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HomeMy WebLinkAbout216 W 13th St - Building t CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000993 Date 8/02/12 Application pin number 325279 Property Address 216 W 13TH ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3- 8822 -0000- REPORT SALES TAX Application type description PLUMBING PERMIT on your state excise tax form Subdivision Name Property Use to the City of Port Angeles Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 648 Application desc WATER HEATER REPLACEMENT Owner Contractor fi Q (r I� LYON JACK D TRU -FLOW SYSTEMS o 216 W 13TH ST 1551 E MESA VIEW LN PORT ANGELES WA 983627720 PORT ANGELES WA 98362 (360) 452 -6983 Permit PLUMBING PERMIT Additional desc HOT WATER HEATER REPLACEMENT Permit Fee 57.00 Plan Check Fee .00 Issue Date 8/02/12 Valuation 0 Expiration Date 1/29/13 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 EA PL -WATER HEATER 7.00 Fee summary Charged Paid Credited Due Permit Fee Total 57.00 57.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.00 57.00 .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 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. s Date Print Name Signature of Contractor or Authorized Agent ',nature of Owner ner is builder) 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 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 Ac p yp 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 bd 1 ZAccepted by (r 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 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: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 (-41 Building 417 4815 T•Fnrmc /Rnilrlinn rlivicinn /Ri iilriinn Parmit N N CO w w U F as a a M m m N 0 O N 0 0 N r 0 a m a u w x H a H w w E. MOO a w x w 0 x x H u cnaa 0 0 H Q F h Q z z 0 c a O y m F F F m w w Z a H o z a s X H 0 N w Z Z z 0 O (0 0 H H H U 0 H a N Z 10 E H F H L C a x a m n W U f o x o a n cn a 00 0 0 Q a ar h 0 2 I H tk) N 0.l H AP FF a acn0 m w r, z0) r 0 r, U H w 0 x m o m x a F x H m r,3000 v H O Q 0 0 w a h o 0 0 a 3 W oo n]clw N N W i z r1 O a F F f 1 Z 0 a° 0 N 041,1 1.0 ij N F a o o 0 a o O£ w O m a •w a o w a Cu U a' a z E. a r-1 co w F Q q U 2 2 a g a m a u <U00.< a F a TCITY HE OF ORT NVrE1.1JS For City Use rn Permit n 1 2"' 61 r 13 o c W A S H I N G T O N U.S. rn C Date Received: b 2 1? o w t`' 321 East 5th Street Nz o Port Angeles, WA 98362 Date Approved: z N m P: 360- 417 -4817 F: 360 417 -4711 0 hcatuzo @cityofpa.us Building Permit Application Project Address: `2 0, (S S ?L- �rf Main Contact: Phone Property Name J� Phone Owner Mailing Address /t Email City State Zip p 62 Contractor Name 1 V l� .n O t sy S Phone Mailing Address Email 1 b 6 I E MeSCI V t Li() City__ State Zip c r Any ,(eS wa- 6 t 3t02- Contractor License Expiratio ,{r. _23,. 4 fruLS IJ PProject Value: Zoning: Tax Parcel Lot Type of Residential Commercial Industrial Public Permit Demolition Fire Repair Reroof (tear off /lay over) 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 Project VVa,l-cr Inel,-,Y cepIar&w\ Description 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 180 days of receipt, the application will be considered abandoned, and the fees forfeit. Date Print Name Signature r/gOt 9- /y/ l Residential Structures Area Description (SQ FT) Existing Proposed Minimum For Office Use value Basement First Floor Second Floor Covered Deck /Porch /Entry Deck Garage Carport Other (describe) Area Totals Commercial Structures Area Description (SQ FT) Existing Proposed Minimum For Office Use value Structure (s) Addition Tenant Improvement Other (describe) Area Totals Lot /Site Coverage Calculations Footprint (SQ FT) of all Structures: Lot Size: Lot Coverage SQ FT Site coverage (all impervious Site Coverage structures) Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: Haz /Non -Haz Piping of Outlets: Appliance Vent Heater (Suspended, Floor, Recessed wall) Boiler /Compressor Size: Heating /Cooling appliance repair /alteration Evaporative Cooler (attached, not Pellet Stove /Wood- burning /Gas portable) Fireplace /Gas Stove /Gas Cook Stove /Misc. Fuel Gas Piping of Outlets: Ventilation Fan, single duct Furnace /Heat Pump/ Size: Ventilation System Forced Air Unit Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps Fuel gas piping of Outlets: Water Heater Medical gas piping of Outlets: Water Line Vent piping Sewer Line Industrial waste pretreatment interceptor Other (describe): Contractors or Tradespeople Printer Friendly Page Page 1 of 2 General /Specialty Contractor A business registered as a construction contractor with L81 to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name TRU -FLOW SYSTEMS UBI No. 602830360 Phone 3604526983 Status Active Address 1551 E Mesa View Ln License No. TRUFLS*901JF Suite /Apt. License Type Construction Contractor City Port Angeles Effective Date 4/6/2010 State WA Expiration Date 5/23/2014 Zip 98362 Suspend Date County Clallam Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company CHRIS HENDRY LLC Other Associated Licenses Specialty Specialty Effective Expiration License Name Type 1 2 Date Date Status EVERGREEN Construction EVERGLI000CJ LANDSCAPING It Contractor General Unused 2/11/2000 2/11/2002 Archived IRRIG TRUFLSL920K3 TRU-FLOW SYSTEMS Construction General Unused 5/23/2008 5/23/2012 Inactive LLC Contractor OLYMPIC PENINSULA Construction General Unused 2/27/2008 2/27/2010 Re OLYMPPP921C7 PLUMBING Contractor Licensed Business Owner Information Name Role Effective Date Expiration Date HENDRY, CHRIS Partner /Member 04/06/2010 ANDERSON HENDRY, KASIE Partner /Member 04/06/2010 Bond Information Bond Company Bond Effective Expiration Cancel Impaired Bond Received Bond Name Account Date Date Date Date Amount Date Number DEVELOPERS 1 SURETY it INDEM 791456C 04/06/2010 Until CO Cancelled $12,000.00 05/23/2008 Assignment of Savings Information No records found for the previous 6 year period Insurance Information I I I I 1 1 1 1 1 https: fortress .wa.gov /lni /bbip /Print.aspx 8/2/2012 Contractors or Tradespeople Printer Friendly Page Page 2 of 2 Company Policy Effective Expiration Cancel Impaired Received Insurance Name Number Date Date Date Date Amount Date 2 Mid Century 604722162 03/13/2011 03/13/2013 $1,000,000.0002 /02/2012 Ins Co MID 1 CENTURY INS 604722162 04/06/2010 03/13/2011 $1,000,000.0003 /18/2010 CO Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https: fortress .wa.gov /lni/bbip /Print.aspx 8/2/2012 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Sub panel and 5 circuits Owner LYON JACK D 216 W 13TH ST PORT ANGELES 15/ 13 Permit ELECTRICAL Additional desc Permit pin number 186502 Permit Fee 132 90 Issue Date 5/27/11 Expiration Date 11/23/11 Qty 5 00 1 00 Unit Charge 2 6000 119 9000 Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH -IN FINAL COMMENTS WA 983627720 Per ECH ECH Fee summary Charged t 1 rd 132 90 00 132 90 Signature of owner or Electrical Contractor X G• \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 11 00000520 267800 216 W 13TH ST 06 30 00 0 3 8822 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 BLACK DIAMOND ELECTRICAL CONTR 502 BLACK DIAMOND RD PORT ANGELES WA 98363 (360) 565 1035 132 90 00 132 90 Contractor ALTER RESIDENTIAL Plan Check Fee Valuation EL BRANCH CIRCUIT W /FEEDER EL 0 200 SRV FEEDER Paid Credited DATE. RESULTS I zi. In G Izt f PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION 0 0 00 00 Date 5/27/11 Extension 13 00 119 90 Due 00 00 00 00 0 INSPECTOR. Date REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) OF pORT4, ft VMS ORKS OWNEA DATE: 1 CONTRACTOR gLa 4 o RL P L Icoo1L ADDRESS Z) L) 13 APPROVED 0 0 ELECTRICAL INSPECTION WIRING REPORT 41f-4735 PERMIT INSPECTOR I -b�2C� NOT APPROVED DITCH ROUGH IN /COVER SERVICE 0 FINAL CORRECTIONS NEEDED' •rz-VLA )1 r&i. CO14 at) c:CA IiOr3 1�JzG 2-l 0 S•DNS7 At-1— 1vLsf '9,ire ',ire &L b NiL Nee- ZCO IFS 4Wo azIS 4. tiler. 117 3 604,1 t- ©15V -.S -1 4 i_ 1A' 17h-4 Fl N. I S Ir D f5N56A )4 1 rS ter_ zit NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OWNER DATE: PERMIT &dial) W ELECTRICAL INSPECTION WIRING REPORT 417 -4735 II OS2ZJ APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL •••\PsC -1< L,YO L\ CONTRACTOR T .tP►c Dr t�s+r -�c�j ilk LT21. L ADDRESS INSPECT CORRECTIONS NEEDED: Pt la u LA 14 o Au-a L iEtr, 1 4 c%_(:1sa„_.1 A-C L L BO L /4 k Pp Q (9 h1 tJ ges ZJ 5 (N A 1J14 Ff ftl 1,40.- >g ls��1 f a 0009Z W. 13.iss Uc-f 5 kM+Lt_ N 6z.OV- ki IL 9 tA L 33L4 1 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362 Ph (360) 417 -4735 Fax. (360) 417 -4711 Date 2.7 1 t Lc 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: 2.1(0 W. 13 714 Building Square Footage: Description of above C 1.4 ArniGL avT Z11.Se0 Sub PAN E.L. 2CA•ao uL wsp1J— C.rtouNOEo L'0 Ila.i146- _4A t? VC- t rft w4L :14.mkt.t u C.e l.tri erg Owner Information Name: Mailing Address: City Phone: License Exp. Item Service /Feeder 200 Amp, Service /Feeder 201 -400 Amp Service /Feeder 401 -600 Amp Service /Feeder 601 1000 Amp. Service /Feederover 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp ServiceTFeeder 200 Amp. Temp Service /Feeder. 201=400 Amp. Temp Service /Feeder 401 600 Amp. Temp. Service/Feeder 601 1000 Amp Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy First 1500 sf Commercial Note: $5.00 for each additional.1500 sf SignalCircuit.LimitediEnergy: .1 &'.2 FamilyDwelling Signal Circuit/'Limited:Energy Nlulti Family Dwelling Manufactured Home Connection Renewable.Electrical Energy 5KVA.System or Less Thermostat NEW: CONSTRUCTION -ONLY. First 1300 Square Ft. Each Additional'500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub L�l State: Zip: Fax: Unit Charge $119.90— 145:50 204.60 262.20 372.50 2.600 73.50 xsOl 2.60 -5 92.70 $110.30 $'148.70 $167.90 95.90 88:20 95.90 63.90 63.90 '$119.90 r'$ 102.30 56.00 2 3 a $110.30 35.20 73.50 .$110.30 13 Z ,fV Total Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit.is finalized 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.0 RCW Chapter 19.28. WAC Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and.PAMC 14 05 050 regarding Electrical Permit Applications. Signature of owner electrical contractor or electrical administrator Cash 71 Check Dated: Credit Card 5.27 -2 SI 15 01/01/2010 Contractor Information, Name: _j3L. ACK. 1Ji&I ..Ja ELt.c.+•ec.w4- Co4.+ Mailing Address: Snt -.rc.e Tot etn -o,uo City PA State: wA Zip: 78362, Phone: 3to Kt! 31 S1 Fax: License Exp. 8LI4C, EC- tips.. Total (Qtv Multiplied by Unit Charge) 40 oF pORT C 4 13R Ks i i V77 1 OWIER CONTRACTOR gt.LX ►Arl;o D ADDR ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT INSPECT L cr E L h 7 2 D E, r APPROVED NOT APPROVED DITCH VPr L. ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: S*,A a v 2 a h f�zx) CL-6012— GoU NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE n, c Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc TEAR OFF /TORCH DOWN Owner LYON JACK D 216 W 13TH ST PORT ANGELES T:FormsBuilding Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 WA 983627720 Permit BUILDING Additional desc TEAR OFF Permit pin number 148122 Permit Fee 109 75 Issue Date 6/09/09 Expiration Date 12/06/09 09 00000564 744856 216 W 13TH ST 06 30 00 0 3 8822 0000 RE ROOF RS7 RESDNTL SINGLE FAMILY 2999 Contractor RAINMASTER ROOFING 1205 S 0 ST PORT ANGELES (360) 452 3213 PERMIT NO PR FEE INSTALL TORCH DOWN Qty Unit Charge Per 1 00 14 0000 THOU BL 2001 25K (14 PER K) Other Fees STATE SURCHARGE Fee summary Charged Paid Credited BASE FEE Plan Check Fee Valuation Permit Fee Total 109 75 109 75 00 Plan Check Total 00 00 00 Other Fee Total 4 50 4 50 00 Grand Total 114 25 114 25 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. 6 9 J'/ man, (he C >e .r. 0 Date Print Name re o ontractor or Authorized Agent Signature of Owner Of owner is builder) Date 6/09/09 WA 98363 0 0 2999 Extension 95 75 14 00 4 50 Due 00 00 00 00 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 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 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 Inspection Type Electrical 417 4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By 1_X1911 12422-I0 PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System 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 Applicant JreJ-F LcivmaN Property Owner Jac k Lyoa./ Property Owner's Address 2 l. W /3 Contractor R,si,v it4,4srER AocF/A/6 Contractor's Address /aos SznailO' License nrtil oq.q,n, i< Residential Expires e /ZO/O Multi family House garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq ft. 1 Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures sq ft. Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on -a parcel including structures paved driveways sidewalks and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? I Construction type TOTAL VALUATION I 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 6- -0q Print Name tiTe._FJ L�, T Forms /Building Division /Bldg Permit.doc Signatur For City Us Oryly4 Date Receiv d j Permit (o c/ Date Approved cn C ¶'7b 1 Phone 452-32R Phone 57- *v710 Phone yg2-32 )3 E -mail Lot Zoning Commercial Industrial of bedrooms of full baths of half baths patios, r►5 D f 39,10 So 1-c 4reI NSA-6 Ao, 2, 2.8, 2 60 g `E 3r 2 Itct.ic pQa 2 2 /a”vc�,�se .,.y r i IV PI d s Amy/e s@ rofF da p0 /1 Ad 17 /327- 3695) 0v54-erl@O /SO 6G 1— /2 "1 /'vevy�d Vp 30 Se attilyi4 td@ 4,2,00 c 4 LyoN 2/6 w, /.3 t/S- I nt?) i, J hrk-e- x/9 vt 5p lecii h d i £dse 4 Ado u. c &faa� x5.00 3c 600 2-90°E) 60` 3 Lo piu efrevl 41;17 INSP$CTION TYPE BATE: RESULTS: INSPECTOR: DITCH - SERVICE ROUGH -IN FINAL GONSIETs: /J —7 PERKU WILL EXPIRE SIX (6) MON'M FROM LAST INSPECTION Signature of owner oi;Flectricai Contractor X Date: G:IEXGHANGEOULWING ELECTRICAL PERMIT A, CITY OF FORT ANGELES 360-417-4735 Application Number . . . . . 16-00001639 Date 11/01/16 Application pin number . . . 259146 Property Address. . . . 216 W 13TH ST iir.SILS• ASSESSOR PARCEL NUMBER. 06-30-00-0-3-8822-0000- Application type description ELECTRICAL ONLY On lOUr @XQS@ tax fbfm Subdivision Name . . . . . to th& City Of Port Mgehn Property Use . . . . . Property Zoning . . . . RS7 RESDNTL SINGLE FAMILY en (LociWon C©& 0502) Application valuation . . . . 0 --------------------------------------------------------- Application desc Security system Owner Contractor ------------------------ LYON JACK D - PROTECT YOUR HOME _ 216 W 13TH ST 3750 PRIORITY WAY SOUTH DRIVE PORT ANGELES WA 983627720 ##200 INDINAPOLIS IN 46240 (317) 810-4720 -------------.-,------------------- ^ Permit . . ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee . . . . 64.00 Plan Check Fee .00 Issue Date . . . . 11/01/16 valuation . . • • 0 Expiration Date 4/30/17 Qty Unit Charge Per" Extension ; 1.00 64.0000 BCH BL -SINGLE CIR LIMITED RES 64.00 -------------------- ----------------------------------------------------------- -------------------------------------------- Fee summary Charged Paid Credited Due Fee ---------- - ----------------- ---------- Permit Fee Total 64.00 64.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.00 64.00 .00 .00 INSP$CTION TYPE BATE: RESULTS: INSPECTOR: DITCH - SERVICE ROUGH -IN FINAL GONSIETs: /J —7 PERKU WILL EXPIRE SIX (6) MON'M FROM LAST INSPECTION Signature of owner oi;Flectricai Contractor X Date: G:IEXGHANGEOULWING o>< PORTAyS V CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 4174711 Date: 10 • ` r%�1 �� _ & 2 Single Family Dwelling * Plan Review May Be Required, Ple Comlete Etetri al Ian Review formation Sheet (, Job Address ___ Building Square Foo e:4�;—CQ� D rlption f above�jOl a P Ownerjdqrmation y�,� Contra for Information Name Name Mef Add s . Ma'u Address - S Gty State Zip — -�1t` Cry �Yi l�o\,� State _ ip t n ( ) Phone: Fax fl A Phone: Fax L \ License # t Exp. ri lh L cense # Exp iii - e �r �l - J Item Unit Charge Qtv Total (Qty Multiplied by Unit Charae) Service/Feeder 200 Amp. $12000 , g $ Service/Feeder 201400 Amp $14600 $ Service/Feeder 401-600 Amp $ 205.00 $ Service/Feeder 601-1000 Amp $ 26200 __. $ Service/Feeder over 1000 Amp. $ 373 00 $ Branch Circuit w/ Service Feeder $ 500 $ Branch Circuit W/O Service Feeder S 63.00 $ Each Additional Branch Circuit $ 500 _. _ $ Branch Circuits 14 $ 7500 $ Temp. Service/ Feeder 200 Amp $ 9300 _ $ Temp. Service/Feeder 201400 Amp $11000 _ $ Temp. Service/Feeder 401-600 Amp. $149.00 _ _ S Temp, ServicefFeeder 601-10017 Amp $16800 $ Portal to Portal Hourly $ 96 -CO $;y Signal CircuiU Umited Energy -1 & 2 Family Dwelling S 64.00 -� — $__. Manufactured Home Connection $12000 $ Renewable Electrical Energy - SKVA System or Less $10200 $ Thermostat $ 5600 _ $ Note: $5.00 for each additional T-Stat NEW CONSTRUCTION ONLY--. First 1300 Square Ft $12000 S Each Additional 500 Square Ft. or Portion of $ 4000 ee $ Each Outbuilding or Detached Garage $ 7400 Each Swimming Pool or Hot Tub $110,00 $ Total Owner as defined by RCW.19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sate, 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.0 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. SignatuP of owner ectrical contractor or electrical administrator: 3 Cash r chach _ t card e cur ` " • -� `� j�` Dated c�" `. U0110112012 �'