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834 W 4th St - Building
6T Fl✓[ gtlitF �, CITE' OF PORT ANGELES PERMIT APPLICATION ' Building ]Division/Electrical InspectionsRECEIV 321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 — l ft -- Ph: (360) 417-4735 Fax: (360) 417-4711 �I Date: V/1& 2 Single Family Dwelling SEP 18 2013�Vn� (ELECTRICAL v *Plan Review MAY S R1e�ui. P ase plete lectric P2I�n o eview Information Sheet INSPECTIONS Job Address: Building Square Footage: _ Description of above 0 17 Owner �fArmatlon Contractor Information Name: big Name: Mailing Address: Mailing Address: City: State: ip: p J City: 7'% State: Zip: Phone: Fax: cv. `! Phone: Fax: License # 1 Exp, J��� ..'� License # ! Exp. "b r. Item Unit Charge QtV Total !Qty Multiplied by Unit Charge Service/Feeder 200 Amp, $120.00 $ ServicelFeeder 201-400 Amp. $146.00 $ ServicelFeeder 401-600 Amp $ 205.00 $- ---Service/Feeder 601-1000 Amp. $ 262.00 $ ServicelFeeder over 1000 Amp. $ 373.00 $ Branch Circuit WI Service Feeder $ 5,00 $ Branch Circuit WIO Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5,00 _� $err Branch Circuits 1-4 $ 75.00 $ Temp, Service/ Feeder 200 Amp, $ 93,00 $ Temp. ServicelFeeder 201-400 Amp. $110.00 $ Temp. ServicelFeeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp . $ 168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit] Limited Energy - 1 & 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $ 120.00 $ Renewable Electrical Energy - 5KVA System or Less $ 102.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $ 120.00 $ Each Additional 500 Square Ft. or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $_tee___ $ 7. ?2 otal 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 f 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 296-46B, The City of Part Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ Check ElCredit Card if f j Dated: / / 0110112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . , 13-00001073 Date 9/1.8/13 Application pin niimbex . , , 315058 Property Address . . , . 834 W 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -0225 -0000 - Application type description ELECTRICAL ONLY Subdivision Name , , . . . . Property Use . , . . . , , . Property Zoning . . , , Application valuation . , . , 0 ---------------------------------------------------------------------------- Application desc 3 circuits garage and kitchen final ---------------------------------------------------------------------------- Owner Contractor RESULTS: JAMES AND DEBRA SELF DITCH OWNER 834 W 4TH STREET SERVICE PORT ANGELES WA 98363 ROUGH -IN (360) '797-4148 ---------------------------------------------------------------------------- Permit . . , , . . ELECTRICAL ALTER RESIDENTIAL Additional desc . COMMENTS: i Permit Fee . . . 73,00 Plan Check Fee 00 Issue Date 9/18/13 Valuation 0 Expiration Date 3/17/14 Qty Unit Charge Per Extension 2.00 5.0000 HCH EL-ECH ADDNT BRANCH CIRCUIT 10.00 7..00 63,0000 HCH EL -R- BRANCH CTR NO/ SER FEED 63,00 Fee summary Charged Paid Credited Due Permit Fee Total 73.00 73,00 .00 .00 Plan Check Total .00 .00 00 .00 Grand Total 73,00 73.00 .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 COMMENTS: i PERMIT WILL EXPRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING E _'L Electrical Permit 834 W 4 `" St 12-617 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 11-00000617 Date 6/20/11 Application pin number . . . 360763 DITCH Property Address . . . . . . 834 W 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -0225 -0000 - Application type description ELECTRICAL ONLY Subdivision Name Property Use I . . . . . . . FINAL Property Zoning . . . . . . . Application valuation . . . . 0 ---- — ---------------------------------------------------------------------- Application desc 4 circuit kitchen remodel ---------------------------------------------------------------------------- Owner_ Contractor JAMES AND DEBRA SELF OWNER 834 W 4TH STREET PORT ANGELES WA 98363 (360) 797-4148 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit pin number . 187807 Permit Fee . . . . 81.30 Plan Check Fee .00 Issue Date . . . . 6/20/11 valuation . . . . 0 Expiration Date . . 12/17/11 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL -.BRANCH CIRCUIT WO/FEEDER 73.50 3.00 2.6000 ECH EL-ECH ADDNT BRANCH CIRCUIT 7.80 ----------------------------------------------------------------------------- Fee summary Charged Paid Credited ---------- Due --------------------------- Permit Fee Total 81.30 -------------------- 81.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 81.30 81.30 .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-INIV FINAL COMMENTS: F,,v to tt i PERMIT WILL EXPIRE SIT (6) MONTHS PROM LAST INSPECTION • x Signature of owner- or Electrical Contractor X Date: GAEXCHANGE\BUILDING o,.poRTaN ELECTRICAL INSPECTION 61N r� WIRING REPORT 9 L y S&' '�� 417-4735 DATE PERMIT # INSPECTOR —06 l OWN R/CO RACTOR ADDRESS c S APPROVED NOT APPROVED ❑ ....................DITCH.................... ❑ ❑................ ROUGH IN/COVER ............... ❑ ❑ ....................SERVICE................... ❑ .t ........ FINAL .................... ❑ CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 RECEIVED CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 9i� 2 ZQ1� 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 ELECTRICAL Ph: (360) 417-4735 Fax: (360) 417-4711 INSPECTIONS Date: 06/20/2011 >�-1 & 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: 834 W 4th Street, Port Angeles, WA 98363 Building Square Footage: 1426 Description of above Reconfigure existing circuits as Dart of a kitchen remodel. Work includes, moving a Stove/Oven, removing an existing hot water tank and installing a point of use tankless hot water system. Owner Information Contractor Information Name: James & Debra Self Name: James Self Mailing Address: 834 W 4th Street Mailing Address: 834 W 4th Street City: Port Angeles State: WA Zip: 98363 City: Port Angeles State: WA Zip: 98363 Phone: 360-797-4148 Fax: Phone: 360 797-4148 Fax: 360 452-5042 License # / Exp. License # I Exp. Item Unit Charqe Q_yt Total (Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. $119.90 $ Service/Feeder 201-400 Amp. $ 145.50 $ Service/Feeder 401-600 Amp $ 204.60 $ S6rvice/Feeder 601-1000 Amp. $ 262.20 $ Service/Feeder over 1000 Amp. $ 372.50 $ Branch Circuit W/ Service Feeder $ 2.60 $ Branch Circuit W/O Service Feeder $ 73.50 1 $ 73.50 Each Additional Branch Circuit $ 2.60 3 $ 7.80 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 $ Portal to Portal Hourly $ 95.90 $ Sign/Outline Lighting $ 88.20 $ Signal Circuit/ Limited Energy / First 1500 sf - Commercial $ 95.90 $ Note: $5.00 for each additional 1500 sf Signal Circuitl Limited Energy -1 & 2 Family Dwelling $ 63.90 $ Signal Circuit/ Limited Energy - Multi -Family Dwelling $ 63.90 $ Manufactured Home Connection $ 119.90 $ Renewable Electrical Energy - 5KVA System or Less $ 102.30 $ Thermostat $ 56.00 $ NEW CONSTRUCTION ONLY: First 1300 Square Ft. $110.30 $ Each Additional 500 Square Ft. or Portion of $ 35.20 $ Each Outbuilding or Detached Garage $ 73.50 $ Each Swimming Pool or Hot Tub $110.30 $ $ 81.30 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 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 296-46B, The City of Port Angeles Municipal Code, and Utility Spe ffications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrics co ac r or electrical administrator: ❑ Cash ❑ Check 1 n ❑ Credit Card # x Dated: 291 a]1 01/01/2010 / \ J CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 11-00000593 Date 6/17/11 Application pin number . . . 560764 Property Address . . . . . . 834 W 4TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-1-0225-0000- Tenant nbr, name . . . . . . JAMES & DEBRA SELF on your state excise tax form Application type description RES REMODEL Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . Application valuation . . . . 6000 ---------------------------------------------------------------------------- Application desc KITCHEN REMODEL ---------------------------------------------------------------------------- Owner Contractor ------------------------ JAMES AND DEBRA SELF ------------------------ OWNER 834 W 4TH STREET PORT ANGELES WA 98363 (360) 797-4148 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . KITCHEN REMODEL Permit pin number . 187468 Permit Fee . . . . 151.75 Plan Check Fee 98.64 Issue Date . . . . 6/17/11 Valuation . . . . 6000 Expiration Date . . 12/14/11 Qty Unit Charge Per Extension BASE FEE 95.75 4.00 14.0000 THOU BL -2001-25K (14 PER K) 56.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . KITCHEN REMODEL Permit pin number . 187526 Permit Fee . . . . 71.30 Plan Check Fee .00 Issue Date . . . . 6/17/il Valuation . . . . 0 Expiration Date . . 12/14/11 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 10.6500 EA ME-HOOD/DUCT-MECH. EXHAUST 10.65 1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit pin number . 187534 Permit Fee . . . . 86.00 Plan Check Fee .00 Issue Date . . . . 6/17/11 Valuation . . . . 0 Expiration Date 12/14/11 Qty Unit Charge Per Extension BASE FEE 50.00 2.00 7.0000 EA PL -PLUMBING TRAP 14.00 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 withwhether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisionsof�ny state or local law regulating construction or the performance of construction. �) Print Name T:Forms/Building Division/Building Permit of Contractorfor ,authorized 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 7 Date TAccepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage / Downspouts Piers Fire 417-4653 _ Post Holes (Pole Bldgs.) PLUMBING: FINAL Date Accepted b 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: FINAL Date Accepted b Heat Pum / Furnace / FAU / Ducts Rough -In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts MANUFACTURED HOMES: Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parkin / Lighting Landscaping FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By.. Electrical 417-4735 Construction - R.W. PW / En ineerin 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit =^ CITY OF PORT ANGELES s 1�7 DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION � 321 EAST 5TH STREET, PORT ANGELES, WA 98362 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 an&correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) r:Forms/Building Division/Building Permit Page 2 Application Number . . . . . 11-00000593 Date 6/17/11 Application pin number . . . 560764 Qty Unit Charge Per Extension 1.00 7.0000 EA PL -WATER LINE 7.00 1.00 15.0000 ---------------------------------------------------------------------------- EA PL -SEWER LINE 15.00 Other Fees . . . . . ---------------------------------------------------------------------------- . . . . STATE SURCHARGE 4.50 Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total 309.05 ---------- 309.05 ---------- .00 ---------- .00 Plan Check Total 98.64 98.64 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 412.19 412.19 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 an&correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) r:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date Accepted By Comments FOUNDATION: Electrical 417-4735 Footings _ Stemwall _ Foundation Drainage / Downspouts Piers Fire 417-4653 Post Holes (Pole Bldgs.) _ PLUMBING: FINAL Date 1+. 13' IlAccepted b Under Floor / Slab Rough -In Water Line (Meter to Bldg) Gas Line _ Back Flow / Water AIR SEAL: cSLI_ Walls Ceiling _ FRAMING: - - Joists / Girders / Under Floor Shear Wall / Hold Downs Walls / Roof / Ceiling_ Drywall Interior Braced Panel OnI _ T -Bar INSULATION: Slab Wall / Floor / Ceiling MECHANICAL: FINAL Date I'J� I2Accepted b Heat Pum / Furnace / FAU / Ducts Rough -In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts MANUFACTURED HOMES: Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT. Separate Permit #s _ SEPA: ESA: SHORELINE: Parkin / Lighting Landscaping FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW / En ineerin 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 tI?J' ay, Sum T:Forms/Building Division/Building Permit W PREPARED 4/13/12, 9:00:01 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/13/12 ------------------------------------------------------------------------------------------------ ADDRESS . : 834 W 4TH ST SUBDIV: TENANT, NBR: JAMES & DEBRA SELF CONTRACTOR : PHONE OWNER JAMES AND DEBRA SELF PHONE (360) 797-4148 PARCEL 06-30-00-0-1-0225-0000- APPL NUMBER: 11-00000593 RES REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------- BL3 01 8/30/11 JLL BLDG FRAMING 8/31/11 DA August 29, 2011 4:11:30 PM 1pangrle. JAMES 797-4148 FRAMING August 31, 2011 3:37:10 PM jlierly. electrical inspection reqd. nail plates,strap at top plate, and or shear wall near beam/jll BAIR O1 9/08/11 JLL BLDG AIR SEAL 9/08/11 AP September 8, 2011 8:42:45 AM 1pangrle. JAMES 797-4148 AIRSEAL HE REQUESTS THAT YOU CALL HIM 20 -MINUTES BEFORE YOU GET THERE. September 8, 2011 4:10:59 PM jlierly. BL3 •02 9/08/11 JLL BLDG FRAMING 9/08/11 AP September 8, 2011 8:41:28 AM 1pangrle. JAMES 797-4148 FRAMING HE REQUESTS THAT YOU CALL HIM 20 -MINUTES BEFORE YOU GET THERE. September 8, 2011 4:10:59 PM jlierly. BL99 01 4/13/12 BLDG FINAL April 13, 2012 8-:54:15 AM hcatuzo_ CALL 10 MINS TO MEET. 797-4148 PERMIT: ME 00 MECHANICAL ERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME1 01 9/08/11 JLL MECHANICAL ROUGH -IN 9/08/11 DA September 8, 2011 8:42:01 AM 1pangrle. JAMES 797-4148 MECHANICAL ROUGH -IN HE REQUESTS THAT YOU CALL HIM 20 -MINUTES BEFORE YOU GET THERE. September 8, 2011 4:10:20 PM jlierly. duct not installed yet/ recall when ready/jll ME99 01 4/13/12J MECHANICAL FINAL PERMIT: PL 00 PLUMBI G P IT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------------- PL2 01 8/30/11 JLL -------------------------------------------- PLUMBING ROUGH -IN ----- ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- PREPARED 4/13/12, 9:00:01 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/13/12 ------------------------------------------------------------------------------------------------ ADDRESS . : 834 W 4TH ST SUBDIV: TENANT, NBR: JAMES & DEBRA SELF CONTRACTOR : PHONE OWNER JAMES AND DEBRA SELF PHONE (360) 797-4148 PARCEL 06-30-00-0-1-0225-0000- APPL NUMBER: 11-00000593 RES REMODEL -------------------------------------------------------------------------------------- REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -- ------ ----- - --- ---- - --- 8/31/11 AP August 29, 2011 4:12:00 PM 1pangrle. JAMES 797-4148 ROUGH -IN PLUMBING August 31, 2011 3:38:12 PM jlierly. PL99 01 4/13/12 PLUMBING FINAL ---------------------- ------------ COMMENTS AND NOTES PROJECT � nSTATUS UPDATE Permit # �' o Y 34 40 -5 5t Date: L�' �J - y �r I phoned the: Applicant Ig qy-iG ? seAk at I ( �19�3 Property Owner at Contractor at I (left a phone message, or discussed): The perm' (has expire , or will expire soon). What is the status of this project? Please call and schedule a final inspection. Submit a "permit extension request" letter. Let me know if the project is abandoned. v T:Forms/Building Division/Project Status Update PREPARED 9/08/11, 8:43:47 INSPECTION TICKET PAGE .1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/08/11 ----------- ADDRESS ----------- — ----' . : 834 W 4TH ST SUBDIV: TENANT, NBR: JAMES & DEBRA SELF THERE. -------------------------- " --------- COMMENTS AND NOTES ------------------------------- CONTRACTOR : PHONE OWNER : JAMES AND DEBRA SELF PHONE (360) 797-4148 PARCEL 06-30-00-0-1-0225-0000- APPL NUMBER: 11-00000593 RES REMODEL -- --------------------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS — -- ----------------------------------- --------- BL3 01 — --------------- — ---------------------------- 8/30/11 JLL BLDG FRAMING 8/31/11 DA August 29, 2011 4:11:30 PM 1pangrle. JAMES 797-4148 FRAMING August 31, 2011 3:37:10 PM jlierly. electrical inspection regd. nail plates,strap at top plate, and or shear wall near beam/jll BAIR O1 9/08/11 BLDG AIR SEAL September 8, 2011 8:42:45 AM 1pangrle. JAMES 797-4148 AIRSEAL HE REQUESTS THAT YOU CALL HIM 20 -MINUTES BEFORE YOU GET THERE. THERE.. BL3 02 9/08/11 L BLDG FRAMING September 8, 2011 8:41:28 AM 1pangrle. JAMES 797-4148 FRAMING HE REQUESTS THAT YOU CALL HIM 20 -MINUTES BEFORE YOU GET THERE. --------------------------------- PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS - —------------------- ME1 01 9/08/11 — ------------------------- —---------------------- — -------------- �jLT,/� MECHANICAL ROUGH -IN September 8, 2011 6:42:01 AM 1pangrle. JAMES 797-4148 MECHANICAL ROUGH -IN HE REQUESTS THAT YOU CALL HIM 20 -MINUTES BEFORE YOU GET THERE. -------------------------- " --------- COMMENTS AND NOTES ------------------------------- PREPARED 8/30/11, 8:19:00 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/30/11 ------------------------------------------------------------------------------------------------ ADDRESS . : 834 W 4TH ST SUBDIV: TENANT, NBR: JAMES & DEBRA SELF CONTRACTOR : PHONE OWNER JAMES AND DEBRA SELF PHONE (360) 797-4148 PARCEL 06-30-00-0-1-0225-0000- APPL NUMBER: 11-00000593 RES REMODEL PERMIT: ------------------------- BPR 00 BIIILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION - TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL3 01 8/30/11 JLL BLDG FRAMING August 29, 2011 4:11:30 PM 1pangrle. e—��� JAMES 797-4148 FRAMING PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------- PL2 01 -------- 8/30/11LL PLUMBING ROUGH -IN August 29, 2011 4:12:00 PM 1pangrle. TrY JAMES 797-4148 ROUGH -IN PLUMBING -------------------------------------- COMMENTS AND NOTES -------------------------------------- Te / J4< A tla_� C�z Lo-li (�) zzm� +�)j 04-f F `�� pc�hrFtti�r L BUILDING PERMIT CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 Applicant James& Debra Self Property Owner James & Debra Self APPLICATION Print in ink N For City Use Only: Date Received 6--13 —1( Permit # , - S ; Date Approved "10 L4 QGT��360 797-4148 �- one 360 797-4037 Property Owner's Address 834 W 4th Street Port Angeles WA 98363 Contractor James Self Phone 360 797-4148 'Contractor's Address License # Expires E-mail jamesself@westportshipyard.com PROJECT ADDRESS 834 W 4th Street, Port Angeles, WA 98363 Parcel Number 063000-010225 Lot 19 Zoning Proiect Type & Brief Description: 6 Residential ❑ Multi -family ❑ Commercial ❑ Industrial Check all that apply ❑ New Construction Scope of Promect: Kitchen remodel Add garden window, Add Water heaters 2 Add new ❑ Addition range Vent Hood, Move Range/Oven, Add Dishwasher, Move wall. I Remodel ❑ Repair ❑ Demolition ❑ Re -roof ❑ House ❑ garage ❑ other ❑ tear off & re -roof ❑ lay over one layer ❑ Heat Systems ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other NOG UYI Floor Areas Existing (sq. M. Proposed (sq. m) Basement 325 No Change @ $ per sq. ft. _ $ 1s` Floor 1049 No Change 2nd Floor 3`d Floor Garage 398 No Change Carport Covered Porch Deck 377 No Change Shed Materials: 3000 Other Labor: 3000 f mes5�1 i S� oh G pmx t - r 0 4 Q ,goo j c Sf%51TOTAL VALUATION $ .6000 brau • It i n a Yev li va.lua Total footprint of structures 1426 sq. ft. T Lot size 7000 sq. ft. = Lot coverage .203 %• Site Coverage = the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage .391 %. Max. height of proposed structures ft. Occupancy group # of bedrooms 2 Will a lawn sprinkler system be installed? No Occupant load # of full baths --�� Will a fire sprinkler system be installed? No Construction type wood # of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for is p it and understand that it is my responsibility to determine what permits are required, and to obtain permits ll n to working on r jec Date 0614 Print Name games seir Signattt�r T:Forms/Building Division/Bldg Permit.doc / Clallam County Assessor & Treasurer - Property Details - 56490 JAMES AND DEBRA ... Page 1 of 1 Clallam County Assessor & Treasurer Property Search Results > 56490 JAMES AND DEBRA SELF for Year 2010 - 2011 Property Account Property ID: 56490 Legal Description: Geographic ID: 0630000102250000 Agent Code: Type: Real Tax Area: 0010 - PA 121 PORT ST CNTY H2 L WMP Land Use Code Open Space: N DFL Historic Property: N Remodel Property Multi -Family Redevelopment: N Township: Section: Range: Location Address: 834 W FOURTH ST Mapsco: PORT ANGELES, WA Neighborhood: Cycle 5 Res Neighborhood CD: 10955130 Owner Name: JAMES AND DEBRA SELF Mailing Address: 834 W 4TH ST PORT ANGELES, WA 98363 LOT 9 BL 102 MAP J4 11 N N Map ID: 3 ...... .. Owner ID: 51506 % Ownership: 100.0000000000% Website version: 9.0.30.1013 Database last updated on: 6/13/2011 3:52 © 2011 True Automation, Inc. All Rights AM Reserved. Privacy Notice http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2010&prop_id=56490 6/13/2011 +Op pORT,µ,C� CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION v 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Ram Application Number . . . . . 03-00000322 Date 4/05/03 Property Address . . . . . . 834 W 4TH ST ASSESSOR PARCEL NUMBER: 0630000102250000 Application description . . . ELECTRICAL ONLY Property Zoning . . . . . . . Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ MARKLEY DIANE ANGELES ELECTRIC PO BOX 2835 524 E. 1ST ST. PORT ANGELES WA 983620333 PORT ANGELES WA 98362 (360) 452-9264 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Sub Contractor . . ANGELES ELECTRIC Permit Fee . . . . 67.50 Plan Check Fee .00 Issue Date . . . . 4/05/03 valuation . . . . 0 Expiration Date 10/02/03 Qty Unit Charge Per Extension 1.00 46.7000 ECH EL -R OR RM 1-4 ALT CIRCUITS 46.70 4.00 5.2000 ECH EL -R OR RM ALT ADDNT CIRCUITS 20.80 Fee summary Charged Paid Credited Due - ------ ---- ------------------------------------ - ----- Permit Fee Total 67.50 67.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 67.50 67.50 .00 .00 G '*1 Separate Permits are required fore lectrica Iwork, 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:\PLANNING\FORMS\1102.15 [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 INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH -IN PLUMBING UNDERFLOOR/SLAB ROUGH -IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T -BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCT PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ ENGINEERING, 417-4807 I CONSTRUCTION - R.W. PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION O 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 03-00000166 Date 2/23/03 Property Address . . . . . . 834 W 4TH ST ASSESSOR PARCEL NUMBER: 0630000102250000 Application description . . . FIRE ABANDON TANK INSPECTION Property Zoning . . . . . . . Application valuation . . . . 300 Owner Contractor ----------------------- ----- MARKLEY DIANE RJ SERVICES PO BOX 2835 514 IRVING JACOBS RD, PORT ANGELES WA 983620333 PORT ANGELES,WA PORT ANGELES WA 98362 (360) 457 -1420 -------------------------------------------------------- Permit . . . . UNDERGROUND TANK RES Additional desc . . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . 2/23/03 Valuation . . . . 300 Expiration Date . . 8/22/03 Qty Unit Charge Per Extension BASE FEE 15.00 Fee summary Charged Paid Credited Due ------ ---------- Permit Fee Total 15.00 15.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 15.00 15.00 .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 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. nIj T71 L- . Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 1420021 Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: N ROUGH -IN PLUMBING UNDERFLOOR/SLAB ROUGH -IN WATERLINE GAS LINE BACKFLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL WALLS/ROOF/CEILING DRYWALL T -BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT H's: WATERLINE / METER SEWER CONNECTION SANITARY STORM SEPA: ESA: SHORELINE: PLANNING DEPT. SEPARATE PERMIT k's PARKING/LIGHTING LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYNSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ ENGINEERING 417-4807 CONSTRUCTION - R.W. PW /ENGINEERING FIRE 417-4653 � J" /0 FIRE DEPT. PLANNING DEPT, 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNINGWORMSA 102.1514/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 03-00000498 Date 5/22/03 Property Address . . . . . . 834 W 4TH ST ASSESSOR PARCEL NUMBER: 0630000102250000 Application description . . . MECHANICAL PERMIT Property Zoning . . . . . Application valuation . . . . 5700 Owner Contractor ________________________ ------------------------ LOVE, -_________ ____LOVE, ROBERT/KATHLEEN PENINSULA HEAT 834 W 4TH STREET 502 W. 8TH ST. PORT ANGELES WA 983620333 PORT ANGELES WA 98362 (360)'452-2690 (360) 457-2775 ____________________________________________________________________________ Permit . . . . . . MECHANICAL PERMIT Additional deac . . Permit Fee . . . . 61.70 Plan Check Fee .00 Issue Date . . . . 5/22/03 Valuation . . . . 0 Expiration Date . . 11/18/03 Qty Unit Charge Per BASE FEE 1.00 14.7000 ECH ME- INSTALL 100- FAU Fee summary Charged Paid Credited ----------------- __________ ____-_____ Permit Fee Total 61.70 61.70 .00 Plan Check Total .00 .00 .00 Grand Total 61.70 61.70 .00 Extension 47.00 14.70 ---------- .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 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. c) /U t -<LE Signature of Contractor or Authorized Agent T:\PLANNING\FORMS\7102.15 142 W2J Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: N ROUGH -N PLUMBING UNDERFLOOR/SLAB ROUGH -W WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T -BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT Ws: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT N's SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ ENGINEERING 417-4807 CONSTRUCTION - R.W. PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 . 71 re PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNNG\FORMS\l102.15 [4/20021 Applicant and/or Owner: BUILDING PERMIT . PREAPPLICATION The Building permit - Preapplieation must be fdled out conwIdeiy. Please type or print In ink. If you have any questions, please call 4174815 FOR OFFI USE y, tAta Rx5 Partwt Y: -- RaAp caagtab7 Data Apwwed .. Phone: L f L_7-2 Phone: 4'S --I— Address: -I-<n L.9 Address:�5 t� { h City: �d t C, P(a S Zip: e (� Architect/Engineer: Phone: _ ContractorPen t n�, t Ia I iCp �' License#:;Pbo/Naq61U6- e. Phone. -.3 7- 75 t PROJECT ry.vl , s Zip:�� kLa ZONING LEGAL DESCRIPTION: Lot: Block: ---- Subdivision: TYPE OF WORK: ❑ Residential ❑ New Constr. ❑ Reroof ❑ Multi -family ❑ Addition ❑ Move ❑ Commercial ❑ Remodel ❑ Demolition ---- - - ❑ Repair ❑ Sign THE PROJECT; SIZEfVALUATTON: ❑ Woodstove SF. @ $ /SF. ❑ Garage SF. @ ❑ Deck SF, Qa S ------- JSF. COMMERCIAIIRESIDENTIAL No. of Stories: Occupancy Group: Occupant Load: Construction Type: Lot Size; 'O Lot Coverage: Existing Lot Coverage:_ /sq. R +Proposed Lot Coverage: /sq. R - TOTAL LOT COVERAGE: /sq g PLANNING USE ONLY: Permits Required: Max. Height Notes: _ Site Plan and Use Approved by: �� ZOning' ESA/WcUand(s): 13 Yes ❑ NoSEPA Checklist required? ❑ Yes ❑ No Other: APPROVALS: PLAN BLDG DPW FIRE OTHER PREAPPLICATION SUBMTITAL Division can Your appffaation and sire plan must befXed our comple* to be accepted for review. The Building Provide you with more detailed information on the application and plan submittal requirements. BUILDING PERMIT APPLICATION SUBMITTAL: Your completed application, site plan (for additions) and building construction Plans are to be submitted to the Building Division. Any addition larger than 500 sq. fL will need a Preappilcatiou Review. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. Thfigu is re will be reviewed and may be revised by the Building Div, to comply with current fee schedules. Contact the Permit Coordinator at 4174815 for assistance. PIAN 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. 'Imitations. 71-4 EXPIRATION OF PLAN REVIEW: If Building Oficial can no permit is issued within 180 days of the date of application, this application will expire by extend the tinter for action by the applicant up to 180 days, on written request by the applicant (see Section 304(d) of the Uniform Building Code, current edition). No application can be extended more than once. ' hereby cerrrfy that I hair read and examined this application and know the same to be true and correct, and I am authorized to apply for his permit. I understand it is not the City's legal respotuibiliry io dete nine what permits are required; it rennains the applicant's espon.ribility to determine what permlu are required and to obtain such. 4 r-Q%DATA1W?jM PERy�LDApP,� Applican . Date: —SPI "(1 s °%w CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 s _ ELECTRICAL PERMIT Issued: 4/01/97 Permit No: 5877 OWNER/APPLICANT------------------------ PAUL MARKLEY 834 W. 4TH ST Port Angeles, WA 98362 360/457-5678 T: S: -PROPERTY LOCATION --------- 834 4TH ST W Lot: 9 Block: 102 Long Legal: Sub: TPA Parc No: CONTRACTOR-----------------------------DESIGNER--------------- OWNER VARIOUS Port Angeles, WA 99360 , 206/000-0000 000/000-0000 PROJECT INFO ------------------------ -------------------------- Prj Type: RES.REMODEL Prj Value: Occ Type: Cnstr Type: Occ Grp: Occ Load: Land Use: RS7 ------------ $0.00 Electrical Heat $55.00 Service Type $0.00 Circuit Wiring: Baseboard KW: 0 Riser Voltage: 120,240 Furnace KW: 0 Overhead Service Diameter: X-1 -3 Heat Pump KW: 0 Underground Service Service Size: 200 AMPS Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS PROJECT NOTES ------------------------------------------------------------------- CHANGE ELECTRICAL PANEL PROJECT FEES ASSESSMENT ------------------------ Service: $55.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc $0.00 TOTAL FEE: $55.00 COMNENTS/ACTION NEEDED TOTAL FEE: $55.00 Amount Paid: $55.00 -------------------------- Balance Due: $0.00 ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER INSULATE OR CONCEAL ANY WORK BEFORE IT IS EVSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE GENERAL COMMENTS: I UA '�zi•re�ee��rcrzi��:����� U*701 GENERAL COMMENTS: 3-24-203 11:56AM FROM ANGELES ELECTRIC INC 360 d52 9265 P.1 ILEI, I IIIUAL. PHAMI I APPLICATION D,dn,O -- The {=1C:JL irnl PCnnil Application must he filled Out comPlelcl4. Please type. or reprint In Ink. It you have any questloos, please call (360.417-A735 7 %2 Fax numbrr.(360) 417-0711 REQUEST INSPECTIOtJ ❑ �1 Owner orElecConlracllo/ot%%AgrInt:____ANGL'LE2-EM iI2IS�lhLC_._. Phonej5 -97 4 Fax: 452-9765 Progeny Ov,ner. —Phone: y210,0 Zip Elertdcal Contractor; ANG1i;LP.S JiLJ CTRIC INC._ Iir.Ascff: J?.14GORSE P Ptwne: X157-9964 _ Address: 524 EAST FIRST _City: __EQML ANC�ELJiS. WA7�p; 96362 INSTALLATION WIRED BY: I'lOWNSR XW-LECIRICALCOWRACTOR / Credit Card Holder Name: Ter] r;djapsnn Billing Address____City: / Zip: Credit Card Number:-- Exp. Dale: VISA: MC:� PROJECT ADDRESS:_v/ 00". TYPE Of WORK: Check all that apply: O New �f A'leiatip�/gddilio �– y �rc� 74 Mere . 115"60 est Residental O AAulti-family ❑ Commercial ❑ Mobile Home /Sq. Ft. ❑ Remote Meler ❑ 0etached garage ❑ Hol Tub ❑ Swim Pool ❑ Se t c Purnp O Low Volta e O T�%� G P g elecom. U Sign Number of Circuits added o(altered: DESCRIPTION OF THE ELECTRICAL PROJECT: — r Electrical Heat Load Additions / Service Information Baseboard _ KW Furnace ., KW ❑ Overlie Service Voltage: P KIN Phase: ❑ 1 ❑ 3 Heat Pum I FamWall ❑Temp Service Service Size: KW 0 Underground Service .Feeder Size: >AMC 14.05.060(6): For industrial. cornmerc ial,resid lia� rojecls larger than a duplex, a one - line drawing of the Electrical Service & .eeders, building size (sq. ft.), load calcalatio> s„ nt d the e & of conductors and/or raceway is required and shall accompany the _lectrical Permit application. hereby certify that 1 have read and e?xami�ed this application and know that same to be true and correct, and 1 am luthorized to apply for this permit. 1 understand it is not the City's legal responsibility to determine what permit ire required; it remains the applicants responsibility to determs ine what permits are required and to obtain such. Credit Card Holder's Signature: Dater Owner or Elec. Cont. Signature: 'Ypf ✓V-9019 bate: `.%�� ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . 15-00000854 Date 7/:5/15 Application pin number 552400 Property Address . . . 834 W 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-0225-0000- Appl..ication type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning Application valuation . . . 0 Application desc Service and addition Owner Contractor JAMES AND DEBRA SELF APS ELECTRIC 834 W 4TH STREET 546 BENSON RD, PORT' ANGELES WA 98363 PORT ANGELES WA 98363 (360) 797-4148 (360) 452-6753 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 140.00 Issue Date /15/15 Expiration Date 1/11/16 Plan Check Fee 00 Valuation 0 City Unit Charge Per DATE: RESULTS: INSPECTOR: Extension 4.00 5.0000 ECH 'EL -BRANCH CIRCUIT W/FEEDER 20.00 1.00 120.0000 ECH EL, -0-200 SRV FEEDER 120.00 Fee summary Charged Paid. Credited Due Permit Fee Total 140.00 140.00 .00 QO Plan Check Total .00 .00 �00 00 Grand Total :140.00 140.00 .00 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DITCH DATE: RESULTS: INSPECTOR: SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G_\EXCHANGE\BUILDING CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: 2," / . _x_15 )� 1 & 2 Single Family Dwelling s � � � � JobPlan Ra Addresi e Complete Electrical Plan Re wewInformation ee.... ........ ...... ... -...- .._ ...._ Building Square Footage: t ( n., Dec t Description off above -9��.w Owner Information Name:,t Mailing Address City: ""State: Zip..-_ Phone;" 1 Fax°; License # / ExD. Item ServicelFeeder 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 Branch Circuits 1-4 Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. ServicelFeeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp . Portal to Portal Hourly Signal Circuit/ Limited Energy -1 & 2 Family Dwelling Manufactured Home Connection Renewable Electrical Energy - 5KVA System or Less Thermostat Unit Charge $120.00 $146.00 $ 205.00 $ 262.00 $ 373.00 $ 5.00 $ 63.00 $ 5.00 $ 75.00 $ 93.00 $110.00 $149.00 $168.00 $ 96.00 $ 64.00 $120.00 $102.00 $ 56.00 Note: $5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $ '120.00 Each Additional 500 Square Ft. or Portion of $ 40.00 Each Outbuilding or Detached Garage $ 400 Each Swimming Pool or Hot Tub $110,00 a In o , "" Nf ame Mailingatior Addreactor s City: _ � Skate. Phone: Fax License # 1 Exp.--- CLyt Total t I4 inti lied b Unit Chrargel $ $ $..............................._._ $ $- 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 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature o owner, electrical contractor or electrical administrator: El Cash ❑ check Credit Card# Dated:..... ` 0110112012 �... ..