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Home My WebLink About417 E 11th St - Building CITY OF PORT ANGELES PER-MIT APPLICATION - I Building Division/Electrical Inspections 321 East Fifth Street--P.O. Box 11501 Fort Angeles Washington, 95362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: 1 &2 Single Family Dwelling * Plan Review Ma Be Required, Pleas Com lete lectric I Pian Review Information Sheet Job Address; � o Ittk Building Square Foclage, Description of above Owner Information r Contractor Information Name ct 1 c vii ��y. � c�iot c?tu Name: e)W 7 . Mailing Address: _Z 761 Fry_ Mailing Address: City: State�Zip: City: State: Zip: Phone:;j60 a Fax; Phone: Fax: License#!Exp. License#1 Exp. Item Unit_.Charge Qty Total,(Qty„Multiplied by Unit Charge Service/Feeder 200 Amp $120.00 $ Service/Feeder 201-400 Amp. $ 146.00 $ Service/Feeder 401-600 Amp $205.00 $ Service/Feeder 601-1 000 Amp. $262.00 $ Service/Feeder over 1000 Amp, $373.00 $ Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 63,00 l $ Each Additional Branch Circuit $ ,:5'00< $ Branch Circuits 1-4 $ 00 $ Temp.Service/Feeder 200 Amp. Temp,Service/Feeder 201-400 Amp. $110.00 $ Temp.ServicelFeeder 401-600 Amp. $149.00 $ Temp.ServicelFeeder 601-1000 Amp , $-16100 $ 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-Stet 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 $ $ Total Owner as defined by RCW.19.28 261: (1) Owner will occupy the structure for two years after this electricai permit is finalized.(2)Owner Is required to hire an electricai 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 Electricai Permit Applications. Signature of owner, lectrical contractor or electrical administrator: ❑ cash ❑ Check ❑ Credit Card# X Dated: 010112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 13-00000212 Date 3/01/13 Application pin number . , . 054124 Property Address , . . . , . 417 E 11TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0 .3-3175-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form Property Name . . . . . . to the City of Port Angeles Pro ert Use Property Zoning , . . , , . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . , . . 0 Application desc 9 circuits basement sitting room remodel Owner Contractor ------------------------ ------------------------ DWIGHT AND MAY E BARTHOLOMEW OWNER 220 FOX POINT RD PORT ANGELES WA 98363 (360) 457-1791 ---------------------------------------------------------------------------- Permit . . . . ELECTRICAL ALTER RESIDENTIAL �°• Additional desc Permit Fee . . . , 103,00 Plan Check Fee 00 Issue. Date 3/01/13 Valuation . , . . 0 Expiration Bate 8/28/13 Qty Unit Charge Per Extension 8.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 40.00 1,00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63,00 -- -- . -----_-_ ._..--------------------------------------------- . Fee summary Charged Paid Credited Due , Permit Fee Total 103.00 103,00 ,00 00 Plan Check Total 00 .00 00 00 Grand Total 103.00 103,00 .00 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN . FINAL COMMENTS: PERMIT WILL EXPIIZE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:TXCHANGEWILDING CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~- "~--4~)~' Time Received by /~ ~'~ (phone, person) Location of Work to be i.spected // 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 ~ Sewer Excav. Other INSPECTION NO TES:-~ ~ ~. ~ inspected: Date ~ '- ~-~d>?-~ Time By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel [~Asphalt []PCC [~Other [] Repaired by City Work Order # [-] Repaired by Permittee [] COMPLETE ~-I No Damage Found [] INCOMPLETE {Continue on reverse side if necessary} STREET SUPERINTENDENT {DATE) f:!90RT~ $.Jo.~~~ rEii "=- -- 'l.oii:,,~ CITY OF PORT ANGELES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER Application description property Zoning Application valuation 03-00000192 417 E 11TH ST 0630000331750000 RIGHT OF WAY Date 2/27/03 o Owner Contractor JARDINE-MOORE JACKIE T PO BOX 884 FORKS WA 983310884 EXCEL UTILITIES CONSTRUCTION 54 MISTY LN PORT ANGELES WA 98362 (360) 452-1110 ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY 45 00 2/27/03 8/26/03 Plan Check Fee Valuation 00 o ~ ---- ~ \\\ --- --- ~ Fee summary Charged Paid Credited E~ c:-:--- Due Qty Unit Charge Per BASE FEE Permit Fee Total Plan Check Total Grand Total 45 00 00 45 00 45 00 00 45 00 00 00 00 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work 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 co~truction. ~ ~~ 7-0) 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, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON 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 UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL WALLS 1 ROOF 1 CEILING DRYWALL T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARA TE PERMIT #'s SEPA. P ARKING/LIGHTlNG ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL LIGHT DEPT 4]7-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W 1 PW/ CONSTRUCTION R.W ENGINEERJNG 417-4807 PW 1 ENGINEERJNG FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T-\PLANNING\FORMS\ 1102. I 5 [4/2002] CITY OF PORT ANGELES , DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 A~plication NUmber ..... 03-00000071 Date 1/29/03 Property Address ...... 417 E llT~ ST ASSESSOR PARCEL NUMBgR: 0630000331750000 Application description . , . ELECTRICAL ONLY Property Zoning Application valuation .... 0 Property owner ....... JARDINE-MOORE JACKIE T OWner address ........ PO BOX 884 FORKS WA 9833108~4 () Contractor ......... APS ELECTRIC Permit ...... ELECTRICAL ALTER RESIDENTIAL Additional desc . . permit Fee .... 46.70 Plan Check Fee . . .00 Issue Date .... 1/29/03 Valuation .... 0 Expiration Date . . 7/28/03 Qty Unit Charge Per Exte~sio~ 1.00 46.7000 gCH EL-R OR RM 1-4 ALT CIRCUITS 46.70 Fee summary Charged Paid C~edited Due Permit Fee Total 46,70 46.70 .00 .00 Plan Check Total ,00 .00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes natt and void if work or construction authorized is not commenced within 180 days, ff 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 mad 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 heroin 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:\PLANNINGkFORMS\1102.15 [4/2002~ '---.. BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: Pennit #: Date Approved: Date Issued: The Building Pennit Application must be filled out completely. Please type or print in ink. If you have any questions, please call 417-4815 Applicant or Agent: J4(},.f:::,1 e ~ I rJ e - mtJZ:)-/C. Phone: L/ 52- c.;qoo Owner: !J-;4-m /;7 Phone: Address: 4/7 & I /it1 S, City: P/Jer- Atv-6-bl-G:s Zip: CZR3b;;;J-. Architect/Engineer: LA'IV [) b0Cj ~ Sm / f-h Phone: Contractor RAN 61 f/oad License #: Exp: Phone: Address: City: Zip: ZONING: PROJECT ADDRESS: LIlY e LEGAL DESCRIPTION: Lot: /4- CLALLAM COUNTY PARCEL NUMBER: Billing Address: Credit Card #: II 'H..- Block: 3 3 I Subdivision: Credit Card Holder Name: City: Exp. Date: VISA MC TYPE OF WORK: :;g( Residential 0 New Constr. X Re-roof o Multi-family 0 Addition 0 Move o Commercial }it( Remodel 0 Demolition o Repair 0 Sign o Wood-stove o Garage o Deck o SIZEN ALUATION: SF. @ $ /SF. =.$ SF.@$ /SF.=$ SF.@$ /SF.=$ TOTAL VALUATION $ . BRIEF DESCRIPTION OF THE PROJECT: /lJ1!AV f2fX)f .3 dtnrrne ("'; COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: % /sq. ft. = TOTAL LOT COVERAGE: APPROVALS: PLAN 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 befilled out completely to be accepted/or 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. No. of Stories: Lot Size: Existing Lot Coverage: PLANNING USE ONLY: Notes: % Lot Coverage: /sq. ft. + Proposed Lot Coverage: /sq. ft. V ALUATIOl'l OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be re~ised 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. I hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this penn it. I understand it is not the City's legal responsibility to determine what penn its are required; it remains the applicant's responsibility to determine what penn its are required and~O 0 -0 such. App!' t:~-IYI)J7J1lDate: 1~t?A;2- T:\FORMS\APPS\Buildingpennit t' .' BUILDING PERMIT INSPECTION RECORD ;{,~:-w:;;.)"~ -. "::"'/,,:"';/""',- ~~ COMMENTs .. . ""',': '<':: . .' '. ,', ',' ':~. '.' :, "'.<.'.' . . 'r , . INSPECTION TYPE DATE ACCEPTED YES I NO ". . FOUNDATION: FOOTINGS WALLS FOUNDATION :. .. '" .' ,", , ".'., i':. . ' EL~c;:rRlC~' ' ROUGH-IN ", PLUMBING ,) UNDER FLOOR I SLAB ROUGH:IN " WATERLINE il' 'DRAINAGE " L,; ';.1 Jt.I:"j(, (UGHTDEPT) SEPARATEPERMIT:# . I ... I' , I . ',' " . f':';~ . " ,', , '. . <:. ~ -1.",-:'.' GAS LINE BACK FLOW I WATBR AIR SEAL , ,,', . ' i';: >;,l;~ , ."" " ',;.,"'!:' -,;, , ',,, . :,' '~!:.,,' 1>" WALLS CEILING FRAMING JOISTS I GIRDERS , , " . I :' " , , . ... ," . .' -~:;-:,< -.. -..,7,'t,' 1: "'!':"';'''''~'-'.'-'\.!''''i '>,-'- Dorm€.t=8~t~~:;' SHEAR WALL WALLS I ROOF iCEILlNG DRYWALL T-BAR ," , INSULATION SLAB WALL I FLOOR/CEILING , , , i',' ' ' , ~!" ,: ,.:::1 ;:. : MECHANICAL HEAT PUMP , WOOD STOVE i PELLET I CHIMNEY HOOD/DUCTS ',", "" , , " . I. "~i. . .' , , '" ,,' '; . /'\ ",~, . .-elf . . PW UTILITIES 1 SITE WORK , (Engineering D1viSIQ~) SEPARATE PERMIT #'s: WATERLINE/METER' ' , SEWER CONNECTION , SANITARy " .' . I. ':(,}r ' , . '.' ',,, ... ::: ,,' '^ ,', I < , ",.(" STORM lit'> PLANNING.DEI"l'. SEPARATEPERMlT#'s, ' P ARKINGfLIGHTING ,,:: ~,\: ,.." :"":( SEPAl I ESA: LANDSCAPING"'".",, I,. ~~ORf!:~,:,,"_"<"_'H' ;,,,,,,.,,,': ,", (;i" ,,;1,1 !:. ,Jf~~~!N~'p~'ONS REQl1lRED PRIOR,TO:OCCt!PANOY1USWf;iIJi(:~,,:,\ f;,;t;:"!". 1;1 RESIDEl\ITIAL,n' ..,"', )~"'.J;:DArif, '," YES' NO' "'.rOi'l'iCOMMERCIAL"".";' "I1~TE',,""ACCEi>tED .... ' ..... I::;" ' . .,.""; .'i. ;'(:',;J/;..,;' ::!,m," <;~o :~ ,,'".......: .....,,,, .,'d" , '. 1",::.\'" ""i." ELECTRICAL- pqHT DEPT,41?47~~aL 1 ""'fFt ,,' . IEIJEm1U€AL I.. d, i 'I';'" "." -',' ~IQMf~fPT d, ,'.:1.,), I.hi,;. CONSTRUCTlONR.W,/PWI , .. ',-" CONSTRUCTlON-R.W.' <.Jr;I' ENGINEERING" 417-4807 PW I ENGINEERING . FIRE ,," .\:,,, ~ ' \'\" 4t17-4653 l~'," " . FIRE DEPT. PLAI1N'~G DEPT. , ,u .' 417-4750', ,i!Y;. '1 PLANNlNG'DEPT. BUIL.DING;';'417-4815 '2"//lcz:7ti?s- ..1<//".. BUILDING. '., ".... / I , , " . '" ,;,; , .,;. .- ,," .' ."- , T:\PLANNING\FORMS\1102.15 (412002) OWNER/APPLICANT ~aQ~if;l Jardine-Moore 411 E. 11th PortArigeles, WA 98362 360/452-4400 T: cONTRAqroR RAN DYI-IOCH CONSTRUCTION 379 BENSONRD . PORT-ANGELES, WA 98363-0000 360/452-6901 PROJECT INFO ""PrQjectYal!J~:, ..~j6,OOO.Qg Project Type: DORMERS OccupancYl"ype: RESIDENTIAL Occupancy Group: COlJstructio,n Type: .' Zoning Use: s.~ ,.,~ ~ BUII..OING PERMIT PROJECT NOTE$ 'ADD DORMERS ..RECEIPT#10015 . 'FEES. ASSESSMENT B'ulldlng Permit: Plan Check: ;,r, ,State Surcharge: . Housf;l Moving: Manufa~tured Home: Sign:' " Plumbing: . Mechanical: Radon: CITY OF PORT ANGELES DEPARlMENr dFCO~Y DEVEI.()PMENT- BUILDING DIVISION. 321 EN)TSTH STREE'f.;P0RTANGELES, W A 98362 \-:;, . -) ..~,~: PERMIT-,NO: ISSUED: 12/18/2002, PROPER;pf LO~ATION ' ..-- -, -'- 411 11TH ST E Lot: 14 :BldCk: 331 I. Subdivision:.' TPA Parcel NO': 063000033175000 $265.25 $0;00 $4.50 . $O.()O $0.00 $0.00 $0.00 $0.00 $0.00 .Mb~c.Fee 1: Misc Fee 2: Misc Fee 3,: . C;',:;,- ~ ''',-", . ',',',' .....~..r........,.. ....... , 8ALAN,CE DUE:, " c ."~. - ,__ _ ,_ _": _ ,,_, >_' . ,,_ vt"t_ """'" , _,' _ ',,' _ ,. Separiite Permits are rsquiredfor'electfical work,~SEPA, Shoreline, ESA,:irtiliUesiprivate and pUblic imprQY~ment~~: Ihi' null andYOld.lf.workorcbpstrt:lctlon authOrized is n6feommenced wlthli'd80da~;fifconstniCti6n orworklssusp~n . f9r a peribd of 180>~ys ait~rthe work as commenced.lor If required Inspections have riI:iH)een requestedWithiri.180d~ys , Inspectidn:,Hiereby,certlty that I have read and examhied thls!=lpplication':and know'thes~me.tobe'tn:ie:'andtoft~ct~'7 ,i(frisof . laws and ordinanc~ governing this type ofworkWjIl be complied with wh~th.er sp!'lclfledherelri'brnot. Thegrantfng'ofa~? desrio~ pr'esUlTle to give auttlOrity toviolfite or cancel th'e provisions of any stale;, local law regulating. construction or Ute 'performance of construction. . .. \ ,,', '. . " Signature of Contractor or Authorized Agent CITY OFPORT.ANGELES DEPARTMENT OF PUBLIC WO'RKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date 1- 2~ -03 r- Received by ~ ~. person) ~~J/j~!hc>t !-/- . - ::;;: N=~"~~_~~~3 Final Sewer Excav. Other / 2> c; /7 Time <1: 7U Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundatio Framing Chimney Plumbing WI ..e..r:$ INSPECTION NOTES: Inspected: Date -1 - 2- ~ - 0 :3 Remarks: Time By , er Co RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACETYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) < J 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 IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS YES I ' NO FOUNDATION: FOOTINGS I , WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPAPokTE PERAdIT: # PLUMBING UNDER FLOOR / 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 / DUCTS PWUTILITIES/ SITEWORK (EngineeringDivi$ion) SEPARATE PERMiT #'s: WATERLINE /'METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPAKATE PERMIT #~s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED ELECTRICAL - LIGHT DEPT. 417-4735 ~/~ ~ LIGHT ELECTRICAL DEPT CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION !21 EAST 5TH STREET, PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 6/22/2001 PERMIT NO 7307 OWNER/APPLICANT PROPERTY LOCATION Jackie Jardine-Moore 417 11TH E 411 E. 11th Lot: Port Angeles, WA 98362 Block: [] Long Legal 360/452-4400 Subdivision: T: S: Parcel No: CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Type: RES. MISC, Project Value: $0.00 Occupancy Type: Construction Type: SERVICE CHANGE ~ Occupancy Group: Zoning Use: " Electrical Heat: ~ [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 0KW [~ Overhead Service Voltage: 120,240 ~ [] Heat Pump 0. KW [] TempService Phase: [] 1 E~ 3 ~, [] Fan Wall 0 KW Service Size: 200 ~ Feeder Size: 0 ~ PROJECT NOTES Change overhead service to underground. ~- FEES ASSESSMENT Service: $61.50 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $61.50 AMOUNT PAID: $61.50 BALANCE DUE $0.00 )M!qt:!~ I g/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL z[17-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT lS UNLAWFUL TO COl'ER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DITCH ROUGH-IN / COVER SERVICE ?/'~ (/~, ? GENERAL COMMENTS: CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdl.visl.on Name Property Use Property Zoning . . . Application valuation 04-00000257 Date .240536 417 E 11TH ST 06-30-00-0-3-3175-0000- RES ADDITION 4/08/04 RS7 RESDNTL SINGLE FAMILY 12215 Owner Contractor EXPIRED /0 If? /04- JARDINE-MOORE JACKIE T PO BOX 884 FORKS WA 983310884 RANDY HOCH CONSTRUCTION 379 BENSON RD PORT ANGELES,WA PORT ANGELES (360) 452-6901 CARPORT WITH WEATHER DECK ABOVE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98363 Structure Information Construction Type Occupancy Type Other struct info 22.00 V-N 2.00 1170.00 7000.00 370.00 1540.00 1. 00 '~ , '- "=r Permit BUILDING PERMIT -RESIDENTIAL Additional desc Perml.t Fee 246.75 Plan Check Fee 98.70 Issue Date 4/08/04 Valuation 12215 Expiration Date 10/05/04 Qty Unit Charge Per Extension BASE FEE 92.75 11.00 14.0000 THOU BL-2001-25K (14 PER K) 154.00 tl1 Specl.al Notes and Comments THERE WILL BE A CONFLICT WITH ELECTRIC UTILITY FACILITIES. THE ELECTRIC METER CANNOT BE LOCATED UNDER A DECK OR INSIDE A CARPORT. fit..l--' ..lu" ........ """'- 1- ~ :i Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 246.75 246.75 .00 .00 Plan Check Total 98.70 98.70 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 349.95 349.95 .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 abandon'ed for a period of 180 days after the work as commenced, or If required inspections have not been requested Within 180 days from the last inspection. I hereby certify that I have read and examined thiS application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a pe it does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the perf mance of Uctl n. ,~ ~ Signature of Owner (if owner is builder) T \PLANNfNGIFORMS\1102 15 [11/14/2003] ~."."" ~ ~ORT ANGELES CITY OF WAS H I N G,T 0 N, U. S. A. PUBLIC WORKS & UTILITIES DEPARTMENT , " , '" , "\,April 9, 2004 ; .Ms. Jackie Jardine . ':;'417 East 11 th Street . , :,'"Port Angeles, W A. 98362 , " ~ ,\ '~ ";Re: Electric meters to be accessible to city utility workers and meter readers. '" ,:( The deck which you propose has been approved. The main concern of the city building dept. and ., . ",:,.c:the electrical inspector is that all electrical meters remain accessible. This approval of the deck :' .:::being built above the electrical meter, is with one condition. The condition that the underside of "':" the deck will never be enclosed, thus making the electrical meter inaccessible. _ ,~',. The following is the wording of the Port Angeles Municipal Code: , " ',<:"Article 14.05.160 Wiring Methods ',: ",Electric meters shall not be permitted inside buildings or within carports or porches without ::< ~ 'written approval of the inspector. If an electric meter is made inaccessible, such,as by the . " ,)nstallation of a fence (with' a locked gate or no gate) or other enclosure, the owner shallxelocate " , ;, the meter to an accessible location, as determined by the inspector. If the electric meter is located" " ',:, :behind a locked gate, the owner may provide an approved lock box rather than relocating the " " ,electric meter. , ';',' We at Port Angeles Public 'Works, Light Operations Division, wish to thank you in advance for , :'your concern in this matter. If you should hav~ any questions, please call me at 417-4735. , ' ,"~Sincerely, , " ,',:: //'if C /) ",' ,:;:/17/1..... 0' ~..._____ , , '.' Alan C. Oman , ":Sr. Electrical Inspector l~ ,:t::cc. ::,' >, ,Roger Vess, Building Dept. , ' " '" 'Jim Lierly, Building Inspector :'~ - "~---~_:"~~John Hebner, Engineering '" , " , ';,;, "I-'; " ,;' i'. .' , ,~",", 321 EAST FI FTH STREET · POBOX 1 150 · PORT ANGELES, WA 98362-0217 PHONE 360-417-4805. FAX 360-417-4542 · TTY 360-417-4645 E-MAIL PUBWORKS@CI PORT-ANGELES WA US , .. BUILDING PER+,PPLlCATlON . Fill out COMPLETELY and in INK. Y OUi" "ppJication and site plan MUST B COMPLETE to be accepted for review. If yoU"!I~~~ any questions, call (360) 417-4815 ' , FOR OFFICIAL USE ONLY Date Rec ?-~Cf..,OLj Permlt#~, Date AppJOved ~ Date Issued Apphcant or Agent:~ {L cfA..e.b\ Ne - m ()~Phone: Owner: SA<Yt-e..- Phone: Address: ~''( E lIth ST CIty: 'PMT ~~~s. zlp:---.5~3b2- U N~ o;n Phone: Lt'S2.- Co / 1l.LJ State LIcense #:~~e Exp: II \20 ~Phone: c.fSZrtOqo I R cl CIty: 'Po-rt- ~clP 2> Zip: qf 3 103 II th ST ZONING: Block: 3 ~ I SubdlVlsion:,P IT CLALLAMCOUNTYPARCELNUMBER: 0<.03000032, l /,S; O~ q~2-LfL/ 00 l) G Address: 37g '~50,J PROJECT ADDREss:Ali -S- LEGAL DESCRIPTION: Lot: ILt Contractor Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: SIZEN ALUATION: ){.ResIdentIaI 0 New Constr. 0 Re-roof 0 Stove ~ 70 SF. @ $ :3 :to I /SF. = $ J 1~ 1 } S'" o Multi-family 0 AddItIon 0 Move 0 Garage SF. @ $ /SF. = $ o CommercIal 0 Remodel 0 DemolitIon ~ Deck SF. @ $ /SF. = $ o Reparr 0 SIgn 0 Other TOTAL VALUATION $ 1'1 7... ( s~ BRIEF DESCRIPTION OF THE PROJECT: Oe..c" k. (i") l.) ~ vt" e>J LU; t k U )-e-a tJ...,,... ~1t;~k LV!' tL S+al~V'w~'1 f{) trowv-d dVl.J "2-~ IO'H~~ 0-r f):,OYS l~fo rtOcA.<c...- COMMERCIAL/RESIDENTIAL: Occupancy Group. '12- Occupant Load: I C> ConstructIOn Type. 11 N No. of Stones: '6 LotSlZe: 7CJoD ExistlngSq.Ft.//rO &ProposedSq.Ft.3 ?Q =TOTALSq.Ft.rS""""yO Existmg lot coverage _ % & Proposed lot coverage _% = Total lot coverage ~ 2. % City: Exp. Date: I APPROVALS: I PLAN: BLDG: I DPWU: I FIRE: OTHER: I ~ BUILDING PERMIT APPLICATION SUBMITTAL: The BUIldmg DIviSIOn can proVIde you WIth mformatIon on the applIcatIOn auk plan subnuttal reqUIrements If you have questIOns. I VALUATION OF CONSTRUCTION' In all cases, a valuation amount must be entered by the applIcant. This figure will be reVIewea and may be reVised by the Buildmg DlVlsIOn to comply WIth current fee schedules Contact the Permit Coordmator at 417 -4815 for assIstanct PLAN CHECK FEE: IF a plan check fee IS due it must be subnutted at the tIme the bUIldmg permit applIcatIon and constructIOn plans a~e subnutted. All other pemut fees are due at the tune of pemut Issuance I EXPIRATION OF PLAN REVIEW: lfno pemut IS Issued wItlun 180 days of the date ofapphcatIOn, the application will expire. THe BUIlding OffiCIal can extend the tlIDe for actIOn by the apphcant up to 180 days upon wrItten request by the applicant (see SectIOn 107.4 6f the Umform BUIlding Code, current edItIOn). No applIcatIOn can be extended more than once I I hereby certify that I have read and exammed this applicatIOn and know the same to be true and correct I am authorized to apply for thIS permit aJd understand that It is my responSIbIlIty to determine what permIts are reqwr ,n the City's, and that I must 0 tain such permIts pri to work. T'\FORMS\APPS\BUlldmgperrmt wpd Applicant: Date. 0 . PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checkhst reqUIred? 0 Yes 0 No Other: ~ -:t L ~ = \. ~ ~ - I t..:!L/ -- ~ tyc/ . .~ ~ ~ \tl I~ o ~ ...tlt. : ~l~ _ t\J _ ~ ~Iii f 1.6:t::J" ..~ . t ! --t :z:. (iJ t r- p ., l) D "T -f- ---- W ^ \-- ~ .,- r (tf -.L ~ 319 South Peabody St. I DA~~E: JDID)JE1D)tr~~@l Suite B 1D) ~~ Port Angeles, WA 9336.2, REVISED: R C JH[ ]I 1r lE <C 1r ~ Pbone:(360) 452-6116 f.. CO!fM. NO. i Fax: (360) 452-7064 _1 -~.~. ~<......J- ~-J: - - --. ~,ClliI-.:=e ~ ---~ ~ ~ ..'_3. ~. _ " 'Jfi ~f '5'~" .- rn LINDBE ' ""(,' . '. ARC H I : Project: JAe.D1NS' Ocr~ Sub.iect: /..,A~ l,. t::.~(.,.~14 ." Date: APr2/ L. 1.004 Project No. Sy: vP~ Sheet I of 6204 REG~ t ~ An~ ,'I ~""4&UAcr ':J ,~ eRA LE . M1Tll::-f' STATE OF WASHINGTON .. 319 s. peabody, suite b, port angeles, wa 98362 360.452.6116/ fax 360.452.7064 ? 5/CQMIC LO~b4 ~-"-<l"""""-"'--~..,~.,.,.".-.....""",-..__.....~ tI . 9rl1-rlc. ~S' ~1A1Z.'" . ... '5057 ~W\" '2.0 N IS ~ Dt:sA 1:> L.o~ t::'t? - j:2",,#= f'=~ ~'~l& WAI,..L.~ f N1-$ ( 0 jZ.. ~ A. u.. c:;. -:. 35 I..J!/:; / C;O. f=-t- . - I" L.F.J"I'Sa 'For . ~ J'Z, ~/ sa .1=,. -:. ) c> L.~ / "$a. Ft- . ~~AIU1. (4/1. 1'%;76)( 10) ~ 4-J1,~. 7f; t.. f5 S " . tu A"~ "-A IYJ ty\ IJ. P V} '_._-_._--_.__...---~.-.._..--........ .... ;VAL-I, A - (~2 .4'.j1!J)UI2) ~ (P24. ';75 l,..t;? - WA~ ~ - (6Z'~3i~)UO) ~ ~'Z-4 1""&115 ( I':!J~ )(JO) ~ /350 /Gf7;J '~7'S lo-t!-:" ~VJO~ Slm~~r.l ~~Gt6 ~4 CS IOIS" a: POo/T"~. NAJ.,L C. .. (/!st>'7'5)(}~') , , i - Prz,ovlDES4 S/~ WA~ 9': IN I "1"14 ~01'"1N&r, J &:' / '507.5" 1...1:3$ - PI2dVI"W 2)( e, 1'". L~ w\ ~ (t) 14" 4> (,AG15 er:>J,.;tS I AT 31,,"0, &;. ' --........- ,,-",- - ... ,- . , , - J ,-~. . '" A. PLYWOOD OR O.S.B. SHEAR WALLS 1 MAXIMUM SHEAR = 250 P.L.F. USE Yz" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 6" O.C. FOR FRAMING, USE DF NO.2. PROVIDE W' DIAMETER ANCHOR BOLTS AT 32" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 2. MAXIMUM SHEAR = 315 P.L.F. USE %" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 5" O.C. FOR FRAMING, USE DF NO.2. PROVIDE Yz" DIAMETER ANCHOR BOLTS AT 32" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 3. MAXIMUM SHEAR = 375 P.L.F. USE Yz" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 4" O.C. FOR FRAMING, USE 3X DF NO.2.PROVIDE 3~INCH NOMINAL BOTTOM PLATE, BOLT THROUGH PLATE WITH ANCHOR BOLTS. PROVIDE W' DIAMETER ANCHOR BOLTS AT 24" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 4. MAXIMUM SHEAR = 490 P.L.F. USE %" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAilS AT 3" O.C. FOR FRAMING, USE 3X DF NO.2. PROVIDE 3-INCH NOMINAL BOTTOM PLATE, BOLT THROUGH PLATE WITH ANCHOR BOLTS. PROVIDE 5/8" DIAMETER ANCHOR BOLTS AT 32" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 5. MAXIMUM SHEAR = 560 P.L.F. USE Yz" SHEA TING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT 3" O.C. FOR FRAMING, USE 3X DF NO.2. PROVIDE 3-INCH NOMINAL BOTTOM PLATE, BOLT THROUGH PLATE WITH ANCHOR BOLTS. PROVIDE 5/8" DIAMETER ANCHOR BOLTS AT 24" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 6. MAXIMUM SHEAR = 685 P.L.F. USE %" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT 21/2" O.C. STAGGERED. FOR FRAMING, USE 3X DF NO.2. PROVIDE 3-INCH NOMINAL BOTTOM PLATE, BOLT THROUGH PLATE WITH ANCHOR BOLTS. PROVIDE 5/8" DIAMETER ANCHOR BOLTS AT 20" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 7. MAXIMUM SHEAR = 770 P.L.F. USE Yz" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT 2" O.C. STAGGERED. FOR FRAMING, USE 3X DF NO.2. PROVIDE 3-INCH NOMINAL BOTTOM PLATE, BOLT THROUGH PLATE WITH ANCHOR BOLTS. PROVIDE 5/8" DIAMETER ANCHOR BOLTS AT 18" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. , " \ ," " , ~ORT ANGELES WAS H I N G.T 0 N, U.S. A. PUBLIC WORKS & UTILITIES DEPARTMENT , .,' l' ~ ' ~ ,'I". \ '" ::'::April 9, 2004 ,Ms. Jackie Jardine :.'417 East 11 th Street ~,'::Port Angeles, W A. 98362 I t -. ;':", \ " '.:Re: Electnc meters to be accessible to city utility workers and meter readers. ': The deck which you propose has been approved. The main concern of the city building dept. and .: ..:the electrical inspector is, that all.electrical meter~ remain accessible. This approval of the deck . ': ,;' .:.being built above the electrical meter, is with one condition. The condition that the underside of , ". ': the deck will never be enclosed, thus ma~ing the electrical meter inaccessible. ". The following is the wording of the Port Angeles Municipal Code: ,,':Article 14.05.160 Wiring Methods , . ", :,Electric meters shall not be permitted inside buildings or within carports or porches without ". ,:' written approval ofthe inspector. If an electric meter is made inaccessible, such as by the .'. ' ,': jnstall~tion of a fence (with a locked gate or no gate) or other enclosure, the owner shall relocate .' "~", the meter to an accessible location, as determined by the inspector. If the electric meter is located . _,behind a locked gate, the owner may provide an approved lock box rather than relocating the ~ ',:electric meter. , ':. . We at Port Angeles Public 'Works, Light Operations Division, wish to thank you in advance for "~your concern in this matter. If you should have any questions, please call me at 417-4735. .:, fSincerely, , ..; /J /) :,':;:;/-,;1( C ~-.______ , . '.' Alan C. Oman " , Sr. Electrical Inspector .:z: - ~ \t'\ -. -. ~ ~ .. .' " , ,':;'cc. ,:Roger Vess, Building Dept. Jim Lierly, Building Inspector -- - :.. "';~'~":'~;John Hebner, Engineering fILE ':' ;,. , " 321 EAST FI FTH STREET · POBOX 1 150 · PORT ANGELES, WA 98362-0217 , ; " PHON E 360-417-4805. FAX 360-417-4542 · TTY 360-417-4645 :) E-MAIL PUBWORKS@CI PORT-ANGELES WA US .;- ~ r .; ) 4 "/ ~ ...~ ~ J....~_, CITY OF PORT ANGELES LIGHT DEPARTMENT N~ 17838 ELECTRICAL PERMIT Ie? - 3 cF~ Port Angeles, Washlngtonm__..__mm..m_........m.m.m.....m__..__mm.. 19____..__ In accordance with the City Ordinance to regulate the Installation. extension, or repair of elec- trical equIpment In. on. or about any buildIng or other structure In the CIty of Port Angeles, per- mission Is hereby granted to d6 electrical work as listed below, Address --.lId?n__L..//lzf..mm.__..____n..m.m....m__...~...... Occupancy....d.e.__~.___..__\..__......m.__ vdcff;::'ez;; . Owner ._____.m...m:..'.m.....~m__'d!.~__m____......m____. TenanLm...mmm.mn......m.__..m__.....m..____..m......m____ Wiring Contractor --.--~~.~.'==..____...m__.____............ By...--....m.__....m.....mm..__mm...m__.m._____.....____ /';;;O/cJYG Service, volts ..................._.................. / '3 / . No. wires ........n........__........__........ SIze wIres.....t'L.t?.<!,l!.,...._.. ~CJtJ A Main fuse ......_.......__..........__........... S Enclosure .._n........._.......___.__.....____.. LIght Outlets..................................._..... Type 01 Wlrtog: Armored Cable ..................._.......... Receptacle Outlets....___..__..........__...__... Dryer, KW __..._n.h_.u........__...__..._____.... Non-Metallic .............00..__.....__..._._. Range, KW _nn_nh_._____hn__ Knob & Tube.......h_..........h___.......~ Water Heater: RIgid Conduit ............................... Metalllc TuhIng ........................... KW.n.......................................... Type of wIrIng: Entrance Cable .........nn.._..um...... Raceway ....__...........__...._...__._._..._ Circuits, Llght..................__.........___....... Utllity............................................. Heat: KW.............u............................m..... Motors: size, volts and phase: RigId CouduIt ............................... MetalUc Tubing ...__............ Current transformers: Range ........hu..........___.................... Water Heater ......................__....... Motor ..........._.........__.........__........... ....n.....__.....__..........__..................___...... Heat ....___..........__..........__........_..__ -.. -----. "..____....n___.. ......n.........._............. No. & Size................. --........--.....--.--......---.........--.....-----....... ....---.....--........--.........--......---............... Ser. No............................................... .........................................................- Ser. No. ............................................. Dryer .................................................. Furnace .........................,_................... Ser. No. ............................................. m T~taI Load.H..~=mH.=.~&2q;pNO.H~lJ...H....H.H Total ....H..H..H......................H. Re arks. ...000.,........000....000...........000.....000..............000.............000...............000.....000...........000...000000...000.................... ....n.........b.n.........o..nn......nn.nnnn...on.nnn............nnn.......h.n.........h..nn._on.o..__n......u__...uu.nn_n...o..nnOhO...-..... ........m.nmm....m..m.m...m....m....m......m...m..........m................n..........~...L.....~...."'.<........m.___....n.mm...m.. p~rmit Fee' Treas. ReceIpt JIl);;J~~~~ $....000...000....000.000..000....000.. NO.m.........m............. By.m............m.....m..me:......'..m.......m...m<l1."'..-______ v . NOTICE-Current must not be turned on until Certiftcate of Inspection has been issued. It work is to be COD. cealed due notice must he given the Inspector so that work may be Inspected betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION \/Jin ~ N~ 17838 ELECTRICAL PERMIT Address........................................................................................................................................Date..._......_.._......_.........._......_......_......... Owner ...................................-.........._......_......_.._,.......................................................... Tenant.................................................................... Wiring Contractor .......................................................................................................................... By.............................................................. NOTICE-Current must not be turned on until Certmcate of Inspection has been issued. It work Is to be COD. cealed due notice must be given the Inspector so that work may be inspected before concealment. , 1M Olympic Printers, Inc. I ELECTRICAL WORK PERMIT APPLICATION Electrical contractor name fl,J-O!.Wl5"So il20 ~ Purchaser's mailing address ) I _0 . 49 I License number Date Expires a'i/' Installation description o Commercial )2'ResidentiaJ o New ):r Altered/Addition Job wired by ~Iectrical Contractor 0 Owner ll:+c-ILoi4l! qSI U+ City eft State ZIP (j)!l-- Qf'3it;>2. FAX number </5-z. - ?sY5'" 77167tU{)~ Inr V/u-{~ Ih<-f.-- , Telephone number S:;-(,.)-/"Z-I z- Premises owner's name .,,}A-c..lLI<' ..r ~ ~ (./VI;! - lMmitur Address of inspection 411 1$ Lt1Vt City.? Pr- Phone number to schedule inspection: lfr'L-I.N ffb Owner as defined by ReW 19.28.26/:(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. 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 instal- lation 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. Signature of"'owner, o Cash o Check # o Credit Card Card # Visa Mastercard Discover x ontractor or electrical administrator Date: S- -9-tJ & Expiration Date of card Inspect~o} fee tCo $ yJY- Service Information Elec rica I ad Additions and or subtractions o NO LOAD CHANGES Cl Baseboard KW Cl Furnace KW Cl Heat Pump Ton o Fan-Wall KW LAR o Overhead Service Cl Temp Service Cl Underground Service Voltage PhaseOl03 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-4]7-4735 ROUGH-IN THERMOSTAT SERVICE Dale Approved By Dale Approved By Date Approved By FlNAL DITCH FEEDER Date Approved By Date Approved By Date Approved By Inspection Date Area, Building or Equipment Inspected Action Taken Electdcal Inspector .~.~ 8(i CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :\21 EAST 5TH STREET. PORT ANGELES. WA 98J62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation 06-00000449 Date 100947 417 E 11TH ST 06-30-00-0-3-3175-0000- ELECTRICAL ONLY 5(12(06 RS7 RESDNTL SINGLE FAMILY o Owner Contractor JARDINE-MOORE JACKIE T PO BOX 884 FORKS WA 983310884 THORNES REFRIGERATION PO BOX 991 PORT ANGELES WA 98362 (360) 461-0158 Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL THRONES/ T-STAT WTR. HT. 76869 THORNES REFRIGERATION 48. io plan Check Fee 5/11/06 Valuation 11(07(06 .00 o Qty 1. 00 Unit Charge Per 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 Fee summary Charged Paid credited Due . - ~ - - ~ ~ - - - - - - - - - ~ ---------- ---------- ---------- -----~~~-- Permit Fee Total 48 .10 48. 10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 48. 10 48. 10 .00 .00 COMMENTS/ACTION NEEDED FROM A.P.5. ELECTRICAL CONTRACTOR FAX NO. 360 452 6753 Jan. 23 2003 02:06PM Pl . ~r "Pi \- / . aECTRICAL PERMIT APPLICATION FOR OFFIOAl USr: ONLY D~ldRe.:: Pmnil_; _" ,.~~ Dale Approvw: _. __ ___ DIlelnllw:___ ,_.__. Th~ Elflcln~,,1 Permit Application ~. filled oul comoletelv. Please typo or rE!pint in ink. If you h.we <ilny questions, please call (360) 417~735 r II 3 - 71 ! fax number: (360) 4174711 Tr-~G\ay Q REQUEST INSPECTION :l'[ Owne' or Eiec. Contrac,,, Agent, A r\ ~ ~. c.-K Phon.: Lf ~;;i. - b 7 S 3 Fax: 'S a. m e.. o'operty Owner: :Jo.< J:,( e.... _ _ l V\ f ~ Phon.: Address ~ ({ C tl1:b City i@e>r-i" A\f\.~<lQ~ Zip: \:lfY'\t7~ 0l'Cl6coI Con',"c'or ~P. S. E hslcjJ;/l ( C-OJ7!-J'r) rfn( ::r~C pc~nf. #: C "1'61 i1.{/ L{-I"] -0'1 Phona: <-{S:;J -6.'75 3 Address 5'!6 .rsen'iJJ1 ICOI1.& CI~ I?" t'r 1"1-116 ~/ -e 'S Zip 903f.3 INSTALLATION WIRED BY: 0 OWNER )(elECTRICAL CONTRACTOR Credit Card Holder Name: -8. P. s, 'f'\.e.G-tri C.a \ Co l\.--rtrM-, +-Or Billing Address: S-4>~..€,\.SC 1\ J? d City: ~k,Ai/lf/' ~)e5 {~,..,- Zip: t{BJb.J VISA: MC:i- PROJECT ADDRESS: LLl.7 f."..-t I th P-A Check ill! thai apply: 0 New B Alteration/Addttion TYPE OF WORK: ,i;. Residentsl 0 Multi-family r] Commercial 0 Mobile Home Sq. Ft Remote Meter 0 Detached gara\Ie 'c Hot Tub 0 Swim Pool [J Septic Pump o Low Voltage 0 Telecom. 0 Sigr Nurnber of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT:_f)t?l'-(Yle,v-- c.\'.rc...V\..i+ +0 b.., pr<?\/;dl~ o r1r;lt--A. '17>\ 1")Il.p V\.Q.tJ I !;Iectrical Heat Load Additions PERMIT FEJ16670 Service Information :-loaseboard U Furnace :"~} Heat Pump :::; Fan-Wall KW KW TON LRA -KW- ~Ove'rhead Service o Temp Service o Underground Service Voltage: Pha.a: '5(.1 0 3 Service Size: . Feeder Size: PAMC 1405.060[8): For Industrial. commercial. & residenlial projects larger than a duplex, a one -line drawing ofthe Electrical Service & Feed€:rs, building size (sq, ft.). load calculations, and the type & of conductors and/or raceway is required and shaH accompany the Electrical Permit application. I hereby certify that I have read and examined this application and know that same to be true and nd il 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. Credit Card Holder's Signature: S~'€y-y! R .5lavk Owner Or Elcc. Con!. Signature:~lr\l' '~r i . R S/Q1C.,K C/ELECTRICALPERMIT APPLlCA TION -. . ~ C!)~ Jft~3 ~ DateY~.)-(\~ Date: 1- :)3--{)~