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HomeMy WebLinkAbout1714 E 3rd St - Building ~ VORT~.... t~ ,. "-- -=->f ~ ~lC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 04-00001149 Date .999282 1714 E 3RD ST 06-30-00-5-5-0120-0000- RES REMODEL 12/17/04 nNAU::~ ~u0{ ~ Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation RS7 RESDNTL SINGLE FAMILY 4800 Owner Contractor EDMISTON, KIRK 1714 E 3RD ST PORT ANGELES ( 36) 457-1040 WA 983624910 MICHAEL RIVERS CONST P. O. BOX 4074 PORT ANGELES WA 98362 (360) 452-9292 Permit BUILDING PERMIT -RESIDENTIAL Additl.onal desc Permit Fee 134.75 Plan Check Fee 53.90 Issue Date 12/17/04 Valuation 4800 Expiration Date 6/16/05 Qty Unit Charge Per Extension BASE FEE 92.75 3.00 14.0000 THOU BL-2001-25K (14 PER K) 42.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Perml.t Fee Total 134.75 134.75 .00 .00 Plan Check Total 53.90 53.90 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 193.15 193.15 .00 .00 -- -.:J - ....::r. \t\ OJ A:l 0- ~ 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 go rning this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give author to violate or cancel the provi ions of any state or local law regulating construction or the performance of ons ructi { Signature of Owner (if owner is builder) Signature of Contractor or Authorized Agent T'\PLANNING\FORMS\1102.15 [11/14/2003] Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS 1-?b-oL/ _ J( I WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT. # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR I CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 ClllMNEY HOOD 1 DUCTS PW UTILITIES I SITE WORK (Engmeenng DIVISIOn) SEPARATE PERMIT #'5' WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKlNGILIGHTING 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.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT 417-4750 I / PLANNING DEPT. BUILDING 417-4815 r?/?41 ~~ 11M .-' BUILDING . T.\PLANNING\FORMS\1102 15 [11/1412003] PREPARED 1/26/05, 12 57 42 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY 1714 E 3RD ST MICHAEL RIVERS CONST EDMISTON, KIRK 06-30-00-5-5-0120-0000- 04-00001149 RES REMODEL PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLl 01 *) +it- -------------------------------------- COMMENTS SUBDIV. PHONE (360) 452-9292 PHONE. ( 36) 457-1040 BUILDING FOUNDATION FOOTING MIKE RIVERS 452-9292 AND NOTES PAGE DATE 5 1/26/05 BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: . ~ Phone: - tf5~ - 19 S f( Owner: (. lile l CO .',-;11 r--;::. C\ ~, Address: I...{) S- E. ' Il~ CIty: .. r \ H"'^- Zip: 7. 8- Q \,P C ArChItect/]neer: ~f)o C S c.-l-w l1 pq w' f\'1 ~9JJe: ,.If r ( "11 en a.'l-; G ocr ." (.:)l Contractor ul-12- aY1 <0 irvd.uv- State LIcense #: Exp: Phone: . . 'J Address: t1 tL\ \::; ?) r.g, CIty: ZIp: PROJECT ~D~SS: /7 "I ~_ ;s rc:L s7 ZONING: ./1-.<)-7 LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: SubdIvIsion: Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # 1;YPE OF WORK: -r/J., ResIdential 0 New Constr 0 Re-roof 0 Stove o MultI-farmly i" AddItion 0 Move 0 Garage o CommercIal t Remodel 0 DemolItion 0 Deck o RepaIr 0 SIgn 0 Other BRIEF DESCRIPTION OF THE PROJECT: E~f.,#v1. d City: Exp. Date: SIZEN ALUATION: SF. @ $ /SF = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALVATION $=:g~()(,.ciD ~ c/c. r"l/o-t/d ~ YL~/o~ r:cq-f{)~T COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: No. of Stories: _ Lot SIZe: ? f9f!)-(;J EXIstmg Sq. ~t. / ~ '10 & Proposed Sq. Ft. Total lot coverage ~ % Construction Type: lob = TOTAL Sq. Ft.I !f).l? APPROV PLAN: ;; BLDG: DPWU: FIRE: OTHER:_ BUILDING PERMIT APPLICATION SUBMITTAL: The Bmldmg DlVlsIOn can provIde you WIth mformatIOn on the application and plan submittal requirements If you have questions. 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 Bmldmg DIviSIOn to comply WIth current fee schedules. Contact the Permit Coordmator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee IS due It must be subrmtted at the trrne the bmldmg perrmt applIcatIOn and constructIon plans are subrmtted. All other perrmt fees are due at the trrne ofperrmt Issuance EXPIRATION OF PLAN REVIEW: lfno perrmt IS Issued WIthm 180 days of the date of applIcation, the application will expire. The Bmldmg OffiCIal can extend the trrne for action by the applicant up to 180 days upon wntten request by the applIcant (see Section R105.3.2 of the International BuIldmglResIdential 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 aut onzed to apply for this permlt and understand that it is my responsibility to determine what permits are required ,not the City's, that I mus t su permits prior to work. ( T \RVESS\BLDG-forms-brochures\2003-BUlldmgperrmt wpd Applicant: DateJZJ~ Otf- ~ (j\ ~\ ~ ~ m: . ~" 1., ~ uP - 'OO'-q" \J~'.O'1 ?\'.Q" ~ .' l'-- /"\ ",/ ~ / /, //' -Hi i I: ~, III:, Ii l'il II -I ;! !' I , I' I J ! ,I I! l , I I', : lilil i i'!111 " , II1I Iii I1I1 i il!1 , ill: I II' I ~~IO :~~~ f2~ ~ DJ:. "'t . rl,\- - f,v\q)tP (f~\: _ ~O ~~ \ VI ~ vP - f;:)( t ~f 'l:>>- rp~C, ~ " ,\) '. - . ~. I'" - - .~. ,- . l40' , { [ ~f No~8 11' A- E. ? ~ $-rP-B~ T ll' -:=- lO'_O'1 ( 50 14?' \\ .' ...... I!?', p" k'P' -(!) .. ~ ...' t' ,,- ~1c;r1NC:r ~rop.r ~ ~ \ -~ P""VINGr i I ~.~ I I I I I I - I , ~ . ~ , ~ .,.. 11 40 Fll~ CITY OF PORT ANGElES - Construction Plans The Issuance of thiS permit based Upon these plans. speCIfi- cations and other data shall not prevent the bu :dlng offiCial from thereafter reqUJrrng the correctIOn of errors In said plans. specIfications and other data, or from preventing building oper<:tlOns being carned on thereunder when In violation of all codes and ordinances of thIS JurisdIction. (SECTION 303(c) - Un; r BUll 109 COde.~ Approval Date D By ~ r - ~ \S' >- ill -J -.l -< "\ ~~ ~ ~ 3g ,}11...1 , I, " ,;' ( ..o-.~I .~-I.p "t:'-,C'J " cJ?-,r r- I '-- I IT ] '^ I <:>&. ~~ , <J~ o~ II!, ~~ ' I cr~a~ I - -, ,,,-.?t~ 't-\!G2. 'o-bt--m m , 1'5==---':::::-::::: -- =, -- C"'t"" ;; ~-61(~'~ ?J:;7 1~.J4ZJolf,P ~~ ! l+- I a\~ ~ I co.' \~ ~ , ~ ~ ~ . \ \'i ~ I '1 ' ~ -- 0 q> .~~ .J...' ~ - ~~' ~ ~ \ ~ I ~ \!'. 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Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner EDMINSTON KIRK PORT ANGELES (360) 457 9270 T- \PLANNING \FORMS \1102.15 [11/14/20031 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 04 00000607 751301 1714 E 3RD ST 06 30 00 5 5 0120 0000 ELECTRICAL ONLY WA 983624910 RS7 RESDNTL SINGLE FAMILY 0 Contractor OWNER Date 7/14/04 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc 1 4 CIRCUITS Sub Contractor SIMPSON ELECTRIC Permit Fee 46 70 Plan Check Fee 00 Issue Date 7/14/04 Valuation 0 Expiration Date 1/11/05 Qty Unit Charge Per Extension 1 00 46 7000 ECH EL -R OR RM 1 4 ALT CIRCUITS 46 70 Fee summary Charged Paid Credited Due Permit Fee Total 46 70 46 70 00 00 Plan Check Total 00 00 00 00 Grand Total 46 70 46 70 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 V cm n� CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION. FOOTINGS WALLS I I FOUNDATION DRAINAGE/DOWN SPOUTS I ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ,lt' y_ ROUGH -IN 17 gC V t.i I I I Jl 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 GAS LINE WOOD STOVE PELLET CHIMNEY HOOD DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I I BUILDING 417 -4815 I T \PLANNING \FORMS\ 1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT 12i7-1,At. la SEPA. i3epiceli 2- rs'- 05' ESA. SHORELINE. CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING I I I I I I I I I ~ I"ORT ~ $.....O~~~ r-...-a "-~ ~ "t9i:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000137 Date .610628 1714 E 3RD ST 06-30-00-5-5-0120-0000- RES REMODEL 2/18/04 RS7 RESDNTL SINGLE FAMILY 300 Owner Contractor HUNT, JAMES 1232 E 5TH PORT ANGELES (360) 457-1040 OWNER WA 983624910 ---------------------------------------------------------------------------- Permit . . . . Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 47.00 2/18/04 8/16/04 Plan Check Fee valuation .00 300 BASE FEE Extension 47.00 Qty Unit Charge Per Other Fees STATE SURCHARGE 4.50 c:J -. ..J:: ~ fl1 \J I ~ W m , \) s;. I \~ \ ~ M , ~ \J\ ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 47.00 47.00 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 51. 50 51. 50 .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 suspl~nded or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 1,80 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 9!Jhe performance of ;'tructlon -J.-. ;1; . ~ ~ I 9-0~ Signature of Contractor or Authorized Agent Date Date T:\PLANNING\FORMS\1102.15 [11/14/2003] ~ BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4]7-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING . MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING 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.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417.4750 'j i?iI (1"1 PLANNING DEPT. BUILDING 417-4815 ~ - j),J). (':5'- I,: l--/ BUILDING T:\PLANNING\FORMS\1102.15 [11/14/2003] ti 'Iol r....,. CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .12\ EAST 5TH STREET, PORT ANGELES, WA 98.162 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00001149 Date .999282 1714 E 3RD ST 06-30-00-5-5-0120-0000- RES REMODEL 3/17/05 RS7 RESDNTL SINGLE FAMILY 4800 Owner Contractor EDMISTON, KIRK 1714 E 3RD ST PORT ANGELES ( 36) 457-1040 WA 983624910 MICHAEL RIVERS CONST P. O. BOX 4074 PORT ANGELES WA 98362 (360) 452-9292 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - -- - - - - - - - - - - - - - - - - -- Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL SIMPSONI 200A P~L. CHANGE+ CIR SIMPSON ELECTRIC 66.90 Plan Check Fee 3/17/05 Valuation 9/13/05 .00 o ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 "- ~ "", Qty 1. 00 Unit Charge Per 66.9000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 66.90 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 66.90 66.90 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 71.40 71.40 .00 .00 ~ ~l ~. lA '\ , COMMENTS/ACTION NEEDED ~ ELECTRICAL PERMIT INSPEQ',10N 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 COMMENTS NO GENERAL COMMENTS: pW-II02.l~ (oU96] 83/14/2085 23:50 4579278 .:;J - J:> ~ D S' yJ !UDl./C *' be"lOn~ rn. . ~ .31/1,,105" ~ , Electrical Contractor [J Owner ~'Il:O;;;O~ o AnDDal Permit 0 AhlTm 0 Carnival CJ Commercial SIMPSON ELECTRIC PAGE 01 . , ELECTRICAL WORK PERMIT APPLICATION o Request Inspection ~ Residential Q Residential Mnint. 0 Signs 0 Tbermo"tat CJ Telecom. Job wired by ~ Eleetrical Contractor 0 Owner In",II",o" dOSCriP~~ ~ A I ~.#. ~n) ICo 'P. EIC:ClriC<l1 contractor name License number ; Son r;: e~"C 1..L-C.... PUTchilser maili"g; ~lddTC.'l~ ;2 '+3 031. lfi,'r::/vIJ"", 10, I-J ci'b i (j V St,'e 7.IP ~~ ~~~ WA. q~b3 Telephone number 1 FAX number bO '5 -'7, 0 c... premE~7t. "Eb M i Sl'O,J Addrc!lll of In,pc~tjOtl rei 1'11<-;! ];,.3 City POl-of A "3 Ii 9 IlL. L.'I '_~ IJOT ,.Pl...!, .~~ .~ ,,~. 10 Y:B _!l5 WALLS Insul3.tion O~ly o Cash 0 Cheek # OCreditCard G0 Mastercatd Card# ---~-----'----- Discover I hereby certify that T iam the Owner of the above named property or a licensed e:leetrical e:ontTactor (of; the nnn's authori7.:cd agent) and am making the e1cctrical in!ltallation or altcrationi in compliance with the c1ectricallaw. Chaplcr t 9.28 RCW. ! of owner, ieleetric:.al contractn !/ x Expiralion Date of card .. Inspection fee $ CEILING lnsulation Only TIlERMOSTAT Cover :^f1l'l'llved Dy Dnl: ^f1J'1tnvl'(! Dy . SERVICE .3'/171..,~ AceD , Dn~' ^l"l'",vw Ey DAle Dnte ^J'IIlr(wr." J.'Iy DITCH .t}.;IWEK Cover Onle f\pproved Mv , . I)nlt. ^I'I'f\Wod By Dille ^PIlrIW~lh Dnte ^"",mVC(l ~y EleClrlcallosd Addlrlon. and ouubttactior:\!\ o NO lOAD CHANGES CJ Ba'.board _ KWI o Fumace KW. o Heat Pump - Ton' LAA ,- CJ Fan.Wall KWi .e!'~~ ~Ovgrheact Service o Temp Service o Uncterground Service ?ervice Information Voltage Phase CJ 1 CJ 3 Servioe Size, ~ Feeder Size: ImmeClion ;-DS1C Area, Building or Eq1Jipl1lcnt Inspected Action Taken Electric,,! lnspcctor itJ~ o ~~+- - --- /iVr $16 ~ ;fcr{} 3j;J' 05 07/11/2004 19:27 4579270 SIMPSON ELECTRIC PAGE 01 . fi &,v . " UO'I"fIlIOAL fDl'l1AMlf APPLICATION '~lQPlllrW.UI1 "OIJ,V -~-_..~" l'1atlln"'_..~..__ liIIl1I~I_.,,~__. l!lrilfttlilllall'_.___ 'I'nII1l!lllltrio~ll'1IIIMAfIIllIllIIlII!n~~ '"'0 L/ - -607 fItBII18l1Wflt1l1PlI1II*m... "I:cM=_~~IIIll- 41'1\4l'lIlI ClLtnmtCll'llll!II.I'llo~II...;~1.all2ftm Q~~Pml1_L(-?7.:/t:;-'2Q.'IJ!A:~. _ ._ ~OwarIJ~~_,. ~ ~~__.,II'~-_._. ....... AlilIIeIlIl k'i,' .. ... 1..--~."'-~.---al~,.~--S7 ._ e. 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RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Service ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ERIC E EDMISTON FELTON ELECTRIC 1714 E 3RD ST 196 GANDALF RD PORT ANGELES WA 983624910 PORT ANGELES WA 98363 (360) 452-7938 (360) 775-5001 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 225.00 Plan Check Fee . . .00 Issue Date . . . . 8/29/23 Valuation . . . . 0 Expiration Date . . 2/25/24 Qty Unit Charge Per Extension BASE FEE 75.00 6.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 30.00 1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 225.00 225.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 225.00 225.00 .00 .00 Application Number . . . . . 23-00000905 Date 8/29/23 Application pin number . . . 349220 Property Address . . . . . . 1714 E 3RD ST ASSESSOR PARCEL NUMBER: 06-30-00-5-5-0120-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Service ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ERIC E EDMISTON FELTON ELECTRIC 1714 E 3RD ST 196 GANDALF RD PORT ANGELES WA 983624910 PORT ANGELES WA 98363 (360) 452-7938 (360) 775-5001 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 120.00 Plan Check Fee . . .00 Issue Date . . . . 8/29/23 Valuation . . . . 0 Expiration Date . . 2/25/24 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 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 9/28/23,14:31:03 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000905 1714 E 3RD ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 105.00 TOTAL DUE 105.00 Please present reciept to the cashier with full payment 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 Application Number . . . . . 23-00001123 Date 10/17/23 Application pin number . . . 367328 Property Address . . . . . . 1714 E 3RD ST ASSESSOR PARCEL NUMBER: 06-30-00-5-5-0120-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Garage rough in ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ERIC E EDMISTON JOHNSON ELECTRIC COMPANY 1714 E 3RD ST 3129 S REGENT PORT ANGELES WA 983624910 PORT ANGELES WA 98362 (360) 452-7938 (360) 728-4327 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 75.00 Plan Check Fee . . .00 Issue Date . . . . 10/17/23 Valuation . . . . 0 Expiration Date . . 4/14/24 Qty Unit Charge Per Extension 1.00 75.0000 ECH EL-R- BRANCH CIR 1-4 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 75.00 75.00 .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 ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS Partial rough approved (See attached email). Owner will complete project. NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 11/2/2023 23-1123 TAP OWNER CONTRACTOR Johnson Electric PROJECT ADDRESS 1714 E 3rd St