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Home My WebLink About806 S Liberty St - Building ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 W Application Number 11- 00000733 Date 7/19/11 W Application pin number 944928 REPORT SALES TAX Property Address 806 S LIBERTY ST ASSESSOR PARCEL NUMBER: 06- 30- 11 -5 -5- 9050 -0000- on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 1 circuit gate control Owner Contractor DAWBER TTE MARK A OLYMPIC ELECTRIC CO INC P 0 BOX 2182 4230 TUMWATER PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 457 -5303 L ih;^ x`19$ Permit ELECTRICAL ALTER RESIDENTIAL p� Additional desc v Permit pin number 189266 C-7 Permit Fee 73.50 Plan Check Fee .00 Issue Date 7/19/11 Valuation 0 Expiration Date 1/15/12 U Qty Unit Charge Per Extension 1:00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 l Fee summary Charged Paid Credited Due V Permit Fee Total 73.50 73.50 .00 .00 Plan Check Total .00 .00 .00 .00 (J...... Grand Total 73.50 73.50 .00 .00 T V.7 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN 12 4 FINAL 11( W' COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING 07/18/2011 09:07 FAX 360 452 3498 Olympic Electric Co. PA CITY INSPECT a 001/001 RECEIVED dF PORT JUL 1 8 2011 I CITY OF PORT ANGELES PERMIT APPLICATION ELECTRICA i 0 ELECTRICAL Division/Electrical Inspections INSPECTIONS w 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Far: (360) 417 -4711 Date: 74P� r1 2 Single Family Dwelling Multi- Family or Commercial' _Commercial Addition Alteration Remodel Repair` Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: j1 L, "ir� Building Squats Footage: Description of alma Owner Info �11 „..„3, ContractorInformation Name: r7 /i( !/d4/6r/^ Name: (7/ 4 r !T/-, MallinViddroes: i- Melling Addrese: `/x.T,- 7 -,m e...7 A� City: //r'r- h /r ,-/c Slate: �/�7--"Aip: s''. f City. g--r'el„ /c-,- Std: 41-7 Zip: g r 3 Phone: v 'ry.$ -yi Fax: Phone: V5'7 r Fax: `A: ..r Vr.,r- License I Exp. License #I Exp. Za J S/1� Item Unit Chame Qlt r Total LW Multiplied by Unit Charnel ServioelFeeder 200 Amp. 119.90 1 Service -ceder 201-400 Amp. 145.50 Service/Feeder 401-600 Amp 1 204.60 Service/Feeder 601 -1000 Amp. 262.20 Service/Feeder over 1000 Amp. 1 372.50 Branch Circuit WI Service Feeder 260 Branch Clrautt W/O Sevice Feeder 73.50 _l___ Z9 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service/Feeder 201.400 Amp. 110.30 Temp. Service/Feeder 401.600 Amp. 148.70 Temp. Service/Feeder 601-1000 Amp 167.90 1 Portal to Portal Hourly 95.90 Sign/Outline Lighting 88.20 Signal Circuit/ United Energy First 1500 Canmervial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Umlted Energy -.1 &2 FamBy Dwelling 63,90 1 Signal Circuit/ Limited Energy NW-Family Dwelling 63.90 Manufactured Hare Connection 119,90 Renewable Electrical Energy 5KVA Sysbm or Less 102.30 Thermostat 1 56.00 J4EW CONSTR'ICflON ONLY: First 1300 Square FL 110.30 Each Additima1500 Square Ft or Portion of 1 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pod or Hot Tub 1110.30 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 atter 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 cornplance with the electrical laws, N.E.C., RCW. Chapter 19,28, WAC. Chapter 296 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PANIC 14.05.050 regarding Electrical Permit Applications. Signature o f owner, electrical contractor or elect teal ad inist etor Clish Chock li3Crdlr Card 0 /,_1/2 /7 8~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .,21 EAST 5TH STREET. PORT ANOELES. WA 98,62 ELECTRICAL PERMIT PERMIT NO 7797 ISSUED: 8/27/2002 OWNER/APPLICANT MARK A DAWBLER FAMILY TRUST P_O_ BOX 2182 Port Angeles, WA 98362 360/452-9484 T: S: CONTRACTOR DAVIS ELECTRIC 453 WILLIAMSON RD_ SEQUIM, WA 98382 360/683-3842 PROPERTY LOCATION 806 LIBERTY S Lot: AC Block: A 0 Long Legal Subdivision: CRESTHAVEN Parcel No: 063011550020000 ARCHITECT N/A , 98360-0000 360/000-0000 PROJECT INFO Project Type: TEMPORARY SVC_ Occupancy Type: RESIDENTIAL Occupancy Group: Electrical Heat: o Baseboard o Furnace o Heat Pump o Fan Wall o KW o KW o KW o KW $0_00 Project Value: Construction Type: Zoning Use: o Riser 0 o Overhead Service o Temp Service Underground Service Voltage: 0 Phase: 0 1 0 3 Service Size: 100 Feeder Size: 0 \J) () 0" \f. v PROJECT NOTES TEMP POWER POLE r RECEIPT # 9603 FEES ASSESSMENT Service: Additional Feeders: Circuit Wiring: Temp Service: Misc Fee: TOTAL FEE: 0- ft ~ $0_00 $0_00 $0_00 $46.70 $0_00 $46_70 AMOUNT PAID: BALANCE DUE COly1Ml-J'TS/ACTION NEEDED $46_70 $0.00 ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS_ PLEASE PROVIDE A M1NIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 I ACCEPTED COMMENTS I YES I NO UnUi ~UI.Jt1-1N /eVYbK <:KVII:F I ,!,' /<r" 1/1"71 .1 / / GENERAL COMMENTS: PW-II02.15(4I96] ~ .,.. .. -- 'tii:<"'" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 BUILDING PERMIT OWNER/APPLICANT MARK A_ DAWBLER FAMILY TRUST P_O_ BOX 2182 Port Angeles, WA 98362 360/452-9484 T: S: ISSUED: 8/05/2002 PERMIT NO: 13595 PROPERTY LOCATION 806 LIBERTY S Lot: AC Block: A D Long Legal Subdivision: CRESTHAVEN Parcel No: 063011550020000 CONTRACTOR R J TISDALE CONST_ INC_ P. O. BOX 2134 SEOUIM, WA 98382-0000 360/683-5156 PROJECT INFO Project Value: $97,037_00 Project Type: SFR NEW Occupancy Type: RESIDENTIAL Occupancy Group: Construction Type: Zoning Use: ARCHITECT LINDBERG & ASSOCIATES 319 S PEABODY SUITE "B" Port Angeles, WA 98362 360/452-6116 "--"\) (1 !\1 SFD Units: 1 Commercial: 0 SFD SO FT: 1,365 Industrial: 0 Garage: 708 MFD Units: 0 MFD SO FT: 0 ZP , PROJECT NOTES CONSTRUCT A NEW 1365 SO_FT_ SFR WITH 708 DETACHED GARAGE, INCLUDES WOOD STOVE RECEIPT#9499 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $979_75 $391 .90 $4_50 $0_00 $0_00 $0_00 $77.00 $63.45 $0_00 )---- 'PLc>..""'" IS- ~. 2-J 'V-- D- S- Mise Fee 1: Mise Fee 2: Mise Fee 3: $0.00 $0_00 $0_00 TOTAL FEE: AMOUNT PAID: BALANCE DUE: $1,516_60 $1,516_60 $0_00 Separate Permits are required for electrical work. SEPA, Shoreline, ESA, utilities, private and pubiic 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 T:\PLANNING\FORMS\1102.15 [4/2002J y 2~v OJ.. 5 Date Signature of Owner (if owner is builder) ate BUILDING PERMIT INSPECTION RECORD CALL 417-48\5 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE_ IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TION_ KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE 1 ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS B - ~"9)- 0,1 L-E-I-\ WALLS '7-'7 _O~ L[::.H FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEP ARA IE PERMIT: # ROUGH-IN I I I PLUMBING UNDER FLOOR I SLAB q-Iq-Oz. LEH ROUGH-IN iI-?--,---"" L- orli WATER LINE GAS LINE BACK FLOW I WATER AIR SEAL WALLS l7il-ln -Ol!--- 11---10 II 1 CEILING r I I FRAMING JOISTS I GIRDERS SHEAR WALL WALLS I ROOF I CEIUNG ,~ _In. U,-- ;:.",-1/ DRYWALL I-BAR INSULATION SLAB 1 1 1 WALL I FLOOR / CEILING 1'1--11 -(yl Ie J \ I MECHANICAL HEAT PUMP WOOD STOVE I PELLET / CHIMNEY HOOD I DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARA IE PERMIT #'s: WATERLINE I METER SEWER CONNECTION SAN!T ARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPliTTlONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417.4815 p..-/O-a.'A . t-~!+- BUILDING T:\PLANNING\FORMS\1102.15 [412002] ~_'ORT"'~ ~~ L~ ~IC~ BUILDING PERMIT - APPLICATION FOR OFFICIAL US!;' ONLY, Date Rec.: ~} . _'~. u L. Permit #, t,~.?j[r Date Approved: Date Issued: '-3 ( "'l The Building Pennit Application must befilled out completely. Please type or print in ink. Uyou have any questions, please call 417-4815 Phone: If- 5 z.. - 11f g if- Phone: ~ 5? - cr If g- 'f- WI') Zip: 9~~62 -~i?. &'"!; . Architect/Engineer: /.,.)N(18EAr.- ..l S'M '-,Ii Phone: 4-5a - 1,116. ContractorR, J, Tl S PA L.E' COAISI :x Ale. License #:I\'JTlscrC7'/'",'1 Exp: 7/2.S (~*' Phone: b<63- 515(" Address:S"1lS I1bl'l()PwMf>~r:<. L1v City:ScifvlM WA Zip: 9~3g-~ , PROJECT ADDRESS: 'i5~{' SOuTH L.lg~~ rY Sill[F.T WNING: fI.<;-l- LEGAL DESCRIPTION: Lot: Ac Block: A Subdivision: CI1.ESTHAVEN CLALLAM COUNTY PARCEL NUMBER: 06301 t S;()OZO Credit Card Holder Name: Billing Address: City: Credit Card #: Exp. Date: Applicant or Agent: 1111I'?K ~, j)IIW8t~J TRVS,Ft: T~t' Owner: Mil!'?/{ .+ I1AwlS~l<! FAMIL.Y Ifl.I!r;lIDCA(>,IE " Address: Po 0, gO X- 2. 18' 2. ,Rv~r City: P vI{ T A N6-Ct.-I!<; VISA MC TYPE OF WORK: ri Residential ~New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign SIZENALUATION:. ,,0 e tQ^",- 0'" 1365 SF.@$ 00 /SF.~-$ I~ 70$ SF.@$";U.3'il/SF_~$ ISIS/GO SF. @ $ /SF_ = $' = TOTAL VALUATION $ ~., O_~ 1 ~ o Wood-stove ~ Garage o Deck o BRlY.J?ESC IN",,!! COMMERCIAL/RESIDENTIAL: Occupancy Group: P. e S Occupant Load: No. of Stories: ~ Lot Size: I 'I- Z 35 ~t; 2 % Lot Coverage: 1 7, l. % Existing Lot Coverage: (P /sq_ ft_ + Proposed Lot Coverage: 2.~ 0 l.f Isq. ft. ~ TOTAL LOT COVERAGE: 2!; o If- /sq_ ft_ PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW FIRE ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. CO";STAVCT NeW 51NG UF FAMILY lU,-S/P€fl/Ce Construction Type: F~ A M C V ALUA TION 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: Your plan check fee is due at the time the building 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, this 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 107,4 of the Uniform Building Code, current edition)_ No application can be extended more than once_ J hereby certify that J have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. Applicant: ~ If( J)-~ate: 07/26/02 ~ . T:\FORMS\APPS\Buildingpermit NEW RESIDENCE FOR MR. MARK DA WBER -. --' ~" , , , '~!!!.w- ...... A~- / i'~ I -:!!.-m"....... :=-- ----- jiB LL. an. AU .~u ~- D<7f2D1 J/~. ~ U~ :01rl.LI.. "" ~ ~ \ _!~ ;, ;; . f""'r" ~I...e') ;s,'.tl" L 1+'_0" 'I . -==:::::.::::::tAL-liClJ''''FN II f?L yO, '?ITO' I?L)l..1-l ::.',J..oT).a'~Hk.;N 9.J!WIVISICY -C<fI"'/"I'f-' -f~,.,o" .11 :; 'i' , , ~~j; \ '- \ \ ~ ! J.~ (~~ ~~- ~J ~~l ~"- r~~ !i: l~~ h, '=..:- i;' i ~ ' ~ ~ 0 e z ~ ~ l " It: 8 ~ ~ ~ ~ : 'f .z; .. fl! .. . ~ 11] 0' :5'3 :, ~ f"~ ~ ~ ~ t ~: ,~U ~~, \): 00 ~~ Wx !~ ~" >=l ~ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . INSPECTION REPORT. . . REQUEST: Date ~ - ZB '-Cl"Z- Time Received by RI/ t-.... (bB I' fy (phone, person) Location of Work to be inspected gOb Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sc~ Phone No_ Permit No. 7"t.o 6 862- I s S9S- Sewer FoundatiOJ\ Framing Chimney Plumbing Final Sewer Excav. Other { P/9 INSPECTION NOTES: Inspected: Date Remarks: / Time By RESTORATION REQUiRED...... YES NO 'Lc(t-e- SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City [] Repaired by Permittee D No Damage Found Work Order # D COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . REQ~J;ST;r, / Date 1 ., Time Received by 7 (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other S;' /. / //- '/ . , INSPECTION NOTES: I Inspected: Date i Remarks: Time By / / " ( , )/ RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATEl CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . ~. . . .. . REQU~T: a _ fl- Date 2 !:L tJ Time Received by " (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): ~0 ,U&rzTj Phone No. Permit No. Final Sewer Excav. Other I~~q) INSPECTION NOTES: Inspected: Date '1' I ,:;r Remarks: //.'5 Sewer Foundation Framing Chimney .1"",10" r_/ ./ - Time By ---, / .,i '-- L. / -;-. -- </" C)\k RESTORATION REQUiRED...... YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other [] Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . INSPECTION REPORT . . . . REQUEST: Date / Z - '1' < .'\ ~'" (I .:;.._ Time Received by //" (phone. person) Location of Work to be inspected ,,' . v,., /- . ,.- Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation (~Chimney Plumbing Final / Phone No. Permit No. I? (;'''1.:';)' Sewer Excav. Other A / iZ. ,-('6=":.-<'11"._ ............. / INSPECTION NOTES: Inspected: Date I 2 -! 0 - ,::) L Remarks: . / \", ,~",-""1".,--<" Time By " ... '- -' ~ '" ., '. '. RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: D Unimproved DGravel D Asphalt D PCC D Other D Repaired by City [] Repaired by Permittee D No Damage Found Work Order # [] COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . REQUEST: Date 12.. - 1tr.,- 07 _ Time Received by !?LJ (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Bee; A,\6~,rZ ~C'^- T~.s Ie Phone No. Final Permit No. /3 S9 -~ Sewer Excav. Other ::Jksu. kI.h~l-( ((/1,'- ( By .::~/ INSPECTION NOTES: Inspected: Date Remarks: i Time /// ::" /'- /-. "---~' RESTORATION REQUiRED...... YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . INSPECTION REPORT. . . . . . / REQUEST: Date ~ -(0 -03 Time Received by (phone, person) Location of Work to be inspected go ~ S Lib tr72 fl./ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): ~ Permit No. Sewer Foundation Framing Chimney Plumbing~eWer Excav. Other I 1":, ',~":;':. INSPECTION NOTES: Inspected: Date-? Remarks: Time /< .,' By ) // r / , ...... RESTORATION REQUiRED...... YES NO SURFACE RESTORATION: SURFACE TYPE: D Unimproved DGravel D Asphalt D PCC D Other D Repaired by City D Repaired by Permittee [] No Damage Found Work Order # D COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . ./ REQUEST: Date Ii' Z~; -/) Z-- Time Received by ~/) L--//3&-?2-T7 (phone, person) Location of Work to be inspected ~ 0 ~ Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney €mb~ Final POur/I- s Phone No. Permit No. / 35'9-5 Sewer Excav. Other ~ INSPECTION NOTES: Inspected: Date / I - Z :2 -0 L Remarks: Time By (~) )~/ RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # [] COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) t& 1L -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 "'l-'l-'.L~t,,;Cll...LUll .l'IWIUJer property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name property Zoning . . . Application valuation 03-00000821 Date a/20/03 806 S LIBERTY ST 06-30-11-5-5-9050-0000- FIREPLACE/ INSERTS/FREESTANDING 868 Owner Contractor DAWBER TTE MARK A P 0 BO~ 2182 PORT ANGELES WA 98362 EVERWARM 257151 HWYIQl PORT ANGELES (360) 452-3366 WA 98362 Permit Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT FREE STANDING WOOD STOVE 50.00 plan Check Fee 8/20/03 Valuation 2/17/04 _00 o Qty Unit Charge Per Extension _00 50.00 ~ ~ ~ BASE FEE 1.00 50.0000 ECH ME-WOOD STOVE Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 _00 .00 Plan Check Total .00 .00 _00 .00 Grand Total 50.00 50.00 .00 .00 ~ 1- ~ ~ f/1 -j- 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 applicalion 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 X ~Ji a E~8-z{)--6:' Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\ II 02.15 [4/2002) BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS- PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION_ KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: 1# ROUGH-IN I I PLUMBING UNDER FLOOR! SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW! WATER AIR SEAL WALLS I CEILING I FRAMING JOiSTS I GIRDERS SHEAR WALL WALLS I ROOF I CEILING DRYWALL I-BAR INSULATION SLAB I I WALL I FLOOR I CEILING I MECHANICAL HEAT PUMP WOOD STOVE I PELLET / CHIMNEY HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARA IE PERMIT #'s SErA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL JNSPECTlONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL. LIGHT DEPT. 417~4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PWI CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLAl'-'NING DEPT. 417.4750 PLANNING DEPT. BUILDING 417-4815 III_hfi_o-;z, \.L BUILDING . ~ . ~'<:Jon>, 0" ~ ~ ~ ;g?d~~g H" w " ~~ W , t"'("JtJ]>-i~ ~" 0 " tIl:>:1;dm > 0 0 " Z~ >0 0" " ~. 00 "0 ~ 0 ~ ~ 0 " O. ". OH H 0" " "H H 00 ~, , .0 0 0 ""00 OOO(ll(D ~-:: ~ COC """'>'<0 , 00 ~~~ 000 00 ~~~ OWtd::<1 OW W OO[TJ~tr.l C- , , OO~ 00 "> 0 , , OH "C 0H ~ 0.....>-33;:>-< ~ m, ~ ~ , , " " ~~O 0 00 , , OH~ :';'~ " ~ , ~ ' 0Z ~ , , ~~ ~ ~ , , HW" , ~ . "0' W , , ~ O~ ~ .0> C " >0 .~. "0" nO o 0 0 ~~ 00 " 0 n W0 ,0 ~~Z "n ~ m ~ C" " ~H Z ~OH 0" 0 n ~on ,~ 0 0 , < > nH " H ~ WOC 00 ~ HZ ~ 'Z 0 Z0 ~ m~" . , 0" "'" f-'-H 0 " "0 ~ " Z Z " on 0 0> '" ~ n'" H~ 0 ~ ~H ~ 0 00 ~ "Z 0 ~ ~~ Z 0 ~~ 0 ~ ""0 ~ 55~ ~, 0 0 0~ 0 ZZO ~ OOH C < ~ ~ W ~ ~ ~ 0 ~ ~ ~ ~ W W m m O. >> ~O 00 H H , o ~ , o W~ BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY, Date Rec_, 1- ~1-03 Permit#, 82./ Fill out COMPLETELY aud in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Date Approved: Date Issued; Applicant or Agent: f'1/H\ K A VA W~Ei'Z Phone: '560 - Lf- {; Z - 9 'f'f: 'f- Owner: Address: '606 5, [16El'\fY 5 I Phone: City: POrn It-NG--trC%$ WI'\ Zip: 1,?,36Z-6{,6C, Architect/Engineer: Contractor e VEil. wA-IV? He-It"'- T l-> Address: J.~7/t;/ Hw,~ /01 PROJECT ADDRESS: <bOb 5, LEGAL DESCRIPTION: Lot: Phone: State License #:"'"",wl"~'i!i ,<Ii-Exp: City: pot{ r ArJ6-eu:-, C-IBCf{7'Y 51 Phone: 'f->"Z -:J~~,( w tl Zip: ZONING: '1r~6 2.. fl.7- Block: Subdivision: CLALLAMCOUNTYPARCELNUMBER: ()6 So J 15<:"''1^'''- ('IOOcc;J Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: )f Stoye o Garage o Deck o Other r"'sr-~u SIZEN ALUATION: SF_ @ $ /SF_ = $ SF_ @ $ /SF. ~ $ SF_ @ $ /SF_ = $ TOTAL VALUATION $ wt;J<>CJ S iov/? 1M <:r1T1l../t-tr/E Tr{.$', 00 SHOP COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: No_ of Stories: Lot Size: Existing Sq. Ft & Proposed Sq_ Ft Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage Construction Type: ~ TOTAL Sq.Ft % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BillLDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant This figure will be reviewed and may be revised by the Building 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 time the building 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 applicant (see Section 107.4 of the Uniform Building Code, current edition). 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 frue and correct. I am authorized to apply for this permit and understand that if is my responsibility to determine what permits are required ,not fhe Cffy's, and that I must obtain such permits prior to work. Applicant: JJW tr })~ Date: c;( 1 W () 5 I T:\FORMS\APPS\Buildingpennit.wpd 1.,- (;s ELECTRICAL PERMIT APPLICATION FOR. OFFICIAL USE ONLY ~lt/RcI,:: Permit .; [hIe Appruval: Dareluuell: - The Electrical Permit Application must be filled out comDletelv. 1t79/(p Please type or reprint In Ink. II you have any questions. please call (360. 417-4735 Fax number: (360) 417-4711 OWner or Elec_ Contractor Agent:-i) Ac.Ji5 R-e{~ property Owner: HllI-lj( DflwRt='f( Address: e () & Electrical Contractor: :\) ~ U\, c.:, f"1 e- ( '\ Address: AtX 0 usU'C\"l1 Phon.&~ ={- 381-1-- Fax: Phone: City: ~~T A~~ ' It'-''S lI\:r _ 't _ icense #: Mo:.. :l311--- Exp:rt> -3D -bA,; City: :Pel f!'\. h4iDJt" fop ~ ~CTRICAl CONTRACTOR Zip: 'lB36? 1---'" Phone0P>' - 'S;;r 4 t Zip:,98 ~rr; '2 INSTALLATION WIRED BY: DOWNER Credit Card Holder Name: BI//ing Address: City: Zip: Credit Card Number: Exp. Date: VISA:_MC:_ PROJECT ADDRESS{ 'l3 D(p TYPE OF WORK: Check all that apply: ~dental 0 Multi-family 0 Commercial S L "evT~ ,'91).-1. r _1~ IJa1iIew 0 Alteration/Addition -J? j'''' "'- o Mobile Home " gOJfO-~cf 7DD o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage 0 Telecom_ 0 Sig Number 01 Circuits added or altered: "1_ -z-.---- .' . '/ /.. DESCRIPTION OFT~E'ELfCTRIC~ PROJECT: --/-A/~~?J51 np'(le~, .--:2--60.~ /rYI drol? /)A) ~ ~- .01(" L-vI1, _~ / / , / / Electrical Heat Load Additions 70.80 7-'1.. .10)G2,. J lIb, .2<J /Ue-# 91?-' Service Information o Baseboard o Furnace o Heat Pump o Fan-Wall _ KNV _KNV _ KNV $KNV o Overhead Service o TJlmp Service Ild'Onderground Service Voltage: g,?,O U Phase: 1 0 3 Service Size: ~"'T fJ Feeder Size:~ ,--/0 PAMC 14_05.060(8): For industrial, commercial, & residential projects larger than a duplex, a one. line drawing of the Electrical Service & Feeders, building size (sq. It.), load calculations, and the type & 01 conductors andlor raceway is required and shall accompany the Electrical Permit application_ :'1 ~Y;::J f\;: I nf I '1 'A-1 ~ ?ill S!c-Mcv.. -<:-f Yf.:-r ' . I hereby certify that I have read and examined this application and know that same to be true and correct, and I an authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required: it remains the applicants responsibility to determine what permits are required and to obtain such. IIj 1..0(0 z...-- _ _ I k( - ob A'7/'7 - Cud --fa WilLe '1--11 ~/-e ~ Credit Card Holder's Signature: ~ Owner or Elec. Cont._ Signature:~~ f; (j ~ PW-9019 {/ ~ c D-.-- /y/3/~z- Date: Date: 11- (~. cV 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 7/20/22,13:19:03 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00000910 806 S LIBERTY ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 63.00 TOTAL DUE 63.00 Please present reciept to the cashier with full payment Application Number . . . . . 22-00000910 Date 7/25/22 Application pin number . . . 940730 Property Address . . . . . . 806 S LIBERTY ST ASSESSOR PARCEL NUMBER: 06-30-11-5-5-9050-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ Geoff & Jaqueline Soule BLACK DIAMOND ELECTRICAL CONTR 806 S Liberty St 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 460-4781 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 7/25/22 Valuation . . . . 0 Expiration Date . . 1/21/23 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 ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 11/27/2023 22-910 TAP OWNER CONTRACTOR Black Diamond Electric PROJECT ADDRESS 806 S Liberty St