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1105 H St - Building
Building Permit 1105 H St 12 -1603 PREPARED 12/17/12, 14:37:46 PROGRAM BP521L CITY OF PORT ANGELES APPLICATION PROPERTY ADDRESS INSPECTION HISTORY REPORT PAGE 0 /00 /00 THRU 0 /00 /00 ASSESSOR PARCEL NUMBER ALTERNATE ID STRUCTR PERMIT INSPECTION RESULT DATE /STATUS INSPECTOR 12 00001603 1105 H ST 06- 30- 00 -0 -3 -5750 -0000- 063000035750 000 000 ME 00 MECHANICAL PERMIT ME99 0001 MECHANICAL FINAL 12/12/12 APPROVED REQ COMM: December 12, 2012 8:12:19 AM pbarthol. REQ COMM: Dave 461 -0471 RES COMM: December 12, 2012 4:20:35 PM jlierly. JLL Inspection Type Date Accepted By Comments FOUNDATION: Footings FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Stemwall Accepted By Electrical 417 -4735 Foundation Drainage Downspouts Construction R.W. PW Engineering 417 -4831 Piers Fire 417 -4653 Post Holes (Pole Bldgs.) PLUMBING: FINAL Date Accepted by Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: FINAL Date Accepted by Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking Lighting Landscaping 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 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. T:Forms /Building Division /Building Permit Date Application Number 12- 00001603 Application pin number 781636 Property Address 1105 H ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 5750 -0000- Application type description RES MECHANICAL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 3145 Application desc DUCTLESS HEAT PUMP Owner LANE, JR. JAMES M 1105 S H ST PORT ANGELES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Permit MECHANICAL PERMIT Additional desc DUCTLESS HEAT PUMP Permit Fee 64.80 Issue Date 12/10/12 Expiration Date 6/08/13 ,Qty Unit Charge Per 1.00 14.8000 EA Fee summary Charged 'Permit Fee Total Plan Check Total Grand Total T:Forms /Building Division /Building Permit WA 983635533 64.80 .00 64.80 le9/42 our,' t Contractor DAVE'S HTG COOLING SRVC INC PO BOX 413 PORT ANGELES n WA 98362 (360) 452 -0939 Plan Check Fee Valuation BASE FEE ME- FURN /HP /FAU'< OR 5 TON Paid Credited 64.80 .00 64.80 .00 00 00 Date 12/10/12 Print Name Signature of Contractor or Authorized Agent .00 0 Extension 50.00 14.80 Due .00 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 required1nspectio°ns, 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 y state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) 12/06/2012 2:56PM FAX Applicant Property Owner "`j yyt C o.c see,, j r 5 .Q.,s -1 Phone 5<57. 9 Property Owner's Address Contractor ac+`-u4e.! Contractor's Address License laErgtEMF at (11. PROJECT ADDRESS Parcel Number -mail Lot Zoning Project Type Brief Description: Check all that apply a New Construction o Addition Remodel o Repair o Demolition Re -roof House c garage o other tear off re -roof o lay over one layer M eat System 115Hept pump o wood- burning stove o gas fireplace pellet stove o other Others Floor Areas Existing (siL ftj Proposed (sq, ft,) Basement 5 per sq. ft. 1' Floor 2 Floor 3' Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION l 1212" Total footprint of structures sq. ft. T Lot size sq. ft. LI 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 exernptions) Site coverage Max. height of proposed structures Will a lawn sprinkler system be Installed? Will a fire sprinkler system be Installed? I have feed and completed this application and know It to be true and correct. I am authorized to apply for this permit and understand thui it is my esp•nsibllity to determine what permits are required, and to obtain permits prior to working on projects. Date rint Name 1 0 ka-041 Signature T:Formsl ilding Division /Building permit application 1 /0001 if /=/606 BUILDING PERMIT APPLICATION Print in ink CF1W OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360.) 417 -4815 fax (360) 417 -4711 J1 V`ei5 Residential 0 Multi family ft. Occupancy group Occupant Toad Construction type For City Use Only: Date Received Permit /a /6 7- 0 Dab Approved a (v Phone re_ Phone o Commercial o Industrial of bedrooms of full baths of half baths Electrical Permit 1105 H St 12 -1515 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 12.1t1 Z .P *VP' FINAL 1 1 i2 J1/iz_ 4C W COMMENTS: Application Number 12- 00001515 Application pin number 296145 Property Address 1105 H ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 5750 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 1 circuit ductless heat pump Owner LANE, JR JAMES M 1105 S H ST PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1.00 63.0000 ECH Fee summary Charged Permit Fee Total Plan Check Total Grand Total WA 983635533 ELECTRICAL ALTER RESIDENTIAL 63.00 11/19/12 5/18/13 63.00 .00 63.00 Contractor OWNER EL -R- BRANCH CIR WO/ SER FEED Paid Credited 63.00 .00 63.00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G: \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Plan Check Fee Valuation .00 .00 .00 Date 11/19/12 Due .00 .00 .00 .0 0 0 Extension 63.00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: N Crt CITY OF PORT ANGELES PERMIT APPLICATION p'�� 9 Li-2 Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362«C Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECTIONS Date: Signature of owner, electrical contractor or electrical administrator: 1 2 Single Family Dwelling Contractor Information Plan Review May Be Required, Please Complete Electrical Plan Re iew Information Sheet Job Address: 1/ D S 5 0 5 T P /4- 78 Building Square Footage: Description of above Owner Information Name: 0 1 wl LfFettE Name: S,4l■ X- Mailing Address: it 0 S .0 5r Mailing Address: City: P /,P State: Al t9 Zip: ?13 6-.7 City: State: Zip: Phone: `f5 2 a'Y?i 3 Fax: Phone: Fax: License Exp. License Exp. Item Unit Charge Total (Qty Multiplied by Unit Chargel 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 3 c27 Each Additional Branch Circuit 5.00 Branch Circuits 1-4 75.00 Temp. Service/ Feeder 200 Amp. 93.00 Temp. Service /Feeder 201 -400 Amp. 110.00 Temp. Service /Feeder 401 -600 Amp. 149.00 Temp. Service/Feeder 601 -1000 Amp 168.00 Portal to Portal Hourly 96.00 Signal Circuit/ Limited Energy -1 2 Family Dwelling 64.00 Manufactured Home Connection 120.00 Renewable Electrical Energy 5KVA System or Less 102.00 Thermostat 56.00 Note: $5.00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. 120.00 Each Additional 500 Square Ft. or Portion of 40.00 Each Outbuilding or Detached Garage 74.00 Each Swimming Pool or Hot Tub 110.00 $Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. X Cash Check Credit Card Dated: l Z 01/0112012 7E1 ELECTRICAL PERMIT 1105 H ST 12 -1009 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN /O l3I t Z- 2 r FINAL d c) 1 c �`I i)s COMMENTS: b Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Demand response hot water tank no fee Owner LANE, JR JAMES M 1105 S H ST PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total Plan Check Total Grand Total WA 983635533 ELECTRICAL ALTER RESIDENTIAL DEMAND RESPONSE HOT WATER TANK .00 P1'an Check Fee 8/06/12 Valuation 2/02/13 .00 .00 .00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G: \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 12- 00001009 482281 1105 H ST 06-30-00-0-3- 5750 -0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor OLYMPIC ELECTRIC CO INC 4230 TUMWATER PORT ANGELES (360) 457 -5303 Paid Credited Due .00 .00 .00 .00 .00 .00 Date 8/06/12 WA 98363 .00 .00 .00 .00 0 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: 08/03/2012 08:45 FAX 360 452 3498 J ECEIVED CITY OF PORT ANGELES PERMIT APPLICATION AUG 6 2012 OLYMPIC ELECTRIC CO Building Division/Electrical Inspections P NG. C WA 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 3n, J PECTIONS Pb: (360) 417 4735 Fax: (360) 417 4711 Date: 1 2 Single Family Dwelling Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 10 T Building Square Footage: DescdpUonofabove DEMAND RESPONSE DISCONNECT FOR HOT WATER HEATER Owner Information Name: JIM ti ADDIE LANE Mailing Address: 1105 S "H" �T City:pORT ANGELES State: WA Zip: 99363 Phone: 45 7 8483 Fax: License 0 Exp Item Servlce/Feeder 200 Amp. Service/Feeder 201 -400 Amp. Service/Feeder 401-600 Amp Service/Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Clrcull W/O Service Feeder Each Additional Branch Circuit Branch Clrculls 14 Temp. Service/ Feeder 200 Amp. Temp, Service /Feeder 201400 Amp, Temp. Servlca /Feeder 401 -600 Amp. Temp. Service /Feeder 601 -1000 Amp Portal to Portal Hourly Signal Circult/ Umlted Energy -1 2 Family Dwelling Manufactured Home Connection Renewable Electrical Energy SKVA System or Less Thermostat Note: $5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft Each Additional 500 Square Fl. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub x MiShael r, RLrto Olympic Electric Co. PA CITY INSPECT W0006/026 Unit Cif' rge 120.00 146.00 5 205.00 262.00 373.00 5.00 .63.00 5.00 75.00 93.00 110.00 149.00 168,00 96.00 64.00 120.00 $102.00 56.00 120.00 40.00 74.00 110.00 Dated: Contractor Information Name: Olympic Electric Mailing Address; 4230 Tumwater City: fort Angeles Stete: WA Zip' 9 Phone 457 -5303 Fax: 360 452 -3498 license 9 /Exp. C YMpFr2msnl 9hC 1 7`°'6"`r RECEIVED OLYMPIC ELECTRIC CO PORT ANGELES, WA Total (Qty Multiplied by Unit Chartal o. oo Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this efectrlcal 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 -469, 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: O Co eh Chock 0,1 Creels Card o 01101/2012 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 3 f Z o FINAL 114 12- COMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Demand response. No fee per Larry Dunbar Owner LANE, JR JAMES M 1105 S H ST PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total Plan Check Total Grand Total WA 983635533 .00 .00 .00 Signature of owner or Electrical Contractor X G: \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 12- 00000055 243830 1105 H ST 06-30-00-0-3- 5750 -0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION OLYMPIC ELECTRIC CO INC 4230 TUMWATER PORT ANGELES (360) 457 -5303 ELECTRICAL ALTER RESIDENTIAL DEMAND RESPONSE. NO FEE PER LA .00 Plan Check Fee 1/20/12 Valuation 7/18/12 Paid Credited Due .00 .00 .00 .00 .00 .00 Date 1/20/12 WA 98363 .00 .00 .00 .00 0 t REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: 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 Date: 01/20/2012 Owner Information Name: JIM ADDIE LANE Mailing Address: 1105 S "H" ST City: PORT ANGELES State: WA Zip: 98363 Phone: 457 -8483 Fax: License Exp. Item Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp Service /Feeder 601 -1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 -1000 Amp Portal to Portal Hourly Signal Circuit/ Limited Energy -1 2 Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat Note: $5.00 for each additional T -Stat 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 x Michael L. Rutten x 1 2 Single Family Dwelling Unit Charge 120.00 146.00 205.00 262.00 373.00 5.00 63.00 5.00 75.00 93.00 110.00 149.00 168.00 96.00 64.00 120.00 102.00 56.00 120.00 40.00 74.00 110.00 Signature of owner, electrical contractor or electrical administrator: 1 "A1 20 2J1 ELECTRICAL INSPECTIONS Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet JobAddress: 1105 S "H" ST. Building Square Footage: Description of above DEMAND RESPONSE DISCONNECT FOR HOT WATER HEATER Contractor Information Name: Olympic Electric Mailing Address: 4230 Tumwater City: Port Angeles State: Wa Zip: 98363 Phone:360- 457 5303Fax: 360 452 -3498 License Exp. OLYMPEC2 8 5D 1 0.00 o o o Total Total (Qtv Multiplied by Unit Charge) Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Cash Check IN Credit Card Dated: 01/20/2012 0110112012 INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH oT J('/ SERVICE 12, le tO -kA,' ..00) ROUGH IN FINAL 12. C q c COMMENTS 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 service change Owner LANE JR JAMES M 1105 S H ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date WA 983635533 ELECTRICAL ALTER RESIDENTIAL 153577 93 75 9/16/09 3/15/10 Qty Unit Charge Per 1 00 93 7500 ECH EL 0 200 SRV FEEDER Special Notes and Comments September 14 2009 3 06 27 PM Brian 417 4708 5 service mast required to maintain clearance over carport /garage Fee summary Charged Permit Fee Total Plan Check Total Grand Total 93 75 00 93 75 Signature of owner o: Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 09 00000948 360560 1105 H ST 06 30 00 0 3 5750 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor OWNER Plan Check Fee Valuation Paid Credited Due 93 75 00 93 75 00 00 00 Date 9/16/09 00 0 Extension 93 75 00 00 00 Date t. 9 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 Date /r/ OP' X 1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electric Plan Review Information Sheet ,lob Address: //t 51-> /-f S j' rater 4 .cc,es Building Square Footage. 2. /!o 0 17 (.-L s —c Description of above i)4 L L /17,E w {'l�� L `F- LJ1 f t' 7 2 Owner Information Contractor Information Name. dim L._,0,tfE Name P)LJAI e2 Mailin Address: 0 S 5a hr' ST Mailing Address: City State Zip 9,3 to 3 City State. Zip: Phone. it S 2 23 Y 23 Fax: Phone. Fax: License Exp License Exp Unit Charge Qy Total (Qtv Multiplied by Unit Charnel 93 75 ir. 3, 7s Service /Feeder 200 Amp. $113.75 Service /Feeder 201 -400 Amp. $160.00 Service /Feeder 401 -600 Amp. $205.00 Service /Feeder 601 1000 Amp. $291.25 Service /Feeder over 1000 Amp. 2.00 Branch Circuit W/ Service Feeder 57.50 Branch Circuit W/O Service Feeder 2.00 Each Additional Branch Circuit 72.50 Temp. Service/ Feeder 200 Amp. 86.25 Temp. Service /Feeder 201 -400 Amp. $116.25 Temp. Service /Feeder401 -600 Amp. $131.25 Temp Service /Feeder 601 1000 Amp. 75.00 Portal to Portal Hourly 69.00 Sign /Outline Lighting 75,00 Signal Circuit/ Limited Energy Commercial 50.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling 50.00 Signal Circuit/ Limited Energy Multi- Family Dwelling 93.75 Manufactured Home Connection 80.00 Renewable Electrical Energy 5KVA System or Less 86.25 First 1300 Square Ft. 27.50 Each Additional 500 Square Ft. or Portion of 57.50 Each Outbuilding or Detached Garage 86.25 Each Swimming Pool or Hot Tub 43.75 Thermostat f93 75- 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. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner electrical contractor or electrical administrator Date: RECEIVED SEP 1 2009 ELECTRICAL INSPECTIONS Cash Check ©p Credit Card ZT mi L. Ai 34. 0 Ljj7 F Vgj S t 1 5" 0 2. ••••111P %WM" IVOMr, 9 6. 054.' 5 Pvt. 2 9c. PI) 1- BUILDING PERMIT OWNER/APPLICANT JIM LANE 1105 SOUTH H STREET Port Angeles, WA 98363 360/457 -8483 T: CONTRACTOR LARRY'S ROOFING 352 AVIS ST Port Angeles, WA 98362 360/452 -2215 PROJECT NOTES TEAR -OFF, TORCH DOWN RECEIPT# FEES ASSESSMENT Building Permit: $139.25 Plan Check: $0.00 State Surcharge: $4.50 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 Plumbing: $0.00 Mechanical: $0.00 Radon: TdPLANNING \FORMS \1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 $0.00 S: ISSUED: 8/12/2002 Misc Fee 1: Misc Fee 2: Misc Fee 3: ARCHITECT N/A 98360 -0000 360/000 -0000 TOTAL FEE: AMOUNT PAID: BALANCE DUE: PERMIT NO: 13599 PROPERTY LOCATION 1105 HST S Lot: W2 LT 9 ALL LT 10 Block: 357 pi Long Legal Subdivision: TPA Parcel No: 063000035750000 PROJECT INFO Project Value: $6,500.00 SFD Units: 0 Commercial: 0 Project Type: RE -ROOF SFD SQ FT: 0 Industrial: 0 Occupancy Type: RES Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: $0.00 $0.00 $0.00 $143.75 $143.75 $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume o give hority violate or cancel the provisions of any state or local law regulating construction or the performance of construc n. Signature of Contractor or Authorized Agent Date Signature of Owner Of owner is builder) Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: ROUGH -IN PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL WALLS ROOF CEILING DRYWALL T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP WOOD STOVE PELLET CHIMNEY HOOD/ DUCTS PW UTILITIES SITE WORK (Engineering Divisio SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM SEPA: ESA SHORELINE: PLANNING DEPT. SEPARATE PERMIT Ws PARKING /LIGHTING LANDSCAPING 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/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 U -'f. a A LL BUILDING BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE T. \PLANNING FORMS \I 102.15 [4/2002] REQUEST: Date r ei_ Z CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT Time Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No SEW Sewer Foundation Framing Chimney Plumbin Final Sewer Excay. Other INSPECTION NOTES: 2 Inspected: Date Remarks: (Continue on reverse side if necessary) no s /1 Time RESTORATION REQUIRED SURFACE RESTORATION: SURFACE TYPE: Unimproved ❑Gravel Repaired by City Repaired by Permittee No Damage Found Received by YES S% 1. (phone, person) By NO Asphalt PCC Other Work Order COMPLETE INCOMPLETE STREET SUPERINTENDENT (DATE) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 2 /i7/ W FINAL .11<i 1 4 COMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Demand response hot water tank Owner GONZALES ARMANDO 1005 S H ST PORT ANGELES Permit ELECTRICAL ALTER RESIDENTIAL Additional desc NO FEE PER LARRY DUNBAR Permit Fee .00 Plan Check Fee Issue Date 1/13/12 Valuation Expiration Date 7/11/12 Fee summary Charged Permit Fee Total Plan Check Total Grand Total WA 983635531 .00 .00 .00 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 12- 00000044 275140 1005 H ST 06-30-00-0-3- 1435 -0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor OLYMPIC ELECTRIC CO INC 4230 TUMWATER PORT ANGELES (360) 457 -5303 Paid Credited Due .00 .00 .00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION .00 .00 .00 Date 1/13/12 WA 98363 ._00 .00 .00 .00 0 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING 6 0 1 cri cc\ (7_ pORT q,v IkOR KS V' DATE OWN WN R/C ACTOR PERMIT z -t)b INSPECTO Oc_.( l C. ADDRESS Joc 5 APPROVED NOT APPROVED DITCH ROUGH IN /COVER t14-_ SERVICE FINAL ei CORRECTIONS NEEDED: 612,0 N.3) "R 014 t eF Cou.) 1 OLYMPIC PRINTERS, INC. (360) 452 -1381 ELECTRICAL INSPECTION WIRING REPORT 417 -4735 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.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: 01 1 1/ 2 0 1 2 x 1& 2 Single Family Dwelling Owner Information Name: Kathy Gonzales Mailing Address: 1005 H St City: Port Angeles State: Wa Zip: 98363 Phone: 360 -457 0814Fax: License Exp. Signature of owner, electrical contractor or electrical administrator: x Michael L. Rutten ELECTRIC MI SPECT/011, Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 1005 H St. Building Square Footage: Description of above Install Demand Response Disconnect for Hot Water Tank Contractor Information Name: Olympic Electric Mailing Address: 4230 Tumwater City: Port Angeles State: Wa Zip: 98363 Phone:360 457 5303Fax: 360 452 -3498 License Exp. OLYMPEC2 8 5D1 Item Unit Charge tiq Service /Feeder 200 Amp. 120.00 Service /Feeder 201 -400 Amp. 146.00 Service /Feeder 401 -600 Amp 205.00 Service /Feeder 601 -1000 Amp. 262.00 Service /Feeder over 1000 Amp. 373.00 Branch Circuit W/ Service Feeder 5.00 Branch Circuit W/O Service Feeder 63.00 Each Additional Branch Circuit 5.00 Branch Circuits 1-4 75.00 Temp. Service/ Feeder 200 Amp. 93.00 Temp. Service /Feeder 201 -400 Amp. 110.00 Temp. Service /Feeder 401 -600 Amp. 149.00 Temp. Service /Feeder 601 -1000 Amp 168.00 Portal to Portal Hourly 96.00 Signal Circuit/ Limited Energy -1 2 Family Dwelling 64.00 Manufactured Home Connection 120.00 Renewable Electrical Energy 5KVA System or Less 102.00 Thermostat 56.00 Note: $5.00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. 120.00 Each Additional 500 Square Ft. or Portion of 40.00 Each Outbuilding or Detached Garage 74.00 Each Swimming Pool or Hot Tub 110.00 63.00 Total (Qty Multiplied by Unit Charge) 63 00 Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Cash Check CK Credit Card Dated: 0110112012 CITY OF PORT ANGELES LIGHT DEPARTMENT In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do ork as listed below. Address /a Occupancy Owner F Wiring Contractor Light Outlets Receptacle Outlets f^ Dryer, KW Range, KW 6 Water Heater: KW Heat: KW Motors: size, volts and phase: Remarks: Permit Fee d l Total Load IM Olympic Printers, Inc. ELECTRICAL PERMIT N? 16271 Port Angeles, Washington p 19 Tenant B Service, volts /-5n/ No. wires Size wires Main fuse Enclosure Type of wiring: Entrance Cable Rigid Conduit Metallic Tubing Current transformers: No. Size Ser. No Ser. No. Ser. No Ser. No. Treas. Receipt No By ELECTRICAL PERMIT Type of Wiring: Armored Cable Non Metallic Knob Tube Rigid Conduit Metallic Tubing Raceway i Circuits, Light Utility Heat Range Water Heater C.a. Motor Dryer Furnace Total 7/ i/l f e NOTICE Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION N 16271 Address Date Owner Tenant Wiring Contractor By NOTICE Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. Application Number . . . . . 22-00000545 Date 5/09/22 Application pin number . . . 229175 Property Address . . . . . . 1105 H ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5750-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Washer / Dryer ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RICHARD L AND TERESA R MURDOCK EXTRA MILE TECH & ELECT., LLC 1105 S H ST 418 N. RACE ST. PORT ANGELES WA 983635533 PORT ANGELES WA 98362 (360) 457-5222 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 68.00 Plan Check Fee . . .00 Issue Date . . . . 5/09/22 Valuation . . . . 0 Expiration Date . . 11/05/22 Qty Unit Charge Per Extension 1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 68.00 68.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 68.00 68.00 .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: Washer / Dryer NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 5/9/2022 22-545 TAP OWNER CONTRACTOR Extra Mile PROJECT ADDRESS 1105 H St ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Washer Dryer NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 5/16/2022 22-545 TAP OWNER CONTRACTOR Extra Mile Electric PROJECT ADDRESS 1105 H St