HomeMy WebLinkAbout1112 Columbia St - BuildingPREPARED 4/07/10 8 29 03 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/07/10
ADDRESS 1112 COLUMBIA ST
TENANT NBR P HONEYCUTT TRACY SMITH
CONTRACTOR THURMAN SUPPLY
OWNER P HONEYCUTT TRACY H SMITH
PARCEL 06 30 00 5 3 0530 0000
APPL NUMBER 10 00000307 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME6 01 4/07/10 JLL
1 /7
SUBDIV
COMMENTS AND NOTES
PHONE (360) 457 8591
PHONE (360) 452 7195
MECHANICAL GAS LINE TIME 09 00
April 7 2010 8 22 53 AM 1pangrle
DARRAN 477 2604
GAS LINE
MORNING —(THE _TANK- WILL_COME THIS AFTERNOON.)
Owner
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 10 00000307 Date 3/30/10
Application pin number 747892
Property Address 1112 COLUMBIA ST
ASSESSOR PARCEL NUMBER 06 30 00 5 3 0530 0000
Tenant nbr name P HONEYCUTT TRACY SMITH
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning COMMERCIAL OFFICE
Application valuation 2520
Application desc
PROPANE TANK SET GAS FIREPLACE INSERT
P HONEYCUTT TRACY H (SMITH
1112 COLUMBIA ST
PORT ANGELES
(360) 452 7195
Qty Unit Charge
1 00
1 00
1 00
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
10 6500
10 6500
50 0000
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 fora period of 180 days
after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have
read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit do Notpresume to give authority to violate or cancel the provisions of any
state or local law regulatingFonstruction or the performance of construct
o✓v
5-30 -C 0 D e y 4 4 L4
Date Print Name
T:Forms/Building Division/Building Permit
WA 1983624208
MECHANICAL PERMIT
TANK SET /FIREPLACE INSERT
163022
121 30 Plan Check Fee 00
3/30/10 Valuation 0
9/26/10
EA
EA
HR
Per
121 30
00
121 30
Contractor
THURMAN SUPPLY
1807 E FRONT ST
PORT ANGELES
(360) 457 8591
BASE FEE
ME STOVE /FIREPLACE /MISC APP
ME FUEL GAS PIPING 1 5 OUTLETS
ME INSPECTION MIN 1 HR
Paid Credited
121 30 00
00 00
121 30 00
WA 98362
Due
Extension
50 00
10 65
10 65
50 00
00
00
00
Signature of Contractor or AutIi rized Agent Signature of Owner (if owner is builder)
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders I Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only
T -Bar
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T.Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
Inspection Type
I
I C
3 I FINAL Date Accepted by
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
t xni hoA 11-1(141)
O
CIT OF PORT AN
Attn Building Permit Technician
321 E Fifth St. Port Angeles WA 98362
(360 417 -4815 fax (360) 417 -4711
Applicant 14
Property Owner 57 (f'ave.4 S 1 i
Property Owner's Address
Contractor Tj,
Contractor's Address ,z07 s f si
License .<-k/ Expires
PROJECT ADDRESS ,,l z Ccr ictiAfran u,
Parcel Number
Proiect Tvoe Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof
Or Heat System
�yf Other
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
BUILDING PERMIT APPLICATION Print in ink
GELES
iOV
House garage other
Heat pump wood- burning stove
a IA 4 cfcc5
J
esidential o Multi- family
Existinq (sq. ft.) Proposed (sq. ft.)
gas fireplace
Total footprint of structures sq ft. Lot size
Site Coverage the amount of impervious surface on a parcel including structures
and other impervious surfaces (see PAMC 17 94 135 for exemptions)
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
4 k 1 s �6
Phone 1 5 7/ pr
Phone
Lot
For City Use Only
Date Received 3-3o-- (0
Permit* 10 301
Date Approved
Phone Srs- 2. S S 5
M c.-f /r 7 t7( 2
E -mail
tear off re -roof lay over one layer
pellet stove ,@-other SaS 345.25
�rPD
TOTAL VALUATION
Zoning
Commercial Industrial
per sq ft.
of bedrooms
of full baths
of half baths
sq ft. Lot coverage
paved driveways, sidewalks, patios
Site coverage
S 20
1 have read and completed this application and know it to be true and correct. I am authorized to apply f t is permit ayjI understand
that it is my responsibility to determine what permits are required, and to obtain permits prior to workin n pr jects
f
Date3-Z Print Name �ct ✓'r�u IA CA. es 4U Signature `i
T•Forms /Building Division /Building permit application
OA
I 1 v►S
1f
K
Clallam County Assessor Treasurer Property Details 61803 P HONEYCUTT AND Page 1 of 5
Clallam County Assessor Treasurer
Property Search Results 61803 P HONEYCUTT AND TRACY H SMITH for Year 2009 2010
Property
Account
Property ID
61803
Location
Address: 1112 E COLUMBIA ST Mapsco
PORT ANGELES
Cycle 5 Res Map ID*
10955130
Neighborhood:
Neighborhood CD*
Owner
Name
Mailing Address:
Taxes and Assessments Due
Property Tax Information as of 03/30/2010
Amount Due if Paid on.
Legal Description.
Geographic ID 0630005305300000 Agent Code
Type: Real
Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11
Open Space: N DFL N
Historic Property* N Remodel Property* N
Multi Family Redevelopment: N
P HONEYCUTT AND TRACY H SMITH Owner ID
1112 COLUMBIA ST Ownership.
PORT ANGELES WA 98362 -4208
Exemptions:
P S CO -OP COLONY
SUBDIVISION LOT 7 BL5
31107
100 0000000000%
First Second
Half Half
Statement P Base Base Base Amoi
Year ID Taxing Jurisdiction Due Due Penalty Interest Paid Due
2010 44495 ST SCH STATE SCHOOL $181 83 $181 83 $0 00 $0 00 $181 83 $181
2010 44495 CC -GEN COUNTY $96 76 $96 76 $0 00 $0 00 $96 76 $96
2010 44495 PORT PORT $13 60 $13 60 $0 00 $0 00 $13 60 $13
2010 44495 PORT ANG PORT ANGELES $224 04 $224 04 $0 00 $0 00 $224 04 $224
2010 44495 SD #121 SCHOOL DISTRICT #121 $235 52 $235 52 $0 00 $0 00 $235 52 $235
2010 44495 NTH OLY LIB NORTH OLYMPIC LIBRARY $28 12 $28 12 $0 00 $0 00 $28 12 $28
2010 44495 HOSP #2 HOSPITAL #2 $39 70 $39 69 $0 00 $0 00 $39 70 $39
2010 44495 WSMET Pk DIST WILLIAM SHORE MET PARK DIST $12.63 $12.63 $0 00 $0 00 $12.63 $12
2010 44495 CITY_STORMWATER_ CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $36 00 $36
2010 44495 WEED CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $0 82 $0
2010 44 TOTAL. $869.02 $869.00 $0.00 $0.00 $869.02 $869
2009 618032008 ST SCH S TATE SCHOOL $208 31 $208 30 $0 00 $0 00 $416 61 $0
2009 618032008 CC -GEN COUNTY $105 43 $105 41 $0 00 $0 00 $210 84 $0
2009 618032008 PORT PORT $14 94 $14 93 $0 00 $0 00 $29 87 $0
2009 618032008 PORT ANG PORT ANGELES $231.24 $231.22 $0 00 $0 00 $462.46 $0
2009 618032008 SD #121 SCHOOL DISTRICT #121 $257 60 $257 60 $0 00 $0 00 $515.20 $0
2009 618032008 NTH OLY LIB NORTH OLYMPIC LIBRARY $30 63 $30 63 $0 00 $0 00 $61.26 $0
2009 618032008 HOSP #2 F HOSPITAL #2 $43.24 $43 23 $0 00 $0 00 $86 47 $0
2009 618032008 CITY STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00 $0
http.//vpn.clallam.net.8084/ propertyaccess /Property. aspx ?cid =0 &year= 2009 &prop_id =61 3/30/2010
(~ORT~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32! 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
06-00001215 Date 12/21/06
280030
1112 COLUMBIA ST
06-30-00-5-3-0530-0000-
TRACY SMITH
RES DETACHED GARAGE
UNKNOWN
8000
Owner
Contractor
P.HONEYCUTT/TRACY H-SMITH
1112 COLUMBIA ST
PORT ANGELES WA 983624208
OWNER
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
90357
179.75
12/21/06
6/19/07
Plan Check Fee
Valuation
71.90
8000
Qty Unit Charge Per
Extension
95.75
84.00
BASE FEE
6.00 14.0000 THOU BL-2001-25K (14 PER K)
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
11/17/2006 04:56 PM SROBERDS --The proposal will result
in a new detached garage in the RS-7 zone for total lot
coverage of 30%. No land use issues are anticipated.
MAINTAIN CLEARANCES FROM SERVICE WIRES
Construct driveway to City Standards. No concrete with
exposed aggregate allowed in the City road right of way. An
inspection by Public Works Engineering is required prior to
prouring concrete.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credi ted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 179.75 179.75 .00 .00
Plan Check Total 71.90 71.90 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 256.15 256.15 .00 .00
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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 speyified herein or not. The granting of a permit does not
presume .to give authority to violate or cancel the provisions of any state, or locrl law re ctPcl:ting construltJOn or the performance of
construction. ,'! tf!/. /
/ . z ~ Ix ~:)/ _ Q I
Signature of Contractor or Authorized Agent
Date
T:\PoJicies\J 102_15 building permit inspection record05.wpd [1/4/2005]
Date
'-
BlJll.,DING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-473~ FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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
SHEAR WALLS / WALLS
FOUNDA TION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
SHOWER PAN FINAL DATE ACCEPTED BY:
MEDICAL GAS LINE
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYW ALL (rNTER10R BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP I FURNACE / DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMIT#'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R. W./ PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 I FIRE DEPT. .
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 t'J../1!1l (;-& ..lJ../ ~ BUILDING
. . \1102 15 buildin' ennit ins eclion record05.w d [1/4/2005]
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This map is not imended /0 be used as a legal description.
This map/drawing is produced by the City of Port Angeles for its own use and purposes.
Any other use of this map/drawing shall not be the responsibility of the City.
Vcr/feol Datum = NA VD 88
Horizontal Datum = NAD 83/91
D
N
30
Feet
,
Legend
Building
Street centerline
1-
1-/77 - ~ ~ 6 Z- )< ~ i c:..-
BUILDING PERMIT - APPLICATION
Phone:
/Je ~/ &1
3tftO A/S- d. ) / 9~-
3 &OL/:<-;?- 7/ 9 s~ .
Zip: 9!??(tJ";L
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Owner:
Address:
Architect/Engineer:
Contractor
Phone:
State License #:
Exp:
Phone:
Address:
PROJECT ADDRESS: / / / a ,2
LEGAL DESCRIPTION: Lot: I
CLALLAM COUNTY PARCEL NUMBER:
City: Zip:
(0/ fA I7J /;/~ ZONING:
Block: J. Subdivision: PS CO-of ('0/0111
/ oJ( ID1FH OIVE 4()/O
TYPE OF WORK: SIZENALUATION:
o Residential 'tiir New Constr. 0 Re-roof 0 Stove SF. @$ /SF. = $
o Multi-family 0 Addition 0 Move IILGarage ~ SF. @ $..ztJ /SF. = $ f!l( tJ"{9-O
o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $
o Repair 0 Sign 0 Other l TOTAL VALUATION $ dh; ~
BRIEF DESCRIPTION OF THE PROJECT: ~tA ; 1 01 ri-O ---I. :.l 0 (') C\ r qlf ~ ,
~
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Storios: -L Jt2!i;i' 5'0 " I 'I/JI Bdsting Sq. FI. /(. 7 ') & Proposed Sq. FI. '-/ rP 0 ~ TOTAL Sq. FI. 2 () 7 <;
Total lot coverage . %
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
~
~
--t-
.':1
<t2..
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 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 are -J-
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, the 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 ~
R105.3.2 of the International BuildinglResidential Code, 2003). 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. I am authorized to -.Q
apply for this permit and understand that)!.' my respo sibility to determine what permits are required ,not the City's, and that I -\J
must obtain such permits prior to wog/ I 4-
T:\FORMS\BldgPermitform.wpd Applicant/' ;I - Date: /0 -- 7-- () ( fl ~
L d I f2, { ~lp ~rmt >SQIhJ, t>x-<:{ JY,,{B-; I s pf 1i-<-cs, bfLt:f ':1
-+-t-C C Ie /~ ' Clll ~"{ov LBt1- y'l.teSS>t7-QF.JZL
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Site' ddress:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. .;;:I Y t/ 9
//th~
r
DATE
Inst lied By:
o READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Owner/Business:
Phone:
Own rfBusiness Address:
Sq. Ft.
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
~ Overhead
o Under9Jll.uud / -
Voltage ~C&/1~c.)
g10 030
Service size ~ Amps
o Temporary
Residential
Heat KW
Baseboard 0 Furnace/Boiler
Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
~ Service update/alter/repair
~i1'm"";PHOO
.
/l4 ve It'l..it; ~E-
1f~1
~
/
*~e)~
W.S.. No. Service
Capacity: 0 O.K. 0 Not O.K.
. ~O Ditch insp'ection O.K.
/[P. '1{J Rough-in/cover O.K.
~'tJ. olK. to connect service
yfi Fi:nal O.K.
I
Site f\ddress:
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
permit3$t#
New Meters
.
Date: '/
i bll~
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
musj not be covered or electrically energized before inspection and O.K. for covering or service has been given
by t~e Ins.ppeecctt,or i Writing on the Wiring Report or the Building Permit. PHONE 457.0411J:tT.158 or EXT. 224.
~ ~~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT r ~ ~
Inspector Amount paid
WHIT" - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
Installer:
OLYMPllr: PRINTERS. INC.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
I
ELECTRICAL PERMIT
Nt!
16929
)' - c?- Go. ,) q
Port Angeles, Washlngton__________________m_________________________________________, 19_,::_-<-
In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec-
trlcal'equlpment 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//Ij:-- c+:.e:(=__2;~~!____nn__________nn_n______n Occupancy_n____-;_~_nt.____~___________________n_
~:~~~~-~:h:~~~~~~t1~~~&~~;~---~~~~~'-~--~------------~::::::::::=:::::::::::~~:::::=:::~~:~::~~::::::::
LIght .outlete..._.....(..?::..._......_.._..... ServIce, volt, .../.:.-?..o.,./..-:=?...c.(,i Type ot WIring:
Receptacle outle~...3.6.......--......... No. wIr.es ..----.&.;;;...-.-...77. Armored Cable .......................-:...-
"" SI Y.h./ -"""I Y Non-Metallic .--......---.....--.........-...
Dryer, KW ...........~...__u...____n..______..____ ze wlres.....;"r..;.....--...-:-.-.~.....---
/ :;:L. " 2/~~ A Knob & Tube......_.__........_......._....._
Range, KW ~.~'..____n......_._________._____.. Main fuse __<..c.~:.....m;__...a.......
. _' ./ C-
Water Heater. ~ .) Eoclosure .......___.,_J.........___........
KW.............n......?.......___ 00 Type of wiring:
Heat: KW ......__../1.1.. 2_...1l..tr... .. Entrance Cable __.....m___..___m........
Motora: size, volts and phase:
:ttt::~::::::::::::::::::::::::::
RigId Conduit ---.........---................
MetalUc Tubing ....m___.................
Current transformers:
No. & Size_........______......____........__....
---.....-............-----..............-....-..-...-.......
Ser. No....~:__.___...._____......______......._.......
Ser. N o. ~......----......................-----......
........-------........----..--......------.............-
Ser. No. .......______...................n__.........
RIgid Conduit ....___..................__....
Metalllc TubIng ......................_____
Raceway _........._....................___._
3
Circuits, LighL.__..............................._..
Utility .......~._..................._h......._.
?T'
Heat h_......_._......_.........._........._.._
t2. .,
Range ....._........._......._........._........._.
'::<
Water Heater ....__......__.....____......__
:r::::.....~~~.._......~~~._~~~~....._._._..~..~~....._~..~....~~~
Furnace ......_..................._......_.._. .....,
~3
Total wad...._______......___......... Ser. NO.._.___.......__..__......____............_n Total .........__.___....__n_.....___.......
Remarks: .~_uu..nn_.:.;'.._L__q__.~ut.n.~:__.._____nC:(E..:~:"..;t.._:;t,_n~._n.uu.._..n.nn.n..nnnuunn.nn.nn.n...n___n...n_..._..n_u
'" -- -
.___.___n.........__.__.______.__.____.~_.___._______.._._----...--..---.--..---..-....--.-....--.--.-..-...--..---.-....--.------..--------.--..-.-------....------.--.----.-..--
u.nn_n_.unn_n.h~nn____uuunn____.nnn__uu.nnn_uhd.nn_unn___nunnn_nn__.n...uunn._.nunnn.n__unn___u__.nnn.nn.nu...n__
Permit Fee
~" ..
$:___2.."t..1;2_____m_m______
Treas. Receipt
NO.._mmm____________m
By uL_~Lf~:~~~4~
.-
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?
16929
Address._____.............___.............._._..............._..............__..____............__._.....~......._._._.............._..__.....Date..__......_______.._..............-..-......----.--.-
Owner '....................._....__.......____.___.._......_._....__._.._.....__.......__..._..........._~....._.___............. Tenant.__.___.__..........._____...........___n__.....__.---.....-....---
WiringContractor._........_............................................_____....._...__..........._____._...__.....____.__..........._____By............._._...........................--................-
''\ NOTICE-Current must not be turned on untn Certificate ot Inspection has been issued. It work Is to be con.
~ealed due notice must be given the Inspector so that work may be inspected before concealment.
1M
Olympic Printers, Inc.
;;
"
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . . . .
REQUEST:
Date 3-'2-7.-07
Time II.. 50 1/""- Received by .oc'H1I5 E. (phone. personl_
Location of Work to be inspected 1/ I Z. Co ( u...... b ;,:....
Name of person requesting inspection Oe.... 01 i 5 C-.
Address of person requesting inspection ~rf y~.....Q 17 'f-B
Type of Inspection (circle appropriate one):
Phone No. -In-48'f"1
Sewer Foundation Framing
Chimney Plumbing Final
Permit No. .
Sewer Excav. Ot~t.k,-+e::0
INSPECTION NOTES:
Inspected: Date. 0 - 7. t -Dr
Remarks: ;:?e,()(,<~",-d '-I' o-t='
I
Time {;3D PM.. By O~-t"'-"S L..
3(4" f7- IS.. +='y-e;,,,,,-- Vv\..~~1'\. TO<<.J<<..J 5e-,JI~<L
RESTORATION REQUIRED. . . . .. YES X NO
~
Co I U ~1A b; Co....
\J\
~ ~ :No I ~
v 1
-S\ ".< ~ c: -r 3~' !)LiP " 0 8
~ ,~/~ p~ "
-.!
.-,$
\J
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
3'x. c:
~ Asphalt 0 PCC 0 Other
Work Order # 5D'''''..;::(<)8
~ COMPLETE ~ ~ U)O~
o INCOMPLETE " LY-
/10 ~ free/- ~kh7 -rr
(Continue on reverse side ff necessary) . STREEI s'UPERINTENDENT
!DATE I
Application Number . . . . . 22-00000654 Date 5/26/22
Application pin number . . . 127172
Property Address . . . . . . 1112 COLUMBIA ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-3-0530-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL OFFICE
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
P. HONEYCUTT & TRACY H. SMITH CASCADE ELECTRIC & VAC INC
1112 COLUMBIA ST PO BOX 369
PORT ANGELES WA 983624208 PORT HADLOCK WA 98339
(360) 452-7195 (360) 379-5347
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee . . .00
Issue Date . . . . 5/26/22 Valuation . . . . 0
Expiration Date . . 11/22/22
Qty Unit Charge Per Extension
BASE FEE 75.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
EL1-2 SF 1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □ Single-Family Residential □ Duplex / ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit Charge Quantity Total (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 $
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 $
Each Additional 500 square feet``$40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool / 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-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□ Owner □ Electrical Contractor / Administrator)Permit #: New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
DHP
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
5/26/2022 22-654 TAP
OWNER
CONTRACTOR
Cascade Electric & Vac
PROJECT ADDRESS
1112 Columbia St