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HomeMy WebLinkAbout1315 W 16th St - Building <. CITY OF PORT ANGELES �. DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 } Application Number . . . . . 09-00000240 Date 3/18/09 Application pin number . . . 207200 Property Address . . . . . . 1315 W 16TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4-3375-0000- Tenant nbr, name . . . . . . LARRY & DONNA BREITBACH Application type description RES REMODEL Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 9000 ---------------------—---------------------------------------------------- Application desc REMODEL ATTIC TO BEDROOM/NEW DOWNSTAIRS BATHROOM ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LARRY & DONNA BREITBACH OWNER 1326 W. 9th St. PORT ANGELES WA 98363 (360) 457-5777 --- Structure Information 000 000 NEW BATHROOM DOWNSTAIRS/ATTIC BEDROOM --- ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . ATTIC BEDROOM/NEW BATH Permit pin number . 143040 Permit Fee . . . . 193.75 Plan Check Fee 125.94 Issue Date . . . . 3/18/09 Valuation . . . . 9000 Expiration Date 9/14/09 Qty Unit Charge Per Extension �\ BASE FEE 95.75 c 7.00 14.0000 THOU BL-2001-25K (14 PER K) 98.00 ----------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit pin number . 143057 Permit Fee . . . . 101.65 Plan Check Fee .00 'A Issue Date . . . . 3/18/09 Valuation . . . . 0 Expiration Date . . 9/14/09 Qty Unit Charge Per Extension BASE FEE 50.00 Z. 1.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 7.25 3.00 14.8000 EA ME-HEATER(SUSP/WALL/FLOOR-MTD) 44.40 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . Permit pin number 143065 Permit Fee . . . . 100.00 Plan Check Fee .00 Issue Date . . . . 3/18/09 Valuation . . . . 0 Expiration Date . . 9/14/09 Qty Unit Charge Per Extension BASE FEE S0.00 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 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 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 Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Bui Ming Division/Building Permit r, f 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 INCONSPICUOUS 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 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 Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT-BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 i Page 2 Application Number . . . . . 09-00000240 Date 3/18/09 Application pin number . . . 207200 Qty Unit Charge Per Extension 4.00 7.0000 EA PL-PLUMBING TRAP 28.00 1.00 7.0000 EA PL-WATER LINE 7.00 1.00 15.0000 EA PL-SEWER LINE 15.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 395.40 395.40 .00 .00 Plan Check Total 125.94 125.94 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 525.84 525.84 .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 been requested within 180 days from the last inspection. I hereby certify that 1 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 Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Fonns/Building Division/Building Permit 11, BUILDING PERMIT INSPECTION RECORD Q �� 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 INCONSPICUOUS 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) i r Gas Line Back Flow/Water FINAL Date (� Accepted by L�— 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 Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimneyt Commercial Hood/Ducts FINAL Date Accepted by ✓�� MANUFACTURED HOMES: Footin /Slab IBlocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection TypeDate Accepted By Electrical 417-4735 Construction- R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 �— Building 417-4815 '�J� ( �(..- C3 � r T:Forms/Building Division/Building Permit PREPARED 10/31/11, 8:17:14 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/31/11 ------------- ----------------- ADDRESS . : 1315 W 16TH ST SUBDIV: TENANT, NBR: LARRY & DONNA BREITBACH CONTRACTOR : PHONE OWNER LARRY & DONNA BREITBACH PHONE (360) 457-5777 PARCEL 06-30-00-0-4-3375-0000- APPL NUMBER: 09-00000240 RES REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL3 01 4/08/09 JLL BLDG FRAMING TIME: 01:00 4/08/09 DA April 8, 2009 8:20:36 AM 1pangrle. LARRY 457-5777 FRAMING AFTERNOON IF NOBODY IS THERE, PLEASE CALL LARRY. April 8, 2009 4:38:.11 PM jlierly. electrical rough requiored before frame inspection/jll BLI O1 12/10/10 JLL BLDG INSULATION TIME: 01:00 12/10/10 AP December 9, 2010 2:07:12 PM 1pangrle. MARK 253-261-3442 INSULATION _ AFTERNOON PLEASE CALL HIM 10-MINUTES BEFORE YOU GET THERE. December 10, 2010 4:21:44 PM jlierly. BL99 01 10/3.Z/11 JL�//�[� BLDG-FINAL TIME: 01:00 October 28, 2011 9:32:18 AM 1pangrle. . MARK 457-5777 (THE OWNER'S SON) BUILDING FINAL AFTERNOON PLEASE CALL LARRY, THE OWNER, AT 457-5777 10-MINUTES BEFORE YOU GET THERE. ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME99 01 10/31/ 1 JLL. ����ffff MECHANICAL FINAL TIME: 01:00 October 28, 2011 9:34:24 AM 1pangrle. MARK 457-5777 (THE OWNER'S SON) MECHANICAL FINAL AFTERNOON PLEASE CALL LARRY, THE OWNER, AT 457-5777 10-MINUTES BEFORE YOU GET THERE. - ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT . REQUESTED INSP DESCRIPTION - TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------- --------------- PL2 01 6/10/10 JLL PLUMBING ROUGH-IN 6/11/10 AP June 10, 2010 9:07:07 AM 1pangrle. JOHN 460-6902 ROUGH-IN PLUMBING June 11, 2010 8:27:13 AM jlierly-. PL99 01 10/31/11 JLL PLUMBING FINAL TIME: 01:00 ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- PREPARED 10/31/11, 8:17:14 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/31/11 ------------------------------------------------------------------------------------- ADDRESS . : 1315 W 16TH ST SUBDIV: TENANT, NBR: LARRY & DONNA BREITBACH CONTRACTOR : PHONE OWNER LARRY & DONNA BREITBACH PHONE (360) 457-5777 PARCEL 06-30-00-0-4-3375-0000- APPL NUMBER: 09-00000240 RES REMODEL ------------------------------------------------------------------------------------------------ REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------a--------—---------—------- - - October 28, 2011 9:34:46 AM 1pangrle. MARK 457-5777 (THE OWNER'S SON) PLUMBING FINAL AFTERNOON PLEASE CALL LARRY, THE OWNER, AT 457-5777 10-MINUTES BEFORE YOU GET THERE. -------------------------------------- COMMENTS AND NOTES -------------------------------------- A ------------------------------------ I "& V PREPARED 12/10/10, 8:04:26 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/10/10 —-—---------------------------------------------------——------——------------------------- ADDRESS . : 1315 W 16TH ST SUBDIV: TENANT, NBR: LARRY & DONNA BREITBACH CONTRACTOR : PHONE OWNER LARRY & DONNA BREITBACH PHONE (360) 457-5777 PARCEL 06-30-00-0-4-3375-0000- APPL NUMBER: 09-00000240 RES REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS '-----—------------— _ _- BL3 01 4/08/09 JLL BLDG FRAMING TIME: 01:00 4/08/09 DA April 8, 2009 8:20:36 AM 1pangrle. LARRY 457-5777 - FRAMING AFTERNOON IF NOBODY IS THERE, PLEASE CALL LARRY. April 8, 2009 4:38:11 PM jlierly. electrical rough requiored before frame inspection/jll BLI O1 12/10/10 J L BLDG INSULATION TIME: 01:00 December 9, 2010 2:07:12 PM 1pangrle. �{ MARK 253-261-3442 INSULATION AFTERNOON PLEASE CALL HIM 10-MINUTES BEFORE YOU GET THERE. -------------------------------------- COMMENTS AND NOTES -------------------------------------- 2 PREPARED 6/10/10, 9:08:20 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/10/10 ------------------------------------------------------------------------------------------------ ADDRESS 1315 W 16TH ST SUBDIV: TENANT, NBR: LARRY & DONNA BREITBACH CONTRACTOR : PHONE : OWNER LARRY & DONNA BREITBACH PHONE (360) 457-5777 PARCEL 06-30-00-0-4-3375-0000- APPL NUMBER: 09-00000240 RES REMODEL ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESU RESULTS/COMMENTS ------------------------- - -------------'-----------------------'----------'------------- PL2 01 6/10/10J PLUMBING ROUGH-IN June 10, 2010 9:07:07 AM 1pangrle. JOHN 460-6902 ROUGH-IN PLUMBING -------------------------------------- COMMENTS AND NOTES -------------------------------------- GtJ � S (f � �� �d �� � y rrv�i _ o ep o - 777 �pU RECEIVED LJU- o 7 zoio CITY OF PORT ANGELES BUILDING DIVISION PREPARED 4/08/09, 8:26:27 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/08/09 ------------------------------------------------------------------------------------------------ ADDRESS . : 1315 W 16TH ST SUBDIV: TENANT, NBR: LARRY & DONNA BREITBACH CONTRACTOR : PHONE OWNER LARRY & DONNA BREITBACH PHONE (360) 457-5777 PARCEL 06-30-00-0-4-3375-0000- APPL NUMBER: 09-00000240 RES REMODEL ---- -------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------------------- ---------------------------------------- BL3 01 4/08/09 JLL BLDG FRAMING TIME: 01:00 A� April 8, 2009 8:20:36 AM 1pangrle. �C LARRY 457-5777 FRAMING AFTERNOON IF NOBODY IS THERE, PLEASE CALL LARRY. -------------------------------------- COMMENTS AND NOTES -------------------------------------- i --------- t vvb W► eco� � J 0;VORI,14, I BUILDING PERMIT APPLICA TIO/V - Print in ink CITY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician ate Received 3–f♦ ",d :. 321 E. Fifth St., Port Angeles, WA 98362 Per -mit# 2 0 (360)417-4815 fax (360) 417-4711 Date Approved Applicant4 Y-e e � c Pho e ��,0 Property Owner Ae a 4 Phone Property Owner's Address /-3 a2 , Contractor _ Phone Contractor's Ad ress _ License # Expires E-mail PROJECT ADDRESS 4t,)&S-Y� Parcel Number Lot Zoning Project TVpe & Brief Description: ❑Residential ❑ Multi-family ❑ Commercial ❑ Industrial Check all that apply ❑ New Construction ❑ Addition Re, ph o d e l,- e C6 �fRemodel f Nf S7q % rS- m p `(- a�(r v oc DGuJ'k El Repair ❑ Demolition ❑ Re-roof -2(House ❑ garage ❑ other ❑ tear off& re-roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existing(sq. ft.) Proposed(sq. ft.) Basement per sq. ft. _ $ 1s` Floor 2nd Floor 3�d Floor Garage Carport Covered Porch G IS da Deck Shed Other TOTAL VALUATION $ ©®d 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 % Max. height of proposed structures— _ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths _ Will a fire sprinkler system be installed? Construction type #of half baths /have read and completed this application and know it to be true and correct. /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. Date/7- P,,f Print Name �Q/!�'r �J V` _� �_L Signature T:Forms/Building Divisio!vBldg Pe,.n t.doc - I r a � p I 7® . &C- r C- 1 f i yo ' I� ®. 3Et \�� r. I 4.4-1 -4.4- 1-7 .7 P .L Pso per y ) 315 w, ; !o � ' Line fes' J e `C 132'8"/ U c IT 0"► - \ s � • � ID r 121'0"► 413-64 CITY OF PORT ANGELES—Construciinn Plaw; The Issuance of this permit;rased upon these plans,specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plan, specifications and other data, or from preventing building operations being carried on thereunder when in violation of ail codes and ordinances of this jurisdiction. Approval Date By - r .&A 1a1 OQ'Z v.A�6Jl��i `a-o "C=V AP'0a'-D`A#- . 145'6"/ o H W E 15' �6'0"► � ., ► �0 i s, rQ N A A O 47'4"/ 111'0"/ 00 g co CR (32 a 1 W • 113'6"1 � j � � 0 412'8"► 11.3'8"► 1 10 1 1 1 - -■! � 01 1 . 1 1 1 1 1 1 1 1■ DO 1 :0.0 i �1l1 c 1 IP 1 � P5 A L 1..C7 AL 1„0 ,5/ A& w w w I,A .9 1,.01 0 Co .L/ AL w CUP rn rn Fi,k,, —C, 11.0 ,9Z/ �Izw�� ELECTRICAL PERMIT 0 CITY OF PORT ANGELES - 360-417-4735 Application Number . . . . . 10-00000626 Date 6/17/10 Application pin number . . . 993056 Property Address . . . . . . 1315 W 16TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4-3375-0000- Application type .description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Top Floor attic remodel 4 circuits ---------------------------------------------------------------------------- Owner Contractor BREITBACH, LARRY & DONNA OWNER 737 W 9TH ST PORT ANGELES WA 98363 -------------------------------------------------------------------- �\ Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc W Permit pin number 167833 Permit Fee . . . . 81.30 Plan Check Fee .00 1 Issue Date . . . . 6/17/10 Valuation . . . . 0 v Expiration Date 12/14/10 \ Qty Unit Charge Per Extension 1.00 73.5000 ECH EL-BRANCH CIRCUIT WO/FEEDER 73.50 3.00 - 2.6000 ECH EL-ECH ADDNT BRANCH CIRCUIT 7.80 ------------------ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 81.30 81.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 81.30 81.30 .00 .00 1� CA INSPECTION TYPE DATE: RESULTS: INSPECTOR: ' DITCH SERVICE ROUGH-IN -3 FINAL d ' 7- l COMMENTS: Signature of oN�-ner or Electrical Contractor X_ Date: � y JUN 16 2009 CITY OF PORT ANGELES PERIVIIT APPLICATION ELECTRICAL Building Division/Electrical Inspections O INSPECTIONS �--•- � 321 East Fifth Street—P.O.Box 110/Port Angeles Washington,98362 slaw Ph: (36//00� 417-4735 Fax: (360) 417-4711, V Date: , n . jV 1 &2 Single Family Dwelling _Multi-Family or Commercial* _Commercial Addition/Alteration/Remodel/Repair* _ ... *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 1 -t S L') l Building Square Footage: Description of above '0b_ML. T-b RGbb'rte 2 D i .12 C. Owner Information t-tA Q ( Contractor Information Name: �'�" `Z & Name: Mailing.Add Mailing Mailing Address: City:( O a State: A. Zip: 9rl° 3f City: State: Zip: PhfQ 'D —5' Fax: Phone: Fax: License# Exp. License#/Exp. Item Unit Charge QtV Total (Qtv Multiplied bV Unit Charge) Service/Feeder 200 Amp. / $119.90 $ Service/Feeder 201-400 Amp. $145.50 $ Service/Feeder 401-600 Amp $204.60 $ Service/Feeder 601-1000 Amp. $262.20 $ Service/Feeder over 1000 Amp. $372.50 $ Branch Circuit W/Service Feeder $ 2.60 $ Branch Circuit W/0 Service Feeder $ 73.50 $ Each Additional Branch Circuit $ 2.60 _3 $ �7 £3d Temp.Service/Feeder 200 Amp. $ 92.70 $ Temp.Service/Feeder 201-400 Amp. $110.30 $ Temp.Service/Feeder 401-600 Amp. $148.70 $ Temp,Service/Feeder 601-1000 Amp . $167.90 $ Portal to Portal Hourly $ 95.90 $ Sign/Outline Lighting $ 88.20 $ Signal Circuit/Limited Energy/First 1500 sf—Commercial $ 95.90 $ Note: $5.00 for each additional 1500 sf Signal Circuit/Limited Energy-1 &2 Family Dwelling $ 63.90 $ Signal Circuit/Limited Energy-Multi-Family Dwelling $ 63.90 $ Manufactured Home Connection $119.90 $ Renewable Electrical Energy-5KVA System or Less $102.30 $ _ Thermostat $ 56.00 $ NEW CONSTRUCTION ONLY: First 1300 Square Ft. $110.30. $ Each Additional 500 Square Ft.or Portion of $ 35.20 $ Each Outbuilding or Detached Garage $ 73.50 $ Each Swimming Pool or Hot Tub $110.30 $ $ Total Owner as defined by RCW.19.28.261: (1)Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above-statement, l hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: ❑ Cash 19,Check C �, ❑ Credit Card# X / Dated: 7 '2 O�� 01/01/2010 PREPARED 1/29/09 8 34 23 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/29/09 ADDRESS 1315 W 16TH ST SUBDIV TENANT NBR LARRY & DONNA BREITBACH CONTRACTOR PHONE OWNER LARRY & DONNA BREITBACH PHONE (360) 457 5777 PARCEL 06 30 00 0 4 3375 0000 APPL NUMBER 08 00000853 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 8/26/08 JLL BLDG FOUNDATION FOOTING TIME 09 00 8/26/08 DA August 26 2008 8 20 07 AM 1pangrle EAN MONTEZ 808 3293 FOOTING GARAGE MORNING PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE August 26 2008 4 43 50 PM jlierly requires a continuous footing and tie vert bars to footing bars before pour/recall when ready/jll BL1 02 8/28/08 JLL BLDG FOUNDATION FOOTING 8/28/08 AP August 27 2008 4 59 24 PM 1pangrle GILBERT 808 3293 FOOTING PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE August 28 2008 3 50 27 PM jlierly BL2 01 8/29/08 JLL BLDG FOUNDATION STEM WALL TIME 12 00 8/29/08 AP August 28 2008 4 51 34 PM 1pangrle GILBERT 808 3293 STEMWALL PLEASE INSPECT BETWEEN NOON AND 2 00 PM THEY PLAN TO POUR AT 2 30 PM August 29 2008 4 38 07 PM jlierly BL3 01 10/20/08 JLL BLDG FRAMING TIME O1 00 10/20/08 AP October 20 2008 8 11 01 AM 1pangrle MARK 253 261 3442 FRAMING AFTERNOON October 20 2008 4 01 14 PM jlierly BL99 01 l/ 9/09 JLL BLDG FINAL January 29 2009 8 31 54 AM 1pangrle LARRY BLDGYFINAL 457 777GARAGE COMMENTS AND NOTES �'7 PREPARED 10/20/08 8 59 51 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/20/08 ADDRESS 1315 W 16TH ST SUBDIV TENANT NBR LARRY & DONNA BREITBACH CONTRACTOR PHONE OWNER LARRY & DONNA BREITBACH PHONE (360) 457 5777 PARCEL 06 30 00 0 4 3375 0000 APPL NUMBER 08 00000853 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 8/26/08 JLL BLDG FOUNDATION FOOTING TIME 09 00 8/26/08 DA August 26 2008 8 20 07 AM 1pangrle EAN MONTEZ 808 3293 FOOTING GARAGE MORNING PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE August 26 2008 4 43 50 PM jlierly requires a continuous footing and tie vert bars to footing bars before pour/recall when ready/jll BL1 02 8/28/08 JLL BLDG FOUNDATION FOOTING 8/28/08 AP August 27 2008 4 59 24 PM 1pangrle GILBERT 808 3293 FOOTING PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE August 28 2008 3 50 27 PM jlierly BL2 01 8/29/08 JLL BLDG FOUNDATION STEM WALL TIME 12 00 8/29/08 AP August 28 2008 4 51 34 PM 1pangrle GILBERT 808 3293 STEMWALL PLEASE INSPECT BETWEEN NOON AND 2 00 PM THEY PLAN TO POUR AT 2 30 PM August 29 2008 4 38 07 PM jlierly BL3 01 10/20/08 JLL BLDG FRAMING TIME O1 00 October 20 2008 8 11 01 AM 1pangrle MARK 253 261 3442 FRAMING AFTERNOON COMMENTS AND NOTES PREPARED 8/29/08 9 10 30 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/29/08 ADDRESS 1315 W 16TH ST SUBDIV TENANT NBR LARRY & DONNA BREITBACH CONTRACTOR PHONE OWNER LARRY & DONNA BREITBACH PHONE (360) 457 5777 PARCEL 06 30 00 0 4 3375 0000 APPL NUMBER O8 00000853 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 6/26/08 JLL BLDG FOUNDATION FOOTING TIME 09 00 8/26/08 DA August 26 2008 8 20 07 AM 1pangrle EAN MONTEZ 808 3293 FOOTING GARAGE MORNING PLEASE CALL HIM 30-MINUTES BEFORE YOU GET THERE August 26 2008 4 43 50 PM jlierly requires a continuous footing and tie vert bars to footing bars before pour/recall when ready/jll BL1 02 8/28/08 JLL BLDG FOUNDATION FOOTING 8/28/08 AP August 27 2008 4 59 24 PM 1pangrle GILBERT 808 3293 FOOTING PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE August 28 2008 3 50 27 PM jlierly BL2 01 8/29/08 BLDG FOUNDATION STEM WALL TIME 12 00 August 28 2008 4 51 34 PM 1pangrle GILBERT 808 3293 STEMWALL PLEASE INSPECT BETWEEN NOON AND 2 00 PM THEY PLAN TO POUR AT 2 30 PM COMMENTS AND NOTES PREPARED 8/28/08 10 19 13 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/28/08 ADDRESS 1315 W 16TH ST SUBDIV TENANT NBR LARRY & DONNA BREITBACH CONTRACTOR PHONE OWNER LARRY & DONNA BREITBACH PHONE (360) 457 5777 PARCEL 06 30 00 0 4 3375 0000 APPL NUMBER 08 00000853 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 8/26/08 JLL BLDG FOUNDATION FOOTING TIME 09 00 8/26/08 DA August 26 2008 8 20 07 AM 1pangrle SAN MONTEZ 808 3293 FOOTING GARAGE MORNING PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE August 26 2008 4 43 50 PM jlierly requires a continuous footing and tie vert bars to footing bars before pour/recall when ready/jll BL1 02 8/28/08 L BLDG FOUNDATION FOOTING August 27 2008 4 59 24 PM 1pangrle GILBERT 808 3293 FOOTING PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES °°°"'^�° CITY OF PORT ANGELES `ham DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 08 00000853 Date 8/07/08 Application pin number 770296 Property Address 1315 W 16TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 4 3375 0000 Tenant nbr name LARRY & DONNA BREITBACH Application type description RES DETACHED GARAGE Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 25920 Application desc 864 SQ FT DETACHED GARAGE Owner Contractor LARRY & DONNA BREITBACH OWNER 737 W 9TH ST PORT ANGELES WA 98363 (360) 457 5777 Structure Information 000 000 864 SF DETACHED GARAGE other struct info HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc 864 SF DETACHED GARAGE Permit pin number 130229 Permit Fee 427 85 Plan Check Fee 171 14 Issue Date 8/07/08 valuation 25920 Expiration Date 2/03/09 Qty Unit Charge Per Extension BASE FEE 417 75 1 00 10 1000 THOU BL-25 001 50K (10 10 PER K) 10 10 Special Notes and Comments The Fire Department has reviewed the project application and has no comments July 28 2008 12 33 46 PM sroberds The proposal will result in a detached garage in the RS 7 zone for total lot coverage of 30W Existing garage has been demolished according to property owner No land use issues anticipated owner to verify location of sanitary sewer line alteration to sewer may be required if foundation footing lies on top 1 of the onsite sewer line l Other Fees STATE SURCHARGE 4 50 / Fee summary Charged Paid Credited Due Permit Fee Total 427 85 427 85 00 00 Plan Check Total 171 14 171 14 00 00 w Other Fee Total 4 50 4 50 00 00 / Grand Total 603 49 603 49 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 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 Print Name Signature of Contra for or Authorized Agent Signature of 0 ner(if owner is builder) "r forms/Building Division/Building Pcnnit(65/l3/08).wpd BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS Q CALL 417-4807 FOR PUBLIC WORKS UTILITIES CALL 417-4886 FOR BACKFLOW PREVENTION INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE. C INSPECTION TYPE DATE ACCEPTED COMMENTS W YES NO FOUNDATION: FOOTINGS v1`^��Wa`� 9-2,102 TLL SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY. BACK FLOW/WATER AIR SEAL WALLS W CEILING FRAMING o-a o-©CSq a LL JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY FINAL DATE ACCEPTED BY. COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT ff's SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. CEJ 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 - IPG BUILDING RI BUILDING PERMIT APPLIrATION Print in Ink �- CITY OF PORT ANGELES For City Use Oily Attn Building Permit Technician _ Date Received 69 321 E. Fifth St. Port Angeles WA 98362 Permit# 8- (360) 417-4815 fax (360)4/17-4711 Date Approved Applicant or Agent Z A�� ,C3�-�. 7-��C �-�( Ph e 0 51,S - !-tf_7 Property Owner Phone —S-—, e Property Owner's Address h q e%1 Contractor/Engineer a lie e v- Pone Contractor/Engineer's Address License # Expires PROJECT ADDRESS /3/ s` �6 0�f n e%/ /&If Parcel Number Lot Zoning Project Type & Brief Descri tionResidential o Commercial ❑ Multi-family ❑ Industrial Check all that apply p��ha ❑ New Construction a �� ❑Addition ❑ Remodel ❑ Repair ❑ Re-roof ❑ Demolition ❑ Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existing(sq. ft.) Proposed(sq. ft.) Basement @ $ per sq ft. _ $ 15t Floor �S- 2nd Floor 3`d Floor Garage ) S 9'z O Carport Covered Porch Deck Shed Other TOTAL VALUATION $ Total footprint of structures 1 0 3 75 sq ft. - Lot size (019 9 (o sq ft. = Lot coverage 30 % Max. height of proposed structures Les$44a„010 ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system be installed? Construction type #of half baths 1 have read and completed this application and know it to be true and correct. Iam authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects 1/ Date, �D� Print Name �� �� �/"' `t� "/ Sig naturecZ1112_1L-�-�� �' T F:0ms/Building Division/Bldg Permit Appl 200 Code doc r� F. .'S��'f 1� x 'Wyk Q L.�y .Me p �..•t�d.iy,# Nr n�bM,, 4Y-:a_ � __ ^�, •�•,a�;X31 \'So. .;ii,F.��.`•�R�,� .rr'�y-.x zap "$t' � rVl�+ 4\ 'r =��'�°N���1 v ¢ �-��,� / �,' Fs'.sv'f• z(_-,,.." t t 'u .p Se Nl' `\ j &3'/•.i�� � �ry"'-'Srr+'�T �'Sa}?�t.uizd�a �'"t'.,yid 5. /� � pe `.. w . ro. 7s �3nf"4."Ys AFP .�'t"pf �, Iy '` F',+.'.�'H��t h�O•. `✓pI -. - - a j i ...........Mv— illc -tee 1-1/0 Cr% 7n ,?o T �'gp g'i ro 16 PTJ46V 71 MV IN 4/06 u 40 19 -0*6 4,)/ AOH # / At"I ;Q0 'J�` I QoSs`bls woo ld 14-t- +a look tr-4o br,,j,r•' Kowe.r- URder9rouv,d *form o'� 01H '�-r'orA IWK S+ree.+- 4r housc. o-rJ °10.ro-J)e- 1��YUKI q.4Cfi L! U Electrical Service Information Form Public Works Engineering Department(360)417-4700 MURK$ Please complete and retur to Public Works Engineering Department ,Applicant • Permanent service. Name 1-66 r &r-e i4 Name and address of party Street: 7-3-7 t v1 V- h responsible for permanent City/ State I ZIP- les L,-) .z`0 3 service billing? Daytime Phone -577 Home Phone Contact • • above) Site contact: Sora NameTitle Daytime Phon ql a Contractor:Qwne.r- Name Lo.rr i3CcMouD h Company' Ow�•-.- Daytime Phone q57 5'77 Electrician Name. Company' Daytime Phone Name. f-V G ' F'r4-J Company- Excavator _--_-.—�. Daytime Phone • - ❑Single-family residence ❑Multi-family residence, #of units ❑Commercial ❑Subdivision, #of lots ❑Overhead service ❑General service EgUnderground service El Other Project Information Street address/lot number l Nearest cross street: F 5 t Desired connection date 43A P Electrical transformer serving property is on a pole ❑ on the ground Electrical Load Total square footage 2 I U sq 7_7 Main disconnect size AO O amps Voltage A126/240 1ph ❑l 20/208 3ph ❑277/480 3ph ❑120/240 3ph 0480 3W 3ph ❑ Other Standard residential loads (Lighting refrigerator dishwasher washer) Check all that apply-I ElA/C (_ FLA) ElRange/Oven ElHot Tub ❑Clothes Dryer ❑ Heating ❑Pumps (_Hp) ❑Water Heater ❑Elevator ( Hp) ❑Other SupportingDocumentation Please provide a copy of the following *Detailed plot plan (.dwg or dxf format mandatory for subdivisions) *Electrical one-line drawing showing the service entrance panel and location *Connected load data *Size and locked rotor amps of all motors over 50h Applicant's Signature . Date 7 7 MAIL OR DELIVER COMPLETED FORM TO 321 E 5TH STREET PORT ANGELES WA 98362 FAX TO 360-417-4709 EMAIL rlarson@cityofpa us IL lDanders@cityofpa us VV S Ir o-rrr-ation form iv`•? _ .r ar ;n'r,ei!ic, pis,i 7-0<1 r 5n ' ��-- Prop a sed f ILE i —28 Xfs� , rn 1 l i I i f t CITY OF PORT ANGELES—Constnr 'on ------ —— --- ----- — ---�`—TheIssnanc'of-MIS[permit sed upon these plans,specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said r4 plans, specifications and other data, or from preventing l0 building operations being carried on thereunder when in L violation of all codes and ordinances of this jurisdiction.�n2 _ Approval Date By ( _ A,[( gs� " n *VP °�r•I,, 2003 INTERNATIONAL BUILDFNG CODE COIN"RETE FOUNDATION WALL & FOOTING DETAIL ;ham �-.►-- l S ` WALL THICKNESS 6' THICK FOR WALLS UNDER 6' HIGH 8' THICK FOR WALLS OVER 6'HIGH Y ANCHOR BOLTS FOR 1 STORY @ 72' 0 C STORY @ 48' 0.C PLACE BOLTS WITHIN 12' OF EACH PL END&USE 3"X3'X1/4' SQ.WASHERS UNDER NUTS PRESSURE TREATED SILL PLA #4 HORIZONTAL REINF CEMENT PLACED WITHIN 12' OF TOP OF WALL FINISH GRADE REINFORCEMENT SCHEDULE ANCHOR MIN.TO 7' MIN. 4 UN- EATE HEIGHT VERTICAL HORIZONTAL EMBEDMENT -•,�w ATE L IN FEET REINFORCEMENT REINFORCEMENT CRAWL SPACE r *2' #4 @ 48 0 C (1) #4 TOP BAR VERTICAL REINFORCEMENT OE.FOOTING *2'TO 4 #4 @ 48 O C #4 @ 24 O C BEND=12 X BAR CIA. #4 BAR 6' BEND BELOW GRADE INT 4'TO LESS #4 @ 24 0 C #4@18 0 C UNDISTURBED HEN 6' SOIL • 12'1-STORY **6'T #4 @24 0 C #4@10 O. C 3 CLEARANCE �,�/�e� 18'2-STORY '$ EEERS ANALYSIS WITH STAMP H SIGNED PLAN REQUIRED VERTICAL REINFORCEMENT MUST BE BENT-FI D TO FOOTING REINFORCEMENT BENT VERTICAL REINFORCEMEIJ -REINFORCEMENT SHALL BEG RAO E 60••HYDRAUL ENT ONLY TIED IN PLACE TO HORIZONT REINFORCEMENT #4 REINFORCEMENT 2-PIECES CONTINUOU_5 FOOTING WIDTH FOOTING THICKNESS 12' i-STORY 1-STORY 6' 15' 2-STORY 2-STORY'/6 23' 3-STORY 3-STORY 8 1/2' MONOLITHIC CONCRETE FOUNDATION DETAIL NO SCALE 1/z ANCHOR BOLTS(SAME AS ABOVE) PRESSURE TREATED SILL PLATES SLA #4 REINFORCEMENT 1-PIECE CONTINUOUS SLA r } 'ANCHOR z 6' MIN.TO 3� ' �ji� EMBEDIMEN >• � � MATERIALUN-TREATED + rOOTING FINISH GRADE ofL, DEPTH 5 IGb 1 �f k GRADE INTO BELOW • r ' , ( �== DISTURBED SOIL = 12' 1-STORY w' 10'2-STORY 3' CLEARANCE 1� U FOO 1:11 � VIII,^ T IDTH #4 REINFORCEMENT 2 PIECES CONTINUOUS 12' 1-STORY 15' 2-STORY 23' 3-STORY BL 1102 OBIRC.WPD . 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I -�-- I -T- f - + - -- I I -- - -+- - - - - -- r - 9 I ! -- ---I -- -- - - -- - - --- -. - ' I I I ---•-- -- - � I I I I I I �l II I 1 I ,- - - =k _"r _ -'F,tet= - �- -� - � -� ' • -• - I - I-- � - I I �-_ __ - _ -, -._ - _- - - - - _- •-_ i--.__ -.-- _I--.._-t- -_-_ _- -per _- _, - - -- -•_ - - -_-'i -- 3` ` I ELECTRICAL PERMIT i CITY OF PORT ANGELES 350-417-4735 Application Number . . . 15-00000785 Date 7/07/15 Application pin, number 007330 Property Address , 1315 W 16TH ST REPORT SALES TAX ASSESSOR PARCEL NCJMSERr 06-30-00-0-4-33'7.5-0000- Application type description ELECTRICAL ONLY on your excise fax form Subdivision Name , . . . . . to the City of Port Angeles Property Use 2rgperty zoning , . . . . , . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Ductless heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BREITBACH, LARRY & DONNA BEST ELECTRIC 737 W 9TH ST P,O. $OX 2445 PORT ANGELES WA 98363 BEQUIM SEQUIM WA 98382 (460) 2248 ---------------------------------------------------------------------------- Permit . , . , ELFCTRTCAL ALTER RESIDENTIAL Additional deco 1-4 CIRCUITS Permit Fee 75,00 Plan Check Fee 00 Issue Date 7/07/15 Valuation . . , . 0 Expiration Date 1/03/16 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 Q0 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL -1 1 COMMENTS; PERMIT WILL EXPRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGEIBUILDING X f i •r��pypg1 CITY OF PORT ANGELES PMVIIT APPLICATION Building Division/Electrical InspectiionsRECEIVED 321 East Fifth Street— P.O. Box 11501 Port Angeles Washington, 98362 P>z: (360) 417-4735 Fax: (360)417-4711 ��y.: ,, JUL 6 201 date. u i•Fa o Com ial' ELECTRICAL INSPECTIONS 'Plan Review ay 8 equ're Ple Coln eIa Electrical Plan Review Information Sheet Address: Job '� , d V Building Square Footage: description of above Owner lnfor i Contrac I form V.n- Name, Name: 6 � marlin s Mallin ,Address; -0 Pt one: Stale: Zip: City: State; ax, Phone: Fax: License#/Exp. License#/Exp. Item Unit Charge gty Total 1Qty MultiQlied by Unit Charael ServicelFeeder 200 Amp. $132.00 $ Service/Feeder 201.400 Amp, $160.00 $ Service/Feeder 401-fi00 Amp $225.00 $ Service/Feeder 601-1000 Amp, $288.04 $ ServicelFeeder over 1000 Amp, $410.00 $ Branch Circuit W1 Service Feeder $ 5.00 $ Branch Circuit WIO Service Feeder $ 74,00 Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86.Q0 Temp. Service/Feeder 200 Amp, $102,00 Temp, ServicelFeeder 201400 Amp. $121.00 $ Temp,Service/Feeder 401.600 Amp. $164.00 $ Temp,Sarvice/Feeder 601-1000 Amp. $185,00 $ Portal to Portal Hourly $ 96.00 $ Sign/Outline Lighting $ 89,00 $ Signal Circuit/LinnhadEnergy—Mull!-Family $ 64.00 $ Signal Circuit/Limited Energy I First 1500 sf—Commercial $ 96,00 $ Note: $5.00 for each additional 1500 sf Lz Renewable Electdca[Energy-5KVA System or Less $113.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Slat Total Owner as delin ed by RCW.19.28.281: (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 properly 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 295-46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applicatlons. Signature of ow r,electrical contractor or of ectrlcal administrator; ❑ Cash ❑ Check Credit Gard 9 x Daled; �i � 0!1,0112612