HomeMy WebLinkAbout516 Whidby Ave - BuildingApplication Number 07 00000384
Application pin number 739520
Property Address 516 WHIDBY AVE
ASSESSOR PARCEL NUMBER 06 30 10 5 0 9120 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 0
Owner
ADAMS CHARLES L
516 WHIDBY ST
PORT ANGELES
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc JEFF NELSON/ 200A SVC
Permit pin number 99515
Sub Contractor JEDI ELECTRIC
Sub Contractor JEFF NELSON ELECTRIC
Permit Fee 64 00 Plan Check Fee
Issue Date 5/14/07 Valuation
Expiration Date 11/10/07
Fee summary
COMMENTS /ACTION NEEDED
Permit Fee Total
Plan Check Total
Grand Total
WA 983626548
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
Contractor
Charged Paid Credited Due
64 00 64 00 00
00 00 00
64 00 64 00 00
Date 5/14/07
JEFF NELSON ELECTRIC
7062 OLD OLYMPIC HWY
PORT ANGELES WA 98362
(369) 460 4291
00
0
Qty Unit Charge Per Extension
1 00 64 0000 ECH EL R OR;RM 0 200 ALT SRV FUR 64 00
00
00
00
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORKBEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES 1 NO
DITCH M. 1 1
ROUGH IN COVER 1 1 1
SERVICE M N N
FINAL N
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
COMMENTS
,PW- 1102.15 4(96
FROM FAX N0. 6814254 Mar 26 2007 03 37PM P1
AK F:lectrical Contractor Owner
0 Annual Permit 0 Alarm 0 Carnival 0 Commercial )(Residential Residential Matnt. D Signs 0 Thermostat 0 Telecom.
(instal Iation description
Job wired by VElectrical Contractor 0 Owner
License number
q8" RF ,414 -r£As.7
54 /e1 Pf-C7 41.77-a_AZ
State ZIP
4/fr X38` Z_
FAX number
Ele tri 1 ntr for name
.4.400L Ellt
Purc 's mailing address
Cit
Se0-u
Telephonenumber
L/&4
'Premises owner's name
Date
MAR 9
Inspection
Date
tt rr 11PRIT
A a.►s
&tii s of inspection
5/,6 Wrnb3'4v �j�
clt Fo
ELECTRICAL WORK PERMIT APPLICATION
equest Inspection
Cl Cash O Check
1 hereby certify that I am tho owner of the above named property or a licensed A
r Credit Card Visa Mastercard Discover
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 Card
Expiration Dat
C! `fcard 7 Inspection f (90
v I 'i�
/Signature of owner, electrical contractor or electrical administrator
WALLS
Insulation Only
Date Approvtal By Dare
`1-
Z-3 a�
6/ 'MX1A2.
REC D
CEUJNG
Insulation Only
Approved By Dale
COVCr Cover
Appmved By
Area, Building or Equipment Inspected
THERMOSTAT
Date
Action Taken
SERVICE
Approval By J Due Approved By
Electrical Load Additions and or subtractions
)1UNO LOAD CHANGES
Baseboard KW Voltage 2 VO
O Furnace KW Overhead Service Phase Oft CI
0 Heat Pump Ton LAR 0 Temp Service Service Size:
O Fan -Wall KW .Underground Service Feeder Size: 'Y as y Q374
Service Information
he?
Electrical
Inspector
Dote Approval By Due Approved By J
Almond By DITCH FEEDER
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
ADAMS CHARLES L
516 WHIDBY ST
PORT ANGELES
Other struct info
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Other Fees
Fee summary
Qty Unit Charge
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983626548
Per
21 00 14 0000 THOU
Special Notes and Comments
The Fire Department has reviewed
has no comments
12/20/2005 09 56 AM SROBERDS
proposal located on the
approved at this time
further action regarding setback
MAINTAIN CLEARANCES FROM SERVICE
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
05 00001195
902000
516 WHIDBY AVE
06 30 10 5 0 9120 0000
CHUCK BEEP ADAMS
RES ADDITION
UNKNOWN
22430
Contractor
OWNER
TOTAL Is LOT COVERAGE 22 70
NUMBER OF STORIES 1 00
EXISTING LOT COVERAGE 2640 00
LOT SIZE 12926 00
PROPOSED LOT COVERAGE 298 00
TOTAL LOT COVERAGE 2938 00
NUMBER OF UNITS 1 00
BUILDING PERMIT RESIDENTIAL
NORTH ELEV ADDITION
67579
389 75 Plan Check Fee 155 90
12/22/05 Valuation 22430
6/20/06
BASE FEE
BL -2001 25K (14 PER K)
the project application and
portion of
north side of the structure is
The south proposal is pending
issues
WIRES
ONLY
the
the
12/06/2005 08 25 AM JHEBNER
Electrical permits are required
12/06/2005 08 25 AM JHEBNER
$0 Connect Fee
12/06/2005 08 25 AM JHEBNER
Any modifications to the electrical facilities will be at
the customer s expense
12/06/2005 08 26 AM JHEBNER
Public Works Utility Engineering has no requirements for
this plan review
Charged Paid
STATE SURCHARGE
-Slgof Contractor or Authorized Agent Date
Credited Due
Date 12/22/05
Extension
95 75
294 00
4 50
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 Owner (if owner is builder) Date
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.
FOUNDATION
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
INSPECTION TYPE DATE
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 1
PLANNING DEPT 417 -4750
BUILDING 417 -4815 1
BUILDING PERMIT INSPECTION RECORD
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
ACCEPTED
YES 1 NO
1 1
1 1
1 1
I 1
1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1
1 1
i 1
I I
1 1
1 1
1 1
1 I
1 1
1 1
1 1
1 1
1 1
1 1
FINAL
FINAL
SEPA.
ESA.
SHORELINE.
COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION RW
PW ENGINEERING
1 FIRE DEPT
1 PLANNING DEPT
1 BUILDING
1 1 1
1 1 1
1 1 1
DATE ACCEPTED 13Y.
DATE ACCEPTED BY.
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Page 2
Application Number 05 00001195 Date 12/22/05
Application pin number 902000
Permit Fee Total 389 75 389 75 00 00
Plan Check Total 155 90 155 90 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 550 15 550 15 00 00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALPHOLD DOWN,
WALLS ROOrrCEIl G
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARIUNG/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
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 1 NO
FINAL
FINAL
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 1
PLANNING DEPT 417 -4750 Y
BUILDING 417 -4815 r (1-
s -r o
CONSTRUCTION R.W
PW ENGINEERING
1 FIRE DEPT
1 PLANNING DEPT
1 BUILDING
DATE ACCEPTED BY.
DATE ACCEPTED BY.
1 I
1 I 1 I
I I
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/20051
TYPE OF WORK.
X Residential New Constr Re roof Stove
Multi family Addition
Commercial Remodel Demolition, Deck
Repair Sign Other
BRIEF DESCRIPTION OF THE PROJECT
PLANNING USE ONLY
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK.'Your application and site plan MUST
COMPT,FTF to hP accented for review If you have any questions, c
PERMITS (360) 417 -4815 FAX(360)417 -4711
Applicant or Agent: //,//1A-P
Owner
Address 5
Architect/Engineer M /A"
ll//
Contractor /jai/' Y .WSlti t. State License
Address. City.
PROJECT ADDRESS J 7 wl d
LEGAL DESCRIPTION Lot: Block.
CLALLAM COUNTY PARCEL NUMBER. 04, 3 0
CQ
ithaS
City p/t-
Move Garage
,fz 4 7`13 W
COMMERCIAL/RESIDENTIAL. Occupancy Group K3 Occupant Load. NVA- Construction Type V/ F
No of Stories. L t Size: t Z, 9 Existing Sq Ft. .2640 n 1 Proposed Sq Ft'`2"` S TOTAL Sq. Ft. (i- S
Total lot coverage_ 1.7i 1
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
Phone
Phone
Subdivision.
iv 1 2-0
44 7 b 6
Phone
Exp Phone
Zip
ZONING
FOR OFFICIAL USE ONLY
Date Rec.
Permit Ir 6 1*
Date Approved
/Date issued.
Zip 93o 2_
SIZE/VALUATION
C'P SF 1 ie /SF
�J J SF t 2. /SF 2. 544
SF /SF
TOTAL VALUATION
fiOLISD
APPROVALS
PLAN
BLDG
DPWU
FIRE.
OTHER
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 Building 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 submitted at the time the buildmg permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the apphcant (see Section R105.3.2
of the International Building/Residential 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. 1 am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the City's, and that 1 must obtain such permits prior to work.
®OS
T•�Polictes\BL 1102_13 wpd Applicant: _,�1'ti�YiL%� Date:
435
Maaf
r
—.A
2424
1
7
Vertical Datum NAVD 88
Horizontal Datum NAD 83191
VVhidby Ave
R roSeIr
I
516
',Vas naern
Vashon Ave
Area Map
517
518
533
r.
1, 527
1
I
520
This map is not intended to be used as a legal description.
This map/drawing is produced by the City of Port Angeles for its own use and purpos
Any other use of this map/drawing shall not be the responsibility of the City.
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
121 EAST 5TH STREET. PORT ANGELES. WA 98362
Applicatlon Number
Appllcation pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr, name
Application type description
Subdlvision Name
Property Use
Property Zoning
Application valuation
06-00000096 Date
980864
516 WHIDBY AVE
06-30-10-5-0-9120-0000-
CHUCK & BEEB ADAMS
RES REMODEL
6/16/06
UNKNOWN
13000
Owner
Contractor
ADAMS CHARLES L
516 WHIDBY ST
PORT ANGELES
OWNER
WA 983626548
Permlt
Additional desc
Permit pln number
Sub Contractor
Permit Fee
Issue Date
Expiratlon Date
ELECTRICAL ALTER RESIDENTIAL
SEQUIM/ 1-4 CIRCUITS REMODEL
80291
SEQUIM ELECTRIC
48 10
6/15/06
12/12/06
Plan Check Fee
Valuation
00
o
~~
~ ~
J ~
~
Qty
1 00
Unit Charge Per
48 1000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
48 10
Special Notes and Comments
The Flre Department has reviewed the project application and
has no comments
02/09/2006 12.22 PM SROBERDS -- Proposal is to enclose
an addltlon to the north side of a residence previously
permitted in the RS-7 zone
Electrical load calculations and elctrical permits are
required
Publlc Works Utility Engineering has no requirements for
this plan review.
~,
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 48.10 48 10 00 .00
Plan Check Total .00 .00 00 .00
Grand Total 48.10 48 10 00 00
~
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COMMENTSI ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE 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
iSPEC110N TYPE
I
I
DATE
COMMENTS
NO
GENERAL COMMENTS:
\
PW-1I02.l514196l
ELECTRICAL WORK PERMITAPPLICATIO
Z�- Y
InstaUation dcscription
Jnh rrirer! b►� U l �:lee.rical Contractor Owner D Commcrcial O Residential
Blcctrical contracux n:unc l.iccnsc numbcr Datc Expires
f C ew �1ltered/Addition d
Seu�c C�� .5 �_uu.,'Pt ��3� G-= �I"
Purcha;�crs mailing addn s.�
C'� c`_��Lf f 4
CC Q G'�G( !7 c L°�i a l i r�C u c�T a
Citv J tilalr %IP
�r�'3��:L ul��d4��U.;,� ��,s��.'�-���.
Tcicp onc numbcr pA\ �unnhcr
c�c -3/��� .S 3 ;:��u �f� �iS���
Premiscs owncr's n:��nc
C,' [�.�Q� i1( S
Address ol' inspcclinn
c. f�/..�i ?7 fx;r
c ti� y
�:rC �ii`� (tS
Phonc numbcr tn scLe�lulc ius�;cclii�;�:
�^CI
(hvner n.r deJinr�l irr /�(�1t:! rh�•m�r �.rril uccu���• ibc.ih•ric(�rre hro
veru:c u%!co �hi.c rle�t'n'iru!/,�-ru;i/ is jL�uli_���i. f_'� I)n'ncr i.r rcynir��d /n hire iin eleuricul
cuirl�'oc�or iJ�uhnrr suirl ��rn/��•r�i� r.�� ;i�r s�rlr. n•nl Cash Q C./lCC�C
Aflcr rcadin�; Ihc abo�r ;I�ilcincu�, 1 hcrcby ccr�ify that 1❑m Ihc owncr of thc ahovc
namcd prOperly or ;i liccn.:i•d cicctrii:al ;.onU:tc�or. I;un ma king Uic cicctrical instal- CditCard v15�1 astercar Discov
lation ur allcr,ylion in cumplia:icc �cilh Ihc ,�i,��•«��:�i i:�„•�. �.r_.c., izcw. c�,�
19.28. Wi�C. C'hap�cr 3')6-�1613, l'I�c C'ii�• of Port :\ngcics Municipal CoJc, and Card '� ��
Ulilily Spccificatious. 1
Sign•rturc nf o�vncr, c jric:�i cnnU';iclur or cicctrica! adrninistratnr GxpirationDatc
Inspcction I'cc
X
arl�/. :,'j� D:tte: (i �i,Cj ofcard ��p�
rJ
Electri I Loa. d A dit_ons ar�d �r_su�ot>acTions Service Information
�'NO IOAD CHANGFS
0 Baseboard KW Voltage
Furnace KW U Overhead Service Phase 0 1❑ 3
Heat Purnp Ton l.Ab� Temp Service Service Size:
Fan-UVall KV1+ Ll UndErground Service Feeder Size:
SA R�iC; �A`i IN gr''��:�::"�:d�c�;, �.1l.i. �'f)kE 7:UO _�M 36(1-417-4735
I ��t TI{ER11�10STAI' SERVICF.
I�
i�� :�pi ia, J f naic Annro.�cn uy D�ic appro���J L�y
E' a �'j DOTCH FEGDER
/6' t?�
��r���d �ay naic n���.�� u
Inspcc(iun Elcctrical
1 Arc;�. 13uilding or l.quipment Inspected AcGon T�ikcn
Inspcctor
y`' i
Z'd 46LE- I89-09E _.yso�_ ;�eSZ •BO 90'=-bT `,`unC_....,.:
f,"ORT~
~O~~~
. rea
~ --
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Applica7ion pin .number
property Address ... ..
ASSESSOR PARCEL NUMBER:
Tenant nbr.. .name
Application 'type description
Subdivision Name
property Use .,. . . .
property Zoning . . .
Application valuation
06-0000q096. Date
.;. 980864 <,'I.
516 WHIDBY 'AVE
06-30-10-5-0-9120-0000-
CHUCK, & BEEB ADAMS
RES REMODEL
.2/15/06"
RI/Aim
'7 //7;G h ci'k..
UNKNOWN
13000
Owner
Contractor
ADAMS CHARLES L
516 'WHIDBY ST
PORT ANGELES
OWNER
WA 983626548
Permit . . . . .
Additional desc .
Permit pin number
.permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
71183
249.75
2/15/06
8/14/06
Plan Check Fee
Valuation
99.90
13000
Qty unit Charge Per
Extension
95.75
154.00
~0
BASE FEE
11.00 14:0000 THOU BL-2001-25K (14 PER K)
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
02/09/2006 12:22 PM SROBERDS -- Proposal is to enclose
an addition to the north side of a residence previously
permitted in the RS-7 zone.
Electrical load calculations and elctrical permits are
required.
Public Works Utility Engineering has no requirements for
this plan review.
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 249.75 249.75 .00 .00
Plan Check Total 99.90 99.90 .00 .00
Grand Total 349.65 349.65 .00 .00
.~
, I
~
~
~
~
~
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 pe it does not
presume to give authority to violate or cancel the provisions of any state or local law regulating constructio:1 or the pe rmanee of
construction.
-:?
Signature of Owner (if owner is builder)
T:\Policies\1102_15 building permit inspection record05.wpd [1/412005]
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BlJaDING,PERMITINSPECTION RECORD
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,.CALL 417-4815 FOR BUILDING INSPECTIONS,iCALL 417-4735FOR'ELECTRIGALIN~PECTIONS.
, ~,~. !c~~,.~;, C""!""" ",. ,~iCALL~4t:7-4807.RORIPDBLIC;'WORKS:'UTlp:rIES~~.*",..~~~~4i .
PLEASE PROVIDE A MINIMUM 24 HOUR'NOTICE?' ITIS!UNLAWFUL' TO CO VER,INSULA T&OR GONCEAL ANY WORK BEFORE
INSPECTED AND>AaCEPTEDP0S\f PERMrf'IN 'AG0NSP-IGU0US'LOCATI0 ..
;." ", , 'KEEP'PERMIT;C~~;~N~'APPROVED'P~~NS Air6;OB'SI~E. .h' '~:~!<~~t:~\~,~~:~';t~~"t~~,;j}:,
. I~SPE(;:TION:rYPE, ,. ",,<:~ ."d {. ~DATE" '. '~lt...ACCEP.TED.i:"f :I~~'itr:~:~,. ~_.';'~". -COMMENTS~tl · ('
~ ~ ~.. ;;tt '\.:1 ~~',. ~ ;~ f ... r;":'i:~',,,,,,,' "":l"~';:jf~ '4 '!l..,.
.,: .' '.~, K........... ".k\ ' . ~\'EStc ~I~ ~NO ..:~~ ;;ll.i ~1 ~1*\' . l.>:;i!J '.. .~. ..1~
F9UNDATION,,;,~.~ , ~,,:;,~~."~.':l: \ ..< ";t.' t' b' '4 "~" ~,"'$"
,F001INGS-j70I" ./2 '-~, "';:"~"~\ -fl"J Ib(.. J'4--fo/fftla, pli? au j ;r_."':";"';""
W ALLS,,;+jJ,~,.,,"""" ), '" '~;;..';,t'.. '" -' I, ,,~i :',' .b'f;'s;.1'~".;'; cJ.;'1!:7~
FOUNDATION DRAINAGE f DOWN SPOUTS C ,
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POST HOLES (POLE BLDGS.)
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T-BAR
INSULATION
SLAB": .
.. W ALL'fFLOORf CEILING
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HEAT PUMP fFURNACEf DUCTS
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WOOD STOVE f PELLET f CHIMNEY
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SEPA:
PARKlNGILIGHTING
ESA: ~ ...~_.. ..
" .., SHORELINE':~7~~f&"'-;'\"?"1':1"')'C.,."",.t':;;;, i
,,;c .C: '=.:."; .~~ ;1
FINAL.JNSPE;C'l:ION~)~J<:QUI~~n.I'~!p){TO OCCUP~S~W.~\>,f"~.:\;f""'" ~;~.t'?"'7' <.'+ .~. .."-l" .1
DATE YES NO COMMj!tf~h: ~<~l1A~c~rrED. i
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ELECTRICAL - LiGHT DEPT.
FIRE . .,.,
PLANNING DEPT,
BuiLDING
T:IPolicies\1I02 15 buildin
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417.4&15 7/ /71 a;,
g permit inspection record05.wpd [(1412005
417-4750
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tlt
417-4735
CONSTRtfcnON R.. W./ PWI
ENGINEERING
l';'-".~.,...- -
417.4807
417.4653' '
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
,21 EAST 5TH STREET. PORT ANGELES. WA 98J('2
I
ELECTRICAL PERMIT Issued: /
I
OWNER/AP~LICANT------------------------PROPERTY
BEEP ADAMS I 516
516 WHIDBY Lot:
Port Angeles, WA 98362 Block:
360/45~2-2070 Sub:
T: ' S: Pare No:
/
Permit No:
6157
LOCATION------------------------
WHIDBY
7,8
6 Long Legal: .
PSCC 2ND ADD .
CONTRACTOR-----------------------------DESIGNER---------------------------------
APS ELECTRIC
546 BENSON RD.
PORT ~NGELES, WA 98362
360/452-6753
,
000/000-0000
PROJECT .INFO-----------------------------------------------------~--------------
Prj Type: RES. MISC. prj Value: $0.00
Occ Type: Cnstr Type: SERVICE CHANGE
Occ :Grp: Occ Load: Land Use: RS7
Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
o
o
o
o
Service Type
Riser
Overhead Service
X Underground Service
Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
120,240
X-I -3
200 AMPS
o AMPS
PROJECT :NOTES-------------------------------------------------------------------
CONVERT TO UNDERGROUND AT CITY'S REQUEST
NO PERMIT FEE
PROJECT FEES ASSESSMENT-------------------------------------------------'--------
service: $0.00
Additional Feeders: $0.00
; Circuit Wiring: $0.00
I Temp Service: $0.00
Mise $0.00
TOTAL FEE:
Amount Paid:
$0.00
$0.00
============~====================
TOTAL FEE:
$0.00
Balance Due:
$0.00
,
COMMENTS/ACTION NEEDED
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00000096 Date
980864
516 WHIDBY AVE
06-30-10-5-0-9120-0000-
CHUCK & BEEB ADAMS
RES REMODEL
2/15/06
UNKNOWN
13 000
/t;tl4t.m elk-
7~7;60
Owner
Contractor
ADAMS CHARLES L
516 WHIDBY ST
PORT ANGELES
OWNER
WA 983626548
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
71183
249.75
2/15/06
8/14/06
Plan Check Fee
Valuation
99.90
13000
Qty Unit Charge Per
Extension
95.75
154.00
~C;
BASE FEE
11.00 14:0000 THOU BL-2001-25K (14 PER K)
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
02/09/2006 12:22 PM SROBERDS -- Proposal is to enclose
an addition to the north side of a residence previously
permitted in the RS-7 zone.
Electrical load calculations and elctrical permits are
required.
Public Works Utility Engineering has no requirements for
this plan review.
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 249.75 249.75 .00 .00
Plan Check Total 99.90 99.90 .00 .00
Grand Total 349.65 349.65 .00 .00
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Separate Permits are required for electrical work, SEP A, 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 pe it does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the pe rmance of
construction.
-;7
Signature of Owner (if owner is builder)
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
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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.
~
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INSPECTION TYPE DATE ACCEPTED COMMENTS
- "'. ' " \ ,. , YES NO
FOUNDATION.,:' ...:' , .... ;,\ -.J
.
FOOTINGS' I___J-~ L' . ~ .... - If-/'J IbG. ~ ro}r!~ fJ~ ~~
I .
WALLS I
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL J'l
WALLS b/(3/tJ~ vtv / 10/ &l6vz,
CEILING I
FRAMING ~;6~Vl/
JOISTS 1 GIRDE!!S _~_________ . I
SHEAR W Al{!lHOLD DOWNS .-.J 5/I/tJr:. JC--- b!r /bc,vtL- ~wJ(
WALLS 1 ROOF 1 CEILING I
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB ,
WALL 1 FLOOR 1 CEILING ~).()/hl JtA-
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET I CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL.INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIVSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. 1 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 77/7'- '" V'" BUILDING
T:\Policies\1102 15 buildin rmiti lion record05. 1(,14/2005
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Fill out COMPLETELY and in Ll\TK. Your application and site plan :MUST BE
COIvI?LETE: tv bt ac!.:epleu for l"fviev;:. If you have arT)' questions, :rll1
PERMITS (360) 417-4815 Fi\X(360)417-4711
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BUILDING PERMIT - APPLICATION
Applicant or Agent: ~~ j (j((.1JU rta..
O~~er C~ ~ ~ ~n1S
Address: 5 h ' f' City:J A
ArchitectlEngineer:
Contractor ~:tf Fb fZ>11.t:J.;u0 State License #:
~
Phone: ~7- 8(015
Phone:
Zip: qf;8{{J2
Phone:
Exp:
Phone:
Address: City:
PROJECT ADDRESS: 61(P ()JhA'd&u;
LEGAL DESCRJJ?TION: Lot: Block:
CLALLAM COU1\TTYPARCELNUMBER: !J&. ~. IT)
Zip:
ZONING:
Subdivision:
0cP1lW
TYPE OF WORK: SIZENiiliUATION:
o Residential 0 New Constr. 0 Re-roof 0 Stove SF. @ $ /SF. = $
o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ /SF. = $
o Commercial 0 Remodel 0 Demolition 0 Deck SF. !ZV, $ /SF. = $
o Repair 0 Sign 0 Other TOTAL ,TALUATION $ /3, IJ fJ1J
BRIEF DESC,RIPTION OF THE PROJECT: '
_ f;~t:~$~0~ tlfsi))N~ 'tv Lne:tuck
COl\1JY.lERCL4LIRESIDENTL4L: Occupancy Group: R-3 Occupant Load:' ConstrUction Type: VI3
N~. of Stories: 2.. Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft.
Total lot coverage %
,
ESAlWetland(s): 0 Yes 0 No SEPA Checldistrequired? 0 Yes 0 No Other:
APPROVALS:
PLAN:
BLDG:
DPViTU:
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 Building Division to comply with current fee schedules: Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: JF a plan check fee .is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIR.<\.TION OF PLAN RKVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section Rl 05 .3.2
of the International Building/Residential 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 authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work.
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ELECTRICAL PERMIT INSPECTION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COlIER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEI'TED COMMENrS
I YES I NO
IlIT!:H
llnnr.l-I_IN / CUV.hK .
~VICE 2//q/ql( -
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GENERAL COMMENTS,
PW-I1C12.15(4'96]
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 16196
j/ .- / '7.':' ~:-
Port Angeles. Wasb!ngton.....................,......o..?..............n................ 19........
.
In accordance with the City Ordinance to regulate the installation, extension. or repair of elec-
trical equipment In, on, or about any building or other structure In the City of Port Angeles. per-
mission Is hereby granted to do electrical work as listed below,
Address ..........~--=.lh...nnl:.l..l!~.~..{nl:::.n!........nn.......n... Occupancy.nn,;~.4,.;:-.....nmn..n.....n...
n . F,. .~.. '~7
Owner .u.u.n.~uunur!._uuu;,:n:__._~;:..!:':.__:~....~__J:.1:.~;~..__..__ TenantU..._n..__.__U..__....h._...._.__n__hnUUU..~__._____..___u..n
Wiring Contractor n.....~'n~;.:...'...n:.:"..~L..:.."'~.n...........n........ By.....n....m........m..................n...n............n....n
/ -::' (1/ 'tJ'f:6
Service, volts .....____!..;...___......._............ Type of Wiring:
. .,7..... /
.J '
No. wires 00_.___.00_.....00...:'....._............
~~-r:;l
Size wires........::..:.(.;.:.........,..;...._..
i-.'4r.::L{":~'r.:'\....:''''
Matn fuse .....~~.~___.:.:.:~;n.'._.
~.
Enclosure ____n~.n=-:.~nn...m.n___.....___
-<>l.....o'
LIght Outlets..........................................
Receptacle Outlets___n____......................
Dryer, KW......n..n__...__._____....n_._..n___.
Ra,ge, KW....U.h.._......____n____n
Water Heater:
KW...................................
Type of wIring:
Entrance Cable ___00'___"'_________'
Heat: KW........................_.._..n..._._____...._
Motors: size, volts and phase:
Rigid Conduit ____...____....................
Metal11c TUbing ...m.....................
Current transformers:
No. & Size......__...._nn..........._........_.
Ser. No..............__...............................
Ser. No. .....................................__......
SeT. NO..nn..nnn__.__.nn__.n.................
Armored Cable .....____.....................
Non.Metalllc .................................
Knob & Tuben.............................._
Rigid Conduit ...............................
Metallfc Tubing ......m......_......__...
Raceway ..............................._....._
Circuits, Light__..____..._...______....n............
Utility...............................,.............
I-Jeat ...._.........._.__......_._..._......._.._.
Range .__......_...................................
Water Heater .................___00__.______
Motor ..._................._..00..........._......
Dryer ..........._....n........nn___.._..n_.....__
Furnace _......____..............._...._____.......__.
Total Loadnn___nn...n............. Ser. NO.n.....nnn_............................... Total ........_..................._........00
Remarks: .h....Ll.:T..g?7'-::ft.!?..nnn..::'!2".~.::~,:...:7..~~;:.:c-::....:.<-~""Q;;:O:;:h.h...........................................
..~~....____n___nn__~_n.._hnh_~__h_~.nn.n__n_______.n.__.__n.n_.n....__nn__n__________n__.u__..~nn__nnnn.n__..____________u..n________n________n
:.~.:.~~..~~:~~.~~~~~..~~...~~.....nmm::~.~.~:~..~.~.~.~~~.~..~.:.~..m...hh........::.:..~~Z~::::~~.:::~~.:.~.:::;:::~~.::;:>:~~~.,.
NOTICE-Current must not be turned on until CertifIcate of Inspection has been issued. If work Is to be con~
cealed due notIce must be gIven the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
16196
,
Address..._......__...._.......__...............................___....____..._.__.____..._..._._.................................._...........Date..._...____.______._...__._..._......_......_.........
~
Owner ._...............n.n_.nn......._n_n._.__......_......_.._........n.........._n..........................n.nn... Tenant....__....nnn.n.n_nn........................nn__n..._nn.
V/irlng Contractor....nn...._.nn...n............___..._n_nn....n________..___._..00._......._......__.....0000.00.00_00....___.. By.......nn___...n___........................................
NOTICE-Current must not be turned on until CertifIcate of Inspection has been issued. If work is to be con-
cealed due noUce must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.
North Peninsula Electric
CITY Y Off+` PORT ANGELES PERMU APPLICAITON
BtdIdin -1Di %iisioaMecmcaI 7fnspecHons
321 East EM Street -- P.O. Bax 1150 /port Angeles Washington, 9W2
Ph: (360) 417 -4735 Fax: (360) 417 -471
Oatw. yr a ~ i L(
` Plan Review May Be
Job Addrem
Building SquareFoaiagm
Desatolian of above
�& 2 Single f=amily Dwelling
928 -9409
p,1
RECEIVEU-,--.
`f
2011
�� Ec IONS
Plan Review Information Sift
Owner inf on
Nam'
MaI A _ v�
— State:_ gyp_ Z
Ph nne as
Ucense #! Exp.
ltem
SemloeiFeeder200 amp.
Unit Charge
8eaviceJFeeder?01.400 Amp.
E 120.05
$ 146.00
ServicOFeeder401 -60C Angr
S 205.00
ServicalFeeder601 -4000 Amp.
$ 26200
SerVUJFeeder over 1000 Amp.
S 373.14
Branch Cirwil W/ Service Feeder
g aco
Branch Circuit VVIO Service Feeder
S 63
Each Addltionat Branch Cirauil
-00
S 5.00
Branch Ci cub 1-4
$ 75.00
emp. Semite! Feeder 200 Arnp,
S 93.00
Temp. ServrcelFe rZ 11-40DAmp.
5110.00
Temp. Serlice/Feedar401-651)Amp.
Temp. ServiceFl -BEder 601 1000 Amp
S149.00
.
'ortal to Parts! Hourly
5166.00
S 96.00
Signal Circuit! Urniled Energy -1 & 2 Family l]>.v Wng
5 64.00
Manufactured Horne Connection
$ 120.00
RenavmbleEleuricalEnergy- 5WA System orLess
$ 102.00
Therms
S 56.00
rNole: 55.00 for each additions T-Stst
NI:1 CONSTRUCiTON ONLY,
Fri 1300 Square Ft.
S 120.00
Each Additional Sm Square FL or Portion of
S 40.00
Each Outbuilding or peed Garage
S 74..00
Eadi SxW71n1ng Pool or Hot Tub
$110.00
Contractor Information
Name � r :� 0 „`
Molling oldcjess: a
City:
Phone - O
License #. I Exp. p r
Total !N 42kki§Y, Unit Cba e
S
a
S,
S
S
S�
S
3
l
Total
Owner es deed by RCVV.19.28161: (1) Owner v& occupy the structure for two years after electri
4 A 0 � ?OR74% ELECTRICAL INSPECTION
417-4735
WIRING REPORT
DATE
5--J291
PERMIT 9 INSPECTOR
GWPIER
CONTRACTOR
ADDRESS
APPROVED NOT APPROVED
........ ....... DITCH .........
....... ... ROUGH IN/COVER ........ ......
0 ... ................ SERVICE ..... I ...... I . I. - 11
0 .... -... -.., p ...... FINAL . ....... ........... 11
t� CORRECTIONS NEEDED: b,,!.) . �0?�
Will-
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number , . . , ,
14- 00000616 Date
5/29/14
Application pin number , , ,
303104
DITCH
Property Address . . . , .
516 WHIDHY AVE
ASSESSOR PARCEL NUMBER:
06-30-10-5'-0- 9120 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name . , , , , ,
Property Use . . , , , . , ,
FINAL
Property Zoning , . . , . . .
RS7 RESDNTL SINGLE FAMILY
4§sk TOP
Application valuation , , , ,
0
_-----------°--_-------------------------------------------------------------
Appli.cation desc
2 circuits
_-------_-__-_--------------------------------------------------------------
Owner
Contractor
ADAMS CHARLES L
NORTH PENINSULA ELECTRIC
516 WHIDBY ST
761 FRESHWATER PARK RD
PORT ANGELES WA 983626548
PORT ANGELES WA
98363
(360) 477 -1764
Permit . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc .
Permit Fee 68,00
Plan Check Fee
.00
Issue Date 5/29/14
Valuation , . . .
0
Expiration Date 11/25/14
Qty Unit Charge Per
Extension
1,00 5,0000 ECH EL -ECH
ADDNT BRANCH CIRCUIT
5100
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED
63,00
Fee summary Charged
Paid Credited Due
Permit Pee Total 68,00
68.00 00
,00
Plan Check Total Op
.00 .00
..00
Grand Total 68,00
68,00 ,00
,00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
4§sk TOP
COMMENTS:
PERMIT WILL EMPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEMU[LDING
e
�N
l
CiTy of PORT N ELcs PERwT APPLIC1TTON MAR I c 2015
B�uflding DlvWonXiectrica1< lmpections EUMICAL
321 EW Fffth Street—P.O. Box 1150 / Pori AngelesWashington, 98362 INSPECTIONS
Ph; 60) 4174735 Fax; (360) 4174711
oate: 3-1,5° l _Z1 & 2 Single Family Dwelling
to Psview May Be Required, Please Co late, Me& f Plan Review Information Sheet
Ate:
�'��Vri Kl6i43�
'
�V #iL[�'<r4i jQdlili[y!d Yr� �
Name: R-�
P _ r
MWIng AddrM: Fr " rte_ sr
Staff(p:��
Slate:' z
.. ,� .. ?';
- -- --P
Ph�rse Erg 7 Fax n. I A- "-- ---- -�
- I Exp
laGense r ,. �Lx-i'Iti r rjr AZ;
Dam
UnU IG a e
t 101 ft 1lilultfplied W Unit Char
Sw&ier=Amp.
$120.00
2 i1 -400 Amp.
$146.70
SsnkaFeeder4QI-MAmp p
$205,00
$,_,.... .
w 60 1-1000 Arnp.
$262.00
SeKkWieder r 1000 Amp.
$ 373.00
�
S rider
$ 6.00
k ' WO Smics Feeder
$ 63,00
Eecrfi 8mrh 0 =. ft
$ ,5.00
- 1-4
$ 75.f113
T Feeder 200 Amp.
$ 99.00
Tom. 4MA,mp.
$"190.00
$
m Amp.
$ 949.00
$
Ze . -IOW Amp .
$ 1680
pcxd Hmlt-f
$ 95.00
E'MW- i &2 Farttiiy Nre ing
$ 64,00
$
$120.00
—,
- 5KVA System or l
$ 102.04
$
Note: ss&c ix mss. adftong T -W
NEW CONSTRUCT, : O.Y.
Ftrsa1 pt
$120,00
Each FL or Foffian of
$ 41
$
$ 74.00
= q Podi'Fict TIAn
$110.00
� $
was :3 . 5.2,61: (1) ovmar'WiR O=Pyt8 Structure fOrtitm years after this electrical perrrtitis finafized. (2) Owner is require
�` arty is frie, rent ar #ease. Permit expires after six months of last Inspection.
Air i s �
9hg t a n the owner of the above
named properly cr a lleensW lecbical confc#or. l am makir
(he N w w fie r4e�ca1 fan, N.E,C., RCW. Chapter 19.28, WAC. Chapter the City of Por
":
.Anger i -A and t
PMAC 14.135.05x} regarding
_R.64613,
Electrical Perm tApplications
Sigma cir avmef, ccrAractor or aTa�cal
0 cash d Check
=-� €: _ ��
�'° t S � i �
x _
tom.
01101012
�S}
V I
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number , , , , ,
15- 00000251 Date
3/16/15
Application pin number . . .
245056
DITCH
Property Address . . . .
516 WHIDBY AVE
ASSESSOR PARCEL NUM$ER:
06 30-70-5-0- 9120 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . , .
1
Property Use
FINAL
Property Zoning . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
0
Application desc
Ductless heat pump
Owner
Contractor
------------------ - - - - --
ADAMS CHARLES L
---------------- -- - - - - --
EXTRA MILE TECH & ELECT.,
LLC
516 WHIDBY ST
418 N, RACE ST,
PORT ANGELES WA 983626548
PORT ANGELES WA
98362
(360) 457 -$222
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc , ,
Permit Fee 68.00
Plan Check Pee
.00
Issue Date 3/16/15
Valuation
0
Expiration Date 9/12/15
Qty Unit Charge Per
Extension
1.00 5.0000 ECH 'EL -ECH ADDNT BRANCH CIRCUIT
5.00
1100 63,0000 ECH EL -R- BRANCH CIR WO/ SER FEED
63.00
Fee summary Charged
Paid Credited Due
Permit Fee Total 68.00
68.00 .00
.00
Plan Check Total ,0D
.00 00
00
Grand Total 68,00
68.00 .00
.00
IS)
b 1
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROU(iH-IN
1
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAIEXCHANG&BUILI) ING
Application Number . . . . .
Application pin number , . .
Property Address . .
ASSESSOR PARCEL NUMBFiR:
Application type description
subdivision Name . . . . , ,
Property use
Property Zoning . . . , . .
Application valuation , , , .
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
15- 00001638 Date 12/31/15
263550
516 WFIIDBY AVE
06-30-10-5-0- 9120 -0000-
ELECTRICAL ONLY
RS7 RESDNTL .SINGLE FAM.ILY
0
Owner
Contractor
1
ADAMS CHARLES L
DITCH
EXTRA MILE TECH &
ELECT., LLC
516 WHIDBY ST
on your excise tax form
418 N. RACE ST,
to the City of Port Angeles
PORT ANGELES
WA 983626548
PORT ANGELES
WA 98362
i
(360) 457 -5222
Permit . . . , .
. ELECTRICAL ALTER
RESIDENTIAL
Ay
Additional desc
6 LIGHTS IN LIVING ROOM
Permit Fee
63,00
Plan Cbeck Fee
.00
Issue Date
12/31/15
Valuation , . ,
, 0
Expiration Date
6/28/16
Qty unit c4arcge
Per
Extension.
BASE FEE
63,00
-----------------------------------------------
Fee summary
Charged Paid
- °__--- _____ -_w__
Credited
-- _-- - - - - --
Dtle
Pe.rmit Fee Total
63.00 63.00
.00
.00
Plan Check Total
.00
.00 .00
,DO
Grand Total.
63.00 63.00
.00
DO
INSPECTION TYPE
DATE:
1
INSPECTOR:
DITCH
REPORT SALES TAX
on your excise tax form
SERVICE
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
i
FINAL
4
Ay
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contra_ ctor X Date:
G:IEXCHANGEIBUILbr NG
Plan Review May Be Re 91W, Plene�cq
Iota Becm' Plan ReVmw Infermagon Sheet
4Add M=
VA-
. . . . . . . . . . . . . . . . . . .
m e!r
4-
Aq
Malk MOO X Lax.
bw
It
VIM
21
8 MOO
—
$ervicwFeederM400 Amp.
3 MOO
$ 205.OD
$2&00
Bmnah cima bV swvice FsedeT
50
$ MOO
--4—
EWh Add&IM 15 WO Cirml
$ UO
Bm" jdiClmibl-4
S 7UG
Temp. SmW Fwdur 2GO AMP,
$ 93,00
Temp, 8wvtWF wider M14ffGAnp.
$110.00
Temp. Amp-
$141M
Temp, $"mFudu 601-1000 AMP
$ IWO
PoNal to POTW Hwy
$ S6.00
$1781 cftau"bd Enpav- I &2FaMV DWOV
z UOD
Mawf4r,wmd Home cmacftm
$120,00
—
N 1 P aw 6 b 10 FJ p- i rg - 6 t VA W M 0 T L 0 M
s IOZOO
MOD
$120-03
Each AddMOTW M Sqwm M MPWOA Of
0.00
—
FMh OutWOMP ot WOW G9W,
7400
Es h WffflmN Pt l ar HuMb
$ -01T 'Total
to hfre an etscWCaj =*w&if aWm gdd pmp" is fu sde, rent orb mse.
POMR e*W abrek Munth,$ Of IMI MGPWuOT4.
After maft #0 OV9 3WMA I hembYwRYthat I am ft ownerof the above named popedy a a lfc�-wad eladft& s�' r l erg nlaWD
the elwfflcw in"don or Obwon in MME MM with the slauffla bw, W.EG, RM Gfttay 19.28, WA C. Chapter 2"S, The CRY d- Port
Andes Municipd Coft and MY SpWficdom and PAMO, 14.05,05D rVogno EhtiGd PanftApp1!odcn%
sisnaWTO of maw, ele4hico &WtMcWT Or elecW@81 admiflWAM'r.
a 0 ctsvil
5—
UIM2