HomeMy WebLinkAbout233 E 9th St - Building North Peninsula Electric 928-9409 P.1
CffY OF PORT ANGELES PERMM APPLICATION
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Building DhisiowZlectrical Inspections
321 East JHfth Street—F,.O.Box 11501 port Angeles es asidngton,98362
Ph:(360)417-4735 Fax: (360)4174711
Date: —2-2-,43
Z,el 2 Single Family owellillg
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JcbAddress: ton Sheet
Building Square Footage:
Desc0donci above
Owner Infionwhon Info
Wailing Contra r In atto
Name Norma: fo
G}ly Sate
Zip: Mailing Ad
Phone: =n.—Fex city, stale: zi
License#15p. PhoreL
JExPL
tuic.-Mo EXPL
Item Unit Charge
ServIceWeader 200 Amp,
$120.00 _Qb j TOW G2i
ServicP)Fmier 201-490 Amp. S W.00
Sem&Feeder 401-600 Amts $205.00
SeivicejFeecfer 601-1004 Amp, $26M
Service/Feeder over 1000 Aran. S373.00
Branch Circuit W1 Service Feeder
Bran&Circuit W/o Service Feed, $ $—,— --r
Each Addilloz)al Branch Circuit $Sian Clrcuils 1-4 75.00
Temp.Service!Feeder n Amp. 93-00
Tern ServiceFeeder 2DI400 ArT. 9110.00
Temp.SeMce/Feeder407-600ArM, $149.00
Temp.SeNmfFeederW14000Arnp. &1650
Portal to Portal Hourly 98.00
Signal CircujV Limited Energy-I&2 Far Tfly Dwelling 864.00
Manuradured Home Ccnneckon S120.00 $
R t
erevoz*ee&cal Energy-5KVA Syslern or L= S 10204 $
Thermostat S 56-00 $—
Note:WOO for each additma[TSlat $.--
NEW CONSTRUCTION ONLY:
First 1300 Square Ft $120.00
Each Additional 500 Square Ft or parjon of $ 40.00 S—
Each Outbuilding or Delac�ed Garage S 74.00 $—
Each Swimming Pool or HotTub
Owner as defined by RCW192B.261:(1)Omer 411 occupy the structure for two years after this electrical permit is
to hire an electrical=tractor it ' finalized.(2)Owner is required
abovesaid property is for sale,rent or lease.Permit expires after six months of W inspedon.
After reading the above staternent,I hereby certify that I am the owner of the above named prop"or a rjmnsed electrical contractor. I am making
the electrical installation or alteration in compliance Y41h the electrical laws,MEG, to al
RCVV Chapter 19.28,WAC,Chapter 296-468,The City of Port
Angeles WniclpalCode,and WHIlySpecificafonsand PAMC14.05LBO regarding Electrical PefTNtApplicaUons,
Signftreof wrier,electrical contractor or eledricaj administrator El cash 11 Chwk
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008212012
C�A
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ELECTRICAL PERMIT g
CITY OF PORT ANGELES W
360-417-4735
Application Number . . . , . 13-00001378 Date 12/02/13
Application pin number , . . 257674
Property Address . , . . . . 233 E 9TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-6975-0000
Application type description ELECTRICAL ONLY on your excise fax form
Subdivision Name to the City of Port Angeles
Property Use . . , . , , . .
Property Zoning . , . , , , , RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . , . 0
Application desc
2 circuits ductless / EX, 12-742
Owner Ccn1 ractor
MARTINSON,CANELLE NORTH PEJINSULA ELECTRIC
233 E 9TH ST 761 FRRSHWATER PARK RD {�
VENTURA CA 93001 PORT ANGELES WA 98363 11�
227-3347 ---------------- 477--769-----
Permit , , . . , , ELECTRICAL ALTER RESIDENTIAL
Additional. desc
Permit Fee , . , . 68.00 Plan Check Fee .00
Issue Date . . . , 12/02/13 Valuation 0
Expiration Date 5/31/14
Qty Unit Charge Per Extension {�
1,00 510000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00 1
1100 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
Y- -- - --- - ^`^lCredited _-- -- ---- ----
Fee summary Charged Paid Due n
----------------- ---------- --------- _-------- ----------
Permit Fee Total 68,00 68.00 Oo ,00
Plan Check Total ,00 .00 .00 ,00
Grand Total 60.00 68.00 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:IEXCHANCIMBUILDING
,.s CITY OF PORT ANGELES
gE DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5T1-1 STREET, PORT ANGELES, WA 98362
Application Number 12- 00000010 Date 1/06/12
Application pin number 928420
Property Address 233 E 9TH ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2- 6975 -0000- REPORT SALES TAX
Application type description RES ADDITION on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 2700
Application desc
add second story roof cover to existing deck
Owner Contractor
Ea
MARTINSON,JANELLE RENOVATION SOLUTIONS LLC l
233 E 9TH ST PO BOX 13 FFF OOO fffWWW���
VENTURA CA 93001 PORT ANGELES WA 98362 2
(907) 227 -3347 (360) 775 -8144 q•1�l
Other struct info HARD SURFACE AREA
Permit BUILDING PERMIT RESIDENTIAL
Additional desc
Permit Fee 109.75 Plan Check Fee 71.34
Issue Date 1/06/12 Valuation 2700
Expiration Date 7/04/12
Qty Unit Charge Per Extension
BASE FEE 95.75
1.00 14.0000 THOU BL- 2001 -25K (14 PER K) 14.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 109.75 109.75 .00 .00
Plan Check Total" 71.34 71.34 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 185.59 185.59 .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 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 co lied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the pr sio• of any state or local law regulating construction or the performance of
construction.
—2o Z. eerr 5' /%4.111111.
'MP' WAIIIII
Date Print Name S'• nature o Contractor Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 v'
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
f D
Inspection Type Date Accepted By Comments
FOUNDATION: V
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accep by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls -o
Only) Drywall (Interior Braced Panel
INSULATION:
Floor Slab
Wall
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Acceptey
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By l c Electrical 417 -4735
0 41:C. N.
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Q
Planning 417 -4750
Building 417 -4815
T:Forms /Building Division /Buildinq Permit
CITY OF p OR1jGELES
W A S H I N G T O N U. S. A
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err Nv
COMMUNITY ECONOMIC DEVELOPMENT
September 5, 2012
Janelle Martinson
233 E 9 Street
Port Angeles, WA 98362
RE: Building Permit #12 -10
Dear Ms. Martinson:
This letter is a final courtesy reminder of the status of the above permit. The permit for the porch
has expired. In order to perform a final building inspection on the project, you will need to pay
$50.00 prior to scheduling the inspection. The electrical work will be required to be complete
before the building inspection can be scheduled. Please be advised that permits that remain in an
expired status may affect future financing, insurance, and real estate transactions on the property.
Sincerely,
ecouv
Heather Catuzo
Building Permit Technician
321 E 5 Street
Port Angeles, WA 98362
hcatuzo @cityofpa.us
360- 417 -4817
PROJECT STATUS UPDATE
Permit 12/
Date: 8/I J
I phoned the: Applicant at
Property Owner at
Contractor GO Sl /'Y) K S at -81 Oq
I (left a phone message, or dr
The permit (has expired, or expire so What is the status of this project?
Please call and schedule a final inspection.
Or
Submit a "permit extension request" letter.
Or
Let me know if the project is abandoned.
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T:FonnsBuilding Division/Project Status Update
CITY OF O RT NGELES
W A S H I N G T O N U. S. A
fit
COMMUNITY ECONOMIC DEVELOPMENT
August 7, 2012
Janelle Martinson
233 E 9 Street
Port Angeles, WA 98362
RE: Building Permit #12 -I0
Dear Ms. Martinson:
I am writing this letter as a courtesy to remind you of the status of the above permit. The permit
will expire on August 17, 2012. This is the final notification you will receive regarding this
permit. If the work is complete, please call to schedule the inspection prior to the expiration date.
After the expiration date, a final inspection may be possible with a $50.00 inspection fee. If you
have questions, please do not hesitate to contact us.
Sincerely,
Nak) N OaltV
Heather Catuzo
Building Permit Technician
321 E 5 Street
Port Angeles, WA 98362
hcatuzo @cityofpa.us
360- 417 -4817
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oar °a� BUILDING PERMIT APPLICATION Print in ink
°a CITY OF PORT ANGELES
Attn: Building Permit Technician For City Use only:
/ate 321 E. Fifth St., Port Angeles, W Received
A 98362 ate
(360) 417 -4815 fax (360) 417 -4711 �("ate Approvedl
Applicant �[.o S /O S e
pp
Property Owner a�q -1e 71417 /Text Phone
Property Owner's Address 033 9
Contractor Pe K e —r o,� cS'6i, e�ie� s /LG. Phone 7'7S F/ v 5
Contractor's Address ?o 0G5/le /3 >z /mss
License Expires E -mail «r, /AK g /7‘/e04
PROJECT ADDRESS Z33 9
Parcel Number Lot Zoning
Project Type Brief Description: Residential Multi- family Commercial Industrial
Check all that apply
New Construction
<Addition 7;"P 57C,7jcf 4 o VEY
Remodel
Repair
Demolition
Re -roof House garage other tear off re -roof lay over one layer
Heat System Heat pump wood- burning stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1 Floor
2 Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION ��f l�•
Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage
Max. height of proposed structures 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
have read and completed this application and know it to be true and correct. I am authori d tpply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits pri toorking o .rof: cts.
Date 1 Print. Name �G'T` 1 Ark S Sig••a ur-
T:Forms /Building Division /Building permit application
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Side fascia trims are different sizes with different reveal. Wood is cut very sloppily.
Split tongue and groove caused by nailing on edge.
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CITY OF PORT ANGELES
e DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
ti.
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000525 Date 5/02/12
Application pin number 392750
Property Address 233 E 9TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 6975 -0000
Application type description RE -ROOF on your state excise tax form
Property Use
Subdivision Name
Property to th City of Port Angeles
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 10384
Application desc
TEAR OFF REROOF
Owner Contractor
MARTINSON,JANELLE EMERALD-ROOFING INC
233 E 9TH ST P. 0. BOX 879
VENTURA CA 93001 PORT ANGELES WA 98362
(907) 227 -3347 (360) 452 -4681
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF REROOF
Permit Fee 221.75 Plan Check Fee .00
Issue Date 5/02/12 Valuation 10384
Expiration Date 10/29/12
Qty Unit Charge Per.. Extension
BASE FEE 95.75
9.00 14.0000 THOU BL- 2001 -25K (14 PER K) 126.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 221.75 221.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 226.25 226.25 .00 .00
Se. parate 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.
Date Print Name Signatur= •f Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:...
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
ca
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831 1
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 l tie
T•Fnrmc /Riiilrlinn Ilivisinn /Ruilrlinn Permit
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o� BUILDING PERMIT APPLICATION Print in ink
L i 7fa Jr,"
CITY OF PORT ANGELES
it&La
A ttn: Building Permit Technician For City Use Only:
'EL 'oar ITY Date Received 5`a 12-
321 E. Fifth St., Port Angeles, WA 98362 Permit 1 1a� F.fLrJ
(360) 417 -4815 fax (360) 417 -4711 Date Approved ,5 a,— Ia.
a n
A Applicant O t'- �'1�L- itto6(44hone
pP 2� a
Property Owner j-4111/ ,4 Af?7 (1) E2/) Phone %7- 227 '3 4 (7
Property Owner's Address 2 j 01S `j T/-(
Contractor F71 iM-19 V.,Cai&6 Phone L6t
Contractor's Address 0. ;3(2
License m �2 e .1.7I -j Expires j) -5 12_ E -mail
PROJECT ADDRESS 2 33 97
Parcel Number Lot Zoning
Project Type Brief Description: kFesldential Multi family Commercial Industrial
Check all that apply
New Construction
Addition
Remodel
o Repair
Demolition
*e -roof WHouse garage other tear off re -roof lay over one layer
Heat System o Heat pump wood- burning stove gas fireplace ❑,pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1 Floor
2 Floor
3` Floor
Garage
Carport
Covered Porch
Deck
Shed
Other 221,Q 5• l2 OOt bycAral
TOTAL VALUATION /13
Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage oh
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other Impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage
Max. height of proposed structures 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. l 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.
Date4 �2S 1 Tint Name i 5 6\ ,T,'" Signature
T:Forms /Bulldin Division/Building permit application
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
P~n number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Appl~cat~on valuation
04-00000748 Date
.908648
233 E 9TH ST
06-30-00-0-2-6975-0000-
RES REMODEL
8/23/04
RS7 RESDNTL SINGLE FAMILY
500
Owner
Contractor
EXPIRED
Z/U/! tJ{
LILLEY, TORA/BRAD
233 E 9TH STREET
PORT ANGELES
(360) 457-7873
OWNER
WA 98362
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
REPLACE/REPAIR SUB FLOOR
47.00 Plan Check Fee
8/23/04 Valuation
2/20/05
.00
500
Qty Unit Charge Per Extension
BASE FEE 47.pO
-------------------------------------------------------------------------t--
Other Fees . . . .. STATE SURCHARGE 4.50
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
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pnvate and public improvements. This permit becomes
null and void If work or construction authonzed IS not commenced within 180 days, If construction or work is suspended or abandoned
for a penod of 180 days after the work as commenced, or if required inspections have not been requested withm 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 governmg thiS type of work will be compiled with whether speCified herem or not. The grantmg 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. -) f4
. '~o~
CJ
Signature of Contractor or Authorized Agent Date
T \PLANNINGIFORMS\1102 15 [11/14/2003]
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY' I
Date Rec e \. 'Z. S~ rI-
Permit # ~ t.j" 7 "
Date Approved
Date Issued
I
Fill out COMPLETELY and in INK. Your application and site plan :MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
ApplIcant or Agent:
~ \' rA- .\- <XSr t;.&
')00 b. q~-
Phone: 457-727 '5
~ \ \ \c~O Phone:
CItY' \Vo-{'-J-.- Yr-r- ZIp:
Phone:
Owner-
~
Address:
r
ArchItect/Engmeer:
Contractor
~ 33
State LIcense #: Exp: Phone:
CIty: ZIp:
r q'tf- ~~ ~ ZONING:
Block: SubdIVisIOn:
Address:
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA
TYPE OF WORK:
):0 ReSIdentIal 0 New Constr 0 Re-roof 0 Stove
o Muln-famliy 0 Adchnon 0 Move 0 Garage
o CommercIal p Remodel 0 DemolItlOn 0 Deck.
o Reparr 0 SIgn 0 Other
BRIEF DESCRIPTION OF THE PROJECT: Q> -.ML9&l...:;-~
~~~Drs nQ~~-r ) +<~.p lOLc,~J S~
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: Lot SlZe: EXlstmg Sq. Ft.
Total lot coverage
City:
MC
#
Exp. Date:
SIZEN ALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF = $
SF. @ $ /SF. = $
TOTAL V ALUATWli $
~-..l...rlAA^-, -+ ~~
'F L Dt:'") r-
S bc;.O:?
pI... "'.... ~''''-5
......~""Il s
/
I
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq Ft.
%
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist requrred? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Buildmg DlVlsion can proVIde you WIth mformatlon on the applicatlOn and
~ plan subnuttal requrrements If you have questions.
VALUATION OF CONSTRUCTION. In all cases, a valuation amount must be entered by the applIcant. ThIS figure Wlll be revIewed
and may be revIsed by the BUlldmg DIVISIon to comply WIth current fee schedules. Contact the Pernut Coordmator at 417-4815 for aSSIstance.
PLAN CHECK FEE. IF a plan check fee IS due It must be subnutted at the tlme the bUlldmg pernut applIcatlOn and constructlOn plans are
subnutted. All other pernut fees are due at the trme ofpernut Issuance I
EXPIRATION OF PLAN REVIEW: lfno pernut IS Issued wIthm 180 days of the date ofapphcatlOn, the application will expire. Tlie
BUlldmg Official can extend the trme for acnon by the apphcantup to 180 days upon wrItten request by the applIcant (see SectlOnRI05.3:2
of the IntematlOnal Buildmg/Resldennal Code, 2003). No apphcatlOn can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct I am authorized to apply for this permit and
understand that it IS my responsibility to determme what permils are reqUIred ,not the City'S, and that I must obtain such permits pnor to work.
TlRVESSIBLDG-fo~-bro"h"=\2003-B",ldmgp=" wpd Applicant ~~ D"e.~
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
1800
8/;; IRR
, .
ELECTRICAL PERMIT
DATE
Site Address:
o READY FOR
INSPECTION
license Number:
~33 E 971}'
EJe'cfoc- 9n./I::"'-e.
. 0 ILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
11!f Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load 0 Add/alter circuits
Total Connected load 0 Auxiliary power
(attach breakdown) (I ist below)
Total Motor load 0 Special equipment
(attach breakdown) (list below)
DetailslDescription: ~rtJ I~ e. (? h I'J Nt.j e-
M f' hhNt:;t? //J iN:<__ d
o New Construction
o Remodel
~ Service update/alter/repair
o Overhead
o Underground
Voltage
o 10 030
Service size 6100
o Temporary
Amps
I/Jp/J) r;;.n~1
(~j/- /n
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
9' O.K.. to connect service
:Ky~~1 O.K.
Date
Hold for: 0 Easement 0 Letter
Size
Comments
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:
Permit/Receipt No.
/800
Da8/:l/~g
.;)33 E 9/7f
Ekc_fr/c- grv/c.~
Installer:
Notify the Department of City Light by Street Address and Permit Number when ready lor inspection. Work
must not be covered or electricaliy 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.
Q NO OCCUPANCY OR USE' ESTABLISHED UNDER THIS PERMIT ~
1~!:e Amo~n~af:
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical: Inspections
�-
.p
321 East Fifth Street - P.O. Sox 1150 / Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: 640)12— ,.� 1 & 2 Single Family Dwelling
�[
� V
* Plan Review May Be Required PI se Complete. Electrical Plan Review Information Sheet
Job Address:?
Building Square Footage: 0
Description of above r
Owner Inf rmation Contractor Information
Name: /' ✓) Name:
Mailing s: '� Mailing Address:
City: 6�� -fit State: Sf /� City State
Zip:
Phone: Fax: Phone: Fa x:
License # ! Exp. License # 1 Exp.-
Item Unit Char e Qty Total {Qty Multiplied by Unit Charges
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. $ 252.00
$
Service/Feeder over 1000 Amp. $ 373.00
$
Branch Circuit W/ Service Feeder $ 5.00
$
Branch Circuit W10 Service Feeder $ 630
$
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 Portai Houriy $ 96.00
$
Signal Circuit! Limited Energy - 1 & 2 Family Dwelling $ 64,00
$
Manufactured Home Connection $120,60
$
Rerewable Electrical Energy - 5KVA System or Less $102.00
$
Thermostat $ 56.60
$
Note: $5.00 for each additionai 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 installation or alteration in compliance with the electrical laws, hi.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.
Signature of owner, electrical contractor or electrical administrator: ❑ Cash 0 p reek
% ❑ Credit Card #
f
0110112012
X Dated:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 - 4174735
Application Number 12- 00000742 Date 6/12/12
Application pin number . . . 1.91228
Property Address . . . . . 233 E 9TH ST
ASSESSOR PARCEL NUMBER; 06-30-00-0-2- 6975 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . , . .
Property Use . , , . . .
Property Zoning . , . , . , . RS7 RESDNTL SINGLE FAMILY
Application valuation . , . . 0
----------------------------------------------------------------------------
Application desc
1 circuits light / outlet
Owner Contractor
MARTINSON,7ANELLE OWNER.
233 E 9TH ST
VENTURA CA 9300.1
(907) 227 -3347
Permit , . , , , , ELECTRICAL ALTER RESIDENTIAL
Additional desc , .
Permit Fee . . , . 63,00 Plan Check Fee .00
Iasue Date . . , . 6/12/12 Valuation 0
Expiration Date 12/09/12
Qty Unit Charge Pei Extension
1,00 63.0000 ECH EL -R- BRANCH CIR W01 SER FEED 63.00
Fee summary T -' Changed Paid Credited Due.
-
Permit Fee Total 63.00 63.40 .0.0 .00
Plan Check Total ,00 .40 .00 .00
Grand Total 63,00 63.00 .00 00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Cade 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contraotor X Date.:
G :IEXC I I AN G E1B U I L D IN G
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