HomeMy WebLinkAbout818 L St - Building CITY OF PORT ANGELES
DEPARTMENT OF' COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001405 Date 12/15/11
Application pin number 872080
Property Address 818 L ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 5085 -0000-
Application type description MECHANICAL APPL. PERMIT on your state excise tax form
Subdivision Name
Property to the City of Port Angeles
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 0
Owner Contractor
DENNIS R DAGNY LORD BOTERO SON ELECTRICAL
818 S L ST 940 TAMARACK WAY
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 460 -6938 (360) 452 -4766
Permit MECHANICAL PERMIT
Additional desc
Permit Fee 55.00 Plan Check Fee .00
Issue Date 12/15/11 Valuation 1
Expiration Date 6/12/12
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 5.0000 EA ME -FUEL GAS PIPE,EA >5 OUTLETS 5.00
Fee summary Charged Paid Credited Due
Permit Fee Total 55.00 55.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 55.00 55.00 .00 .00 •R'naI ti LP 1 'y
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 constru ion or the performance of
construction.
3G ,2o
Date Print Name Signature of Contractor or Authorized Agent ignature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD QQ
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 r 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 Pump Furnace FAU Ducts
Rough -In
Gas Line „4;e /(.a ,:Tug
Wood Stove Pellet 1 Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs___
Skirting tl
PLANNING DEPT. Separate Permit Its 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 p
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 MAPINIE
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c, ,O,zt,, BUILDING PERMIT APPLICATION Print in ink
t CITY OF PORT ANGELES For City Use only: .4 v i' At t n: B P erm i t T ec h n i c i an
iL te Rec eived la /.r yI
321 E. Fifth St., Port Angeles, WA 98362 mit 1 ��Q (360) 417 4815 fax (360) 417 4711 e Approved
Applicant l.6 -z c-A Phone n„_. yid vr 2_...
Property Owner pt el to 7i Phone 34 qG D. C,"" V—
Property Owner's Address
Contractor Phone�a j
Contractor's Address qy t44 a ,p,x„cje t 74 e. AtA.- G'� G iit 9E
License Z ry Expires E -ma r 6. 3J (.n I.-. A'rf M4
PROJECT ADDRESS
Parcel Number Lot Zoning
i
Project Type Brief Description: Residential Multi- family Commercial Industrial
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof House garage other tear off re -roof lay over one layer
Heat System Heat pump wood- burning sto e gas fireplace pellet stove y er
they 3 r iv.k,-e> n)) 4A )6n0 40 t_ t ;e i icie__0haP
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1s1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION
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, 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
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit. snd nderstand
that it is my responsibility to determine what permits are required, and to obtain permits prior to g o p
j
Dater -C
Print Name �a,4 7361e r,D Signatur 1
T:Forms /Building Division /Building permit application
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
',EP' 321 EAST 5T1-1 STREET, PORT ANGELES, WA 98362
Application Number 11- 00001137 Date 10 /11 /11
Application pin number 240261
Property Address 818 L ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 5085 -0000-
Tenant nbr, name DENNIS DAGNY LORD on your state excise tax form
Application type description MECHANICAL APPL. PERMIT
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 19157
Application desc
HEAT PUMP INSTALLATION
Owner Contractor
DENNIS R DAGNY LORD ALL WEATHER HTG COOLING INC
818 S L ST 302 KEMP ST
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 460 -6938 (360) 452 -9813
Permit MECHANICAL PERMIT
Additional desc HEAT PUMP
Permit pin number 194373
Permit Fee 64.80 Plan Check Fee .00
Issue Date 10 /11 /11 Valuation 0
Expiration Date 4/08/12
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80
Fee summary Charged Paid Credited Due 4
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .00 .00
2,)-3
0
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.
01 II I I 1'1 &(vv me eo 'n %AA,44, /4
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS
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
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 1
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 $ts 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
Building 417 -4815 1p -2-5-it
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T:Forms /Building Division /Building Permit
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10/11/2011 13:38 13604525177 ALL WEATHER HEATING PAGE. 04!05
i
BUILDING /PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require p /an review,)
Date Received ‘0 11-1�
Permit# II- tt 1
City of Port Angeles 'Please print in Ink, Date Approved
Attn: Building Permit Technician Approved by
321 E, 5' St., Port Angeles, WA 98362
360- 417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express)
Hours; Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8 :30 -4 pm Fri 8:30 -1230 pm
Contact person: Phon
O �e. Lo d.. (nb 6q33
Property owner:
e' Phone:
_Property owner's mailing addres
11 1 LP �ilL t Sey_o i rfl, INR c1 E 3g6.
Contractor's business name:A11 weather Heating Cooling l Phone:
_jor property owner's name if he /she Is doing /overse th e work) l (3 6 U) 452-9813
Contractor's mailing address:
302 Kemp Street
Contractor's L &I license number; ALLWFHC150Ka Expiration date:
9/U1/;1,2
Project Address: 81s L
Project Type: Residential Commercial Industrial Multi family
.Project Business Name:
(for commercial, industrial, or multl- famlly projects)
The following permits are usually Issued over -the- counter immediately, without the need for plan review,
Complete only the portions of thls permit that are relevant to your project,
Re-roof; in house o garage o other
tear off re -roof cl lay over one layer
Licensed contractor: Submit a copy of your re -roof bid.
Project Valuation (labor. materials, not Including sales tax)
Re -side: house garage o other
Project Valuation (labor materials, not including sales tax)
Repair: ex _t project).
Project Valuation
*Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the
cost of materials, to reflect the ,value the repair adds to your property,
Cost of materials x 2 Project Valuation
T :Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011)
Page 1 of
10/11/2011 13:38 13604525177 ALL WEATHER HEATING PAGE 05/05
Swimming Pool or Spa (F 24" deep): For prefabricated swItzirpinq pool or soil projects that
do not require revreww
Obtain the City of PA handout entitled "Pools Spas" follow the requirements.
Project Valuation
Demolition: A demolition permit Is needed when an entire building gets demolished,
What will be demolished? o house Q garage other
Note: some demolition permit applications need to be reviewed by various City departments, and may take
approximately two weeks to obtain,
(7) Agree to ensure that all utilities are /will be properly turned off (and capped off If needed)
prior to demolition,
Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to
be demolished. Submit the map with this application.
Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA)
Demolition Permit Application.
Contact ORCAA at 380 -417 -1466 to discuss whether or not an ORCAA Demolition Permit will also
be needed,
yes a no Will the debris be going to the Regional Transfer Station in Port Angeles?
yes No If yes, will a licensed contractor be taking It there?
If yes, obtain (from the City of PA) a copy of the Waste Disposal Application.
Complete and submit the waste disposal application to the Building Permit Technician, now
(or later if asbestos testing is needed),
9
Plumbing Permit: (explain the project)
Project Valuation
Mechanical Permit: (explain the project)
Installation. of Heat Pump
Project Valuation 1�C 157.53
I heve reed and completed this epplication 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, Signature 1/i
Print Name Karen McKeown
Page 2 of 2
Clallam County Assessor Treasurer Property Details 58260 DENNIS R AND DAG..: Page 1 of 1
Clailam County Assessor Treasurer
Property Search Results 58260 DENNIS R AND DAGNY LORD for Year 2011 2012
Property
Account
Property ID: 58260 Legal Description: LOTS 19 AND 20 BL
250
Geographic ID: 0630000250850000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi Family Redevelopment: N
Township: Section: k
Range:
Location
Address: 818 S L ST Mapsco:
PORT ANGELES, WA 98363
Neighborhood: PA West Res Map ID: 3
Neighborhood CD: 5151000
Owner
Name: DENNIS R AND DAGNY LORD Owner ID. 86638
Mailing Address: 818 SOUTH L ST Ownership: 100.0000000000%
PORT ANGELES, WA 98363
Exemptions:
Taxes and Assessment Details
Property Tax Information as of 10/11/2011
Amount Due if Paid on: M NOTE: If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due.
Click on "Statement Details" to expand or collapse a tax statement.
First Half Second Half
Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid i Amount Due
F Statement Details
2011 152924 $1587.56 $1587.48 $0.00 $0.00 $1587.56 $1587.48
(r Statement Details
2010 41215 $1511.10 $1511.09 $0.00 $0.00 $3022.19 $0.00
Values
Taxing Jurisdiction
l
Improvement Building
Sketch
Property Image
Land
Roll Value History
Deed and Sales History
Payout Agreement
This year is not certified and ALL values will be represented with "N /A
Website version: 9.0.32.2200 Database last updated on: 10/11/2011 3:50 AM 2011 True Automation, Inc. All Rights
Reserved. Privacy Notice
http: /websrv8.clallam. net/ propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =58... 10/11/2011
ELECTRICAL PERMIT s
CITY OF PORT ANGELES
360-417-4735
Application Number 11- 00001141 Date 10/14/11
Application pin number 905717
Property Address 818 L ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2 -5085 -0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
t -stat
Owner Contractor
DENNIS R DAGNY LORD ALL WEATHER HTG COOLING INC
O8 S L ET O2 KANP LE
PORT P
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 460 -6938 (360) 452 -9813
Permit ELECTRICAL ALTER RESIDENTIAL IS
desc
Permit pin number 194415
Permit Fee 56.00 Plan Check Fee .00
Issue Date 10/14/11 Valuation 0
Expiration Date 4/11/12
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL- LVT- THERMOSTAT 56.00
Special Notes and Comments 1
October 12, 2011 1:06:35 PM banders. OK
Fee summary Charged Paid Credited Due 40.1
Permit Fee Total 56.00 56.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 56.00 56.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN 10#911) d yv
FINAL /0 /.-e111 COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X' ii� Da I 1/( t
10/11/2011 13:38 13604525177 ALL WEATHER HEATING PAGE 03/05
RECEIVED 6`
CITY OF PORT ANGELES PERMIT APPLICATION pr
Building Division/Electrical Inspections y-
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 OCT 1 2 2011 t BfO
Ph: (360) 417 -4735 Fax (360) 417 -4711 1
'1I l ELECTRICAL
Date: u INSPECTIONS
41 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: $18 S, L_5+
Building Square Footage: 3&t0'1
Description of above
C h a p \9
Owner Information Contrasc�t2Qr Inf�grma I n
Name: l t 4 130 s A Name: MI WEO0.rrt o.� lY v d- (Q0 ,r.
Mailing Address: a JA I Z Mailin. Add _-s:
City: 'jCti -ui m state: ix) Zip: qg City: r e Stat Zip: k_a
Phone: 4tp0 &q? t Fax: Phone: .4 Fax: �5d, -C
License Exp. License I Exp, IQ 0.014'1 f MO Q I(I a
Item Unit Charge (qty Total (Qty Multiplied by 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/O Service Feeder 73,50
Each Additional Branch Circuit 2.60
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 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 ___L,_ 8 5(0■0
NEW CQNSTRUC'JQN 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, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration In compliance with the electrical laws, N.E.C., RCW, Chapter 19.28, WAC. Chapter 296 -468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator 0 cash Chock
,'l Credit Card
L L.A.,( [L i../,�.c�a,[� Dated: JP/ 7/1
otro1no+o
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
200 amp breaker replacment
Owner
FEDERAL HOME LOAN MTG CORP
5000 PLANO PKWY
CARROLLTON
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00 119 9000 ECH EL 0 200 SRV FEEDER
Special Notes and Comments
February 19 2010 2 48 26 PM Tpeppard
Support existing service mast per WAC 296 46B 230
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
TX 750104902
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
10 00000165
668270
818 L ST
06 30 00 0 2 5085 0000
ELECTRICAL ONLY
161117
119 90
2/19/10
8/18/10
UNKNOWN
0
ELECTRICAL ALTER RESIDENTIAL
Charged Paid Credited
119 90 119 90 00
00 00 00
119 90 119 90 00
DATE.
Contractor
BOTERO SON ELECTRICAL
940 TAMARACK WAY
PORT ANGELES
Plan Check Fee
Valuation
Date 2/19/10
WA 98362
Due
RESULTS
00
00
00
00
0
Extension
119 90
2 /ZZ/ /l
2 /zv /iO c*,
Signature of owner or Electrical Contractor X Date
INSPECTOR.
c
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) 417 -4711
Da 0..
1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair*
Plan Review May e Required, Please Complete Electrical.Plan Review Information Sheet
Job Address: I S7 .S 1
Building Square Footage: 4,42 v c�
Description of above
Owner Information
Name: Fcv 15-17— pt— 146 (_rARk1 MTG.,
Mailing Address: Ctrl VLF
City izcAL N State:1'7% Zip: _$g 79 0
Phone: Fax: Phone:06 i Qr3 Fax: y,52ii 7 !0(,
License Exp. License Exp. TA o j r,iZ c
Contrac Inf ation
Name: l P\ 1%
Mailing*ress: 9'r v1 i
City' i l l dY State i Zip: 9,3(2 1
1
Total (Qty Multiplied by Unit Charqg}
Item Unit Charge gy
Service /Feeder 200 Amp. 119.90 f
Seryice /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/O Service Feeder 73.50
Each Additional Branch Circuit 2.60
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
ili Yv 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.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 Check
S e El Credit Card r) 7✓ 7' .r Dated: f/7 p1101/2010
6
CITY OF PORTANGE, LES PrRmu APPLICATION
Building ffivisio"J.trical Inspections
321 Enst Fifth S(I'Vet – P,0- Box 1,1501 Port Angeles 98302
Plit (360) 417-4735 I'am (360) 4174711
D Ie� 6/20/2013
.— I & 2 Single, Faintly Dwelling
RECEIVED
AUG 2 0 2013 01.�10
J 1.
Plan Review May Be Requimd, Please Complple Electrical Plan Review infwrnation Sheet
'f * Ad*eas: –!J—s 5 L ST
Bulidmq Squam Foolape: .1211
Descriplon of ahuve --. --- —
Owner Infomiation
N am g. Dagny Lord
. I
M6*V Addtms: �Lls s L s-r
,1 _LO�Ang� e, A 83L3
_ Sf Rfo: '�L_ Zg J_
phon� 3606830631 "'ar
Uan j-R—T&P-
ftem
Unit Chore
SerVWFaodor 200 Am
Sarvk,Woeder 201.400 Amp,
3146W
S,w*0"der 401.6 ? Amp
$206-00
RrvicefFeo6or 601 -000 Amp,
5 26ZOC
Sere&Fwler over 1000 A",
$373,00
B;znr.h ckcW W/ S oe Fac-der
S 5.00
Branch Uruil W10 WAce Feeder
63,(K)
Exh AddillmW Brvvh Ckm
S 61W
Branch 01fmits 1-4
75M
Tamp, SeMW Feeder 2W Amp,
93.00
TOW, Service)Foodor 201400 Amp,
$110,00
Temp. ServicefFeeder 401-600 Amp,
$149,00
Temp SW1cWFWer 601, 1000 Arnp,
$166,00
poddl 10 pwal *Utly
$ X00
Signs al Ckoullli Limited Etietgy • 11t 2 Fangy E)welirig
$ 64,00
Wnufadured 1*,,nie GoamcXon
$120'.00
RenawaW SoWL-ol Energy - 50A Systems or Less
S 102.00
Thermostat
$ 56.00
Nolo: ZZ (N each a dcgWral T-Stal
NEW CGN§TRUCILQN QNLY:
First i=SquareFL
$120,00
Each McNional 51110 Squive Ft. te Porlim oi
$ 40,(0
Each OutbW&g v De(acl;ed Garago
S 74,00
Each SWmming W or Plot Tub
S 1110,00
Contractor Information
NMO,' _Pmtect.Yaur Hcme.
MokV Addrm. j:752 —Priority —w-ys-uth Dr
IN ZV 46740
PNjje-_L66-L02-3559 FaX' 317-564-2547
ItemoplExp,,LROTEYH934R5expl2/IC/2013
— — — !-4_00 _Totat
Omer as dermed by RGWAUU61' (1) Owner vAll occupy the strulture for two years after this eleotrical permit is finalized. (2) 0%+mef is required
to hire ign electrical contractor it abbe sad property Is for sale, rent[ Of lease, permit expires after six months of jam 111speclion.
After nadir g the above statement, I hereby certify ilhat I am tiro owpor of the above named property of z licensed electrical contrador. I= making
the elucWcaf iraslatlal sl or Moration In compliance A4th the electrical laws, N,E.C,, RCW, Diapter 19-28, WAC., Chapter 296-468, The City of Port
Arigele6 Municipal Code, and U111ty 8pecificalloas and PAMC 14,0500 regarding Eleftal Per"[ ApfAiratlons.
Signature of owner, electrical contractorot electrical admintstratof, 0 cas'h 0 eel
8/20/2013
OVUM
ELECTRICAL PERMIT
_CITYO.F PORT_ _ANGELES
360- 417 -4735
Application Number . . . . .
1.3- 00000941 Date
8/21/13
Application pin number . . .
187541
Property Address . . .
818 L ST
ASSESSOR PARCEL NUMBER;
Q6-30-00-0-2- 5085 -p000-
Appl.ication type description
ELECTRICAL ONTaY
Subdivision Name . . . . , .
Property Use
QUM
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation , , . .
0
Application desc
- -
---------
Security system
Owner
Contractor
DENNIS' R & DAGNY LORD
PRCTECT YOUR HOME
816 S L ST
3750 PRIORITY WAY SOUTH
DRIVE
PORT ANGELES WA 98363
9200
(360} 460 -6938
INDINAPOLIS IN
46240
13171 810 -4720
Permit . . . . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc .
Permit Fee 64.00
Plan Check Fee
00
Issue Date . . 8/21/13
Valuation . . . .
0
Expiration Date 2/17/14
Qty Unit Charge Per
Extension
1.00 64.0000 ECN EL-
SINGLE C.IR LINITED RES
64.00
Fee summary Charged
Paid Credited Due
Permit Fee Total. 64,00
64.00 '00
00
plan Check Total 00
.00 .00
00
Grand Total 64.00
64.00 .00
.00
-% "�i s.h L . L
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION •,
,
�.
INSPECTOR:
QUM
PERMIT WILL EXPrRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING
ft-
L�
1
Application Number . . . . . 22-00000629 Date 5/31/22
Application pin number . . . 483619
Property Address . . . . . . 818 L ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-5085-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
DENNIS R & DAGNY LORD BLACK DIAMOND ELECTRICAL CONTR
818 S L ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 460-6938 (360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 5/31/22 Valuation . . . . 0
Expiration Date . . 11/27/22
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Pub! ic \Yorks and ULili ties Department
32 l E. 5th Street. Port ;\ngeles. WJ\ 98362
300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us
Project Address:--------------------------------------
Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _
OWNER JNFORMATtON
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRfCAL CONTRACTOR fNFORMATION
Name: ___________________________ License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp. $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/ Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp. Service/Feeder 200 Amp. $93.00 $
Temp. Service/Feeder 201-400 Amp. $110.00 $
Temp. Service/Feeder 401-600 Amp. $149.00 $
Temp. Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal CircuiULimited Energy - 1 &2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Ren ewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional) $56.00 $
First 1300 Sql;Jare Feet $120.00 $
Each Additional 500 square feet" $40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool/ Hot Tub $110.00 $
TOTAL $
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
'"'CJ CD
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
11/27/2023 22-629
TAP
OWNER
CONTRACTOR
Black Diamond Electric
PROJECT ADDRESS
818 L St