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Home My WebLink About1115 S Cedar St - Building SEP 2 4 CITY OF PORT ANGELES PERMIT APPLICATION �N��Gflt?N Building Division/Electrical Inspections 321 East Fifth Street—P.O.Box 11501 Port Angeles Washington,98362 Ph: (360)417-4735 Fax: (360) 417-4711 Date:09124120013 fx 1 &2 Single Family Dwelling Multi-Family or Commercial* -0 Commercial Addition/Alteration 1 Remodel I Repair* * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address:1115 S CEDAR ST Building Square Footage 2000 Description of above INTRUSION ALARM INSTALL * ADT 1-1-0— Owner Information Contractor Information Name:1115 S CEDAR ST Name:ADT LLC Mailing Address:1115 S CEDAR ST Mailing Address:11824 N CREEK PKWY N,SUITE#105 City, Port Angeles State:WA Zip:98362 City:BOTHELL State:WA Zlp;98011 Phone,3604779515 Fax Phone:206-774-9499 Fax:888-400-0383 License#i Exp, License#I Exp,ADTLLV 81 DO Item Unit Charge (fit Total(Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. $119,90 $ Service/Feeder 201-400 Amp, $ 145.50 $ ServicelFeeder 401-600 Amp $204.60 $ ServicelFeeder 601.1000 Amp. $262.20 $ Service/Feeder over 1000 Amp. $372.50 $ Branch Circuit W/Service Feeder $ 2,60 $ Branch Circuit W10 Service Feeder $ 7150 $ Each Additional Branch Circuit $ 2.60 $ Temp.Service/Feeder 200 Amp. $ 92.70 $ Temp,Service/Feeder 201-400 Amp. $110.30 $ Temp.Service/Feeder 401-600 Amp, $148.70 $ Temp.Service/Feeder 601-1000 Amp. $167.90 $ Portai 10 Portal Hourly $ 95.90 $ SignlOutiine Lighting $ 88.20 $ Signal Circuitl Limited Energy/First 1500 sf m-Commercial $ 95,90 $ Note: $5.00 for each addltional 1500 sf Signal Circuit]Limited Energy-1 &2 Famiiy Dwelling $ 6 Signal Circuitl Limited Energy-Multi-Family Dwelling 63.90 $ Manufactured Home Connection $119.90 $ Renewabie Electrical Energy-5KVA System or Less $102.30 $ Thermostat $ 56.00 $ NEW CONSTRUCTION ONLY: First 1300 Square Ft. $110,30 $ Each Additional 500 Square Ft.or Portion of $ 35.20 $ Each Outbuilding or Detached Garage $ 73.59 $ Each Swimming Pool or Hot Tub $110.30 $ $Total Owner as defined by RCW.19.28.261: (1)Owner will occupy the structure for two years after this electrical permit is finalized, (2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease, Permit expires after six months of last inspection, After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor.i am making the electrical installation or alteration in compliance with the electrical laws, N.E.C.,RCW.Chapter 19.28,WAC. Chapter 296-46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: ❑ cash ❑ Check Digitally signed by Jennifer Burgess Credit Card# Jennifer DN,cn-Jennifer Burgess, o=NORTHWEST PERMIT, x Q ou=N0RTH W[sTPHPniT, Dared: 0110112010 V�sJ _ mt j=enrn er nwperm cem,c= Dase:2013,69.2q 11:06:02-07'00' ELECTRICAL PERMIT CITY OF PORT ANGELES 1 360-417-4735 a Application Number . , . . 13-00001098 Date 9/25/13 Application pin number 957194 Property Address 1115 S CEDAR ST ASSESSOR PARCEL WUMgER; 06-30-00-0-3-4850-0000- REPORT SALES TA 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 Security system Owner Contractor QUIGGLE TIMOTHY B ADT LLC 363 E EUGENE ST 11824 N CREEK PARKWAY, N PORT HADLOCK WA 98339 STE 105 BOTHELL WA 98011 (206) 719-0347 ---------------------------------------------------------------------------- Permit ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee . , . 64.00 Plan Check Fee 00 Issue Date 9/25./13 Valuation , . . , 0 ` Expiration Date 3/24/14 Qty Unit Charge Per Extension 1100 64,0000 ECH EL-SINGLE CIR LiIMITED RFS 64.00 Fee summary Charged Paid Credited Due Permit Fee Total 64.00 64.00 Oo Go Plan Check Total .00 00 .00 ,00 Grand Total 64,00 64.00 .00 •00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN f� FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGDBUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 13-OOOCIO98 Date 9/25/13 Application pin number . . . 957194 Property Address . . . . . , 1115 S CEDAR ST ASSESSOR PARCEI, NUMBER; 06-30-00-0-3-4850-0000- REPORT SALES FAX Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . Property use . . to the City of Port Angeles Property Zoning , . . . . . . RS7 RESENTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 0 ------------------------------------- Application desc Security system Owner Contractor ------------------------ QUIGGT,E TIMOTHY B ADT LLC 363 E EUGENE ST 11824 N CREEK PARKWAY, N PORT HADLOCK WA 98339 STE 105 BOTHELL WA 98011 (206) 719-0347 --------------- --------- Permit . , . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . , Permit Fee 64.00 Plan Check Fee .00 Issue Date 9/25/13 Valuation , , . . 0 Expiration Date 3/24/14 Qty Unit Charge Per Extension 1.00 64.0000 ECH ETa-SINGLE CIR LIMITED RES 64.00 ----------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ---------- ----------- Permit Fee Total 69.00 64.00 ,00 .00 Plan Check Total 00 ,00 .00 OD Grand Total 64.00 64,00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH 'SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAIEXCHANGET UILDING Application Number Application in number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Cossey Linda 408 Mill Valley Ct LA MESA Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS CA 91941 71 50 00 71 50 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000112 211952 1115 S CEDAR ST 06 30 00 0 3 4850 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Application desc Replace circuits due to water damage kitchen bath Owner Contractor S J ELECTRIC PO BOX 2233 PORT ANGELES (360) 461 9380 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 141226 Permit Fee 71 50 Plan Check Fee Issue Date 2/03/09 Valuation Expiration Date 8/02/09 Qty Unit Charge Per 1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 7 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT Paid Credited 71 50 00 71 50 00 00 00 Date 2/03/09 DATE RESULTS WA 98362 0 0 0 Extension 57 50 14 00 Due 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. 0 11 v f pQRT 4k h DATE i e), OWNER/CONTRACTOR ELECTRICAL INSPECTION WIRING REPORT 417 -4735 s C`r r L INSPECT ADDRESS 11 APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL i CORRECTIONS NEEDED GPc.I Q2. -ri aUnl. I 0_12. c TAci /%1 21/) Tin `Vcgs 4 ►--10 k E._ 6)E-C— S YA GL I t v C3 tg. Br U-fz— TOA Z ��1sT2u�T �a�s M c_ 210 FPI) NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 City of Port Angeles Permit Applicatipn Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417-4711 Date: 1 2°t -o°t ,1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel I Repair* Plan Review May Be Required, Please 4omplete Electrical Plan Review Information Sheet Job Address: 1115/ C' x 12 ST Building Square Footage: 515 Description of above RCNCe, Lows Dp Q LOA' -E.a,' eNk.- Owner Information Name L' AYblbf CC'SSe` Mailing Address: HIM MIL-L. V() -Lc i COOTr City' VI/a IMGA State. (.1p3 Zip. mt I g ti Phone:spi "fl6 1107OFax: till- 40Z —If t3. License Exp Unit Charge 93.75 $113.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 $131.25 75.00 69.00 75.00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 Qty Signature of owner electrical contractor or. electrical administrator Date: -'2-1-ert_ Total (Qtv Multiplied by Unit Charge) Contractor Information Name: J 1,- s 41 QC.trc c w z.-r`e. Maiiin Address: PO k City'' i�l State' WA tip: c}E3 Phone: tn6 Rkd.3 Fax: oo)V 1'] -5 License /Exp Elms t( t$ 3 3 tt U Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp. Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp Service) Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 1000 Amp. Portal to Portal Hourly Sign /Outline Lighting Signal Circuit) Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi- Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat Total Cash Check ri C -edit Card 7 a -3_ a l�rl cy POl TA e lgalikt i tr I "II tom. I N IF 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. 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. --0 C O ~ pORT ~ ~~O~... il~~ :t ~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06~00000012 Date 742880 1115 S CEDAR ST 06-30-00-0-3-4850-0000- SHARON CHIRICHILLO RES REMODEL RS7 RESDNTL SINGLE FAMILY 4000 Owner Contractor QUIGGLE TIMOTHY B 363 E EUGENE ST PORT HADLOCK OWNER WA 98339 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 68593 123.75 1/11/06 7/10/06 Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 2.00 14.0000 THOU BL-2001-25K (14 PER K) Permit . . . . . Additional desc . Permit pin number Permi t Fee Issue Date Expiration Date MECHANICAL PERMIT 68627 57.25 Plan Check Fee 1/11/06 Valuation 7/10/06 Qty Unit Charge Per 1.00 BASE FEE ME-VENT FAN 7.2500 ECH Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 68619 78.00 1/11/06 7/10/06 Plan Check Fee Valuation Qty Unit Charge Per 3.00 1.00 BASE FEE PL- EA.FIXTURE ON ONE TRAP PL- EA.WATER HEATER 7.0000 ECH 7.0000 ECH Other Fees STATE SURCHARGE Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 259.00 259.00 .00 .00 Plan Check Total 49.50 49.50 .00 .00 Other Fee Total 4.50 4.50 .00 .00 1/11/06 Lasered CEO Fl-NI\L=ED ?/z./o" TIA.- 49.50 4000 Extension 95.75 28.00 .00 o Extension 50.00 7.25 .00 o Extension 50.00 21. 00 7.00 4.50 -- ~ -- r III Lf\ () ~ ~ 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 rk will be complied with whether specified herein or not. The granting of a permit does not presume to . aut' VIO a I the provisions of any state or local law regulating construct/on or the performance of construct' /-11-0(0 Date Signature of Owner (if owner is builder) Date o~ ,"ORT ~ ",~", .u~~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . Application pin number Grand Total 313.00 06-00000012 742880 313.00 Page Date 2 1/11/06 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T.\PoJiCles\11 02_15 bUlldmg pemnl mspecllon record05. wpd [1/412005] BUILDING PERMIT INSPECTION RECORD ... CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PR<I>VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO FOUNDATION! FOOTINGS , , WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS ! POST HOLES: (POLE BLDGS ) PLUMBING UNDER FL00R I SLAB ROUGH-IN : Yf,,(.,e(, JW WATER LIN~ (METER TO BLDG) FINAL r,i? GAS LINE DATE .JW ACCEPTED BY. BACK FLOW I WATER AIR SEAL : WALLS CEILING I I FRAMING i JOISTS I GI~ERS SHEAR W ALL/HOLD DOWNS WALLS I RqOF I CEILING 1-vI '? lor, ~W , DRYW ALL ~INTERIOR BRACED PANEL ONLY) T-BAR , INSULATION SLAB : . WALL I FLOOR I CEILING "7-f l 0 to t;? ,-T~ MECHANICAL , HEAT PUNWI FURNACE I DUCTS GAS LINE i FINAL ~/~h(". [tV WOOD STOVE I PELLET I CHIMNEY DATE ACCEPTED BY: COMMERciAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I ,SLAB BLOCKING & HOLD DOWNS SKIRTING' , , PLANNING DEPT. SEPARATE PERMIT #'s SEPA I PARKING~IGHTlNG ESA- I LANDSCAPING SHORELINE : FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED , YES NO ELECTRICAl.- LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT , CONSTRUCTION R. W. I PW I CONSTRUCTION - R W ENGINEERING 417-4807 PW I ENGINEERING , FIRE 417-4653 FIRE DEPT. , PLANNING DEPT 417-4750 PLANNING DEPT BUILDING I 417-4815 ?JlV/f)~ Jill BUILDING ..- NU1 ~\1\ . , &~ ~~ $ T \PolIcles\1 102_15 butldmg permIt mspectlon record05.wpd [I/4/2005] I PREPARED 3/02/06, 11 42 44 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR- JAMES L LIERLY PAGE DATE 12 3/02/06 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 1115 S CEDAR ST SHARON CHIRICHILLO SUBDIV: QUIGGLE TIMOTHY B 06-30-00-0-3-4850-0000- 06-00000012 RES REMODEL PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 2/03/06 2/06/06 JLL AP BUILDING FRAMING dav1d 460-259502/03/2006 09 21 AM PBARTHOL 02/06/2006 12-30 PM BUILDING INSULATION 02/10/2006 08 59 AM dav1d 460-2595 02/10/2006 04 52 PM PBARTHOL --------------------------- ;~~;;-~~~~~;;;;~!~~~~~~~~;:~~~-=~--~--~~=~~~=-============================----- REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ~,~;-:1'~~~~,T-~:~~~i-;::~:-:;.::'""'"T-:::--::---::::-:::-::::-:-::-:-:: REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS/COMMENTS BLI 01 2/10/06 2/10/06 JLL AP JLIERLY ---------------------------- TIME: 13 00 DYASUMUR --------------------------- TYP/SQ PL2 01 2/03/06 2/06/06 JLL AP PLUMBING ROUGH-IN TIME 17:00 02/06/2006 12 35 PM JLIERLY ---------------------------- 02/06/2006 12 35 PM JLIERLY ---------------------------- PL99 01 ~02 06 J~ PLUMBING FINAL TIME 17-00 ~ 02/28/2006 09:16 AM JLIERLY ---------------------------- ---------- -- ------------------------ COMMENTS AND NOTES -------------------------------------- PREPARED 2/10/06, 12 41 47 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR' JAMES L LIERLY PAGE DATE 12 2/10/06 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER, 1115 S CEDAR ST SHARON CHIRICHILLO SUBDIV QUIGGLE TIMOTHY B 06-30-00-0-3-4850-0000- 06-00000012 RES REMODEL PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 2/03/06 2/06/06 JLL AP BUILDING FRAMING dav1d 460-259502/03/2006 09:21 AM PBARTHOL BLI 01 -rF~ 02/06/2006 12 30 PM BUILDING INSULATION 02/10/2006 08 59 AM dav1d 460-2595 JLIERLY ---------------------------- TIME 13 00 DYASUMUR --------------------------- -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 2/03/06, 13 22.41 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR: JAMES L LIERLY PAGE DATE 7 2/03/06 ADDRESS TENANT, NBR. CONTRACTOR OWNER PARCEL . APPL NUMBER 1115 S CEDAR ST SHARON CHIRICHILLO SUBDIV QUIGGLE TIMOTHY B 06-30-00-0-3-4850-0000- 06-00000012 RES REMODEL PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 ~~ BUILDING FRAMING davld 460-259502/03/2006 09 21 AM PBARTHOL ---------------------~---------------- COMMENTS AND NOTES -----;rJ------------------------------ B-h'\1>\p ~ fl 11~ ~ g '1 ;' / '" ~I , '"',_ ,l' "4 '<'~\,o.. ~, '~\~ v"""h , ',", "'"",,, '\", , /,1)2 1 / , I. ,- 5~~j \ I , i M~r- 2.~~ ~ sp~ Th ap IS not mtended 10 be used as a legal deSCriptIOn v<-~. 'tb ng IS produced by the Cltv of Port Angeles f01 lIs own use and purposes (~) An" nthel lIse of this mauldl aWlllJ{ shall not be the respollslbIll!)' of the City \~ PERMITS (360) 417-4815 FA.X(360 )417-4711 BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your applIcation and site plan MTIST COI,iPLETE tG be ~{:!.:~pted foy 1 e-vlf~-. If YOll hnv€ any questlons. ~al1 ApplIcant or Agent fJA V (b ~E.tJbkJ CK~AJ Owner J1VtfGYs LAN(oU~.;-{ Address' III ~ '5 L Ce M12 CIty: Fbrcr Phone' 3tdJ '-[c;,O '2 S;1LJ Phone ~ ~?! 3123 ANfi,ElJ25 ZIp: crcg 3~ 3 ArclutectlEngmeer Phone: f) r~", ["),.... ,_ iI_'h. L 't 10 b>:S Contractor Iu:.l /UJJ 1l...LC, r't1W~!itlON:)tate LIcense # {(f1Y&RIJ Exp Address' l.SL W 411-1. ST. CIty. P.A - wA PROJECT ADDRESS 1115 s' cfiY1t:. P..A . LJ A '3 - 2~ -07 Phone 3Coo I.{&J 259''5 ZIp: 'ta-% 2 ZONING: LEGAL DESCRIPTION' Lot. CLALLAM COUNTY PARCEL NUMJ3ER: Block SubdIvIsIOn' Ov; -y) -00 - 0 - 3' L/~5"() SI.ZIj;[VALUATION: {j '-(0 SF. @ $ (00- /SF. = $ ( I ()CX) - SF @ $ /SF. = $ SF @ $ /SF = $ TOTAL VALUATION $ &;. X <8' HOLE IN I?ooF ~ Ff?AM{;:. /N A JrJslb~ ... OOT. TYPE OF WORK: o Res1dentIal 0 New Constr 0 Re-roof 0 Stove o MultI-family 0 Addmon 0 Move 0 Garage o CommercIal 0 Remodel 0 DemohtlOn 0 Deck o Reparr 0 Slgn 0 Other BRIEF DESCRIPTION OF THE PROJECT- CUT A ~gc F~ A 8ATHI?roM. FllurSI-l C01\1MERCL.\L/RESIDENTIAL: Occupancy Group' Occupant Load & Proposed Sq Ft. Construchon Type = TOTAL Sq Ft No of Stones Lot SlZe. Total lot coverage EXlstmg Sq Ft % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAIW etland(s)' 0 Yes 0 No SEP A Checkhst requrred? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the apphcant This figure will be reVIewed and may be rev1sed by the Bmldmg DIvIs10n to comply vnth current fee schedules Contact the P emnt Coordmator at 41 7-4815 fOl ass1stance. PLAN CHECK FEE' IF a plan check fee 1S due it must be subnntted at the 1:1me the buildmg peIilllt apphcatlOn and construction plans are subnntled All other pennit fees are due at the hme of pemnt Issuance EXPIRATION OF PLAN REVIEW: If no pemnt 1S 1ssued WIthm 180 days of the date of apphcation, the application will expire. The BUlldmg OffiClal can extend the 1:1me for actlOn by the apphcant up to 180 days upon wntten request by the apphcant (see SectlOll R1 05 .3.2 of the IntematlOnal Buildmg/Residentlal Code, 2003) No apphcatlOll can be extended mOle than once. T \PohcJes\BL-J J02_13 wpd e 6fjJe to be true and correct I am authonzed to apply for this permit and oYthe City's, and that I must obtam such permils pnor to work /.. 3 -~ Date: I hereby certify that I have read and exammed understand that it is my responsibility to dete me wh I I I I I I, t I j III i' ~_~_--+_-l---J" I! I! I I I I I ' i i ! I l I I I ; , I : I I I I I i I · ; : ! ' I I , I I I I CITY OF PORT ANGELES - Constrcti~n Plans T~e Iss~ance ~f this~ permIt based upor these plan,S, spe~fi. cations and other data shall not preve~t thetbulldmg official frbm thbreaft~r requiring' the correctIOn of errois in ~ald pla~s. specihbations and other data~ or from preventng I billldm~ operlltionsl being carried on thereunder wheh IO! 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I I : ~ r r : Y~q3r' f Ii: " r KJ I I I , I ' I I I ] I I I I I j 1 ' . I ! I r I ! I 1 . I I f I ! :~ :~ I Q I Jj ~ i I I i I! I : i I j I I . I r : 1 Ii; ,I ~Q3~ HI It! i . I I r I . i I : I I I I 1 I , I i I' I ; I I : r; t I ; j i <R' I q1ql(p~' [ , , V ~v 'W 1 ' I ! i ! I . ! ' . I I I I I : : ! I I 1 ; (~h'A~'l;C;1 :.---t' q' I~/ I (J I r : . T ] : . bi '~:-' 1 . . '- j : I felt I I...........' . j , I t i Ii I ! I I I I 1 I , . , 111 I . srA ,lR-$ I I I I 1 I I I I I I I 1 I I I I I ! 1 I I I G: i::::t I I yt- i I yl I~I I ---N-I I I I r I I i I ;.' I I . j I I I I ~.f I I I i · i , r I I 'I '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION nl EAST 5TH STREET. PORT ANGELES. WA 98362 " Appl~cat~on Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr, name Appl~cat~on type description Subdivision Name Property Use Property Zon~ng . Application valuation 06-00000012 Date 742880 1115 S CEDAR ST 06-30-00~0-3-4850-0000- SHARON CHIRICHILLO RES REMODEL 2/09/06 RS7 RESDNTL SINGLE FAMILY 4000 Owner Contractor QUIGGLE TIMOTHY B 363 E EUGENE ST PORT HADLOCK OWNER WA 98339 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL OWNER/ BATHROOM REMODEL 70615 48 10 Plan Check Fee . 2/09/06 Valuation 8/08/06 00 o ""- .......... ~l1\ lI\ Qty Unit Charge Per 1 00 48 1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Cred~ted Due ----------------- ---------- ---------- ---------- ---------- Perm~t Fee Total 48 10 48.10 00 00 Plan Check Total 00 00 .00 00 Other Fee Total 4 50 4 50 .00 00 Grand Total 52 60 52.60 00 .00 ~ ...... ~ ~ <:: o ~ ~ tA ~( COMMENTS/ ACTJON NEEDED '\ \ .. ELECfRlCAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEcTION TYPE DATE ACCEPTED COMMENTS ~ YES I NO I IJI'I"( :H IHlll{~H_lN I CUVbK SER V lCh I : I PIN AT 3-1- 0 (; I A1'DI I I I ~ I GENERAL COM~ENTS: PW-II02" (4'96] Site Address: CITY OF PORT ANGELES LIGHT DEPARTMENT -e ELECTRICAL PERMIT PERMIT NO. / f 1 ;? /oft/'rY DATE Installed By: o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial ioad Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage 01003.0 Service size o Temporary o Add/alter circuits o Auxiliary power (list below) o Speciai equipment (list below) Amps Details/Description: A-iiitV t/ I ~LUJ kL~ ~4X/ . .. . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. o O.K. to connect service A Final O.K. ~t1-1 Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Installer: New Meters o Site Address: .. Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0~), EXT.158 or EXT. 224. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT f1' / / ~ /~, ?b ~ -~ l Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Cuslomer GREEN - Top: Inspector, Bottom: City Hail OlYIo4PIC PRINTERS. INC. . . . \ \ CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. /" %'1 OATE .s Iii ktr' / / ELECTRICAL PERMIT D REAOY FOR INSPECTION License Number: D WILL CALL FOR INSPECTION Phone: Site Address: Installed By: , Owner/Business: Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction !if Remodel o Service update/alter/repair )1r Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) o Overhead o Undergroun.-o/ , / 1"1 Voltage /~~_jj o 10 03.0' Service size / if);fj) Amps o Temporary . .< DetallslDescription: p~4;/ 1/D /1 ~ ~ I8A!/MiA '--'-! I ~O -ffJr,{ dr/&! ~ . /r!JC) . :II- /Olj/UG- -~ W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. o O.K. to connect service ~ Final O.K. -1gtJ\ Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Site Address: Permit/Receipt No. /6 Installer: New Me~ Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electricaily energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0~1, EXT. 158 or EXT. 224. /77~ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ?7 ~h.. tflJO I~ctor Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTER5. INC. ELECTRICAL WORK PERMIT APPLICATION t ti" Owner Installation description Job wired by D Electrical Contractor o Commercial I1i Residential Electrical contractor name License number Date Expires DNew iZf Altered/Addition Purchaser's mailing address !JbJ bod^rCOM City State ZIP Telephone number FAX number Premises owner's name LC~'^J ( ~ ~! tv1 ({ "I C. Address of inspection i /1<( s. (' ~ ..-In r 5T. City 7..r I fA. "'~-< c, Qn&2.. [VA Phone numher to schedule inspection: If~p ZS-?r- - Owner as defined b.v RCW/9.28.26/:(I) Owner will occupy (he structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical lfCheck # g2-Y'j contractor if above said property is for sale. relll or lease. D Cash 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 thc electrical instal. D Credit Card Visa Mastercard Discover lation 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 Card # - - - Utility Specifications. ---------------- Signature of owner, electrical contractor or electrical administrator Expiration Date GnsP~J3 :/0 "~(/.: /'/../' Date: t-!1!urtl(P of card Electr~oad Additrons and or subtractions Service Information o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton o Fan-Wall KW LAR (J Overhead Service o Temp Service 1:1 Underground Service Voltage PhaseD 1 03 Service Size: Feeder Size: ,.- THERMOSTAT /' SERVICE Date Approved By "- Date Approved By ,.- DITCH FEEDF..R "- Date Appro,'cd By Date Approvetl By Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector ,)..- ~-ot tf",<I,/-J /t'i ~.~. r - ~. /JA- ..d..C7 /If1/J ",2/ ~'/"k , SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN A . .,.1.1 ~:~ /+t"N ~ Approvc<lBy mNAL D": kfl .. Appruved By ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . 15-00001193 Date 9/24/15 Application pin number 794716 Property Address . , . , 1115 S CEDAR ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -4850 -0000 - Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning , . . ,. RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor QUIGGLE 'PIMOTHY B ADT LLC 363 E EUGENE ST 11824 N CREEK PARKWAY, N PORT HADLOCK WA 98339 STE 105 BOTHELL WA 98011 (206) 719-0347 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc . ADT/ ADD DEVICES TO EX LV SYS, Permit Fee 64.00 Plan Check Fee 00 Issue Date 9/22/15 Valuation . . , 0 Expiration Date 3/20/16 Qty Unit Charge Per Extension 1.00 64,0000 ECH EL -SINGLE CIR LIMITED RES 64.00 Fere summary Charged Paid Credited Due Permit.:. Fee rot<al 64.00 64.00 .00 .00 an Check Total. .00 00 00 00 Grand Total 64.00 64.00 .00 . 00 9 t INSPECTION TYPE DATE: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X GAEXCHANG&BUILDING RESULTS: REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR: l:)ate: To: Page 2 of 2 2015-09-21 18:39:52 (GMT) 18884000383 From: Deborah Shields t 1 "set ,lAr CITY OF PORT ANGELES PERXIIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Boz 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 p „ W s 10 Date: 09/18!2015 _-Xa—s�1 _ED " Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address; 1115 s CadarTysrm ... ,.....- _....,.�... __ — �._.- _.._.. Building Square Footla 1500 Description of above ,,�• 1��r^�N,��L�!,••__�_ Owner Information Contractor Information Name: ae;h Jrh sun Name: ADT LLC Mailing Address 115 5 cedes s1 Mailing Address: 1'824 N CRkFK HKWr N. sunta1os City. YORIACn is - State: WA Zip 0XI City" State w"........ Zip: IM.tu Phone: 309 477-9575 Fax: m501HELL mm — Phone: 205-774-94-9 Fax Bag oco --]ag _ License # i Exp ,z� License # 1 Ex _ _w.. p Ar: aL �a,uo Fxr� ,��15 Item Unit Oharoc ot Total Multiplied by Unit Char e' Service/Feeder 200 Amp. $132.00 $ -- -_• Service/Feeder 201-400 Amp. $160,00 _ ................................ Service/Feeder 401-600 Amp $ 225,00 $ Service/Feeder 601-1000 Amp. $ 288.00 _................_, $ __ ...._ ,,................... , Service/Feeder over 1000 Amp. $ 410.00 Branch Circuit Wi Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 $__.•____ Each Additional Branch Circuit $ 5.00 $_ Branch Circuits 1-4 $ 8600 $ Temp. Service/ Feeder 200 Amp $ 102,00 $ Temp. Service/Feeder 201-400 Amp. $121.00 5�___•_. Temp. Service/Feeder 401-600 Amp. $164.00..................................................... Temp. Service/Feeder 601-1000 Amp . $185.00 $ Portal to Portal Hourly $ 96.00,,,,,,,,,,,,,,,,,,,,,,,,,,,,, Sign/Outline Lighting $ 88.00 —� $•www Signal Circuit/ Limited Energy $ 64,00 _ / firstMulti-Family500 f Signal Circuit! Limited Energy /First 1500 sf- Commercial $ 96.00 Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $113.00 Thermostat $ 56.00 5 Note: $5.00 for each additional T-Stat $ 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 296-4613, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit. Applications. Signature of owner, electrical contractor or electrical administrator: ❑ cash ❑ Check Credit Card# zn� ��o o � "`" ° ""' "`"�" Jennifer Covello " o" "" 09/18/2015 x Dated: 0 110112 01 2