HomeMy WebLinkAbout106 Orcas Ave - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
0 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000935 Date 7/24/12
Application pin number 783095
Property Address 106 ORCAS AVE /1
ASSESSOR PARCEL NUMBER: 06- 30- 10 -5 -0- 2028 -0000- REPORT SALES TAX
I Application type description RE -ROOF on your state excise tax form
i Subdivision Name
Property Use to the City of Port Angeles
i s) Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 1295
AI Application desc
TEAR OFF REROOF OUTBUILDING IN ALLEY
Owner Contractor
J BARTON LARRY'S. ROOFING Y r 1 1 1-1Z.
106 ORCAS AVE 352 AVIS ST. 1
PORT ANGELES WA 983622552 PORT ANGELES WA 98362
(360) 452 -4247 (360) 452 -2215
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF REROOF
Permit Fee 74.40 Plan Check Fee .00
Issue Date 7/24/12 Valuation 1295
Expiration Date 1/20/13
Qty Unit Charge Per Extension
BASE FEE 50.00
8.00 3.0500 HND BL- 501 -2K (3.05 PER C) 24.40
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 74.40 74.40 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 78.90 78.90 .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 has commenced, or if required inspections have not been requested within 180 days from the
l last inspection. I hereby certify that I have read and examined this a..lication and know the same to be true and correct. All provisions
t of law's and ordinances governing this type of work will be complied ith hether specified herein or not. The granting of a. permit does
not presume to give authority to vio or cancel the provi ..ns y sta.- or local law regulating construction or the performance of
construr t n.i
f' 0 i (orn 6 d !PI-,
f f
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
Cr
BUILDING PERMIT INSPECTION RECORD 6"
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 3
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
CA
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings L
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 FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders 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 1
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts 1 FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING; DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping i SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
t
Electrical 417 -4735 Q
Construction R.W. PW Engineering 417 -4831 0
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 1 1 L-
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C TY OF ALE For City Use
Permit 12 '61 35 oo 0
W A S H I N G T O N U.S. Zo
Date Received: 3 la C C; 113
321 East 5th Street N
Port Angeles, WA 98362 Date Approved �2 Z m rn
P: 360- 417 -4817 F: 360- 417 4711/
hcatuzo @cityofpa.us
Building Permit Application
Project Address:
(O(, o(CU 5 01.0e—
Main Contact: i O 2 b Phone �Z r(1 C' lS
Property Name `gi i J Q Ar Oh Phone
Owner Mailing Address ►l7C I l7 1 Email
City State Zip L 96342_
Contractor Name 1 r O Phone 4
Mailing Address `A 1 Email i
City i State Zip 942_
Contractor License �a l'rl f U n Expiration: j� 6
Project Value: Zoning: Tax Parcel Lot
Q 06, to Sot 0Z$
Type of Residential Commercial Industrial Public
Permit Demolition Fire Repair .0 Reroof ar of I lay over) N
For the following, fill out both pages of permit application:
New Construction Remodel Addition Tenant Improvement
Mechanical Plumbing Other
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes No 0
Project 1 11oi RK1 S fick 40a Lt ia 14 RI l
Description
i 1116t4 1I Imo) A
I have read and completed the application and know it to be true and correct. I am authorized to apply for this
permit and understand that it is my responsibility to determine what permits are required, and to obtain
permits prior to working on projects. I understand the plan review fee is not refundable after review has
occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before
plan review has occurred. I understand that if the permit is not issued within 0 days of receipt, the
application will be considered abando d, and the fees forfeit.
Date c Print Name Signature
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
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
Application desc
TEAR OFF RE ROOF THE GARAGE
Owner
J WALKER BARTON
106 ORCAS AVE
PORT ANGELES
(360) 452 4247
Structure Information 000 000
Qty Unit Charge Per
2 00
Other Fees
Fee summary Charged
X01 glom
T:FormsBuilding Division/Building Permit
WA 983622552
Permit Fee Total 123 75
Plan Check Total 00
Other Fee Total 4 50
Grand Total 128 25
10 00000628
219368
106 ORCAS AVE
06 30 10 5 0 2028 0000
J WALKER BARTON
RE ROOF
RS7 RESDNTL SINGLE FAMILY
3115
Contractor
Permit BUILDING PERMIT NO PR
Additional desc RE ROOF THE GARAGE
Permit pin number 167858
Permit Fee 123 75
Issue Date 6/17/10
Expiration Date 12/14/10
LARRY S ROOFING
352 AVIS ST
PORT ANGELES
(360) 452 2215
TEAR OFF RE ROOF THE GARAGE
FEE
BASE FEE
14 0000 THOU BL -2001 25K (14 PER K)
Plan Check Fee 00
Valuation 3115
STATE SURCHARGE 4 50
Paid Credited Due
123 75
00
4 50
128 25
00
00
00
00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and
void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days
after the work has commenced, or if required inspections have not b en 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 an r ..rrect. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The gran of a p•r t does not presume to give authority to violate or cancel the provisions of any
state or local law regulating con tructi or the performanc f co i'11' n.
Date 6/17/10
WA 98362
Extension
95 75
28 00
00
00
00
00
PLEASE REPORT SALES TAX
ON YOUR EXCISE TAX FORM
TO THE CITY OF PORT ANGELES
(LOCATION CODE 0502)
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
FOUNDATION
Footings
Stemwall
Inspection Type
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
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.
Date Accepted By
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 Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall Floor Ceiling I
MECHANICAL.
Heat Pump Furnace FAU Ducts I
Rough -In I
Gas Line
Wood Stove Pellet Chimney I
Commercial Hood Ducts I
MANUFACTURED HOMES
Footing I Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting ESA.
Landscaping SHORELINE.
T Forms /Building Division /Building Permit
Inspection Type
Comments
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
Electrical 417 -4735 I
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 I 7- to -1.0
PREPARED 7/06/10 8 18 35 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/06/10
ADDRESS 106 ORCAS AVE
TENANT NBR J WALKER BARTON
CONTRACTOR LARRY S ROOFING
OWNER J WALKER BARTON
PARCEL 06 30 10 5 0 2028 0000
APPL NUMBER 10 00000628 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
SUBDIV
PHONE (360) 452 2215
PHONE (360) 452 4247
BL99 01 7/06/10 JLL BLDG FINAL
July 6 2010 8 17 02 AM 1pangrle
TOM 460 0517 O 222.S
BUILDING FINAL RE ROOFED THE GARAGE
COMMENTS AND NOTES
14-14-4.1173 t-G3Se-
()„1.-
Applicant felJ..e6
Property Owner OMtuf
Property Owner's Address I(� 0CC_1AS
Contractor Q(r" S l o tr l I 1 Phone
Contractor's Address SS? O;5 1 Sf rt fr
License J Ci (rU rog$L Expires lO 1 it E -mail
PROJECT ADDRESS lOb Orcus
Parcel Number
Project Type Brief Description.
Check all that apply
New Construction
❑.Addition
Remodel
Repair
Demolition
Re -roof
Heat System
Other
Basement
1St Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
4 Residential
Floor Areas ExistinaJ g. ft.) Proposed (fir. ft.)
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
Phone 4g.:- zzis
Phone 1 4 1 SZ 42,4
467 -Z-15
Lot
Multi- family Commercial
/a l t zr
e�lryoc�e� a mks
1- r t
(WChc1 (Cal n
House jalgarage other
I have read and completed this application and know it to be true and correct. I am authoriz
that it is my responsibility to determine wh permit E. re r quired, and to obtain permits prior to
Date C) to Print Name Wm 10 Signature
T Forms /Building Division /Building permit application
For City Use Only
Date Received (0-(1-
Permit 10 62-s
Date Approved
Zoning
tear off re -roof lay over one layer
Heat pump wood- burning stove gas fireplace pellet stove other
per sq ft.
Industrial nn
it
SITZT
TOTAL VALUATION 311S
Total footprint of structures sq ft. T Lot size sq ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks patios
and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage
of bedrooms
of full baths
of half baths
for r, is permit and understand
cts
Clallam County Assessor Treasurer Property Details 65117 J WALKER BARTON f Page 1 of 7
Clallam County Assessor Treasurer
Property Search Results 65117 J WALKER BARTON for Year 2010 2011
Property
Account
Property ID
Geographic ID
Type.
Tax Area.
Open Space
Historic Property'
Multi Family Redevelopment:
Township
Range.
Location
Address.
Neighborhood
Neighborhood CD
Owner
Name.
Mailing Address.
65117
106 E ORCAS AVE
PORT ANGELES WA
Cycle 5 Res
10955130
J WALKER BARTON
106 ORCAS AVE
PORT ANGELES WA 98362 2552
Taxes and Assessment Due
Property Tax Information as of 06/17/2010
Amount Due if Paid on
0630105020280000
Real
0010 PA 121 PORT ST CNTY H2 L
N
N
N
Year Statement ID Taxing Jurisdiction
2010 47377 ST SCH STATE SCHOOL
2010 47377 CC -GEN COUNTY
2010 47377 PORT PORT
2010 47377 PORT ANG PORT ANGELES
2010 47377 SD #121 SCHOOL DISTRICT #121
2010 47377 NTH OLY LIB NORTH OLYMPIC LIBRARY
2010 47377 HOSP #2 HOSPITAL #2
2010 47377 WSMET PK DIST WILLIAM SHORE MET PARK
2010 47377 CITY_STORMWATER CITY STORMWATER
2010 47377 WEED CONTROL WEED CONTROL
2010 47377 TOTAL.
2009 651172008 ST SCH STATE SCHOOL
2009 651172008 CC -GEN COUNTY
2009 651172008 PORT PORT
2009 651172008 PORT ANG PORT ANGELES
2009 651172008 SD #121 SCHOOL DISTRICT #121
2009 651172008 NTH OLY LIB NORTH OLYMPIC LIBRARY
Legal Description
Agent Code
Land Use Code
DFL
Remodel Property*
Section.
Mapsco
Map ID
Owner ID
Ownership
Exemptions.
First Half
Base Due
$185 26
$98 58
$13 86
$228.26
$239 95
$28 64
$40 44
DIST $12.87
$36 00
$0 82
$884.68
$212.30
$107 44
$15.22
$235 66
$262.54
$31.22
PUGET SOUND CO -OP
COLONY 2 ADD LOT 9 BL
20
11
N
N
12808
100 0000000000%
Second Half
Base Due Penalty Interest Base
$185.25 $0 00 $0 00 $1E
$98 59 $0 00 $0 00 $5
$13 85 $0 00 $0 00 $1
$228.25 $0 00 $0.00 $22
$239 95 $0 00 $0 00 $2Z
$28 65 $0 00 $0 00 $2
$40 44 $0 00 $0 00 $4
$12.87 $0 00 $0 00 $1
$36 00 $0 00 $0 00 $Z
$0 81 $0 00 $0 00
$884.66 $0.00 $0.00 $8E
$212.29 $0 00 $0 00 $4e
$107 43 $0 00 $0 00 $21
$15.22 $0 00 $0 00 $C
$235 67 $0 00 $0 00 $47
$262.54 $0 00 $0 00 $5;
$31.22 $0 00 $0 00 $E
http. /vpn.clallam. net. 8084 /propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =65 6/17/2010
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PREPARED 9/10/04 13 04 07
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/10/04
ADDRESS 106 ORCAS ST SUBDIV
CONTRACTOR AMERICAN WEST INC PHONE (360) 565 0237
OWNER BARTON J WALKER PHONE
PARCEL 06 30 10 5 0 2028 0000
APPL NUMBER 04 00000633 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 9
BUILDING FRAMING
HOWARD 477 5741
COMMENTS AND NOTES
INSPECTION TICKET PAGE 7
Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
BARTON J WALKER
106 ORCAS AVE
PORT ANGELES
Qty Unit Charge Per
5 00
Other Fees
Fee summary Charged
162 75
65 10
4 50
232 35
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Signature of Contractor or Authorized Agent
T• \PLANNING\FORMS \1102.15 11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
188732
WA 983622552
Permit BUILDING PERMIT
Additional desc CONVERT CARPORT
Permit Fee 162 75
Issue Date 8/03/04
Expiration Date 1/31/05
04 00000633
106 ORCAS ST
06 30 10 5 0 2028 0000
RES REMODEL
RS7 RESDNTL SINGLE FAMILY
6900
Paid
Contractor
AMERICAN WEST INC
P 0 BOX 2608
PORT ANGELES
PORT ANGELES
(360) 565 0237
RESIDENTIAL
TO GARAGE
Plan Check Fee
Valuation
BASE FEE
14 0000 THOU BL -2001 25K (14 PER K)
STATE SURCHARGE
162 75
65 10
4 50
232 35
Credited
00
00
00
00
Date 8/03/04
WA 98362
Due
Extension
92 75
70 00
4 50
00
00
00
00
65 10
6900
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.
Date Signature of Owner (if owner is builder) /Date
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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.
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN I
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL /HOLD DOWNS 97—/6-1911
WALLS ROOF CEILING I I L
DRYWALL (INTERIOR BRACED PANEL ONLY) I I
T -BAR I
INSULATION
SLAB
WALL FLOOR CEILING I
MECHANICAL
HEAT PUMP
GAS LINE I
WOOD STOVE PELLET CHIMNEY I
HOOD/ DUCTS
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE METER I
SEWER CONNECTION I
SANITARY I
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING /LIGHTING I ESA.
LANDSCAPING I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL LIGHT DEPT
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
INSPECTION TYPE DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
COMMENTS
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I I I FIRE DEPT I
PLANNING DEPT 417 -4750 I 1 I PLANNING DEPT I I I
BUILDING 417 -481_ 1k x Y CJ'I I l 43-09-0 4 BUILDING I I I
T \PLANNING\FORMS \1102.15 [11/14/2003]
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Architect/Engineer i hone
Contractor fgme)-I C:a L 't�S'/ State License It
Applicant or Agen
Owner
Address
Address
PROJECT ADDRESS
LEGAL DESCRIPTION Lot:
CLALLAM COUNTY PARCEL NUMBER.
Credit Card Holder Name:
Billing Address:
Credit CardType VISA
TYPE OF WORK.
tlResidential New Constr
Multi family Addition
Commercial Remodel
Repair
BRIEF DESCRIPTION OF THE
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
City
MC
Re roof
Move
Demolition
Sign
PROJECT
COMMERCIAL/RESIDENTIAL. Occupancy Group
Block:
Stove
Garage
Deck
.1Er Other
No of Stories. Lot Size:
PLANNING USE ONLY
ESA/Wetland(s) Yes No SEPA Checkhst required? Yes No Other.
Existing Sq Ft.
Total lot coverage
1 hereby certify that 1 have read and examined this application and know the sa
understand that it is my responsibility to determine what permits are
T. \FORMSAPPS\Buildingpermit.wpd Apphca
City
OA
Subdivision.
SIZE/VALUATION
SF /SF
SF /SF
SF /SF
r7 T9TAL V UATI
Occupant Load. Construction Type.
Proposed Sq Ft. TOTAL Sq Ft.
BUILDING PERMIT APPLICATION SUBMITTAL. The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
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
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 ofapphcation, 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 107 4 of
the Umform Building Code, current edition) No application can be extended more than once.
to be true and correct. 1 am authorized to apply for this permit and
and that I must o .tain such permits prior to work.
L
Phone: HS k8 t
Zip
ZONING
Exp. Date:
FOR OFFICIAL USE ONLY
Date Rec. 9-13-01_
Date Approved.
J
Date Issued.
APPROVALS.
PLAN
BLDG
DPWU
FIRE.
OTHER.
_B.
Ex.\ 5r 1-3t 0_0 s
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REKOVE-POST:____
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.PAM FD EKT *WALLS
Y4" y- on
CITY OF PORT ANGELES Construction Plans
The Issuance of this permit based upon these plans, spec&
cationsand other data shall not prevent the building official
from thereafter requiring the correction of errors in said
plans, specifications and other data, or from preventing
building operations being carried on thereunder when in
violation of all codes and ordinances of this juris. n.
(SECTION 303(c) Uni rig Code.)
Approval Date
E...x\ST
FILE
BJI-L'
ACE 4 SISAP co NNS
7-Sitn EASE
t 4 ke4 ff
1. I Eee.Li 1 6) 41 If
sr coAc, SIAS
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Dolan Ave
22Q4
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!2'
J
Hancock Ave
22 7
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2`) 1
11
1
I
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)q
Orcas Ave
:2
441 q
Lopez Ave
3
1:19
*V'
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zonlng . . .
Application valuation
04-00000633 Date
.188732
106 ORCAS ST
06-30-10-5-0-2028-0000-
RES REMODEL
9/03/04
RS7 RESDNTL SINGLE FAMILY
6900
Owner
Contractor
BARTON J WALKER
106 ORCAS AVE
PORT ANGELES
WA 983622552
AMERICAN WEST INC.
P.O. BOX 2608
PORT ANGELES
PORT ANGELES
(360) 565-0237
WA 98362
Permit
Additlonal desc
Sub Contractor
permi t Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
1-4 CIRCUITS / STRAITS
STRAITS ELECTRIC
48.10 Plan Check Fee
9/03/04 Valuation
3/03/05
-
.00
o
o
6'
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 Pald Credited Due
----------------- ---------- ---------- ---------- ----------
Permit 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
)>
<
'"
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pnvate 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 penod 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 Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T \PLANNING\FORMS\1102 15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK ~EFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER I
AIR SEAL I
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeerlng DIVISIOn) SEPARATE PERMIT #'s
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA Ex P ((<.( D
PARKINGILIGHTlNG ESA
LANDSCAPING SHORELINE 3-9-05'
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 / PW/ CONSTRUCTION - R W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T \PLANNING\FORMS\1102 15 [11/14/20031
09/03/2004 11:22 F..~~ 3604574698 STRAITS ELECTRIC
'mi1n$Blf37F.Ir..a-9":TdriM'c:{(li'6'~~Q~WBltiG:'DE~:C:____'-:"~FAX N0,360 417:471 l
~ _~. .~~.._ .". ..~~_ ~.~.~.".=~..:: ,~;;~':~'-:::,,:~'~'}\<i'~~',' -
. ~;.;3,1i;;~"':;~:..r,oa2
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:'::",!,; ....i.,-t::.l.:;~.;!.'.. .'
. -:~!,j'-~l?:E(;TRlCAL PERMIT APPLICATION
~?:::.":,:'~(~::?~~~;>~'. .', .
. }'" n~..e~~ Pami.ll APPllc:il'Uan must bel filled out eomole.te.l'V.
Pleasel;t'Jl. .... noprlnlln Ink. lfyaLr haw apy quesllons, plN:a call (~eD) 417"4735
. ': -' - . - -Fax,,1lIJ\/ler: (360/417"4711 " .....,..',
.tvl\. Q1FJCV..t.. usn ONL "(
-
~'"
---..
__[hl~m-t
Or-C-33
st,iai ts "Electric
)wner or Bee. Cntttra~ AgMt:
{AJ(j JKDui- .
J () '" 0 Rei! <;
--
~
"A~
1 452-9104 457-4698
,Phone: _ - Fm::
",",cno: 7:>.:~"-11r;S-
CilY--fOr'+ ~ff4~ . ZJp: qR3{'~
!i> r/Ue. _,OI\ClS",! - '52 9104
Uoenseit......'.~ . It:::ll;r., 'f 0,.=,'" Phone;<:t. -
City: Port Angeles. WI\. ZIp: 98362
)ropt:.'ly Owner:
\I:1drQ.;....
)~c:ll Contra"'or: stra j ts Electri-c:-------.
-ODruoe;P.O. Box 2914
~STAUATION WIRED BY: DOWNER
:redlt Card Holder-Name: Strai ts
'Imng~~d.~: p.o. Box 2914.
JO ELECTRICA~ CO/'JTRAC'I'OR
Electr,ic
.,.,dit Card Number:
0" -Pi I-e....
. CItY: Port I\.ngel~s,' WA
ExP- Dale: .
. 98362
Zip:
X
VJSA:_ Me:
~OJEC7 ADCRJOSS:
10 h
O'rr A>c) .
Q vJl. __
, ~teraUonlAdditi6,~:
o Mob~e Home . sq, Ft
I'l'E OF WOR)(: Check!!!!. that apply; 0 New
~esident'al 0 Multl-famDy 0 Commerrial
...
Remote Mater 0 Detached g!ll!lge 0 Hot Tub 0 Swlm PO()J 0 SepU" Pump
Jmlle, of Circuits added Or alte...d; ')
o Lnw Voltage 0 Te'""om. a Si(
<J- ~.:~
.. JAAA'JIJ!k~ ~ - n tltI2~j
,SCRIPTION OF TI-IE ELECTRlCAl..PROJECT:
I
[,
l,
.dri<:al Heal Load :Additlons and or,Subtractlons
ServIce Infolmatlcn
3aseboard
=umace
i.at PUIl'lJ'
'all-Wan
_KW
I(W'
-TON
=KW
LRA
~vemeed 'ServlCll
o Temp Se.Nk:e
. Q Underground Ser.iee
VOllage:~
Phase: 0 1 0 3
SetvJ= Size: ?bn A-
Fce~er Sl%c:
ereby certify that I have read and eXHmined this application and know that same to be true and carrect, and I ar.
thorfzed to apply for this pefTTlit. I understanrJ it is nrJt the City's legal responsibility to detennlnB what pahntts
,roqw.d,. -::::,:::::::;;~:":::: dot_.. wh~=t: :::r,"do::~t
Owner or Elee. Cant Signa ., ..' Date:
4~,/()
'.
l..ECTRJCAlPERMJTI>PPUCATlON
PERMIT FEE: $
J1zr)
'1/;.10<1
lJcf'rl.€D 3~r~()5'
~'f'.",'A!. 1- 8 - 0'1
CITY OF PORT ANGELES
' DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 12/04/2002 PERMIT NO: 13891
OWNER/APPLICANT PROPERTY LOCATION
106 ORCAS E
WALKER BARTON
106 ORCAS Lot: 9
Port Angeles, WA 98362 Block: 20 [] Long Legal
360/452-4247 Subdivision: PSCC 2NDADD
T: S: Parcel No: 063010502028000
CONTRACTOR ARCHITECT
EVERWARM N/A
257151 HWY 101
Port Angeles, WA 98362-0000 , 98360-0000
360/452-3366 360/000-0000,
PROJECT INFO
Project Value: $6,800.00 SFD Units: 0 Commercial: 0
Project Type: PROPANE STOVE SFD SQ FT: 0 Industrial: 0
Occupancy 'i'ype: RESIDENTIAL Garage: 0 0-"'
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0 (-T/
Zoning Use: RS9
PROJECT NOTES
INSTALL FREE STANDING PROPANE STOVE
RECEIPT#0978
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $35.00
Plumbing: $35.00 AMOUNT PAID: $35.00
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a 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 re.ting construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date ......--~ignature of Owner (if owner is builder) O"ateJ I
J
T:\PLANNYNG~FORMS\ 1102.I5 {4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4515 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 I DATE I ACCEPTED COMMENTS
I
YES I NO
FOUNDATION:
BUILDING 41%4815 ~J~----g-015 R~ BUILDING
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:_~ ~- ~-~ /~
Date ./Z ~/~ Time Received by (phone, person)
Location of Work to be inspected~ /~/'~' CfL-~/~
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney iumbi Final Sewer Excav. Other
INSPECTION NOTES: ~ x
Inspected: Date Time By
Remarks: /
,/
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel I~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
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~'-Z ''~' O__~ Time Received by ~ ~// {phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing ~SewerExcav. Other
INSPECTION NOTES:
Inspected: Date -~" ~ ' ~-~ Time By /~ ~
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel I-]Asphalt []PCC []Other
[] Repaired by City Work Order #
[-1 Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
~ pORT ~
cY4.0~<(~
hili
'- -=.>r
~
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use . . . .
Property Zoning . . .
Application valuation
05-00000793 Date
747488
106 ORCAS ST
06-30-10-5-0-2028-0000-
SIDING
8/25/05
RS7 RESDNTL SINGLE FAMILY
450
Owner
Contractor
BARTON J WALKER
106 ORCAS AVE
PORT ANGELES
OWNER
WA 983622552
-----------------------------------------------------------
Permit BUILDING PERMIT - NO PR FEE
Additional desc REPAIR SIDING
Permit pin number 58644
Permit Fee 47.00 Plan Check Fee
Issue Date 8/25/05 Valuation
Expiration Date 2/21/06
.00
450
.----
BASE FEE
Extension
47.00
8~
b
Qty Unit Charge Per
----------------------------------------------------------------------------
Other Fees
STATE SURCHARGE
4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due C)
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 47.00 47.00 .00 .00
Plan Check Total .00 .00 .00 .00 ~
Other Fee Total 4.50 4.50 .00 .00
Grand Total 51.50 51.50 .00 .00
Vl
1
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
nu II 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
T:IPoliciesl] 102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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
FOUNDA nON DRAINAGE I DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS I ROOF I CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULA nON
SLAB
W ALL I FLOOR 1 CEILING
MECHANICAL
HEAT PUNW I FURNACE 1 DUCTS
GAS LINE
WOOD STOVE I PELLET 1 CHIMNEY
COMMERCIAL HOOD I DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SIURTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKING/LlGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 9_417 -, -:\ 1- k BUILDING
T:IPoliciesll 102_15 building permit inspection record05.wpd [1/4/2005]
OJ >-J '" :;;~~8EJ (')'O
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Site Address:
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Owner/Business Address:
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)
DetailslDescription:
lj'M/A)
.E New Construction
o Remodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
r~-'"- Y.hA-
PERMIT NO. 33!3
DATE /0-3- <J /
.
o READY FOR . WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Sq. Ft.
o Overhead
~. Underground
Voltage
o 10' 0 3.0 /60
Service size . ~X:?" Amps
o Temporary
~~
/
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
,11"..,p Ditch inspection O.K.
(IJII ~ Rough.in/cover O.K.
AfNt~ O.K. to connect service
o Final O.K.
Site Address:
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
PermitfReceipt No.
New Meters
-
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 6r service has been given
by the Inspecto in riting on the Wiring Report or the Building Permit. PHONE 457.0411; EXT. 158 or EXT. 224.
I
5 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT . / 'C) ..n E"""t 3 ~
' '--5'~ - ( "--' V,OO
Amount paid 7' ~
"" - '0'''"., ""om, 0,,_. "'" - ,.."""~,,,, ""om "\ ..
.
OLY~"IC PRINTERS. INC.
RECEIVE0.
paaR? j
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical. Inspections . 201
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 E CIR)CAL
Ph: (360) 417 -4735 Fax: (360) 4174711
Date: 7" 2' 15 X1 & 2 Single Family Dwelling
* Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet
Job Address: /06 _ _. 0 R—CAS
Building Square Footage,
Description of above
Owner Infor tion Contractor I formation
Name; Name:
Malting Address log. C. .67Z6Aj .__. Mailing Address:
City State: Zip: City: State Zip:
Phone, 5-2 - Fax: Phone: Fax:
License # ! Exp. License # I Exp. L 4�,EC
Item Unit Charge Qty Total (Qty Multiplied by Unit Chargel
Service /Feeder 200 Amp, $ 920,00 $
Service /Feeder 201.400 Amp $146.00 $ .,
Service /Feeder 401 -600 Amp $ 20500
ServicelFeeder 601 -1000 Amp, $262 00
$_
ServicelFooder over 1000 Amp, $ 373.00 $ `a..,
Branch Circuit Wl Service Feeder $ 5.00
Branch Circuit WIO Service Feeder $ 63.00 _. $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1 -4 $ 75.00 $
Temp, Service/ Feeder 200 Amp. $ 93 AO $
Temp. ServicaiFooder 201 -400 Amp, $110.00 _ $
Temp, ServicelFeeder 401 -600 Amp. $149..00 $
Temp. Service /Feeder 601 -1000 Amp . $168.00 $
Portal to Portal Hourly $ 96.00
Signal Circultl 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 Outbuilding or Detached Garage $ 74.00
Each Swimming Pool or Hot Tub $110.00 $
$T -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,, RCV11, Chapter 19,28, WAC. Chapter 296 -46B, The City of Port
Angeles Municip Gode, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permiitt/Applicatfons.
Signatur f o r, a ctrical contractor or electrical administrator: ❑ Cash l- Check
❑ Credit Card #
xCated: .. i J 0110112012
/a� z
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number 15- 00000776 Date 7/06/15
Application pin number , . . 754560
Property Address 106 ORCAS AVE
ASSESSOR PARCEL NUMBER: 06-30-10-5-0- 2028 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . , . , .
Property Use , . . . . . .
Property Zoning , . . , RS7 RESDNTL SINGL3 FAMILY
Application valuation . . . . 0
Application desc
Ductless heat pump
Owner Contractor
J WALKER BARTON BLACK DIAMOND ELECTRICAL CONTR
106 ORCAS AVE 502 SLACK DIAMOND RD
PORT ANGELRS WA 963622552 .PORT ANGELES WA 98363
(360) 452 -4247 (.360) 565 -1035
-- Permit - - , . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee 63,09 Plan Check Fee 00
issue Date 7/06/15 Valuation D
Expiration Pate 1/02/16
Qty 'Unit Charge Per Extension
1.00 63,0000 ECH 'EL -R- BRANCH CIR WO/ SER FERD 63.00
- --- -- - - -- - --------- ------ - - - - -- -
_
Fee summary Charged Pai.d Credited Due
Y-
Permit Fee Total 63.00 63,00 .00 00
Plan Check Total OD .00 .00 OD
Grand Total 63.09 63.00 .00 .00
INSPECTION TYPE
DATE:
4
INSPECTOR:
DITCH
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Cade 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST 1NSP6CTION
Signature of owner or Electrical Contractor
G.IEXCHANGEWILDING