The URL can be used to link to this page

Home My WebLink About719 E St - BuildingPREPARED 6/09/08 10 46 41 INSPECTION TICKET PAGE 15 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/09/08 ADDRESS 719 E ST SUBDIV TENANT NBR ROBERT LAMPERT CONTRACTOR PHONE OWNER ROBERT LAMPERT PHONE (360) 461 -4605 PARCEL 06 30 99 0 2 -4220 0000 APPL NUMBER 08 00000660 PLUMBING REPAIR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 6/09/08 J PLUMBING ROUGH IN TIME 01 00 June 6 2008 4 21 28 PM 1pangrle ROB 461 4605 ROUGH IN PLUMBING ",RTERNO" PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES Application Number 08 00000660 Application pin number 675840 Property Address 719 E ST ASSESSOR PARCEL NUMBER 06 30 99 0 2 4220 0000 ROBERT LAMPERT PLUMBING REPAIR Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation RS7 RESDNTL SINGLE FAMILY 1000 MOVE SINK TOILET ADD A SHOWER AND VENT FAN Contractor Application desc Owner ROBERT LAMPERT 719 E ST PORT ANGELES (360) 461 4605 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge WA 98363 'er 1 00 7 2500 E•:H Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 3 00 Fee summary Permit Fee Total Plan Check Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 MEt;HANICAL PERMIT BATHROOM VENT FAN 12 57 25 Plan Check Fee 00 5/30/08 Valuation 0 .1/26/08 PLNBING PERMIT 3 NEW TRAPS 127639 71 00 Plan Check Fee 00 5/30/08 Valuation 1000 11/26/08 Per 7 0000 ECH BASE FEE ME VENT FAN OWNER BASE FEE PL- EA FIXTURE Charged Paid L 128 25 128 25 00 00 128 25 128 25 ON ONE TRAP Credited 00 00 00 Date 5/30/08 Due Extension 50 00 7 25 Extension 50 00 21 00 00 00 00 oT\r I g o Separate Permits are required for 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 iolate or cancel the provisions of any state or local law regulating construction r the performance of construction. 1 l 5/30/0 o �n L)r LO rv, 2rd Signature of Contractor or Authorized Agent Signatur :f Owner Of owner is builder) D'ate Print Name 1 T Forms /Building Division/Building Permit (1 /01 /07).wpd CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE 0 INSPECTION TYPE FOUNDATION• I FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 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 COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT' 417 -4750 I BUILDING 417 -4815 X VI, I T Forms/Building Division /Building Permit (10/01/07).wpd KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. b� DATE ACCEPTED COMMENTS 6� YES NO 1 Q (p- q -0 g LiU- I PLANNING DEPT SEPARATE PERMIT N's SEPA. PARKING /LIGHTING ESA. LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING FINAL DATE ACCEPTED BY. 1 FINAL DATE ACCEPTED BY. 1 I Floor Areas Project Type Brief Description. Check all that apply New Construction Addition pikRemodel Repair Re -roof Demolition Heat System Other Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant or Agent go L 4- L Property Owner r� Property Owner's Address '7/ so „11, F Contractor /Engineer C7oay,ee- Contractor /Engineer's Address License PROJECT ADDRESS 71 9 5 o4 E 5 Parcel Number of [10 i l02 X 2 0 3 I 4 d (fon I✓ Heat pump wood- burning stove gas fireplace Existing (sq. ft.) a we fx Residential Commercial SI�1 7 J 4-O) f d 7 JC/I-N Proposed (sq. ft.) Total footprint of structures sq ft. Lot size Print Name, koL Pr J La,, j- Signature T Forms /Building Division /Bldg Permit App!. 2006 Code doc APPLICATION Print in ink For City Use Onl Date Received Permit# OSW Date Approved Phone 36o qg/- g605 Phone Phone Expires Lot Zoning Multi- family Industrial S LI owe pellet stove other per sq ft. TOTAL VALUATION 1. sq ft. Lot coverage Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be in Construction type 1 have read and completed this 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. Date 5/T elog of bedrooms of full baths of half baths Ok 272.z/7 j f /7 A f! l ,1 f f/ ff f r i f f f r if �f r (2{0 fo-5-eJ C� f 1 /iiifrf/ L na °' .... CITY OF PORT ANGELES '~ PUBLIC WORKS BUILDING DWISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUEO: 8/20/2001 PERMIT NO: 12856 OWNER/APPLICANT PROPERTY LOCATION DON WILSON 719 E ST S 1137 W 8TH STREET Lot: N 1/2 LT 11&12 Port Angeles, WA 98362 Block: 242 [] Long Legal 360/417-1195 Subdivision: TPA T: S: Parcel No: 063099024220000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $30,000.00 SFD Units: 0 Commercial: 0 Project Type: NEW SFD SFD SO FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS-7 PROJECT NOTES CONSTRUCT A 936 SQ FT SFR WITH A 78 SQ FT COVERED DECK FEES ASSESSMENT Building Permit: $442.25 Misc Fee 1: $0.00 Plan Check: $176.90 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $779.15 Plumbing: $103.00 AMOUNT PAID: $779.15 Mechanical: $52.50 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, S EPA, Shoreline, ESA, utilities, private a nd 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 pedod 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 compiled with whether specified herein or not. The granting of a permit does net presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILD1NG INSPECTIONS. PLEASE PROV1DE A MINIMUM 24 HOUR NOTICE. ITIS UNL~4 WFUL TO COVER, INSUL/ITE OR CONCE~4L ,4NY WORK BEFORE INSPECTED ~iND ~4CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE ACCEPTED COMMENTS YES I No FOUNDATION: WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE pERMIT: # PLIJMBING UNDER FLOOR / SLAR GAS LI~NE RACK FLOW / WATER AIR SEAL CEILING FRAMING JOISIS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING t --I [--O''~' ~-~' ~'~ DRYWALL T-BAR INSULATION WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY / INSERT HOOD/DUCTS PW UTILITIES / SITE WORK (Engineerlng Division } SEPARAIE PERMIT #'s: WATERLINE / METER SEWERCONNECT ON SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTPdCAL LIGHT DEPT CONSTRUCTION R.W~ / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. RUILOING 417-4815 RUILDING CAAPPLWPD FOR OFR~.~AL U~£ ONLy: BUILDING PERMIT- APPLICATION Pemdt ~:~ Please ~ or print in ink Hyou have any qu~tions, pl~e carl 41%4815 0~: ~ ~ Phone: Ad&ess: /~ ~ ~ ~ ~ CiW: .~o~/~ ~ Zip: ~Mte~n~e~: Phone: Con--or ~e L~ Lic~ ~: E~:. Phone: Ad.ss: ~/~ ~ ~ Ci~: ?$e~ ~ ~ e~,J Zip: L~AL B{SC~ON: L~:~ ~ L{ {{ t {~Bl~k: ~ ~ Su~visiou: C~ ~ P~CEL ~R:o~o~~it Ca~ HuMur Name: CMit Car~ ~: lip. Bate: ~A MC ~OF WO~: ~ M~ti-~ily ~ A~on ~ Move ~ge ~ SF. ~ $ ~SF. = $ ~ Co~i~ ~ ~¢! ~ D~o~fion~ ~ SF. ~ $ /SF. = $. vALu o COMMERCIAL/RESIDENTIAL: Occupancy Group:. Occupant Load: Construction Type: Ne. of Stories: [ Lot Size: "ICi Y, [~ % LotCoveragc: Y._~, ~t/ % Existing Lot Coverage: /sq. i~. + Proposed Lot Coverage: ~3f,~, /sq. R. = TOTAL LOT COVERAGE: ~---~ ~o /sq.R PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG... DPW. ESA/Wetland(s): [] Yes [] No SEPA Checklist required? [] Yes [] No Other: OTI~R BUILDING APPLICATION SUB~'II'I'I*AL: Your application andsiteplan must befllled out complefely h~ be accepted for repiew, The Building Division c. xn provide you with more detailed information on the application and plan submittal requirements. BUILDING PERMIT APPLICATION SUBMII-I'AL: Your completed application, site plan (for additions) and building construction plans arc to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant; This figure will be r~viowed and may be revised by the Building Div. to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building pemfit applicatien and consiruclion plans are submitted. All other permit fees arc due at the time of permit issuance. EXPIRATION O1~ PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire by limitations. The Building Official can extend the time for action by the applicant up to 180 days, on writ+on request by the applicant (see Section 107.4 0fthe Uniform Building Code, current edition). No application can be extended more than once. I hereby certi~ that I have read and examined this application and Imow the same to be true and correct and I am authorized to apply for this permit. 1 understand it is not the City's legal re. sponsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. pORTANGEI ES WASHINGTON, U.S.A. PUBLIC WORKS & UTILITIES DEPARTMENT January 14, 2002 Don Wilson 1137 W 8th St. Port Angeles, WA 98362 Subject: New SFR at 719 E Street Dear Mr. Wilson: Port Angeles City Light Department has received the electrical load requirements for your new residence at 719 E Street. The existing transformer does not have enough capacity to serve an additional house therefore a transformer upgrade is required. City Light policy requires the customer to be responsible for all costs associated with upgrading City electrical facilities when a new service and meter are added. The cost to upgrade the transformer and install the single phase meter is $534.00. Your signature below and payment of $534.00 will authorize City Light to schedule the work. If you have any questions, please feel flee to contact rne at 417-4708. Very truly yours. Gail McLain ~' Electrical Engineering Specialist / Authorizing Signature Date cc: Jim Harper, Electrical Engineering Manager Lee Adams, Electrical Inspector Roger Vess, Permits, file 321 EAST FIFTH STREET ® P. O. BOX 1150 ® PORT ANGELES, WA 98362-0217 PHONE: 360-417-4805 ® FAX: 360-417 4542 ® TTY: 360-417-4645 E*IViAI L: PU BWORKS~CI.PORT-ANGELES.WA. U S Permit Conditions For: 12856 PLAN REVIEW COMMENTS FOR-DON WILSON 719"E" STREET PUBLIC WORKS ENGINEERING -- TRENIA FUNSTON, GARY KENWORTHY: 1. DRIVEWAY OFF ALLEY , NO COMMENTS REQUIRED. 2. WATER METER OFF E STREET. PLACE STAKE IN GROUND @ LOCATION WHERE APPLICANT WOULD LIKE METWR INSTALLED ALONG E STREET. 3. EXISTING SANITARY SEWER LATERAL WHICH SERVES LOT A OF THIS SHORT PLAT( 1137 W 8TH STREET) MAY ALSO BE USED TO SERVE LOT B.A WYE CONNECTION IS TO BE PLACED ON 6" PVC PIPE TO SERVE LOT B.(2)CLEANOUTS ARE TO BE INSTALLED, ( 1 ) FOR EACH PROPERTY CONNECTION. 4. STORM DRAIN ROOF LEADERS TO DRY WELL OR TO ALLEY. LIGHT DEPT. -- JIM HARPER: 1. UNDERGROUND OR OVERHEAD ELEC. SERVICE FROM POLE @ NE CORNER OF LOT B. UNDERGROUND INSTALLED BY CUSTOMER, PERMIT REQUIRED. JOINT TRENCH WITH SEWER 0 K. 2.NEEDS NEW OR UPGRADED TRANSFORMER ,$ 600.00 ESTIMATE. FIRE DEPT. -- KEN DUBUC: 1. ADDRESS NUMBERS MUST BE AT LEAST 6" HIGH, EASILY VISIBLE FROM THE STREET AND OF CONTRASTING COLOR FROM THEIR BACKGROUND. PLANING DEPT.-- SUE ROBERDS: 1. THE SITE IS ZONED RS7, RESIDENTIAL SINGLE FAMILY. THE ADRESS SHOULD INDICATE THAT THE SUBJECT SITE IS LOT B OF SHORT PLAT 99-02, WHICH iS THE N 1/2 OF LOTS 11&12, BLOCK 242.SETBACKS AND LOT COVERAGE ARE FINE. NO CONCERNS ARE NOTED. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQU E~__T:~).~f _ ~ ~-~ ~ Date~--; Time Received by (phone, person) Location of Work to be inspected 7/~ ~<~ ~_~, -~,, Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. / '~ ~ Sewer Foundation Framing Chimne[ Plumbing Fina[~Excev. Other INSPECTION NOTES: ;~/~ Inspected: Date -' - Time By Remarks: SURFACE RESTORATION: SURFACE TYPE: [] Unimproved {-]Gravel [-~Asphalt [-]PCC ~-IOther [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date /--//-- (~) -~ Time //;/,~4~ Received by '/~ (phone, person) Location of Work to be inspected '~7/~ C Name of person requesting inspection ..~c~_ L~ '/~<=~ ~ Address of person requesting inspection Phone No. ~'~/7-- Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Chimney Plumbing Final Sewer Excav. Other , INSPECTION NOTES: Inspected: Date / -//~ ~ ~'- Time By Remarks: RESTORATION REQUIRED ...... YES_ NQ SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date / I ~- ~/~-, - ~ ' Time Received by f' f, ~n~, person) Location of Work to be inspected ~ ~ ~- Name of person requesting inspection Address of person requesting inspection Phone No. L,~ Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney ~ Plumbing ~Final Sewer Excav. Other INSPECTION NOTES:. Inspected: Date Time. By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~]Gravel []Asphalt I~PCC ~}Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: /'~) ~ , ~- ~'~ n~, ~- ~ ~ ~ ~- ,-- Date ~ Time Received by ' (pho person) rr' Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (c, ircle appropriate one): Permit No. ' - ~ ~ Sewer ~Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date ~ ~ ~ Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel r-]Asphalt ~-]PCC []Other ~-I Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date Time Received by ~ (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. ~ ~' Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES:. ~-, Inspected: Date Time By Remarks: RESTORATION REQUIRED ...... YES NO. SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt [~PCC []Other [] Repaired by City Work Order # [--] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date C¢~-~ -(~ ( Time Received by ~ ~-~ (phon~ Location of Work to be inspected Name of person requesting inspection ~ O~ Address of person requesting inspection Phone No. ~f'! ?- // Type of Inspection (circle appropriate one): Permit No. Sewer~Foundation~ Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date ~:~-~(~) "~ Time. By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUE~:-- C~ Time <~ by Date ~/~ ~,/~ ~ Received -~ Location of Work to be inspected ,y//c~' ~_//~ ~o Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other Inspected: Date ~' ~ .... Time By ,, / Remarks: ! , RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt [] PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) * Plan Review Ma Be Regtaired, Please Complete Electrical Plan Review Information Sheet Job Address: %! sn,�'t� F— 5t Building Square Footage: 1,000 Description of above L badro� 4 4ryIU ,ter ._� �ark� Owner Information . Contractor Information Name: _ i oW9,,+ L60"ytp1't APB Name: CITY OF PORT ANGELES PERMIT APPLICATION Mailing Address: 1 Building Division /Electrical Inspections(' S City: State: zip: 321 East Fifth Street— P.O. Box 11501 Port Angeles Washington, 98362 Phone: Fax: Ph: (360) 417 -4735 Fax: (360) 417 -4711 License # ! Exp. Date: '3 N ZD E 1 1 & 2 Single Family Dwelling Unit Charge Qty Total (Qty Multiplied by Unit Charge) * Plan Review Ma Be Regtaired, Please Complete Electrical Plan Review Information Sheet Job Address: %! sn,�'t� F— 5t Building Square Footage: 1,000 Description of above L badro� 4 4ryIU ,ter ._� �ark� Owner Information . Contractor Information Name: _ i oW9,,+ L60"ytp1't Name: Mailing Address '7(01 joy4, t! 5 - Mailing Address: City: ?or i •, -cam r 1e3 State: zip: `7 3 6 S City: State: zip: Phone:360- Wl F 4605_ Fax: Phone: Fax: License # t Ex p. License # ! Exp. Item Unit Charge Qty Total (Qty Multiplied by Unit Charge) ServicelFooder 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 WI Service Feeder $ 5.00 $ emn Branch Circuit WIO Service Feeder $ 63.00 ! $- Each Additional Branch Circuit $ 5.00 $_ Branch Circuits 1 -4 $ 75,00 $_.. Temp. Service! Feeder 200 Amp. $ 93,00 $ Temp. Service /Feeder 201 -400 Amp $ 110,00 $ Temp. Servico /Feeder 401 -600 Amp. $ 149.00 Ternp. Service/Feeder 601 -1000 Amp . $ 16800 _ $ Portal to Portal Hourly $ 96,00 $ —_ Signal Circulil Limited Energy -1 & 2 Family Dwelling $ 64,00 $� Manufactured Home Connection $12000 $_ Renewable Electrical Energy - 5KVA System or Less $10200 $_ Thermoslat $ 56,00 $ w Note: $5.00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft $ 12000 _ $ Each Additional 500 Square Ft. or Portion of $ 40,00 $ Each Outbuliding 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 -4613, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14,05,050 regarding Electrical Permit Applications. Signature of 8 wn r, electrical contractor or electrical administrator: ❑ Cash ❑ check .q // y ❑ Credit Card _..._..__ X '— "`^' ~ haled: ��/ { 010712012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number , . , . . 15- 00000342 Dace 4/06/15 Application pin number . , . 376742 DITCH Property Address , . . , 719 E ST ASSESSCR PARCEL NUMBER: 06- 30- 99 -0 -2 -4220 Application type description ELECTRICAL ONLY Subdivision Name . , . . , Property Use FINAL Property Zoning , . , . , . , RS7 RESDUTL SINGLE FAMILY Application valuation , , , , 0 Application desc Laundry room remodel Owner Contractor ROBERT LAMPERT OWNER 719 E 5T PORT ANGELES WA 98363 {360) 461 -4605 " `lPermit ;f. ELECTRICAL ALTER RESIDENTIAL - ~f -f ff " -------- Additional des , , Permit Fee 73.00 Plan Check Fee .00 Issue Date 4/06/15 valuation . . . , 0 Expiration Date 10/03/i5 Qty Unit Charge Per Extension 2,00 5.0000 ECH 'EL -ECH ADDNT BRANCH CIRCUIT 10,00 1.00 63,0000 ECH $L -R- BRANCH CIR WO/ SEP FEED 63.00 Fee summary Charged paid Credited Due Permit Fee Total 73.00 73,00 OD OO Plan Check Total .00 .00 .00 00 Grand Total 73.00 73,00 OD DO n REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 05(02) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL . COMMENTS: PERMIT WILL EXPIRE SIX (6) IV;ONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCI IANGEIBUILOING