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1122 S Cherry St - Building
0t?CRr t_��r�S CITY OF]PORT ANGELES PERMIT APPLICATION RECEIVI. Building Division/Electrical Inspections 321 East Fifth Street—P.O. Sox 11501 Port Angeles Washington,98362 FEB 1, 9 2 -!� Ph: (360) 417-4735 Fax: (360)417-4711 ELECTRICAL Date: 2- m -/�( K1 &2 Single Family Dwelling INSPECTION *Plan review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: //12 6, G Building Square Footage; Descrtptlon of above i va�r 04_7jZ' J 2GQ t r .-o Owner Information Contractor-Information Name; &41kL r NF- oN Name: E Mailing Address: Mailing Address; City: State; Zip; City: State; Zip. Phone:_.S Fax; Phone: Fax. License#1 Exp. License#!Exp. GAS Item Unit Charge City 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 601.1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 Branch Circuit W1 Service Feeder $ 5,00 $ Branch C4cult W10 Service Feeder $ 63.00 �— $ Each Additional Branch Circuit $ 5,00 _ $ Branch Circuits 14 $ 75,00 $ Temp.Service!Feeder 200 Amp. $ 93,00 $ Temp.Service/Feeder 201.400 Amp, $110.00 $ Temp.Service/Feeder401-600 Amp. $149.00 $ Temp,Service/Feeder 601.1000 Amp. $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit!Limited Energy-1 &2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy-5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft or Portion of $ 40.00 $ Each Qutbuilding 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 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 Cade,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications Signature of owner, ct al contractor or electrical administrator: © cast: E] check X'Cradit Card# x Dated: 01f0112912 ELECTRICAL PERMIT ' CITY OF PORT ANGELES s 360-417-4735 Application Number , . , . . 14-00000179 Date 2/21/14 Application pin number . . . 355190 Property Address , , , . . . 1122 S CHERRY ST REPORT SALES TAB' ASSESSOR PARCEL NUMBER: 06-30-0.0-0-3-4690-0000- Application type description ELECTRICAL ONLY on your excise tax form. Subdivision Name to the City of Port Angeles Property Use . . . . . . . . Property Zoning , , , . . . . R97 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation , , , . C ----------------- - --------------------------------------------------------- Application desc Ductless heat pump and heater Owner Contractor ------------------------ GARRISON WILLIAM D BLACK DIAMOND ELECTRICAL CONTR 1122 S CHERRY $T 502 BLACK. DTAMOND RA PORT ANGELES WA 9$3627617 PORT ANGELES WA 98363 (360) 565-1035 :.e. Permit ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee 68.00 Plan Check Fee oo Issue Date 2/21/14 Valuation . . , , 0 Expiration Date 8/20/14 Qty Unit Charge Per Extension 1,00 5,0000 ECH EL-BRANCH CIRCUIT W/FEEDER 5,00 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FORD 63.00 Fee summary - Charged Paid Credited Due ---------------- - ----------- ---------- ----------- ---------- Permit Pee Total 68.00 68.06 00 .00 Plan Check Total 00 .00 .00 .00 Grand Total 68.00 65,00 .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: G:ICXCHANGEIBUILDING ti ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 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 07-00000029 Date 394312 1122 S CHERRY ST 06-30-00-0-3-4690-0000- KAY GARRISON MECHANICAL APPL. PERMIT 1/11/07 RS7 RESDNTL SINGLE FAMILY 3050 Owner Contractor GARRISON WILLIAM D 1122 S CHERRY ST PORT ANGELES WA 983627617 EVERWARM 257151 HWY101 PORT ANGELES (360) 452-3366 WA 98362 ~ ~ I ~ Permit MECHANICAL PERMIT A:iditional desc F~rmit pin number 93211 Permit Fee 60.65 Plan Check Fee .00 Issue Date 1/11/07 valuation 0 . Expiration Date 7/10/07 Qty Unit Charge Per Extension BASE FEE 50.00 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60.65 60.65 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 60.65 60.65 .00 .00 '"'- - ~ "P ~ ,- ~ ~ ~ ?~ ~ tp ~, 0'.) ~ ~ of 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 construe 'on. ( .~(1-6"7 Date Signature of Owner (if owner is builder) Date T:\Policies\1102_J5 building permit inspection record05.wpd (1/4/2005] \ BUll.,DING PERMIT INSPECTION RECORD <::) --..J ( q.> ~. CALL417-4815 FOR BUILDING INSPECTIONS. CALL417-47~5 FOR ELECTRICALINSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE 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 LOCATlON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDA nON: FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR W ALUHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR - INSULATION - SLAB c:p WALL / FLOOR / CEILING I ? MECHANICAL M ROUGH-IN I 0 - - HEAT PUMP /FURNACE / DUCTS I ~ GAS LINE ?>/S7{;)7 ,J LL FINAL DATE ACCEPTED BY: WOOD STOVE / PELLET / CHIMNEY ~ """ \::: 0 MANUFACTURED HOMES FOOTING / SLAB BLOCKING &. HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES. NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL. UGHT DEPT. 417-4735 ELECTRICAL LIGHTDEPT CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 I FIRE DEPT. PLANNING DEPT. 417-4750 I I PLANNING DEPT. BUILDING 417-4815 ~ /11 t\ I L) ? j BUILDING T:\Policies\1102 15 building pennit inspection record05.wpd [1/41200;] ~ - - - 1-- ....,... ....0 , N N , M 0000 Df-< ..:..: "'0 '" '" M M , N '" .,. >< ..:I <>: W H ..:I ..:I f-< 0000 :':W ~~ f-<~ Z .. 0<>: HO f-<f-< UU ooW "'''' 0000 Zz H H o '" M ~ o gJ Ul ooW ZZ 00 :I::I: "'''' .... '" '" .... , 0..:1 0": oU OH O~~ ~:;;O H.,.oo ~ ~. ::E <>:Z ..:1M P::O H 10'\ wen 3:0N :I: H 10 U<>:~ZOO P::P::OOO en<<en10 t)3:HOO N P::P::~O N ~ ~ P:: I I ~~&i~~~ f-< Ul o ....00 W ...:1 , ,...W OD ;;;:i! N 'f-< M<>: o '" o Wo. <>:0 ..: "'>< oof-< <>:H "'U <>: <>: . m <>: . W ZO m Ul.t; .~ gjf-<;:!<>:t;JZ <>::i!f-<WU..:I Oi:l8~~g; ~f-<UO"''': f-< ~ W '" Ul >< Ul f-< ...:1 f-< 0 i: ~<>: H 00 ,00 ~ H <>: "'H <>: g; W ..:I W '" W~ '" m W W f-< <>: 0 0 ~ ~~ ~ :i! z '" 11 00 W z <>: z oZ HN rz]OOHCOOOO Ul ..:10 E-t~~MMH f-< 0. .. .. o;tI en i:l enNolC(~enO'\ r Z <000 0lC(0r---rz] z~ D ....00 D "'f-< .,.~ .,.x 00 Hr--- I Or---~r--- W HU lC(or---=:r::o<o f-<' UOlll oUoZOO "'00 HN~OONHNOZ \:: Hf-< :i!;;; m~~::;~~ <>:..:1 u::> D~~:3~a~~en UlUl 0000 ~~~~~~~~~ f-<O~ H ~ ~ w '" f-< "'..:I 6Ul::> ZUl ..:I Hoo ..:I'" H ~ ~..: ~oo ~ ~ww ,...,... q f-<f-< 00 Uloo " g~~ "'''' 00 ... O~ " ~ WO MM <>:u ~ .... N !-< 0 0 0 H Ul ~ , '" '" '" >< 00 00 '" !-< ~ ~ ..:I '" '" ..: M.... o ...... ltl o ...... M f,lf,l t!)E-< .0:.0: 0.0 \0 \0 M M , N ltl '" >- ..:I ..: f,l H ..:I ..:I E-< f,lOO "'OJ ~~ E-<I-J Z .. 0": HO E-<E-< UU f,lOJ 0.0. 0000 ZZ H H o \0 M > H o [g 00 f,lf,l ZZ 00 :.::.: 0.0. 00 o m '" , 0..:1 0.0: oU OH Q~~ ~::;O H"'f,l )-4 ~. :t ":Z ..:1M ~ 0 Him ~(I) ~ON D~:tz~g ~~ooo cntcJ:~CI)tO 03:HOO N O::P::;;MO ~~~~~~ ...-l::W:::tIlC)oo E-< 00 m 00 f,l ...:1 ....f,l ot!) ~~ o ......E-< M": o 0. o f,l~ ":0 .0: 0.>- f,lE-< ":H o.u ..: ..: . <Il '" . f,l ZO <Il 00 . tJ . ~ OOE-<.o: ..:IZ ~~~~:U:J..:I offi6~~g: ~E-<uoo..o: E-< H ::E ..: f,l '" Ul E-< Z f,l ::E Z::E 00 HU E-<...... 0.00 HE-< ":..:1 u::> 0000 f,lf,l 1-<0": i 0. I-< 6~S ZOO Hf,l ~o: fIlf,lf,l :EE-<E-< OOf,l Of,l..:l 0::>0. O::E f,l0 ",U ~ ..:I '" '" .0: I-< i 0. 00 E-< H ::E ..: f,l 0. f,l OJ '" :.: E-< ..: OJ E-< ~ CJ)NO,::( .0:000 t!) ....f,l "'::E ...:I r-- 10 ~or--:r: UOltl HN'ltM ~~ <Il :>:0 ..:I u......>-..:I ~6~~ ::E '" f,l Z HN ..:10 ~ ~i o 00 ...... 0. >- E-< .... o \0 f,l ::E i '" 00 f,l E-< o Z ~ 00 E-< Z f,l ::E ::E o U ; 3604 1,747 l' ,. 1/ FOR OF"F1ClAL USE ONLY Dale Rce.: 1/" J ()7 PomH &~ ',- ~ Date Approved: ,111 pi Data liSued: I fi I J () '/ ( . ". ~ FlU out COMPLETELY and in INK. Your appllcation and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, caU (360) 417-4815 Applicant or Agent: Ei: ~ ~ . :"m:~;+j'~i.Q ~~ · City:<:Vori ArcWtectlEngineer: .----- ~I ~Vb~ Q/,~lA~ Contractor LlIICR uJ 11 eNl State License #: W I .jf- 0 i ltN LExp:_oJLU~ Phone:Y5 2 - 3:i &b Address: ,;{ 57 L 5'1 ~ \J f 01 City:..Rc.:r A--.3 e,w>.s Zip:-3 8'?' 1.0 ~ . PROJECT ADDRESS: / ( :2 i .5:-0. Glrtf-i"', Y P CL ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: " /) (p ~ 0 O~034 (P Cf 0 Phone: -4-5:1 33Gb Phone: A- () ~ e....le.. 5 Phone: Zip:' "C1 ~ 3(0 2- " . . Credit Card Holder Name: BilllnC Address: Credit CardType VISA Me # TYPE OF WORK: SIZEN ALUATION: o Re.identiaJ 0 New Constr. 0 Re-roof , 0 Stovo SF. @ $ ,'''/SF. .. $ o Multi-family 0 Addition 0 Move .0 Oarage SF. @ S /SF. .. $ o Commercial" a Remodel 0 Demolition 0 Deck SF. @ $ /SF. ... $ o Repair 0 Sign' 0 Other . rqTAL V~~~N~ $ 3, 0 StJ,OO BRlEFD~~PROJE'li:.->4~= .~~ = ~ClAURESIDENTlAL:~ancy Group: Occupant Load, Construction Type, No. of Stories:'-:'" Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. .. TOTAL Sq.Ft. Existing lot coverage ~ & Proposed lot coverage ~ .. Total lot coverage o/t . , , City: Exp. Dat~; ,. - 0 _0 ~ APPROY ALS:. . PLAN: PLANNING USE ONLY: - BLDC: DPWU: FrR.E: ' ESAlWet1and(a): Cl Yea 0 No SEPA Checklist required? c), Yes 0 No Other: OTHER.:_ BUll..DING PERMIT APPLICATION SUBMIIT AL: The Builcling Division can provide you with information on the appJicati~n and plan submittal rcq~ts if you have questions. VALUATION OF CONSTRUC'IlON: In aU cases, a valuation amount must be entered by the applicarlt. This figure will be reviewed' ' and may be rewed by the Building Division to comply with current fee schedules. Contact the Pemiit Coordinatorat 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans arc submitted. All other permit feca are due at the time of pcmii~ i1suance.' ,...' EXPIRATION OF p~ REVIEW: !fno pennit is Lssued within 180 days of the date' of application, ,the application will. expire. The . ell ilrli~.Dfficia1.can..~ the.iimeJ'or..a.ction.b.y..the.appUcant up. to 180-day.-upen'writtel1'l'cquest'by' the-applicant (see Section '1 07".4 0 f the Uniform Building Code, current edition). No application can b.e extended more than once. I hereby caTtily that I have ~ad 8fld'fJxamlned thIs application and know the same to be true and con'ect. I am authorize..d to apply for this permit and understand that lIs my responsibility to determine what permIts are required ,not the City's, Wld that I must obtain such permITs prior to work. T'''ORMSlAPPS\IluHdinii>mnH.Wpd . APPlicant~. t7~ Date: 1- 1/-0 / .. CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 9/13/2001 PERMIT NO: 12955 OWNER/APPLICANT PROPERTY LOCATION KAY GARRISON 1122 CHERRY S 1122 S. CHERRY Lot: 19-20 Port Angeles, WA 98363 Block: 346 [] Long Legal 360/000-0000 Subdivision: TPA T: S: Parcel No: CONTRACTOR ARCHITECT CUSTOM VINYL SIDING N/A PO BOX 1025 PORT ANGELES, WA 98362-0000 , 98360-0000 360/457-4336 360/000-0000 PROJECT INFO Project Value: $12,000.00 SFD Units: 0 Commercial: 0 Project Type: SIDING SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES INSTALL VINYL SIDING, 2-8'0"X4'0" VINYL WINDOWS, REPAIR DRY ROT RECEIPT #8063 FEES ASSESSMENT Building Permit: $209.25 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: $213.75 Plumbing: $0.00 AMOUNT PAID: $213.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 SeparatePermltsarerequiredforelectficalwork, SEPA, Shoreline, ESA, utilities pdvate and public improvements Ths permitbecomee null and void if work or construction authedzed 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 w th n 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 provs ons 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 g~' ~?, thoj'ity to vi.qlatff or cancel the provisions of any state or ocal law regulating construction or the performance of g t 'g of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE [ ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DI~AINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING BUILDING PERMIT - APPLICATION D=R=,.: Permit//: Date Approved: ~w~ The Building Permit - Pre-application must be fdled out completely, oa~ Please typo or p~int in ink. If yon have any questions, please call 417-4815 \ f~'-'~- ~ Z Owner: {.)~,ll;a~ c+ ~ '~'o./'/',~.~r--- Phone: Address: il ~- 3, ¢~.~-c~ City:. {~/~ Zip: Architect/Engineer: Phone: Contractor {~15'~4~ /f~/ .~),/~ License#:~?~)t/~/CExp: ~-O~ Phone: Address: /~,o, ~r,'~ /~"~ 5-- ~ e City: f,4 .... Zip: q~c~,~ PROJECT ADDRESS: //~ ~' ~.~' '~'' ~'~ zONING: LEGAL DESCRIPTION: Lot: ," ~' l~k: ~; ~ Subdivision:_ _ _ CLALLAM COUNTY PARCEL NUMBER: .'*' ~ ~redit Card Holder Natal Billing Addr~s: CiO: Credit Card #: Exp. Dat~: VISA MC .~l~'~OF WORK: ...... ' SIZE/VALUATION: -3~-'Residential [] New Constr. [] Re-roof ~ Woodstove SF. ~ $__~/SF. = $ /~ [] Multi-family [] Addition [] Move []Garage SF. (~ $ /SF. = $ [] Commercial ~ Remodel D Demolition [] Deck SF. (~ $._____~/SF. = $ [] Repair [] Sign [] -- TOTAL VALUATION , $ COMI~ERCIAL/RESIDENTIAL: Occupancy Group:. Occupant Load: __ Construction Type: No. of Stories: Lot Size: % Lot Coverage: % Existing Lot Coverage: /sq. ft. + Proposed Lot Coverage: /sq. ~ = TOTAL L(~cOvERAGE: /sq.ft PLANNING UStc. ONLY: APPROV~i~ ~ ~, PLAN Notes: ~,,~;.~, BLDG. DPW ESA/Wctiand(s): [] Yes r~ No SEPA Checklist required? [] Yes [] No Other: ~'~"~ : OTHER BUILDINGAPPLICATIONSUBMITTAL: Yourapplicationandsiteplanmustbefllledoutcomplete,~heacceptedforrevie~. The Building Division can provide you with more detailed information on the application and plan submitt~ quiremente. BUILDING PERMIT APPLICATION SUBIMI'I-I'AL: Your completed application, site plan (for a~ns) and building conslruction plans are to be submitted to the Building Division. ' VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicanL~j~.~te will be reviewed and may be revised by the Building Div. to comply with current fee schedules. Contact the Permit Coordiffiltor at 417-481 $ for assistance. PLAN CHECK FEE: Your plan check fe~ is due at the time thc building pem~it application and conslruction plans are'submitted. All other permit fees are due at the time of permit i~uance. EXPIRATION OF PLAN REVlEWf~permil is issued within 180 dnys oftbe date of application, this applieatien will expire by limitations. The Building Official can e~d the time for action by the applicant up to 180 dnys, on written request by the applicant (see I hereby certify that I have read and e~.m~,~bv~ this application and know the same to be true and correct, and 1 am authorized to apply for this permit. ~ understand it is not t~iO~ legal responsibility to determine ~h_h_h_h_h_h_h_h_h_h~rmits are reyluir~ed; it remains the applicant's responsibili ,odetermine at r it are qui edandtoo tain u / // / PW-1102_13[revS~01] Applicant: .~/~:.~..~/~'// ~//~ Date://~ ¢ SITE PLAN DEi*ARTMENT OF PUBLIC WORKS, BUILDING DIVISION See Page 4for irutmction~ on completing the ~ite pla~ Formore i~ormat~ott call 457811, e~engion 12I PAGE CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date Time Received by :(phone)person)· Location of Work to be inspected / / ~--~-~ ~ ~--~I~/~ ~ Name of person requesting inspection /~/7-c Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~ A'~' INSPECTION NOTES: Inspected: Date t 'l ~ , 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 []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15024 Y - 7 - }0' Port Angeles. Washingtonmnm_n____n_u_________m__________m__mm_mnm. 19:m____ In aocordance with the City Ordinance to regulate the Installation. extension. or repair of elec- trical equipment in. on. or about any building or other structure In the City of Port Angeles. per- mission is hereby granted to do electrical work as listed below. Address n_n//?n2m_j;.:n~_!~!f-mn-nnm-moonnnmnmn Occupancy___,L:..!'.-::-;!-.__m_n__mmn_m_oonoo Owner mm_nj),':(.,___2kft."Md_:<mnm_~_n_mn_nnn_n Tenant_n______nnnn_n____m.nn___n__n_n__n___n_mn____mnnm Wiring Con;ractor __a,,:!!'e_~'(J;,_:,_c~6?:~~:_st:.((?::n____m_oo Byn___n_______________n__oo___n_______n___n______n_m_n_n_n__ / ;/ Light OUt1etB...................._m...___~_...__... Service, volts ../_-2....?/.?mr..~ Type of Wlrtng: R t I 0 tl t No. wires ..__~~.mm_:_____________________ Armored Cable m........mu_.__.m__... ecep ac e u e S._...__.m.._mm__......... 1/ SIze wiresmJf;3;;-Y----- Main fuse ................mm_m............. Enclosure ....~....?J..~..........m. Dryer, KWJ nnnn_oo_m_n__n____oo_______n_____ nange, KW \Vater Heater: KW__mnn________oon___________moommnn "'0'1:1'/1( i "t-,.. }{eat: RW .?:........m.~._.....li3.':....._:~:~m.m ~ Type of wiring: Entrance Cable .......mm_....mm__m Motors: size, volts and phase: Rigid Conduit m....._..._........___....m Metallic Tubing __...._.......__........m Current transformers: No. & Size.................._..___.__............ Ser. No.__....____...__....___.....__................. Ser. No.-_...____...._.._....._..__.................. Ser. N 0._.._..........._.._........................___ Non.MetalUc ..........m_................... Knob & Tube Rigid Conduit mm_m_mmmnn_mm Metallic TUbing __.................m__m Race\vay __..___._______._______.___________...... Circuits, LighL........_............................. Utillty ..............__.................._......... Heat Range .._..___........_...._...._......_..._____... Water Heater m_m..m_.um..__......__ Motor ____......_____.....___________.______....._ Dryer____.._____._._______......._____.......___.__.... Furnace ..........._........___...___m....mum. Total Load.._............__.._.....__ Ser. No..._.........................._..______....... Total ......_..........._...._............... " ~ ~\I Remarks : ..nu-::?.~~-0:...-:_r::=_____..__.4:.c:-:_~.u..t..UUU_.....h..(!::f.____.__.n__......___hh___n____._.__n.nn___nd.__.___nnunnnnun.n __________nn_____________n____n____mn_m______________m___n____m__________nn__________n______:;:._m7/--~-:m----m~:m---n---mn ~~-~~n~~~oo---------n-nm- ~~~_~:n~~.~.~~_~_~n.n___ By _)!..~m:~_nl___:!;;_0::::___nJ_::_:f_!_!-::___m___ NOTICE-Current must not be turned on until Certificate of Inspection has been Issued. It work Is to be con. cealed due noUce must be given the Inspector so that work may be inspected berore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ;} u '/ d r IC~ fc;-<'e~A-4- ELECTRICAL PERMIT N? 15024 r - Date Ciled ~*~e'!;,;~Ft{-~-&.:v/----m------m-_-----mm-m---m-mn----m-m---------_m/!_:::_.L__::_)_t.._____m__n__n__m_ preliminaryJtnspectio(f;t,~~::'(J;"~.---..t?a......--yi~---.q~..~....---.--..........-...............------...........--..-.....-....--.-...........-.......__......_ Inspectioncompleted..__......_!....:...._.............._......___......_____.....___.._____.__...........______..._.....__._._._..___........______..._....__..._____.__......._......___.....__ / Total Load .........................................,.......,...._..............._.._..__.........._ .__...__.. un......__.......u........ ....__.._.................__.................u.._.._....,._......_ , -', , \ 1M 3-72 Olympic Printers. Inc. 'f:~ Application Number . . . . . 22-00001328 Date 10/25/22 Application pin number . . . 609600 Property Address . . . . . . 1122 S CHERRY ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-4690-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Overhead to underground ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GARRISON WILLIAM D BOB'S ELECTRIC INC 1122 S CHERRY ST 2293 DEER PARK RD. PORT ANGELES WA 983627617 PORT ANGELES WA 98362 (360) 457-6887 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 146.00 Plan Check Fee . . .00 Issue Date . . . . 10/25/22 Valuation . . . . 0 Expiration Date . . 4/23/23 Qty Unit Charge Per Extension 1.00 146.0000 ECH EL-201-400 SRV FEEDER 146.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 146.00 146.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 146.00 146.00 .00 .00 !oI J',.i* ProiectAddress: Iruhlie Work$ and tJtilities l)cpartnrcnt 32 I Ii. Sth Street, Port Angeles" W?[ 98362 360.4 17,4735 i vuww.e itl,trfpar.us I electricalpcrnrits.f4f)cityo{pa.us /A S/-,ee& #-t P h4d, ?Wf. Project Description:C)o &n.&rt 'for.l Single-Family Residential tl Duplex /ARU Building $quare footage: Email: Mailing ix Phone: Name: Mailing Email: .'.. Unit Gharuere $120.00 $146.00 $205.00 $262.00 $373,00 $s.00 s63.00 s5.00 $75.00 $e3 00 $110.00 $149.00 $168.00 $96.00 $64.00 $120,00 $102.00 s56.00 sl20.00 sf0.00 s74.m 811000 QuanffU &H (Quan0U x Unlt Chargel s_.-_;rylE_ $-$- $_ $- $_s-$- $_ $*----.s- $-s- $--s- $*-s- $- $- Servl'ce/Feeder 200 Am p SErvicdFseder 201 400 Amp. $eMce/Fee&r 401 -600 Amp $ervlce/Feeder 601 -1 000 Amp. Service/Fpeder ouer I 000 Amp. Branch Glrcuit W SsMoE Fseder Branch Gircuit W/O Seruice Feeder Each Additlonal tsranch Circuit Branch Gircuits 1-4 Temp. Seruiae/Feeder 200 Amp. Gmp. $Erujae/Feeder 201-{00 Amp. Tbnnp. $EruieE/FeedEr 401€00 Amp. lbmp $eruioe/Feeder 601-1m0 Amp. Portal to furtal Floudy Signal CircuiULXmiEd Energy - 1&2DU. Manufr ofu rad Hornp Gonrecition Reneuuable Elec. Energy: 5l$/A SysEm or less Thermos[at (Note: $5 breacfi addiiional) FinS 1300 Sguare F6t Eech Adtlltonal 500 squan f€ef ' , " Each OilbuiHlng / Dotached Garqe Eaffi Sulmnlng Pool , HotTUb Eraai-ar.ft*. $ *-o",**'--**-- $ -"--rE. ";-:-- Ourneras delined by RCI/U19.N261: (1) Ownerwilloccupythe strudure fortrrn years aftsrthis aledricalpermitis linalized.l2l Owner is rcqulnd to hlre an elsclrlcal oontraclor if aborre said propBrty is lbr iele, r€nt or lease. Permlt explres afier six monlhs of lasi inspection. Atbr readlng tlre above statemEnt, I hereby certlfr ttrat I am llre owner of lhe above named propefty or a licansed electrical contractor. I em maldrlg the eleotrical instaltation or alEralion in compliance with the electrical hws, N-E.C. , RCW. Chapiler 1 9.28, WAC. Chaphr 29& 468,y of PoltAngeles Municipal Code, and Utility Speclfications and PAMq!4.05.050 Permit Applications. Date Frint $ignature (fl Gontractor / Ad rn i nistrato r) ItBm [Electrlcal PermltApptlcations may be submified to City Hallorelectricalpermits@cityofra u$ orfaxed to 360.417.4711] . License: .IrI-rE 73. PREPARED 10/20/22,12:37:12 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001328 1122 S CHERRY ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 146.00 TOTAL DUE 146.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 4/6/2023 22-1328 TAP OWNER CONTRACTOR Bob’s Electric PROJECT ADDRESS 1122 S Cherry St INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH ELECTRICAL PERMIT 1 CITY OF PORT ANGELES f FINAL 360-417-4735 Application Number . . . . . 18-00000883 Date 6/13/18 Signature of owner or Electrical Application pin number . . . 741520 Date: Property Address . . . . . . 1122 S CHERRY ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -4690 -0000 - Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ----------------------------------------------- ---------------------------- Application desc GARAGE SUB PANEL, lIGHTS AND OUTLETS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GARRISON WILLIAM D ROCHE ELECTRIC & CNSLTNG INC 1122 S CHERRY ST 688 OAK WOOD DR PORT ANGELES WA 983627617 SEQUIM WA 98382 (425) 293-2357 ------------------------------------ — -------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee . . . . 160.00 Plan Check Fee .00 Issue Date . . . . 6/13/18 Valuation 0 Expiration Date 12/10/18 Qty Unit Charge Per Extension 8.00 5,0000 BCH EL-ECH ADDNT BRANCH CIRCUIT 40.00 / 1.00 120.0000 BCH EL -0-200 SRV FEEDER 120.00 ---------------------------------------------------------------------------- Pee summary Charged I Paid Credited Due Permit Fee Total 160.00 160.00 .00 .00 Plan Check Total 1.00 .00 .00 .00 Grand Total 160.00 160.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN f FINAL COMMENTS: PERMIT WILL E.XPW SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: 1 - 2 SINGLE-FAMILY &BVED _9 ELECTRICAL PERMITAPPLICA Public Works and Utilities Departmentfj 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 1 www.cityofpa.us j electricalpermits@cityofpa.ikEC1[,i - Project Address: 1122 S CherrySt Project Description: Sub panel for garage, add 3 out lets and 3 light in Single -Family Residential ❑ Duplex/ARU Building Square footage: OWNER INFORMATION Name: Kay Garrison Email: kgradson@olypen.com Mailing Address: 1122 S Cherry St Phone: (360) 477-6111 Name: Roche Electric & Consulting Inc License: ROCHEEC831JO Mailing Address: 688 Oak Wood Dr Sequim WA 98382 Expiration Date: 4/20/2019 Email: orlandosr@rocheelectric.com Phone: (425) 293-2357 PROJECT Item Unit Charae Quantity Total (Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 1 $ 120 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 2 $ 10 Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ 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 Circuit/Limited 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 EaChAddiltionall500_square feet" $40.00 $ Each:Ouftiiding / Detached Garage $74.00 $ Each Swimming Pool ! Not Tub $110.00 $ TOTAL $ 130 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. 6/11/2018 Orlando Roche Date Print Name Signature (❑ Owner V Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] 3 TI ELECTRICAL PERMIT CITY OF PORT ANGELES 36€ -417-4735 Application Number 18-00000883 Date 6/13/18 Application '"gill" tim3Ss .;... `141520 PI(operty, A 4Ss . _ >. 112.2 f5 CHERRY Si ...... .. . ASSESSOR PARCEL NUMBER: 66-3.0-00-0-•3-4690-00.00- Application type description ELECTRICAL ONLY on your excise tax form subdivision Name . . . . . . _ - to the City of Port Angeles Property Use . . . . . . . . Property Zoning , . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Coale 0502) Application valuation 4 ---------------------------------------------------------------------------- Application desc GARAGE SUB PANEL, LIGHTS AND OUTLETS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GARRISON WILLIAM D ROCHE ELECTRIC & CNSLTNG INC 1122 S CHERRY ST 688 OAK WOOD DR PORT ANGELES WA 983627617 SEQUIM WA 98382 (425) 293-2357 Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee . . . . 160.00 Plan Check Fee .00 Issue Date . . . . 6/13/18 Valuation 0 Expiration Date 12/10/18 Qty Unit Charge Per Extension 8.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 40.00 1.00 120.0000 ECH EL -0-200 SRV FEEDER 120.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- --7 ------- Permit Fee Total 160.00 160.00 00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 160.00 160.00 .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: