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HomeMy WebLinkAbout1122 W 11th St - Building CiTY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 2/21/2002 PERMIT NO: 13241 OWNER/APPLICANT PROPERTY LOCATION JOHN FUNK 1122 11TH STW 1122w. 11th Lot: 5&6 Port Angeles, WA 98360 Block: 354 [] Long Legal 360/000-0000 Subdivision: TPA T: S: Parcel No: 630000354180000 CONTRACTOR ARCHITECT FEELEY CONSTRUCTION N/A 2606 DEER PARK RD. Port Angeles, WA 98362 , 98360-0000 360/452-7559 360/000-0000 PROJECT INFO Project Value: $2,000.00 SFD Units: 0 Commercial: 0 Project Type: RETAINING WALL SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES RETAINING WALL LOCATED SOUTH REAR PROPERTY RECEIPT#8773 "~ FEES ASSESSMENT c~ Building Permit: $69.25 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $73.75 Plumbing: $0.00 AMOUNT PAID: $73.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes' null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a pedod of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD ' ' CALL 417-4815 FOR BU1LDING INSPECTIONS. PLEASE PROVIDE A MIN1MUM 24 HOUR NOTICE. ITIS UNL4WFUL TO COVER, INSU£/ITE OR CONC£~41. /INY WORK BEFORE INSPECTED .4ND ~4CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE IYEsACCEPTED] NO COMMENTS FOUNDATION; WALLS '~___- ~. ~"~ ~ FOR OFFICIAL USE ONLY: r~ ?hr ~,% Date Rec.: BUILDING PERMIT - APPLICATION i~i Date Approved: Date Issued:. The Building Permit - Pre-application must be filled out completely. Please type or print in ink. If you have any questions, please call 417-481S Applicant or Agent: ,~e /eW C°,9x~5'1L. -F'(,,.~c Phone: ¢/S~-D t Owner: ~-'~/~t,-~ ~c/r,Y[<- Phone: Address: / / 2- Z o,3. l I +'~ City: ?~ /~' Zip: Architect/Engineer: v~ ~ re~/~' / / e ~-~ Phone: Contractor ~~ee~ (e~, c~o.~-x g-~ :E-~o q License #:. Exp: Phone: Address: City: Zip: PROJECT ADDRESS: ~/s~/~$ ~ ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Addreas: City:. Credit Card #: Exp. Date: VISA MC TYPE OF WORK: SIZENALUATION: ,~-LResidential [] New Constr. [] Re-roof D Woodstove SF. ~ $ /SF. = $ [] Multi-family [] Addition [] Move [] Garage SF. ~ $ /SF. = $ [] Commercial [] Remodel [] Demolition [] Deck SF. ~ $ /SF. = $ -~z~Repair [] Sign [] TOTAL VALUATION $. BRIEF DESCRIPTION OF THE PROJECT: ~OMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: __ Lot Size: % Lot Coverage: % Existing Lot Coverage: /sq. ft. + Proposed Lot Coverage: /sq. ft. = TOTAL LOT COVERAGE: /sq.ft PLANNING USE ONLY: APPROVALS: PLAN. Notes: BLDG. FIRE ESA/Wetland(s): [] Yes [] No SEPA Checklist required? [] Yes [] No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. Thc 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. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may bc revised by thc 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 duc at the time thc building permit application and consWacfion 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 p~rmit. 1 understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. Applicant: ~ ,~,~,. Date: ~C7 ~ c~ /- cD>__ T:\FORMS~APPS\Buildingpermit CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date '--Z- - ~Z--7'- ~- Time Received by (phone, person) Location of Work to be inspected / / ~ '~- ~ / /~Z ~ Name of person requesting inspection ~F ~l ~,~ Address of person requesting inspection Phone No. Permit No. / Type of I~~le appropriate one): Sewer~ound~ion ~aming Chimney Plumbing Final Sewer Excav. Other Inspected: Date ~-~ ~ ~ Time By Remarks: ~-'%~ ~_ RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel I--JAsphalt []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) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~ - Z <~ '- ~?_~. Time '~ '~-~'~i ~ ~ Received by ~ L/ (phone, person) Location of Work to be inspected J ~ ~ Name of person requesting inspection Address of person requesting inspection Phone No. / Type of Inspection (circle appropriate one): Permit No. z//,~ ~(~ Sewer (~F~(~-~a~,t~o~ Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date ~-~ ~ ~-~ 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) CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES, WA 98362 ELECTRICAL PERMIT ISSUED: 6/28/2001 PERMIT NO 7315 OWNER/APPLICANT PROPERTY LOCATION Funk 1122 11THW 1122 w. llth Lot: Block: [] Long Legal Port Angeles, WA 98360 360/000-0000 Subdivision: T: S: Parcel No: CONTRACTOR ARCHITECT OLYMPIC ELECTRIC N/A 1805 TUMWATER PORT ANGELES, WA 98362 , 98360-0000 360/457-5303 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 ~r~ Furnace 0 KW [] Overhead Service Voltage: 120,240 "~ [~ Heat Pump O KW [] TempService Phase: [] 1 [] 3 [] Fan Wall 0 KW Service Size: 200 -I-. Feeder Size: 0 PROJECT NOTES 200 A. service change and remodel. 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 MMt?'I S/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO C0~75R, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH ROUGH-IN / COVER ~/; ~/";/ ~ SERVICE ?/z / ~, ( ,~ ,A-- FINAL ll/:?/~ / I 2,_L I GENERAL COMMENTS: L t2°~: TOPSOIL F~ LAND.APING H < 2 TO 4' < 4' ~0 6' FILTER FABRIC ANCHOR BOLTS, H~DO~S AND (T~AR 5401) ~ FRAMED FLOR ~ W 16' 5'-0" CRIPPLE WALL AS REQUIRED ~ PER PLANS BY O~CRS *J' BAR (1) ~5 ~ 24" ~5 ~ 24' 1. "J* BAR AND ~RTICAL WALL REINFORCING MAY ~ C~E{NCO TO ~H~[ PIECE AT CON~ACT~'S ~5 CONT. AT T~ GENERAl. ENGINEERING NOTES R~F 0EAD LOAD: 10 PSF ~ ~ NOTE: R~ U~ LOA0:25 PSF FL~ SLAB MUST BE IN PLACE 2' AND ALLO~D TO CURE F~ FLO~ OEAD LOAD: 10 PSF WA~RPRO~'~ [~ } 5. ~y c~s[rucU~ not fully detoiled ~ {his plan is  I~st 20 fr~ the build~. P~es sh~l be mn - ~5 ~J-BAR ~A~NG ~ CI~ OF PORT ANGELE~ ~ ~n P/RIME~R ca~ns and ot~r da~ ~ll ~ ~nt ~ ~lding 4' C~CRE~ SLAB ~n~ s~ifi~ and ~ da~ ~ ~ ~AB BA~ AND M~S~RE g ~ ~ ~ ~ BARRIER PER AR~C~R~ ~AN5 _ ~NG AS CONCRETE NOTES W All aggregates shall conform [o AS~ Ston~rd C-5~. T Y P ~ A I ~ ~ ~ ~ 0 ~ 4. Spllces in c~finuous reinforcem~t $holl lop o m~imum of 52 bO~diomet~s ~ os noted~ ~T~ s~ Vi! CITY OF PORT ANG~LES PUBLIC WORKS - ELECTRICAL DIVISION 12\ EAST 5TH STREET. PORT ANGELES. WA 98362 7\T'<r\l..:.....~.....:~_ "'.,. , Appl1cat1on pin number Property Address ASSESSOR PARCEL NUMBER. Appl1cation type descr1ption Subd1vision Name Property Use Property Zon1ng . Application valuat10n ./ v 1/ U I - . 320916 1122 W 11TH ST 06-30-00-0-3-5418-0000- ELECTRICAL ONLY --~~ RS7 RESDNTL SINGLE FAMILY o Owner Contractor FUNK JOHN D 1122 W 11TH ST PORT ANGELES OLYMPIC ELECTRIC 4230 TUMWATER POR~ ANGELES (360) 457-5303 WA 98363 WA 98363 Perm1t . . . . . Addit10nal desc . Perm1t pin number Sub Contractor Perm1t Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL OLYMPIC/ MANUAL TRANS SW. 92783 OLYMPIC ELECTRIC 64.00 Plan Check Fee 1/07/07 Valuation 7/06/07 .00 o Qty Unit Charge Per Ext'ens1on 64.00 BASE FEE Fee summary Charged Pa1d Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.00 64 00 00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.00 64.00 .00 .00 COMMENTS/ACTION NEEDED 'i'-.... "'- ~ IN 't ""- ,'- ,\:i I 11 ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNU WFUL TO COVER. INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEC110N TYPE DATE I ACCEPTED COMMENTS I YES I NO IJnCH ROTlnH-IN / l.,;UVhK ~hK V ll.,;h ....INAI I/-'-I_A" 1...h".J 1 GENERAL COMMENTS: PW-II02.1S 14196) CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16383 (L / A.., f-:t Port Angeles, Washlngtonm.m........!...:::..l.::..m.....m...............m.... 19.('~.::'~ In accordance with the City Ordinance to regulate the installation, extension. or repair of elec- trical equipment in, on. or about any building or other structure in the City of Port Angeles. per- mission is hereby granted to do electriCjWOrk as listed below. Address ..ll..:::::."~f:..........tAr..l/t;.fm.nm.nnnnnn.n... Occupancy.A.i!~'\L.n..m....mn..n...n..... Owner .mmm...m....m......nn.............m....m..............n TenanLnmnnm...mm..mn...........n...nmn.nn.....nmm... :-:l /, f" . 1'/ Wiring Contractor nnj.'.'!.~.~'~..nm:.::..~.:L."!.,:'!:.n...nnn...nnm By...mnmnmnm.....nnn.......mnnmnn.........n..nn '7' .' .- Light Outlets.........,,:...................._.._..... Service, volts .......m............................. .,- Receptacle Outlets......,........................ No. wires ........m......................___... Dryer, KW..._uun..........u......n"........... Size "'.ires..................................._.. Range, KW.......nn............................... Main fuse ....................................... Water Heater: Enclosure ....................................... KW.nw..mnmnm.mn..nmn..n..nn Type of wiring: Entrance Cable ............ Heat: KW............................................ Motors: size, volts and phase: Rigid Conduit ........h......... Metallic Tubing ..___........ Current transformers: No. & Size....................................... Ser. No............................................... Ser. No. ............................................. Ser. No.,............................................. Total Load.......___......m.......... Ser. No. ............................................. Type o! Wiring: Armored Cable .............................. Non.Metallic ................................. Knob & Tube.....................m..n...._ RIgid Conduit .mmm..mm...mn...n Metallic Tubing ........................... Raceway ......................................._ Circuits, LlghL................___.................. Utility............................................. lIeat ............................................... Range ............................................. Water Heater ...............___............. Motor ............................................. Dryer ................................................_ Furnace .........................._......_........... Total....................................... ~ Remarks: nm...nmli}~:_~f.._~L./?.m...m~:!".:!~~:__u........t;;!:;2:L_~:_r::'!~..m.m_mmmmnmnmmmm_m__m.mm_4u___ / .;~~;~.;~~........m..............m.;~~~~~.~~~~;~~.m..m.m....m.m.m.m..m::;.:~:.:?...:f...m;;Jmm.m.m>?Tn... ,_ r{ . ~,' " r .v $.........................m.......... No............................. By nm~:m....~::"'m..".::...'...:::..::(.~..:':..":;::.:.....,,",.,. 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 ELECTRICAL PERMIT N? 16383 Address.................................................................................................................__.....................Date..._......_.._.._.._._........_......_......_......... Owner..........................................._.,_......_......_.._...........................................................Tenant.................................................................... WiringContractor....__....................l..............................................................................................By.............................................................. \ NOTICE-Current must not ,;be turned on untl1 Certificate ot Inspection has been issued. If work Is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M lilv.,.,"';.... 1J,.;"10...,, r,.;.... 01/03/2007 07:55 3504523498 OLYMPIC ELECTRIC PAGE 01 "\ "'" ' ( ~lectrlc.1 Contractor (InliltlllllUOtl d.c!.cnpLior. Job wired b)' o Owuer o 9.D1merc:lal ~.Identlal Elo:ltri~' C1or\lra.ctol' nlml!l L.lcense number Dale eJ.plTCS ONew e A1teredJAddltloa o ympic Electric Co. OLYMPEC285D1 ' '.. Purdwcr', nll.illna: agdnlU ;11 Mc/:ll 1r.l /I J-Ir/"' "&i//'~c.h 4230 Tumwater Truck Route .. I CilY Stale ZlP tPr '/;-7/7//.4' ~r- Port Angeles, WA 98363 Telephone number FAX number (360) 452-5303 (3601 452-3498 pnm'UbOWaef'" Dime ,b '/J rYl7/( Addrell of hupectloD /, t1 //--2.2 tV '/ cll~dA~Jrkr ' , PboDe a.~rober 10 u!:hldull lIupectJou: '-!5L _ h e1J 'I b O....ner d.f df/lned by RCH'.J9.Z8,16J:(I) Owner will (Jct;UPJ' the Ilnu;turtjor rk'O ymn tifttr IlIb ~/U:/,iCGl permit 1I fllfttUzed. (J) Owlltr tI requlnd to hi,.. a." c/Cdt;cal collll'<<tor 1/ "how $41d prope,.ty U /or' s(Jle, f'(W or I,as~. a Cash a Check # ARet rcadin& the above statement. I hef'!by certll)' thal 1 am \he owner or Ill!! above Itl-Credit Card aamlld propeny or I. 11ensed electrical oontrllCtOt. I rm mAkln, tbe e\eettiel.llnnl!.l~ VISll Mastercard Discover latlon or lltenUon in co1DpliAtlce wilh tht electrical laws, N.E.C-. R.CW, Chlpte:r Card # 19.2&, WAC. Chapter 296-468, The City or Port Angeles Municipal Code. And " - - Ullllty Speoifiell.riClDs. ------~-----_._-- SIIa.uUf'e of OWDer, eleettlul contrat:tor or er~ctr'c:.1 admlnlstrl.or ExpiIBtion Date X ///'#..f -.-.". - Dale://J/~ of card ( ~n3P2DVcC~ . . ELECTRICAL WORK PERMIT APPLICATION I;:lectrlcBI LORd AddltlDns and oraubtrAotlona o NO L.OAD CHANGES C BlltIaboan:l _ KW C Fum.... _ KW C Ho.l Pump _ Ton _ LAII C Fan-Wall _ KW SAME DAY INSPECTION CALL BEFORE 1"00 AM 360-411-4135 SBrvlcB Information o O.orl1..cl Se",lco o Temp ServiCe C Underground 50",1.0 V.llego Ph,.... 0 I 03 SalVI... Slzo: _ FllGdor S~o: , . ; ...., /' ROUGH-IN r THERMOsrAT SERVICE ~ ..... A,pprv"'~ol By ~ Cal. Io.p,,"wod By ~ Du, A'PP"'''1ilI tJ~ / FINAL VITal r :FEEDER J -:{IJ 7 d:!:f! 0.' A".ft1~dlJt Vail ~H1 ........ ./ In.pecliotl . Ar.a, Building or Equipm.ntlnspeclcd Action Takea ElectrlclIl ; D.ate . Inspeotor '1 J -3- () 7 ~. /" ELECTRICAL WORK PERMIT APPLICATION _ ~;-- Job wired by )iPElectrical Contractor 0 Owner Installation description o Commercial )!pResidential Electrical contractor name . 7l-/CJN.ers /4r,c Purchaser's mailing address I/.~, 99'/ City /} rA- License number /lIr;/VI"/Z~9J1L# Date Exv.ircs t!J,r o New ,a:Alteredl Addition 1. "",.j I J ~d7C#1't/;'~ "", Telephone number ?c,,5""'-/'Z! '"L-- State ZIP t:U1J-" 9r3'4-2---- FAX number. -1rt/<T CfJ'Z..- /J "TO -....c.... Premises owner's name FvLN [L ::Ii) t+1--i Address of inspection 112:2. W, City P Pr tirn Phone number to schedule inspection: '-1S-2- (Q9V~ Owner as defined by RCW.J9.28.26/:(l) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required (0 hire an electrical contractor if above said property is for sale, rent or lease. 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 instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter ]9.28, WAC Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specification Signature al contractor or electrical administrator o Cash 0 Check # o Credit Card Card # Visa Mastercard Discover Date: S-:-6 --<J0 Expiration Date of card Inspectir/~ I d $ 'tn- x Electrica oad Additions and or subtractions D NO LOAD CHANGES D Baseboard ,. KW o Furnace KW o Heat Pump Ton LAR D Fan-Wall KW Service Information o Overhead Service o Temp Service D Underground Service Voltage PhaseD1D3 Service Size: ~ Feeder Size: /" THERMOSTAT /" SERVICE "- Dale Approved By ./ "- Dale Approved By /" FEEDER DITCH "- Dale Approvedl3y./ Dale Approved By Inspection Area, Building or Equipment Inspected Action Taken Elcctrical Date Inspector !:U'''''''h ....iff. i !Iff !f1 .- J sr ~o he v / SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN -;/-~7 ~LJ Dale - Approved By ANAL Dale Approved By , at;) ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ]2\ EAST 5TH STREET. PORT ANGELES. WA 98]62 , \ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER; Application type description Subdivision Name Property Use Property Zoning Application valuation 06-00000445 Date 779335 1122 W 11TH 8T 06-30-00-0-3-5418-0000- ELECTRICAL ONLY 5/12/06 RS7 RESDNTL SINGLE FAMILY o Owner Contractor FUNK JOHN D 1122 W 11TH $T PORT ANGELES WA 98363 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. 76828 THQRNES REFRIGERATION 48.10 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 Application Number . . . . . 22-00000608 Date 5/18/22 Application pin number . . . 873344 Property Address . . . . . . 1122 W 11TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5418-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Jetted tub ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ EDWIN G / SHELIA A FRITTS KOT ELECTRIC LLC 1122 W 11TH ST 1513 105TH AVE CT E PORT ANGELES WA 98363 PUYALLUP WA 98372 (253) 737-7015 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 68.00 Plan Check Fee . . .00 Issue Date . . . . 5/18/22 Valuation . . . . 0 Expiration Date . . 11/14/22 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 1 - 2 SINGLE-FAMILY ELEC_IRJCAL PER.MIT APPLLCAT_I_O�. Public \Yorks and lJLilities Department 321 E. 5th Street. Port 1\ngeles, \VA 98362 360.417.4735 I www.cityofpa.us I elect.ricalperr11itsr{i,,cityofpa.us Project Address: I ·1 �;} W 11 +-11. S + Project Description: Pro 1/1 , � t � '10 V ?o ,� A "t, <.l �J ,, iv' A lf t 1 6 3 Pt,wt-r k 0'�++a T u.h � Single-Family Residential D Duplex/ ARU Building Square footage: ___________ _ OWNER INFORMATtON Name: =---�-S"-'-'h ... e___,_I ...,_; =q,...__ _ _E_c-�±+-'='-'s=��---�-----Email:=----��------- Mailing Address: _\._.\...:d-_..}.....__,v,_1'---J .... 1 .... J._1\.-.S ...;.+____.B....,o ..... d:: ......... ...:A ..... l\L.>;9.t-e...,l .... e..._5 _'l..._Z ......... i .... ,.__:S.____ Phone: )-0 ' - £..t 5 ".\ -7 � S'. 5 ELECTRICAL CONTRACTOR INFORMATION Name: I�+ E lrrA-c� L U..C.. Mailing Address: I 5 l 3 ) Q 5 +lo\ lt:vL G-T e, Email: 16.ti< @ bot:&l,cc..¼-dc l\e.Lt21'.!l License: }h OT G L. Eb V-712 l. 'ISJ�xpiration Date: _______ _ Phone: ,&.5 ? -7 r 7-7 O \ 5 l -• PROJECT DETAILS l!lm Unit Charge. .Qiantillt Imil (Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 1 $ lSQ Temp. Service/Feeder 200 Amp. $93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal CircuiULimited Energy - 1 &2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Renewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Square Feet $120.00 $ Each Additional 500 square teer· $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Poof/ Hot Tub $110.00 $ TOTAL $ IS Q Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 re rding Electrical Permit Applications. Date ------J --� ., Print Name [Electrical Permit Applications may be submitted to City Hall or electricalperm its@cityofpa.us) "ti � 3 :lf