECK FEE IF a plan check fee IS due It must be subrmtted at the hme the buildmg penmt apphcanol1 and constructIOn plans are subrmtted All other pe1llllt fees are due at the tmle of pernut Issuance EXPIRATION OF PLAN REVIEW: lfno pernut IS Issued WIthIn 180 days of the date of applIcation, the application will expire. The Bmldmg OffiCIal can extend the tmle for actIOn by the applIcant up to 180 days upon wntten request by the applIcant (see SectIOl1 R1 05 3.2 of the Internahonal Bmldmg/ResldentIal Code, 2003) No apphcatIOl1 can be extended mOle than once I hereby certify that I have read and exammed thiS applicatIOn and know the same to be true and correct. I am authonzed to apply for thiS permIl and understand that It is my responsibility to determme what permils are reqUired ,not the City's, and that I must obtam such permlfs pnorto work TIPollcles\BL-1102_13 wpd Apphcant~,( k',f ;:r 4/.,{~) Date .s - :l~J__ C 4. / ii' / ,I /~~ N ~?" " .1/ / w 816 G / , , I( o 't;';' '" ,f;;,? 'II t;;<: '''''''/ '1 '01; \ ''''\< l " "',;- " ,"" 1 9 :;:""/: v f- 2"ff\" ~, " 826\ "'"r !J , ~A~>" ,.) '<<>, " J' i, ,: Vj 00 ~ N Area Map This map IS not lI1tended to be used as a legal deSCriptIOn ThiS mapldw}\ mg IS produced bl the Clf) of POI t Angeles (01 lIs 0\1 1/ lIse and plU poses Ani olhel use orlhfS map/dlQwl11g shall not be the respo/lsfbtlIfl oflhe Cln (~~ ',' << ~' J ertl(ol Datum = NA VD 88 Hon;;on!n! Dflfum = i\A D 83/9 J Feet . . Prescriptive Approach-Simple FOITn F or the Washington State Energy Code ( 2003 EdItion) Climate Zone 1 SIte Information Lot: S ~ /-t-'r:s J'l f- /8 EL ~ ,5 Bmldmg Department Use Only Penmt # Address: 8;? () Sc..,{.{.lh 7lAet.~ ::sri City nte r f}1f,I.'}t./e-s , Notes' State hlA ZIp: '1 fl3~ ~ Contact- J" ~ tl'cc L :J3t lie 7(:r~L__ Phone 3ko - -,-/51 - &11 /4 Phone 2 FAX. Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 OptIOn Glazmg Glazmg U-Factor Door I Wall Wall Wall Slab I Area % U- Vaulted Above Intenor Extenor on of Floor Verhcal Overheac Factor Ceiling Ceiling Grade Below Below Floor Grade Grade Grade Unlmuted III Group R-3 040 0.58 0.20 R-38 R-30 R2l R-21 R-lO R-30 R-10 Occupancy Only ( Unlill1Ited Glazmg OptiOn Only) Tills PlOJect complIes WIth the followmg. ./ The Project IS a smgle family resIdence or duplex ./ The Project IS wood frame OR all of the IDSulatIOn IS mtenor or extenor of the frammg ./ All bmldmg components meet the requrrements lIsted m Table 6-1, OptIOn III ./ The Project will meet all other provlSlons of the WSEC and VIAQ The Project wIll take advantage of the following exceptIOns to the prescriptIve optIOn. o 602.6 ExceptIOn 1. One door, that IS 24ft. Or less, that does not meet the standards allowed LocatlOn of the door taking tIllS exceptlOn o 602.6 ExceptlOn 2. Doors WIth a U-Factor of 040 allowed WIthout calculatIOl1S, OptlOl1 III only. EXHIBIT A City of Port Angeles Applicant Project Review Sheet Applicant: .LI1H~e'L, B<</2- in? Owner: .L4d.e~ L .;)"'I2J7rn Property Address: !f ;;) 0 ~~ 1i1"1c!.t- Proposed Use: SW./-V} 1fnr77-' ..s rrt!- t!..-l Zoning: j( 5 '1 Is the proposed use listed as a "pennltted use" or an "accessory use" m thIs zone? Is thIs the only use (busmess, resIdence, etc ) on thIs sIte? Has there ever been a subdIvIsIOn, shortplat, or PRD approved for thIS SIte, or has one been submItted and IS pendmg approval? Does the proposed use require a new bUIsmess license? Does the project extend mto any required setbacks or cross any lot lines (mtenor or exterior)? Does the project exceed the pennitted heIght allowance or cause the property to exceed the allowed lot coverage m this zone? Does the project requITe any addItional parkmg or special desIgn/landscape improvements m thIS zone? Does the project elrrrunate any eXIsting parking spaces? Is the project located withm 200' of the shorelme? Are there any envITonmentally sensItIVe areas on or withm 200' of the property, includmg. . wetlands or areas of standmg water (year round or seasonal), . streams (year round or seasonal); . areas with a slope of 40% or greater, or . areas that have evidence of past ground movement or erosIOn? Have all the requITed subll11ttals been proVIded by the apphcant? rn'Slte Plan UYConstructlOn Drawings o ParkmgIDrainage Plan 0 Civil Drawmgs o Energy Calc. 0 Supportmg Engr. Calc o Landscape/Llghtmg Plan 0 Other Dyes: ok [B"'yes: ok Dyes' reqUIres PD D yes' requires CC reVIew D yes: requires PD revIew D yes' requITes PD revIew D yes. requires PD revIew D yes: reqUIres PD revIew D yes. reqUITes PD reVIew D yes' requITes PD revIew Dno: reqUIres PD revIew Dno reqUIres PD [jJJ;' 0 ok [i;}"no: ok ~o:ok Wno: ok ~o' ok ~o ok ~o ok ~o:ok If Plannll1g Department review is required, the processing time may be extended Iflt IS determined a separate Plannll1g Department permlt(s) IS needed, the Plannll1~ Department permlt(s} must be approved prIOr to the Issuance of any other permit The informatIOn proVided above IS true to the best of my knowledge, I understand that III the event that any of tIns IIlformation IS determined by the City to be IIlcorrect, thiS project will be stopped until such time the City determines the correct IIlformation IS provided and any subsequently reqUlrteview a~ are completed and granted. ;;;jj~AJz.P ;(. \ ? ~.J 3 - ; ~ Applicant Date Pennit Category # Route to: 0 BD Staff Imtlals (see reverse Side) o CC 0 FD 0 LD BUlldmg Pennlt # o PD 0 PW 0 FIle Master Trackmg # o Other Date CompletlOll of tIllS form is reqUired for all category 1 b, 2 & 3 permIts CompletIOn IS not required for ~-I', <i<<< / N Area Map ThIS map IS /101 l11rended to be used as a legal desCllptlOn This map/dl QWl/Ig IS plOduced bl' the Cay of POll Angeles for Us o~w use and pw poses Am nfhpr '/~P n(!h,~ mrm/r{,-m.Hlw ~hnlf I1n! hI' thp rp~nnJ1~lhl"!l' n(thp rill ",~t:, if~ ~ ~ ~>) ,r-' JJ < -- ,,~ """'ltr <1' \ ~ -< \ '-' ~\j \. . ~, (, <' I } \i;"~"l 1 \; F-.,/ fl} 51" -- -, ".-,,<< -" " /1 \ ~--"-'~ n\"< ( ~ V\ \.,~ 6 \1 '6\v ( N ,\ v j 'v ,( '] ( ,J'\ '\'- \jU "'" ~~ /! ," t I v 1--\ . " 1 '\ t \ \, '\' \ ~ f~-- ."=;.- , \ i \, J \LJj --. T ~ \ ~ \\ I f------- 7 _.-........~--~-----~--- -- '. ~'----- }'..~-J/: 'l\;1V 1 ..~ '''.1 j j ,7 \'1' I , - - , "" - ',\~", ' ( \' ) C\ -- J-.e............___~..""'~<it_- :a.__~.._ ~" ~'" FILE Apto\..~le' ~~ 200 ~ ;;JZ(2_.c-! ZOo.3 up L- 1/1 t1-~ LC:X:.E:r'L.- i I I I I I l ! I CITY OF PORT ANGElES - Construction Plans Thb Issuance of this permit based upon these pia os, spe~lfi. cajions and other data shall not prevent the bUlldmg ofliclal froln thereafter requiring the correctIOn of errors m said pl~ns, speCificatIOns and other data, or fmm preventing bulldmg operations being carned on thereunder when m viqlatlOn of ail codes and ordmances of thiS JUrisdictIon. I r 1 n - 'rm BUlldmg Cod .) ~DO~ I\P~rOVaJ Date --:J tL. ~ -. . 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I I ' ...~ "";Jf;}f,'t!.; {,""~7J ;?r::poll',y,J... ; ~- .... -- - - -- _b _~ ..., _.~ \N t~ /\, $ QilClV 11 ">. ~ ';),;)-" ,1 I I I I I I, I' I I , I I I i I I I I, u ~ - ~~,..~~ ~ ; ~>-.l r, t ~ -:i' \(, ~ t\ ~ ~. " ~~ r / \ " -2J.- n ~ ......It.. - "~''i'to.,)(, h., ~ ~ r.> ..... ~.. ~\.~t~~ ~ ~ ~ ~. ~ , ('> ~ ~i o Ditch Inspection OX o Rough-in/cover O.K. o O.K. to connect service j;<ifi\1/>-Finalo.K. . . . ~\ CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 DATE tf'liP 9 I fl.? /'1</ PERMIT NO. ELECTRICAL PERMIT Site Address: '8d-o ~') Phone: o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Installed By: , Owner/Business: Owner/Business Address: Sq. Ft. ))( RESIDENTIAL D COMMERCIAL o BASEBOARD KW B-FURNACE KW /0 o FAN/WALL KW _ o HEAT PUMP KW o SIGN ~ OVERHEAD SERVICE o UNDERGJ.Q~S~VICE VOLTAGE: C.V Z. 0 o SINGLE PHAS o THREE PHASE>-. ...., SERVICE SIZE ~ AMPS o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL 'J:8.. ADD/ALTER CIRCUITS tJ SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) Details/Description: REP/vtrf I /0 leu , I ~ & / I -h. 0(/1 #C l~. -4~4.-v1 ri--U?- < ( A./ / fI... 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 .- Installer: 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 covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. BI iJlI!I .~.." NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ( / JC) -~ Electncallnspector Permit Fee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Boltom: City Hall OlVMRIC PAINTERS INC. Site Address: CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. cQ6/Z #?/?o . ELECTRICAL PERMIT DATE Installed By: o READY FOR INSPECTION License Number: )l'WILL CALL FOR INSPECTION Phone: OwnerfBusiness: Phone: OwnerfBusiness Address: Sq. Ft. '!t.Residential rHeat KW d Baseboard 0 Furnace/Boiler d Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) ~ Overhead o Underg(.l!.n~pV Voltage ~G2 %11" 0313 Service size 12M Amps o Temporary o New Construction o Remodel o Service update/alter/repair Detai IslDescription: {L j;JjjJ .;4.90 ~~ I j;~ . !Vo M.w- W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. ~ O.K. to connect service ~ Final O.K. Size Comments Date Hold 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 Installer: Permit/Recei~t No. Ol.-b(Z- New Meters Date: . Notify the Department of City Light by Street Address and Permit Number when ready for inspec ion. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Insp~riting on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. I. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT (0 ~ Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMP~C PFlINTEFlS. INC. CITY OFj PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nt? 17168 d - .:2-0 yc; Port Angeles, WashlngtoILm.....m..................m..m....m.m......m..... 19000..000 Ih accordance with the City Ordinance to regulate the instaJlation. extension. or repair of elec- trical equipment in, on. or about any building or other structure In the City of Port Angeles. per- mission is hereby granted to dO electrical work as listed below. Address ..m~g__Q:.~.~..~~--..--mm-m..... Occupancy.__.Ae~....-......m....m.n Owner n.....___..~.-:f..-...mm-.m.!.---m.m..-~.m-m..m TenanLm.____.m..___......____.m_m_...m_m...._m.m...mm__.. Wiring Contractor .m~~.-m.m-n.mn....--. By..__..m..__m.m___.mm__m.....mmm...m._..__.._...... Light, Outlets....n.m.........__........___n_.__n Service, volts n/.~_.cp..__:?.f.3..t!: Type ot Wiring: No. wires m....;J..............m_.....~n Armored Cable .......-.00........-.......... Size WireS__..n?'::/~_n.~:.. Non.Metallic .............--........-......... ''k----..t:? r Knob & Tube......_.........._..............~ Main fuse m~......__..m......._.. .OS Enclosure n......_m_n.m..._..um......... Receptacle Outlets___......_____........_.___.... Dryer~' KW nn..._____._nn...____........_______.. Range. KW ____.__._...n____._. Water Heater: It~___..u::~~.----..n.n----m~ _ Heal' KWI.l!.n__,Vu..~mm Motqrs: size. volts and phase: Type of wiring: Entrance Cable _....._mmm_......._____ jo...nunn.....n_.....nn__nn__.........__...nn__.. Rigid Conduit ....mn.....m....n........ Metallic Tubing _m___m.h......n Current transformers: No. & Size......n__........n......_.........u. Ser. NO...._........n.nn.h..........__............ Ser. No. u_n......nn___h...........n............ ~ Ser. No. .h._...n.n___..h...._n_.n___......._... Rigid Conduit _m__......n................. Metalllc Tubing .mmn..._mnn....._. Raceway ......._._....................._.__._ Circuits, LighL.._.nh__....m___.......m....... UtilIty n...m.nn...._______.......n......__... Heat ---......-...............-..........-.......... Range ....._..........__.......__._.._............. Water Heater ...-.__.._..._._.00........_... Motor ..._..........___......___...__.....___..... Dryer _...._....00........._.........00..._..........._ Furnace .........................._........00......... Total ~ad.nnu.nn_..........__.... Ser. No.....n..........._...n...........~...nn C'\. Total nnh...........n..................._ . -- /, Remarks: ._______.m...._4"'-~.n_.~~.m~--". .000.....000.000.._000000...000.....000000...000.000000.....000...... ( _._.__..__._.__.._.__._n_.______________.__._.____._____...______.____...._______.___....._________.._______.___.__._.._______________________...._______________._n_-.....-- nm.......__..mm._m___.m.._.mn.m..m..mm..nm__mm._..nnm..mm.m...___mm("Jnnm..m.m....._...mm..__...m..mm..m.m.. ;:~.=.i.~.:~.~m......m.mm. ::~~.~:..~.~.~:~~:m..m By )&:.~~ti..!Zd~~:,ra.d. . .~. . NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notIce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 17168 Ad'dress....._............._..._......____......_.____......_......................._..........................._......____._...._.............Date..__......____..__...........-.-.-....-......-......... O~er...................---....--.......-......-..-......_._........_.___..........._.__._._.................._.................Tenant............__.._____....._..........-------..........-.--..----.... WiringContractor.........__..._____...______........................_.........................._...__...........____.....__...............By.___............._..___..._.-..................-...........-.. ~OTICE-CUrrent must not. be turned on until CerUficate of Inspection has been issued. If work is to be con- cea.leo due notice must be given the Inspector so that work may be inspected before concealment. , \ \ 1M Olympic Printers, Inc. \ , , \ CITY OF PORT ANGELES LIGHT DEPARTMENT ,.. ELECTRICAL PERMIT Nt.' 17150 Port Angeles, washlngton.....L...=...~..~................................., 19.r.~ In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment In, on, or about any building or other structure In the City of Port Angeles, per- mission Is hereby granted to ~lectriCal work as listed below. Address ..."!t..d.(2.... k....~:...~....._____................... OccupancY.~4.!Z,~...L__.................... Owner ___.~.....~.................. Tenant..._................_.......h._............................_......... Wiring Contractor __.~:...........nn............... Byn...............h.n..........................._................... Llgbt Outlets..................................._..... Service, volt, ./~9L"#..Y.t!!... Type of Wiring: Receptacle Outlets............................... 1'0. wires .....~7A....-;~;?7 Armored Cable ............................. SI I / C/ G4'"~ Non-Metallic ........m....__................ Dryer, 'KW unn....u................u......u.... ze w res......:-.;r........-....../t.--.. .. "lr Knob & Tube................................. Range, KW..........................._.............. Main fuse ......~....~ ......... ........... R RIgid Conduit ............................... Water Heater: Enclosure ...L.\.......:...................... M talll T bl e c u ng ........................... Heal~:~::::zt.:;r:;r::7i,Xr Type of wiring: Entrance Cable ............................. .i...................................---...........---....... Rigid Conduit ............................... MetalUc Tubing ........................... Current transformers: Raceway ..............................._._..._ Circuits, Ugh!.................___........___........ Utlllty.....................___..................... Motors: size, volts and phase: Ser. No............................--................. I-Ieat __....................._.............._.._ Range ...................._._...................._. Water Heater ............................... Motor ..._....................._.................. No. & Size...._....._............................ Ser. No.............................................. Dryer ........................._....................__ Furnace .........-................h................... Ser. No..._.......................................... Remark:~ta:..::==-=.....___.-~h:::.=~~.:~.......::.::~:..~~.l27'Z~:.::::.:.:~..~::~:: .:~.=.~~..~~:..........~....~..~.~...~nn.....::~.~.~:~~:~.~.~:.~.~.......~~.....n...n.........::.:~~J~d:~:~:::~ ) NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due noUce must be given the Inspector so that work may be Inspected before concealment NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 17150 Address................__._...............................................................__....._._........__.........__.....................Date..._....___..____.._.........._......_......_......._ Owner..........................................._.._......_......_.;_::~.........................................................Tenant........................................................_.......... Wlrlng'Contractor...................._._............................................................_......___....._......._..........._...By....................__......................___............... NOTICE-Curr~Ilt. must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notlce"nl'ust be given the Inspector so that work may be inspected before concealment. ..- _ ""- .01'" ---- lU Olympic Printers, Inc. Application Number . . . . . 23-00000587 Date 6/05/23 Application pin number . . . 022527 Property Address . . . . . . 820 S RACE ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-7590-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Service ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NEIL E AND JENI L LESTER ANGELES ELECTRIC 420 S LAUREL ST 524 E. 1ST ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-9264 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 120.00 Plan Check Fee . . .00 Issue Date . . . . 6/05/23 Valuation . . . . 0 Expiration Date . . 12/02/23 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 120.00 120.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 120.00 120.00 .00 .00 1-2 SINGLE.FAMILY EIEC TR I CA L P E RM I T A P-P-LICATIO-N. PLrirlic Wurl<s antl t.itilrties Dcpirrtntclrt :l2l Ir. 5th Sticei. Porr Angi:les, \\tr\ 981(r? 160.;l17,4135 | rvwi.r'.cil.yofjra r-rs I erleutricalpclnrit.s,'?i,r:ityoti:a.us Project Address: cription: ingle-Family Residential I Duplex /ARU Building Square footage: Name Email: Mailing Address Phone -0 o 3 * J - t%Ye Name:Angeles Electric, lnc. Mailing Address: 524 E. First Strqel, l.grt Angeles, WA 98362 _*._ Emait; ksimpson@olvmpus,net *_ License:ANGELE146ORS Expiration Date:21412024 Fhone:360-452-9264 Item Service/Feeder 200 Amp. Seruice/Feeder 201 -400 Amp, Seruice/Feeder 401 -600 Amp. Servicei Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W Service Feeder Branch Circuit WO Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. ServicelFeeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp, Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Signal CircuiVLimited Energy - 1&2 DU. Manufactured Home Connection Renewable Elec. Energy: SKVA System or less UniLC.harge $120,oo $146,00 $205.00 $262.00 $373.00 $5.00 $63,00 $5.00 $75,00 $93.00 $1 10.00 $149,00 $168.00 $96,00 $64.00 $120.00 $t oz,oo $56.00 $,rao..oo $AOr0Ol , $740q' $'li1o:ooi auanlily Total (Quantity x Unit Charge) $ /244 D $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $Thermostat (Note: $5 for each additiona $ Owner as defined by RCW.19.28.261: ('l ) 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 prope(y 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., RCWr Chapter 19.28, WAC, Chapter 296- 46B, The Ci$r of Port Angeles Municipal Code, and Utility Specificatio_p; and PAMC 14.05.010 regarding Electrical Permit Applications. .5h01a7 KenSimpson b*dfu Print Name Signature tfl Owner ftf Electrical Contractor / Administrator) [Electrical PermitApplications may be submitted to City Hallor electricalpermits@cityofpa,us] Dat5 , PREPARED 6/02/23,14:00:50 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000587 820 S RACE ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 120.00 TOTAL DUE 120.00 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 6/5/2023 23-587 TAP OWNER CONTRACTOR Angeles Electric PROJECT ADDRESS 820 S Race St