Loading...
HomeMy WebLinkAbout1517 W 14th St - BuildingPREPARED 7/26/11 8 39 18 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/26/11 ADDRESS 1517 W 14TH ST SUBDIV TENANT NBR JOHN SUSAN LEE CONTRACTOR VAN BLAIR BRENNAN PHONE (360) 417 8144 OWNER JOHN D SUSAN A LEE PHONE (360) 417 2701 PARCEL 06 30 00 0 4 0156 0000 APPL NUMBER 11 00000431 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 5/17/11 JLL BLDG FRAMING 5/19/11 AP May 16 2011 4 45 58 PM 1pangrle BRENNAN VAN BLAIR 417 8144 PHONED IN THE INSPECTION FRAMING BRENNAN REQUESTS THAT YOU CALL THE OWNERS (JOHN SUSAN LEE) AT 452 4010 BEFORE YOU GET THERE TO ENSURE THEY ARE HOME TO LET YOU INSIDE May 19 2011 4 49 41 PM jlierly BL99 01 7/26/11 BLDG FINAL TIME 01 00 July 25 2011 10 24 09 AM 1pangrle SUSAN 452 4010 BUILDING FINAL AFTERNOON ME6 01 6/17/11 JLL 6/17/11 AP ME99 01 7/26/11 PERMIT ME 00 MECHANICAL P IT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS MECHANICAL GAS LINE TIME 01 00 June 16 2011 2 56 25 PM 1pangrle SUSAN 452 4010 GAS LINE AFTERNOON June 17 2011 4 45 29 PM jlierly MECHANICAL FINAL TIME 01 00 July 25 2011 10 24 45 AM 1pangrle SUSAN 452 4010 MECHANICAL FINAL AFTERNOON COMMENTS AND NOTES PREPARED 6/17/11 8 41 18 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/17/11 ADDRESS 1517 W 14TH ST TENANT NBR JOHN SUSAN LEE CONTRACTOR VAN BLAIR BRENNAN OWNER JOHN D SUSAN A LEE PARCEL 06 30 00 0 4 0156 0000 APPL NUMBER 11 00000431 RES REMODEL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESUL RESULTS /COMMENTS ME6 01 6/17/11 SUBDIV PHONE (360) 417 8144 PHONE (360) 417 2701 MECHANICAL GAS LINE TIME 01 00 June 16 2011 2 56 25 PM 1pangrle SUSAN 452 4010 GAS LINE AFTERNOON COMMENTS AND NOTES PREPARED 5/17/11 8 24 45 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/17/11 ADDRESS 1517 W 14TH ST SUBDIV TENANT NBR JOHN SUSAN LEE CONTRACTOR VAN BLAIR BRENNAN PHONE (360) 417 8144 OWNER JOHN D SUSAN A LEE PHONE (360) 417 2701 PARCEL 06 30 00 0 4 0156 0000 APPL NUMBER 11 00000431 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 5/17/11 JLL BLDG FRAMING n r May 16 2011 4 45 58 PM 1pangrle J-� BRENNAN VAN BLAIR 417 8144 PHONED IN THE INSPECTION 'FRAMING BRENNAN REQUESTS THAT YOU CALL THE OWNERS (JOHN SUSAN LEE) AT 452 4010 BEFORE YOU GET THERE TO ENSURE THEY ARE HOME TO LET YOU INSIDE COMMENTS AND NOTES Cyd(L Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 4 circuit kitchen remodel Owner LEE SUSAN A 1517 W' 14TH ST PORT ANGELES Unit Charge 73 5000 2 6000 Qty 1 00 3 00 Fee summary Charged WA 983636884 Permit Additional desc Permit pin number 185140 Permit Fee 81 30 Issue Date 5/06/11 Expiration Date 11/02/11 Permit Fee Total 81 30 Plan Check Total 00 Grand Total 81 30 INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS Signature of owner or Electrical Contract6r X ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 11 00000429 661058 1517 W 14TH ST 06 30 00 0 4 0156 0000 ELECTRICAL ONLY Contractor OWNER ELECTRICAL ALTER RESIDENTIAL Per ECH EL BRANCH CIRCUIT WO /FEEDER ECH EL -ECH ADDNT BRANCH CIRCUIT Paid Credited 81 30 00 00 00 81 30 00 DATE. 61 cilkv i is PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION 4: i Plan Check Fee Valuation Date 5/06/11 Due RESULTS 00 00 00 00 0 Extension 73 50 7 80 INSPECTOR. REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date. �1 Application Number 11 00000431 Application pin number 697441 Property Address 1517 W 14TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 4 0156 0000 Tenant nbr name JOHN SUSAN LEE Application type description RES REMODEL Subdivision Name Property Use Property Zoning Application valuation Application desc REMOVE INT WALL /TANK SET /GAS LINE /COOKTOP Owner Contractor JOHN D SUSAN A LEE 1517 W 14TH ST PORT ANGELES WA 98363 (360) 417 2701 Structure Information 000 000 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty BASE FEE 3 00 14 0000 THOU BL -2001 25K Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 1 00 1 00 Other Fees Fee summary Charged Permit Fee Total Plan Check Total Other Fee Total Grand Total Date Print Name Unit Charge Per 10 6500 EA 10 6500 EA 50 0000 HR TForms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 BUILDING PERMIT RESIDENTIAL KITCHEN REMODEL 185215 137 75 Plan Check Fee 89 54 5/06/11 Valuation 4500 11/02/11 MECHANICAL PERMIT 185223 121 30 5/06/11 11/02/11 Per 259 05 89 54 4 50 353 09 RS7 RESDNTL SINGLE FAMILY 4500 VAN BLAIR BRENNAN 635 E 11TH ST PORT ANGELES (360) 417 8144 KITCHEN REMODEL (14 PER K) Plan Check Fee 00 Valuation 0 BASE FEE ME STOVE /FIREPLACE /MISC APP ME FUEL GAS PIPING 1 5 OUTLETS ME INSPECTION MIN 1 HR STATE SURCHARGE 4 50 Paid Credited Due 259 05 89 54 4 50 353 09 00 00 00 00 Date 5/06/11 WA 98362 Extension 95 75 42 00 Extension 50 00 10 65 10 65 50 00 00 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 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 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Signatur- o ontractor otAuthorized Agent Signature of Owner (if owner is builder) 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 FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T Forms /Building Division /Building Permit E Date Accepted By 11 -I t PLANNING DEPT Separate Permit its SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Comments FINAL Date Acceoted by Z19' FINAL Date 1 Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By tto Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 0 Building 417 -4815 1 -24)-- I I zLV Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System ,(Other Floor Areas Basement 1St Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Site Coverage the amount o and other impervious surfaces. Max. height of proposed str Lure Will a lawn sprinkler syste be installed? Will a fire sprinkler system be installed? BUILDING PERMIT APPU ATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant c /7 Property Owner Property Owner's Address Contractor 1 Phone �2. Phone Contractor's Address T I ;IA 'Q,,,f l;rc (AA- License V R 0 R 1 4 7 Expires 2- 2 Y- IZ E -mail 'r PROJECT ADDRESS Parcel Number U 630 0004 015 Lot Zoning Residential Multi- family Commercial Industrial ,z!,Y('r New I-10ot /uewl- mrw-_ Gfrm House garage other Heat pump .0 wood burning stove gas fireplace pellet stove other t40 P Lt wt v►,a c h all a es Existing (sq. ft.) Pposed (sa. ft.) sq ft. Lttsize ious surface on a parce ee PAMC 17 94 135 for e ft. Occup cy gr••p Occupan -d Constr io ype I have read and completed this application and know it to be true and correct. lam authorized to apply for this permit andunderstand that it is my responsibility to determine what permits are required, to. obtain permits prior to working on prof Date 1 I Print Name�f'I`/ T Forms /Building Division /Building permit application Ph sq ft. uding structures paved drive ptions) Signafre- _--.4; For City Use Only Date Received Permit ..../Date Approved I gg b t444,“:3 Opt tear off re -roof lay over one layer per sq ft. i�" h TOTAL VALUATION 1) D UU D O Lo overage ys sidewalks patios coverage of bedrooms of full baths of half baths r inkt Clallam County Assessor Treasurer Property Details 60204 JOHN D AND SUSAN Page 1 of 2 Clallam County Assessor Treasurer Property Search Results 60204 JOHN D AND SUSAN A LEE for Year 2011 2012 Property Account Property ID' 60204 Legal Description. LT 16 BL 401 SURVEY V24 P79 Geographic ID 0630000401560000 Agent Code: Type. Real Tax Area 0010 PA 121 PORT ST CNTY H2 L VVMP Land Use Code 11 Open Space N DFL N Historic Property' N Remodel Property N Multi- Family Redevelopment: N Township' Section: Range: Location Address. Neighborhood Neighborhood CD Owner Name: Mailing Address. Taxes and Assessment Details Property Tax Information as of 05/05/2011 Amount Due if Paid on 1517 W FOURTEENTH ST Mapsco PORT ANGELES WA Cycle 5 Res Map ID' 3 10955130 JOHN D AND SUSAN A LEE Owner ID 193194 1517 WEST 14TH STREET Ownership 100.0000000000% PORT ANGELES WA 98363 Exemptions. NOTE. If you plan to submit payment on a future date make sure you enter the date and click RECALCULATE to obtain the correct total amount due First Second l Half Half 1 Base Base 1 1 I Year i Statement ID Taxing Jurisdiction Amt. Amt. 1 Penalty i Interest Base Paid Amount Due 2011 154796 ST SCH STATE SCHOOL $179.53 $179.52 $0.00 $0 00 $179.53 $179.52 2011 154796 _ST COUNTY CLALLAM $99 11 $99 10 $0.00 $0 00 $99 11 $991 2011 154796 SD #121 SCHOOL DISTRICT #121 $234.67 $234.67 $0.00 $0 00 $234.67 $234.671 2011 154796_ CITY PORT NG CITY OF PORT ANGELES $22_8.81 $228.78_ $0.00 $0 00 $228.81 $228.78 i 2011 154796 PORT PORT OF PORT ANGELES $13.95 $13.95 $0.00 $0.00 $13.95 $13.951 2011 154796 NTH OLY LIB NORTH OLYMPIC LIBRARY $41.57 $41.56 $0.00 $0.00 $41.57 $41.56 2011 154796 HOSP #2 HOSPITAL #2 $40.69 $40.68 $0 00 $0 00 $40.69 $40.68 2011 154796 WSMET PK DIST WILLIAM SHORE MET PARK DIST $12.37 $12.36 $0.00 $0.00 $12.37 $12.36 1 2011 154796 CITY STORMWATER CITY STORMWATER $36 00 $36.00 $0 00 $0.00 $36.00 $36 00 12011 154796 WEED CONTROL WEED CONTROL $0.82 $0.81 $0 00 $0 00 $0 82 $0.81 2011 1547 TOTAL. 5887.52 $887.43 $0.00 $0.00 $887.52 $887.43 2010 43_079 ST_ SCH_ STA_T_E SCHOOL $177 73 $177 73 $0 00 $0.00 $355 46 $0 00 2010 43079 CC -GEN COUNTY CLALLAM $94.59 $94.58 $0.00 $0 00 $189 17 $0.00 20_10 43079 SD #121 SCHOOL DISTRICT #121 $230.21 $230.21 $0 00 $0 00 $460 42 $0 00 2010 43079 CITY PORT ANG CITY OF PORT ANGELES $218 99 $218 98 $0.00 $0.00 $437 97 $0 00 2010 43079 PORT PORT OF PORT ANGELES $13.30 $13.29 $0 00 $0.00 $26.59 $0.00 2010 43079 NTH OLY LIB NORTH OLYMPIC LIBRARY $27 48 $27 49 $0.00 $0.00 $54 97 $0.00 2010 43079 HOSP #2 HOSPITAL #2 $38.80 $38.80 $0.00 $0.00 $77.60 $0.00 2010 43079 WSMET PK DIST WILLIAM SHORE MET PARK DIST $12.34 $12.35 $0.00 $0.00 $24.69 $0.00 2010 43079 CITY _STORMWATER_CITYSTORMWATER $36.00 $36.00 $0 00 _$0 00 $72.00 $0 001 2010 43079 WEED_ L CONTROL WEED CONTROL $0.82 $0 81 $0.00 $0.00 $1.63 $0.001 http. /websrv8 clallam. net propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop_id =60204 5/5/2011 I. CO C') co lb77 la 14- 404 awe-) /7 z 24' 84+ 125' 101 LEE, SUSAN.kit 3.kit 4.kit 161' 71+ gg'140V 77 4 /5 (.9N FR 72) 47i it k.? All dimensions size designations given are subject to verification on job site and adjustment to fit job conditions. 32' 21 3s)' W2130L W30121 W1230 CW2430R at) P 4050‘14_ ,c7 -per m u 1-10-: 1 7 Ale, VOAI 1,JaEL ,)q)t-j d'cz. CITY OF PORT ANGLES Construcuon Plans t o The issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official thereefter–requiring–the–curection of errors in said plar specifications and other data, or from preventing Uhl carrbron thereunder when in des and ordinances of this jurisdiction. co cl ()PC 36' sipri 21 01111,1111R9; violation of all c ;5E7, `kv DB36-3 241DISHW,? ,...<=-6-7zw.pmx. 674- riee (0(47 cpz:-/4 co FILE 1 i JSZI 12' 24 ,-12' 12' WALL? 24 A 20208P This is airoriginal design and must TECHNOLOGIES EA not be released or copied unless applicable fee has been paid or job order placed. 0) 1 SF3X32 Q Designed: 3/30/2011 Printed: 4/26/2011 1All 1Drawing 1 1No Scale. r 0 a c r44 12_EF 0 0 7 Y4- 44444 444.- 64- A.0 f/ a kg, j?%`• N 2. La RAPT ce-C) 4 7 :1•"- e vqikA-4- e r•-c. 40 ,14 4 4 ,4,- 4 •X`", O :44 4. 4 0 4 1, CITY .../NNP.Ft.S,7'OtinstruatiOn plans The i'sthmoceol:tiii`s7perOiit bateerution these plans, sOecifir cations and otherdata st .notbreVant:the building official from theLeaftnr requiring he .C9Feclji*df. !agora in said plans specifications and other or from preventing buildinorieratici0 ibeingr ori vhen in violation; `ot allicodca.a10 tai* (SECTII3N.'3(1.3'(424 libifbthtkjiuilsling` dod'e* Approval Data 9 14y- p6,40)/ dcve OF 4bra S_. 4 1 0 -CS‘) 76, •j, •ri "4. 4. t `T- 1 a••• :ALL5„, ,L7LL 4•• 4 7 't.'"'" "I''''^` tt V 7 ii• 4 'C I 4 5" Yf t r.4 ,::5'7 Z V.) *rd, %/4 41; -e• 4' 55 7 i ,-01.- I4.444,--,,,-• ,T 1 p 4 1 Ty), 4, 1', ti,. r r;: rr. 4 It• ....6 .4 i 1.5 -4 S 1. r h I CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 5 2011 321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362 Ph. (360) 417 -4735 Fax. (360) 417 -4711 ELECTRICAL INSPECTIONS D `7 7 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Requ�ir d, Please Corny t lectrical Plan Review Information Sheet Job Address: 7 /73. //C_ "5 Building Square Footage: Description of above Owner Information Name mod Mailing ddress: tate: City e: F a Phon x: e:4�i Fax: License #1 Exp Item Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp Service /Feeder 601 -1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service/Feeder Amp. Temp. Service /Feeder 601 1000 Amp Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy First 1500 sf Commercial Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited. Energy Multi Family Dwelling Manufactured Home Connection Renewable. Electrical Energy 5KVA System or Less Thermostat NEW CONSTRUCTION ONLY. First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Zip: et'. J i Unit Charge 119.90 $145.50 204.60 262.20 372.50 2.60 73.50 2.60 92.70 $110.30 $148.70 167.90 95.90 88.20 95.90 63.90 63.90 119.90 102.30 56.00 $110.30 35.20 73.50 $110.30 Dated: o Qty Credit Card EC1E5 Contractor Information Name: Mailing Address: City Phone: License Exp. State: Zip: Fax: Total (Qty Multiplied by Unit Charge) S U &i ...1.!2 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.0 RCW Chapter 19.28, WAC Chapter 296 -46B, The 'City of Port Angeles Municipal Code, and. Utility Specifications and PANIC 14.05 050 regarding Electrical Permit Applications. Sign ur.e of owner electrical contractor or electrical administrator Cash Check 01/01/2010 Aoolicatinn lTnmha- Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner nnnnnl7r 671500 1517 W 14TH ST 06 30 00 0 4 0156 0000 RES ADDITION RS7 RESDNTL SINGLE FAMILY 18000 Contractor LEE SUSAN A WAYNE BILLMARK 1517 W 14TH ST PO BOX 1296 PORT ANGELES WA 983636884 SEQUIM (360) 683 2753 Structure Information 000 000 306 SF ADDITION Construction Type TYPE V NON RATED Occupancy Type SINGLE FAM CONGREGATES Other struct info TOTAL LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Permit Additional desc Permit. pin number Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL OWNER/ 1 4 CIR T STAT LV AD 48983 48 10 5/13/05 Valuation 11/09/05 Plan Check Fee Qty Unit Charge Per 1 00 48 1000 ECH EL -R OR RM 1 4 ALT CIRCUITS 00 36 4000 ECH EL LVT FIRST THERMOSTAT Permit ELECTRICAL NEW RESIDENTIAL Additional desc OWNER/ LV AUDIO Permit pin number 48991 Permit Fee 42 20 Plan Check Fee Issue Date 5/13/05 Valuation Expiration Date 11/09/05 Qty Unit Charge Per 1 00 42 2000 EL LOW VOLT SYS =2500 SQFT CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 VN Special Notes and Comments When roof gutters are installed drains will located in dry wells or piped to approved storm drain locations Proposal will result in 306 sq ft addition in RS 7 for total lot covereage of 24% No land use issues noted Electrical load calculations and elctrical permits are required Other Fees COMMENTS /ACTION NEEDED WA 98382 23 50 1 00 1344 00 7000 00 306 00 1650 00 1 00 00 0 Extension 48 10 00 00 0 Extension 42 20 STATE SURCHARGE 4 50 r 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 YES 1 NO DITCH I I I ROUGH -IN COVEk I I I SERVICE I I I I I I I I 1 I I I I I I I I COMMENTS PAL 1102.13 (496) Application Number Application pin number Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total COMMENTS /ACTION NEEDED. CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 05 00000178 671500 Charged Paid Credited 90 30 90 30 00 00 00 00 4 50 4 50 00 94 80 94 80 00 Page 2 Date 5/13/05 Due 00 00 00 00 FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD s 'I l .:ALL 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 YES I NO DITCI4 I I I ROUGH-IN COVEk SERVICE I6 4 -e I 1 I I I I I I I I I I I I I I PW.1102 13 14/961 COMMENTS E.% Pl k D /2 -13-o5 10- itb`s Electrical Contractor Owner�14 r/ F Annual Permit Alarm Carnival Commercial Residential Residential Maint. Signs Thermostat Telecom. tom/ (Installation description Job wired by Electrical Contractor ,�Q Owner —1 4/ contractor name Purchaser's mailing addre /7 tt it>n Telephone number Premises oyy.e 7 „7 WALLS Insulation Only Date Inspection Date Cover n me 4-"---) Approved By Date Electrical Load Additions and or subtractions NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW License number State C ZIP FAX number Address of inspectio —f.r Cit l 4,2, i I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law Chapter 19.28 RCW /Signature of owner, electric�,tntractor o lectrical administrator G Insula Cover Approved By ate Appr ved By I ELECTRICAL WORK PERMIT APPLICATION Request Inspection Overhead Service Temp Service Underground Service Area, Building or Equipment Inspected 40/7715 4/ 1 d /a2. D, 3; 0 4.2 6P la Cash Check Credit Card Card Expiration Date .of card Date THERMOSTAT Visa Action Taken v Mastercard Discover Insnection fee SERVICE Date Approved By Date Appr ed By Appr ed By DITCH FEEDER Approved By Date Appr ed By Service Information Voltage Phase 1 3 Service Size: Feeder Size: Electrical Inspector f tlORT ~ !::-4.0~~~ "ha~ "--~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 05-00000178 Date .671500 1517 W 14TH ST 06-30-00-0-4-0156-0000- RES ADDITION 3/31/05 Application Number P~n number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivis~on Name Property Use Property Zoning . . . Application valuation RS7 RESDNTL SINGLE FAMILY 18000 Owner Contractor LEE SUSAN A 1517 W 14TH ST PORT ANGELES WAYNE BILLMARK PO BOX 1296 SEQUIM (360) 683-2753 306 SF ADDITION TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 983636884 WA 98382 Structure Information Construction Type Occupancy Type Other struct info 23.50 VN 1. 00 1344.00 7000.00 306.00 1650.00 1. 00 Permit Additional desc Perm~t Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 306 SF ROOM ADDITION 316.75 Plan Check Fee 3/31/05 Valuation 9/27/05 126.70 18000 Qty Unit Charge Per Extension 92.75 224.00 16.00 BASE FEE 14.0000 THOU BL-2001-25K (14 PER K) Spec~al Notes and Comments When roof gutters are installed, drains will located in dry wells or p~ped to approved storm drain locations. Proposal will result in 306 sq. ft. addition in RS-7 for total lot covereage of 24%. No land use issues noted. Electrical load calculations and elctrical permits are required. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ...--------- ---------- ---------- Permit Fee Total 316.75 316.75 .00 .00 Plan Check Total 126.70 126.70 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 447.95 447.95 .00 .00 ~ ~ EXPIRED (;<:/17/0$ U\ - ~ t --. .:t:. ~. .::s ~ 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 con~tloy, w/wk 3-3/-05 Date Signature of Owner (if owner is builder) Date T'\Pohcles\1102_15 bUlldmg permit mspectlOn record05 wpd [1/4/20051 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: FOOTIN~S WALLS '<..:lII......c.4 olo ... L_ ~ FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL . WALLS ""/lLf/O~ ~V~ CEILING I FRAMING JOISTS 1 GIRDERS ~/q /Ot5 .1\..-1,.- SHEAR WALL/HOLD DOWNS WALLS / ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB , , WALL 1 FLOOR 1 CEILING Iblt&? IO~ I J fA". MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA PARKINGILIGHTING 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 1 PW 1 CONSTRUCTION - R W ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 4 I 7-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T:\Pohcles\1102_15 bUlldmg penmt mspectlon record05 wpd [1/412005] PREPARED 6/16/05, 13'36 41 CITY OF PORT ANGELES 2 6/16/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR, JAMES L LIERLY PAGE DATE 1517 W 14TH ST WAYNE BILLMARK LEE SUSAN A 06-30-00-0-4-0156-0000- 05-00000178 RES ADDITION SUBDIV, PHONE (360) 683-2753 PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLM 01 4/07/05 JLL 4/07/05 DA BLM 02 4/08/05 JLL 4/08/05 AP BL3 01 6/09/05 JLL 6/09/05 AP BAIR 01 6/14/05 JLL 6/14/05 AP BLI 01 ~~ BUILDING FOUNDATION MONO SLAB TIME 17 00 Fred 460-8063 repalr down spout draln In slab, clear draln of constructlon debrls and replace BUILDING FOUNDATION MONO SLAB TIME 17 00 / BUILDING FRAMING 06/09/2005 10 56 AM DYASUMUR WAYNE 460-3128 06/09/2005 04 26 PM JLIERLY ---------------------------- BUILDING AIR SEAL 06/14/2005 01 19 PM JLIERLY ---------------------------- 460-3128 06/14/2005 03 57 PM JLIERLY ---------------------------- BUILDING INSULATION 06/16/2005 08 33 AM DYASUMUR WAYNE 683-2753 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 6;14;05, 13 35 55 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 5 6/14/05 1517 W 14TH ST WAYNE BILLMARK LEE SUSAN A 06-30-00-0-4-0156-0000- 05-00000178 RES ADDITION SUBDIV: PHONE' (360) 683-2753 PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLM 01 4/07/05 JLL 4/07/05 DA BLM 02 4/08/05 JLL 4/08/05 AP BL3 01 6/09/05 JLL 6/09/05 AP BAIR 01 ~~ BUILDING FOUNDATION MONO SLAB TIME. 17:00 Fred 460-8063 repa1r down spout dra1n 1n slab, clear dra1n of construct1on debr1s and replace BUILDING FOUNDATION MONO SLAB TIME 17 00 BUILDING FRAMING 06/09/2005 10 56 AM DYASUMUR WAYNE 460-3128 06/09/2005 04.26 PM JLIERLY ---------------------------- BUILDING AIR SEAL 06/14/2005 01.19 PM JLIERLY ---------------------------- 460-3128 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 6/09/05, 13:32 35 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR' JAMES L LIERLY PAGE DATE 1 6/09/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1517 W 14TH ST WAYNE BILLMARK LEE SUSAN A 06-30-00-0-4-0156-0000- 05-00000178 RES ADDITION SUBDIV' PHONE (360) 683-2753 PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLM 01 4/07/05 JLL 4/07/05 DA BUILDING FOUNDATION MONO SLAB TIME 17 00 Fred 460-8063 repa1r down spout dra1n 1n slab, clear dra1n of construct1on debr1s and replace BUILDING FOUNDATION MONO SLAB TIME 17 00 BL3 01 4/08/05 JLL 4/08/05 AP ~+r- -------------------------------------- COMMENTS AND NOTES -------------------------------------- BUILDING FRAMING 06/09/2005 10.56 AM DYASUMUR WAYNE 460-3128 BLM 02 PREPARED 4/07/05, 12.56 11 CITY OF PO~=_~~~~~~_ - 1517 W 14TH ST ADDRESS WAYNE BILLMARK CONTRACTOR LEE SUSAN A OWNER 06-30-00-0-4-0156-0000- PARCEL 05-00000178 RES ADDITI_O_N___ APPL NUMBER -------- ----- PERMIT - RESIDENTIAL PERMIT: BPR 00 BUILDING DESCRIPTION REQUESTED INSP RESULTS/COMMENTS COMPLETED RESULT ________ BUILDING FOUNDATION MONO SLAB Fred - 460-8063 TYP/SQ BLM 01__~~~___ ~6-W ~Vfl~ INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE SUBDIV' PHONE PHONE . (360) 683-2753 TIME. 17:00 COMMENTS AND NOTES - ~iA{ ~faJr- ~ ~0 "~+-0lIL-g- ~)u{\ ~u~J 7 4/07/05 UU~ 7 S- 0 II--r/7 s-~ lf/~/6~ BUILDING PERMIT - APPLICATION ------ --- --- -- -- - FOR OFFICi~L-USE ONLY:-t- --- ate Rec....5- J l../ ~C S'l\ _l#'05-1~ ate'Approved' ~ I ~- ate Issued: -Fill-out.GOMl!LETEL Y.and-in.INK. ~our_application.and_site.plan,MUST B C'OMPLKri: to be accepted -for review. If you have- any qu-estions, call PERMITS (360) 417-4815 FAX(360)417-4711 --~": ~Al'plicant-'or ~gent:- .-AlIkI /1J~-.fl>)U-m-ftl} -k-.,._-,-,wp.hene:-",3~().:::- !//;.(X--::...'3/~. . .. Owner: ___\ (~h f\ c!t ~ {/~ J4 III Lt?~ Phone: L/:~~ - ~ cJ / () Address: is- / '7 W /4 f- " City: fJ n- Zip: 1JY~ Ct ^ ArchitectJEngineer: , Pho~ ___ -Gentractor YAt&:. ,U/flI9( KStateLicense_#::h1fr1lJj~/;7~xp: ;J- 0 "- r tJ ox: ~9 (P City:,,~ tJ J Lv. PROJECT ADDRESS: J S) 7 h.) 1,/-1-1-..- LEGAL DESCRIPTION: Lot--1 y Block: 1.; 0--' Subdivision: CLALLAM COUNTY PARCEL NUMBER: 0 & "30 ()6 0 Lf 0 IS (p Address: Pl1Qn.e: q6t1- 3 /W Zip: q~33Q. ZONING: Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # }}'PE OF WORK: ()l.Residential 0 New Constr. 0 Re-roof o Multi-family ~ddition 0 Move o Commercial 0 Remodel 0 DemohtlOn -- --- -- - , - D--Reparr---D-Sign- - BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: o Stove o Garage o Deck o Other- < i.J YJ I^~ - SIZENALUATION: 3() (p SF. @$ /SF. = $ 18 O:::r\ ~ <J SF. @ $ /SF. = $ SF. @ $ /SF. = $ __. TOTAL VALUATION $ COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stones: Lot Size: 7DOO Existing Sq. Ft. J ~ l../Lj & Proposed Sq. Ft. '3/J h = TOTAL Sq. Ft. I ~<>(:j Total lot coverage "2. ~ . S; % ESNWetIand(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: 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 Buildmg Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the tlme the buildmg permit application and construction plans are I submitted. All other permit fees are due at the time of permit issuance. I -EXPIRA-TION-OF-PL-.AN-REVIEW:-Ifnollermitisissued-within-1-80-days-of-the-date-of-application,-the-application-will-expire;-'Fhe-- Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International BuildinglResidential Code, 2003). No application can be extended more than once. f 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 responsibifity to determine what permits are required ,not th City's, and that I must obtain such permits prior to work. Date: ~ -/'l-~0 Applicant: T:\RVESS\BLDG-forrns-brochures\2004-Buildmgperrmt.wpd , N At\~y d.-Lf' ~() C 0 v'\ c.. ('e.;\ -e... Hou~E -7- G-1\~~lG I , 7~ ~ ~(;L{ ~r ! J-% t sF I I I d 71 I II I I ~ 11-- I V t ~ ~ '- ~ Shed- I Cf2...Sf ~/' "'~~:-I ~ ...;~/'" / ~..~ ~%/'/, ~r , ' -! ,r,"" ,','", d J' , . J ".'{,' . t.'" ", ". ''',:J - . .~ ~..;{..r ,r~>} /' :;, .;.t~',,, ,~... ,t' Jf' ,/ , 'r'~11 'I'~f l', . ~,']:( .I.''' i' 6- .;...-" ,0. . '1'~'~~":r~"~ I I ~ ~t ~ rr 1... ~... ,fr' ,.... , ~ ;I~;.1, t' . ::'~:'/:'-'l\'.~"'::; J ""'. .J.}1f ;:1't ,/;l' .....,. ,'.r,',",: ,..r'~'Il'~"$~j1' ,. ,f"'- A.: ",' :. "A,,",' to' ;"'~'~"~/'/r_;'~'qJr~/)' l~' 0 Af': -.... .tf- .... l~ ~. I .:.~q' ~., ' ;",. , 'll"210~' - . ~~ - "'1 .-.";, ~~..::2 <1"'1' ,i. . ::........:. 1.~,' ~'''' ~ I, ~:t-"~;,:. .J'-"<t~'1';~ ~ .I. ...r \.," ~ I ,~,,/,/. ,;):.~(,:,/~:;~,,~. _ /' f 7'" --I 5" l 50 I \ \ -/ Y +h. lAV'I-d e. V42.. (0 p.ed. d ~ ~ \. \ \ \ \ / "'-, "- ~. r/~ -""< "- " " I /' '" / / "-~/ / Feet VertIcal Datum = NA VD 88 I HOrIZontal Datum = NAD 83/91 N Area Map -~ j',,, ",' / ~" f '~ / .~ vf~1 This map IS not Intended to be used as a legal descnptlon ~ This map/drawmg IS produced by the OIl' of Pori Angeles for 1/s ~~n :iSr ~nd!,~,poses ,~ I Any other use of this map/drawing shall not be the responsl I f!1 0 t e 80 " / , ...., J ,~ ""-- ,'''--~'' . - ~~./;:-, , ~ -:->""", --"'.,-- _-"_'" ....,".,f' - - --"-', ,~ ,,'" n,~ n ::':_"'0 -1 ~~lE ,/ " J" '.. _ F '" , ~--....>.. '>""" ~/ '-"...... ..,...... "'~" .// ''''<:>:::~~~~'''''''''' ....~........, "'~,...... , <>:::::;~~~~~:""">'" "~'''' ,~ " / . /. ~,/", -- CITY OF PORT ANGELES - Construction Plans The Issuance of this permit based upon these plans, specIfi- cations and other data shall not prevent the bUlldmg official from thereafter reQuiring the correction of errors in said plans, specifications and other data, or from preventmg bllllrlmg oper~llons iJeon:: carried on thereunder when In , '0 of all codes anO or(dOances of thiS Jurisdiction. :"3/;~ JZ.:"'~ 1\;, / Co T""" - T""" ~ , b : T""" T""" T""" , Co b T""" N - T""" 0 , Co T""" b , 10 24'-1" 16'-6 1/2" 1'-5" 5'-0" 10'-1 1/2" r- --- -,----- \ Existing house wall I I ILIVING AREA I 310 sq ft/ I BWP I ~I I I ~ I I I I ~ABPi I ~ I L_ 5682 5682 2'-8" 5'-6" 8" 5'-6" 2'-8" \, 17' -0" WA-LLS,,- ~-2\ Ce~\~~ - lZ'-~~ w~~dooJ - L.\.va.tlA.~ .. Llc o~ L~~.s -I I~ I '7> I~ I 10 I I I _I "I 7'-69/16" 7'-69/16" o , 10 b ~ '7> Co T""" ~ t.] ~ I' " ~ ~t I) \. " IT 0 r J', h J vq"~ 'if 0) h$ ~.,">6'("l PI X~ '}.~ ('1 \\ ~~ . t ~ 11 \ ~ 1611 c?(j C; M7:i -~((ol)J) r'V1\ . ~~ )'\ ~ \LJ 1\1'-e, '\" \ ... JoJ IJ/l I ' lA4 tJ -------PREPARED--4/08/05, 13 04 19 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 12 4/08/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER- 1517 W 14TH ST WAYNE BILLMARK LEE SUSAN A 06-30-00-0-4-0156-0000- 05-00000178 RES ADDITION SUBDIV PHONE PHONE (360) 683-2753 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLM 01 4/07/05 4/07/05 JLL DA TIME 17 00 BUILDING FOUNDATION MONO SLAB Fred 460-8063 repalr down spout draln In slab, clear draln of constructlon debrls and replace BLM 02 ~ ~ BUILDING FOUNDATION MONO SLAB TIME 17 00 -------------------------------------- COMMENTS AND NOTES -------------------------------------- . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. SL.~'17 //-;)4-'73 DATE Site Address: ELECTRICAL PERMIT rr-r o READY FOR INSPECTION License Number: WILL CALL FOR INSPECTION Phone: Installed By: OwnerfBusiness: Phone: Owner/Business Address: Sq. Ft. hi RESIDENTIAL I'f COMMERCIAL '11_.''-- ~ BASEBOARD KW ~.5 tl FURNACE KW _ o FAN/WALL KW o HEAT PUMP KW_ D SIGN o TEMPORARY SERVICE 1& PERMANENT SERVICE .1St NEW CONSTRUCTION tJ REMODEL o ADD/ALTER CIRCUITS D SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) ~. OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: D SINGLE PHASE o THREE PHASE SERVICE SIZE :ODD AMPS Details/Description: Y/p} Lf.1.u.-t!........- "X G, 4 ,Qe; a- e . W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: D CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. ~HOUgh-in/cover O.K. IfI'O.K. to connect service .iIJi\,Vip Final O.K. Site Address: Installer: LJ 111 Permit/Receipt No. '17 ~~'~l New Meters Date: I j-J,(f-?3 . Notify Port Angel s 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 ermi!. PHONE 457-0411, EXT. 224. .---r:;;" NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 5!J , 0 0 Permit Fee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PAINTERS INC Application Number . . . . . 22-00001428 Date 11/15/22 Application pin number . . . 022660 Property Address . . . . . . 1517 W 14TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4-0156-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc DHP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SUSAN ASPELUND EXTRA MILE TECH & ELECT., LLC 1517 W 14TH ST 418 N. RACE ST. PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 927-4295 (360) 457-5222 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 11/15/22 Valuation . . . . 0 Expiration Date . . 5/14/23 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Pub! ic \Yorks and ULili ties Department 32 l E. 5th Street. Port ;\ngeles. WJ\ 98362 300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us Project Address:--------------------------------------­ Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _ OWNER JNFORMATtON Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRfCAL CONTRACTOR fNFORMATION Name: ___________________________ License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ Temp. Service/Feeder 200 Amp. $93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal CircuiULimited Energy - 1 &2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Ren ewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Sql;Jare Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool/ Hot Tub $110.00 $ TOTAL $ Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] '"'CJ CD PREPARED 11/14/22, 7:29:46 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001428 1517 W 14TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 63.00 TOTAL DUE 63.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: DHP NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 11/17/2022 22-1428 TAP OWNER CONTRACTOR Extra Mile Electric PROJECT ADDRESS 1517 W 14th St