HomeMy WebLinkAbout424 E 3rd St - Building c CITY OF PORT ANGELES
nal DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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Application Number 11- 00000218 Date 3/16/11
Application pin number 893700
Property Address 424 E 3RD ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-6-5- 0045 -0000-
Tenant nbr, name ARCADIO NICOLAS 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 PUBLIC BUILDINGS PARKS l
Application valuation 2100
Application desc
ADD BATHROOM IN BASEMENT, REPLACE DECK
Owner Contractor
NICOLAS ARCADIO OWNER
1703 E 6TH ST
PORT ANGELES WA 98362
(360) 460 -0095
Structure Information 000 000 R
Permit BUILDING PERMIT RESIDENTIAL
Additional desc ADD BASEMENT BATHROOM DECK
Permit pin number 182410
Permit Fee 109.75 Plan Check Fee 71.34
Issue Date 3/16/11 Valuation 2100
Expiration Date 9/12/11
Qty Unit Charge Per Extension
BASE FEE 95.75
1.00 14.0000 THOU BL- 2001 -25K (14 PER K) 14.00
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 182477
Permit Fee 57.25 Plan Check Fee .00
Issue Date 3/16/11 Valuation 0
Expiration Date 9/12/11'
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 7.2500 EA ME -VENT FAN (SINGLE DUCT) 7.25
Permit PLUMBING PERMIT
Additional desc
Permit pin number 182485
Permit Fee 107.00 Plan Check Fee .00
Issue Date 3/16/11 Valuation 0
Expiration Date 9/12/11
Qty Unit Charge Per Extension Fine 11
BASE FEE 50.00
4.00 7.0000 EA PL- PLUMBING TRAP 28.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating or the performance of
constructs n.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 -4815 Electrical Inspections 417 -4735
Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T:Forms /Building Division /Building Permit
o CITY OF PORT ANGELES
:�7 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
L.
NMI EAST 5TH STREET, PORT ANGELES, WA 98362
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Page 2
Application Number 11- 00000218 Date 3/16/11
Application pin number 893700 REPORT SALES TAX
Qty Unit Charge Per Extension on your state excise tax form
1.00 7.0000 EA PL-WATER LINE
1.00 15.0000 EA PL -SEWER LINE 15 .00 to the City of Port Angeles
1.00 7.0000 EA PL -WATER HEATER 7.00 (Location Code 0502)
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 274.00 274.00 .00 .00
Plan Check Total 71.34 71.34 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 349.84 349.84 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Acce•ted b
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceilin
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE --pper�
Inspection Type Date Accepted By /V
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 5" Lot. 12
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T:Forms /Building Division /Building Permit
PROJECT yy S TA TUS UPDATE
Permit 1 i 424
Date: 2 13
I phoned the: Applicant AY 6 4,41 0 Ni ,p k at 1 4 (PO' oo''
Property Owner at
Contractor at
I (left a phone message, or discussed):
The permit (has expired, or will expire soon). What is the status of this project?
Please call and schedule a final inspection.
Or
Submit a "permit extension request" letter.
Or
Let me know if the project is abandoned.
ratik r ruL 501-legGu& 3 I sour I-rre
T:Forms /Building Division/Project Status Update
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tt K.M.I.j,,,f BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
For City Use •nl
Attn: Building Permit Technician Date Received fit, cf
321 E. Fifth St., Port Angeles, WA 98362 Permit MI
(360) 417-4815 fax (360) 417-4711 Date Approved q i
;Ail
X Applicant Al._ <74,p f b 7T Al c:_-,.- L A- r Ph e
Property Owner g Ph ne a S Ll U
Property Owner's Address 70 4.1./i• 5'7 4L b e 6 �7
Contractor a r t c_.-,. t L, 7 Ai c 1- ,49-- Phone
Contractor's Address
License Expires E -mail
PROJECT ADDRESS g i2�
4 a f c s f-
Parcel Number Lot Zoning
Project Type Brief Description: Cesidential Multi family. Commercial Industrial
Check all that apply
New Construction D
❑Addition 1 Ike-- t b A 4, Gill ')4! `z D'
Remodel _A ct.
v epair J. DUI Sao S+ 1 -6,0
Demolition W` L i?
s-d'� 1 H7 0 Htr
Re -roof House ga rage other tear off re -roof lay over one layer
Heat System Heat pump wood- burning stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1 Floor
2 Floor r
3 Floor
Garage l iligli
Carport
Covered Porch W
Deck
Shed
Other
TOTAL VALUATION -Ae-
Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage ok
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious'surfaces. (see PAMC 17.94.135 for exemptions) Site coverage
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant load of full baths
Will a fire sprinkler system be installed? Construction type of half baths
I have read and completed this application and //k it to be true correct. I am authorized to apply for this permit .d understand
that it is my responsibility to determine wha permits are require., a to obtain permits prior to workin. on projects.
Date )w i Print Name Signature T 1
T:Forms/Buildi g Division /Building permit •plication
Clallam County Assessor Treasurer Property Details 62231 ARCADIO NICOLAS f... Page 1 of 4
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1 Clailam County Assessor Treasurer
Property Search Results 62231 ARCADIO NICOLAS for Year 2011 2012
Property
Account
Property ID: 62231 Legal Description: LEIGHTON'S
SUBDIVISION W10'
LT3 ALL LT4 BL 66
Geographic ID: 0630006500450000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi Family Redevelopment: N
Township: Section: t
Range.
Location 1
_m_,_...._
Address: 424 E THIRD ST Mapsco: I
PORT ANGELES, WA
Neighborhood: Cycle 5 Res Map ID: 2
CY
Neighborhood CD: 10955130 *J..\Owner
Name: ARCADIO NICOLAS Owner ID: 43266
Mailing Address: 1703 E. 6TH STREET Ownership: 100.0000000000%
PORT ANGELES, WA 98362
Exemptions:
Taxes and Assessment Details
Property Tax Information as of 03/10/2011
Amount Due if Paid on: 43.- NOTE: If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due.
First Second
Half Half
Base {Base
S k n 9 dc ty
Year; Statement ID "Taxin Jurisdiction Amt. Amt. Penalty Interest; Base Paid Amount Due m
2011 156606 ST SCH STATE SCHOOL $119.08 $119.08 $0.00 $0.00 50.00 $238.16
2011 156606 CC -GEN COUNTY CLALLAM 565.74 565.73 $0.00 $0.00 $0.00 5131.47
2011 156606 SD #121 SCHOOL DISTRICT #121 $155.66 $155.65 $0.00 $0.00 $0.00 $311.31
2011 156606 CITY PORT ANG CITY OF PORT ANGELES $151.76 $151.75 $0.00 $0.00 50.00 $303.51
2011 156606 PORT PORT OF PORT ANGELES $9.25 $9.25 $0.00 $0.00 $0.00 $18.50
2011 156606 NTH OLY LIB NORTH OLYMPIC LIBRARY $27.57 $27.57 $0.00 $0.00 $0.00 555.14.
2011 156606 HOSP #2 HOSPITAL #2 526.99 $26.98 $0.00 $0.00 50.00 $53.97
2011 156606 WSMET PK DIST WILLIAM SHORE MET PARK DIST $8.20 $8.20 50.00 $0.00 $0.00 $16.40
2011 156606 CITY STORMWATER CITY STORMWATER $36.00 536.00 $0.00 $0.00 50.00 $72.00
2011 156606 FIRE PATROL FIRE PATROL $8.70 $8.70 $0.00 50.00 $0.00 $17.40
2011 156606 WEED CONTROL WEED CONTROL 50.82 $0.81 $0.00 $0.00 50.00 51.63
2011 156606 FP Fee FIRE PATROL COUNTY FEE $0.25 $0.25 $0.00 $0.00 $0.00 50.50
2011 156606 TOTAL: $610.02 5609.97 50.00 50.00 $0.00 51219.99
2010 44881 ST SCH STATE SCHOOL $117.88 5117.89 $0.00 50.00 $235.77 $0.00
2010 44881 CC -GEN COUNTY
CLALLAM $62.73 $62.74 $0.00 50.00 $125.47 $0.00
2010 44881 SD #121 SCHOOL DISTRICT #121 5152.69 $152.70 $0.00 $0.00 $305.39 $0.00
2010 44881 CITY PORT ANG CITY OF PORT ANGELES $145.24 $145.27 $0.00 $0.00 $290.51 $0.00
2010 44881 PORT PORT OF PORT ANGELES $8.82 $8.81 $0.00 $0.00 517.63 $0.00
2010 44881 NTH OLY LIB NORTH OLYMPIC LIBRARY $18.23 $18.23 $0.00 $0.00 $36.46 $0.00
2010 44881 HOSP #2 HOSPITAL #2 $25.74 $25.73 $0.00 $0.00 $51.47 $0.00
2010 44881 WSMET PK DIST WILLIAM SHORE MET PARK DIST 58.19 $8.19 $0.00 $0.00 $16.38 50.00
2010 44881 CITY STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $72.00 50.00
2010 44881 FIRE PATROL -FIRE PATROL $8.70 $8.70 $0.00 $0.00 $17.40' 50.00,
2010 44881 WEED CONTROL WEED CONTROL 60.82 $0.81 $0.00 $0.00 51.63 $0.00
:2010 44881 FP Fee FIRE PATROL COUNTY FEE $0.25 $0.25 $0.00 50.00 50.50 $0.00
2010 44881 TOTAL: 5585.29 $585.32 $0.00 $0.00 $1170.61 $0.00
Values
http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =62231 3/10/2011
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles. WA 98362
(206) 457-0411
PERMIT NO.
L.( 1//
S7/y/Y3
DATE
ELECTRICAL PERMIT
Installed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
D-fiESiDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
~ ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
Details/Description:
.
~
I~ -K.ff'^1
I
.--;-
(7;er
ckuto/ ~
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
../jIA ~ Rough-in/cover O.K.
o O.K. to connect service
1tJN\ 'jt1J Final O.K.
Site Address:
:3/,-/
~~~
New Meters
3:
.
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
.~
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
2{}19f?
Electrical Inspector
Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC.
/
CJcrtJ7
FEE RECEIPT NUMBER
CI:rV OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT.
A~
..
1-h I!f1 .. o~"'M/le'-:2.llSl)\ V' ~ lfoN1 e.
TOTAL FEE ..
CaNT. LIe. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address
1/2 t{ e
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
IJRUtDio AjUOUJS . .
3~
Owner's Address -
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Installation ByC>L(/TJI'IL @~Tmc.
Installers Address . :)0 {S. L..t4vco<-JJ
/-157-<;;303
I; <2RiJ_
Owner
Day Phone - Installers Phone
Applica!ion is hereby '!lade for Permit to in~t~ll EJectrical Equipment as follows: IJ-t....r
,
.
L? A/
Wiring Method
/
NUMBER AMP 240V NUMBER AMP 120V 240V
USE OF'CIRCUIT PER .120V ,00A FEE USE OF CIRCUIT PER 100A FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT -. 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
:APPLlANCE _ . - MOTOR ""
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
.
OVEN
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE .
GAS-OIL ..
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT - TOTAL FEE U~
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE AW.G.
"I SUB.TOTAL .
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
\
\
\
" "
llcertify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.'
~~t '
Sa r 2 'f
, 19 8"s-
By
Date Application made
. Date Permit Issued
. . -1-;..tf-YJ
I WARNING I
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
~;"pecifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. ~ \ t \'
4 /J ^~ECT~OF CITY LIGHT ", -
By (!i.~ ~~ .
PLANS A PROVED \. '
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not'
be covered or current turned on before inspection and O.K. for. covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE - Original CANARY - Duplicate PINK - Triplicate WHITE CARD -Inspector's Report
OLYMPIC PAINTERS, INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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1- 1, tf- t f' ~ O.K. FOR COVERING
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1-?t(--1t; I>- 1/1/3. O.K. TO CONNECT SERVICE
q.)'1' () fiNAL O.K.
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
N~
17813
ELECTRICAL PERMIT
j"'-;;JY Fd
POrt Angeles, Washlngtonmm____..___.n._______mmmm_m_mnm_m_m, 1900000000 .
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.
YdY C) ~ /U?',;?
~::::soo::::;;Q~~::1t.:~:g~::::~::::::::~:::::oo..;~~~:~:::..-~::~~~.~~~:::::::=:::::::::::::::::::::::::::::::::::::::
Wiring Contractor .dEk.?.~_~ooC:~g~r..oooo_oooooooooo By._.____________.__n_ooo__ooo_n_oooo_m___..ooo____moo.n_oooooooo
Llgbt ouuet........_.lL........_.._..... Service. volt. ./~.P...~C!..._... Type o! Wiring:
Receptacle Outletsm_~~.................. :Ko. wires ....._~_._............._........-:.":J... Armored Cable ..n.m......nh_h.........
:::::. ::..-..-.-.-.:..Z~.....-.......-.......n....... ::~n ~~::.::.~~:: :::~M:t~~~e::::::::::::::::::::::::::::::::~
~ RIgid Conduit ...............................
Enclosure ...._n.n_.....hn.n......n__ M talll T bl
!J Gee u ng ................-----......
Water Heater: .......-
KW___........~j..___n..............
Heat Kw.....A:2......l1l?........
Type of wiring:
Entrance Cable ........m..m....._.......
Raceway ..............................._....._
Ser. NO..._........_n_.........................n_...
Circuits. Llght..................___...___.___........
Utility.............................................
I.Ieat ..___.___._.........._...._........._.._.._..
Range .............................._..............
Water Heater .mm_.n..........._........
Motor ..._........nhn_..........nnn.......h
Motors: size, volts and phase:
Rigid Conduit .....mnnnn...............
MetaIllc Tubing .....00....................
Current transformers:
No. & Size..............u__.nn................
Ser. No. ....00.................._00.00...............
Dryer__..._....nnn...........n..............._.....
Furnace 0000._._.................__......_. .... ......
Ser. NO........................n.___..___......n...
Total I..oadnn..n....nn_..___....... Ser. No. ...._....nn_..._...............h_hn..n Total .....h..._nnnn.........n._.......
Remarks: -----..-ooooooc;,n,-TooPq-:-::~--m-./!~d:,<.h:.;,,gm-:=-ooo'Jlf~oot:/~-t2=ooo....----oo---....
.U...nnnnnnnn.nn...nnunnnnnnnunnn....nn_.n.nnnnn_nuuuu_.._nn.nnnnnnn..Un_...nnnnnu.....n.n..nnnnuuu..n......n
-:~_=:_~__~~~_-oo_-oo:::-_:_:::::__:..----n-::~_~_~:::~_~_~_~~~_~____oo-__---------oooooo..-:~-::-;tZ:~~;:z~,. V
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It 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
N~ 1 7 8 1 3
ELECTRICAL PERMIT
Address....._._..........._...................._....__......_............_.....................___._._.........................._____.__......Date..._......_.._.__.._..........____..._......__........
Owner .hn_n...._......................_......_..__.._n__._..._..__n.......hn_.h._..n............hn.................. Tenantnn......hh_..hn.._n..._.._....................n._nn.......
/'
Wiring Contractor ....___..___....._........................................._...........................__._.......................___.__. By .._.._____..............................._..................._
j
NOTICE--Current must .not be turned on until Certificate of Inspection has been issued. It 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.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date I () r d. l/ ~ () ..,
.
.
o Time Cj ~tN /I ir'.. Received by
7(1
(Phone.e
"
o Lf;' '1;;- rd.
Location of Work to be inspected J;:. ]
Name of person requesting inspection tvlC\.-fer fA V'
Address of person requesting inspection J 7tJ:3 oS" c:> ~ 'Or Phone No. L/f 7 '(ffj'Lf r
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. @l ~ /.::L Ie/"
INSPECTION NOTES:
Inspected: Date I (/' J- t{ . () 7
Remarks:
Time fi ~V0 {Jin By 7/7
I
1\\ 6tZ-1. 5'e/'i/It:.~ /~i
RESTORATION REQUiRED...... YES NOX
~
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SURFA.CE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # .Ji:>3~b' ns-
~' COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
Application Number . . . . . 23-00000512 Date 6/07/23
Application pin number . . . 971008
Property Address . . . . . . 424 E 3RD ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-5-0045-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Meter repair
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
GEORGE W & CHRISTYN M JOHNSON ANGELES ELECTRIC
6571 HUMPHREY RD. 524 E. 1ST ST.
CLINTON WA 98236 PORT ANGELES WA 98362
(360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 120.00 Plan Check Fee . . .00
Issue Date . . . . 6/07/23 Valuation . . . . 0
Expiration Date . . 12/04/23
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .00 .00
1 . 2 SINGLE-FAMILY
ELECTRI CAL P E RM I T AP-P-LI CAIIO-N.
PLrblic Worlcs and t,lLilities Dcpartrnerrt
.l2l Ir. 5tlr Stlcci. F'ort Angi:Jcs, \\iz\ 981(r-1.
360.t\17.4135 j u,r,vu,.ciLvof!a r-rs I clectriciilpr:rrrrils,'?i.cit-votira.Lts
idential Duplex /ARU Building Square footage
Email:
llo
3
*
Project Address
Name
Mailing Address:Phone: zt^a _ 7za* ' -
OWNER ]NFORMATION
ELECTR]CAL CONTRACTOR ]NFORMATION
Name:Anoeles Electric. I nc License;ANGELE146ORS
Mailing Address 524 E. First Street. Port An eles. WA 98362 Exp iration Date:21412024
Phone: 360-452-9264Emailksimpson@olvmpus.net
PROJECT DETRILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal Hourly
Signal CircuiVLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: SKVA System or less
Thermostat (Note: $5 for each additional)
Unit.Chargs
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$1 10.00
$149.00
$16S.00
$96.00
$64.00
$120.00
$102.00
$56.00
$'tao..os
$4.0:oot
$74.00.
$1,'lO:00'
quanlity Total (Quantity x Unit Charge)
/zr>ez
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Finst 1 SggrSqgare- F-eet,
. Each Addlticlr+al, b00rsqirare feetr'
E ach l:Q'rrtb rir ilQin gr /i O qtabh ed,- G, qta gp
Each Swimming,Foot / l'{cit Tub
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 tions and PAMC 14.05.050 regarding Electrical Permit Applications.
Ken Simpson
Print Name Signa re(Electrical Contractor / Administrator)
$
$
$,
$
D
[Electrical PermitApplications may be submitted to City Hallor electricalpermits@cityofpa.us]
PREPARED 5/12/23, 7:24:49 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000512 424 E 3RD ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 120.00
TOTAL DUE 120.00
Please present reciept to the cashier with full payment
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
9/20/2023 23-512 TAP
OWNER
CONTRACTOR
Angeles Electric
PROJECT ADDRESS
424 E 3rd St
Application Number . . . . . 23-00000682 Date 6/29/23
Application pin number . . . 674440
Property Address . . . . . . 424 E 3RD ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-5-0045-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Grinder pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
GEORGE W & CHRISTYN M JOHNSON APS ELECTRIC
6571 HUMPHREY RD. 546 BENSON RD.
CLINTON WA 98236 PORT ANGELES WA 98363
(360) 452-6753
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 68.00 Plan Check Fee . . .00
Issue Date . . . . 6/29/23 Valuation . . . . 0
Expiration Date . . 12/26/23
Qty Unit Charge Per Extension
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00
1.00 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 .00 .00 .00 .00
Grand Total 68.00 68.00 .00 .00
PREPARED 6/28/23,15:04:00 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000682 424 E 3RD ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 68.00
TOTAL DUE 68.00
Please present reciept to the cashier with full payment
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
7/10/2023 23-682 TAP
OWNER
CONTRACTOR
APS Electric
PROJECT ADDRESS
424 E 3rd St