HomeMy WebLinkAbout321 S Ennis St - Building CITY OF PORT ANGELES
iL786) DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000469 Date 4/24/12
o Application pin number 380752
o
Property Address 321 S ENNIS ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -8 -0- 0440 -0000- REPORT SALES TAX
Application type description MECHANICAL APPL. 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 3000
Application desc
FORCED AIR FURNACE
Owner Contractor
SORENSEN ROBERT A ANGELES HEATING INC.
PO BOX 6132 2114 W 8TH ST
BOISE ID 83707 PORT ANGELES WA 98363
(360) 457 -0111
Permit MECHANICAL PERMIT
Additional desc FORCED AIR FURNACE
Permit Fee 64.80 Plan Check Fee .00
Issue Date 4/24/12 Valuation 0
Expiration Date 10/21/12
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
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .00 .00
F11 r
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.
9/2 W;? i -4 pr I___.c_ A—
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
N
BUILDING PERMIT INSPECTION RECORD
kA
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
3
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 o
VV
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date 5.0. 12-Accepted b
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 Q
N
Electrical 417 -4735 1
Construction R.W. PW Engineering 417 -4831
A
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
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Y o FOR!' 9.t,` BUILDING PERMIT APPLICATION Print in ink
A-' CITY OF PORT ANGELES
A ttn: B ui ldi ng P erm i t Technician For City Use Only:
321 E. Fifth St., Port Angeles, WA 98362 Date Received ate la-
NISSOr
(360) 417 -4815 fax (360) 417-4711 Permit P% 1 +10°1 Date Approved 41
b J
Applicant 4 4 d
L_ Phone Ts t: I zi (--7— O i tiL
Property Ow er g, S cn.2�f Phone 36A 7 7 yyd-2
Property Owner's Address 3a_ J s fAJA,, _s
Contractor Phone 3Ica z -7 _O
Contractor's Address y L,/ r j 1 3
License 1 1 5 1 1 4 9 r Expires E -mail
PROJECT ADDRESS 3c2 I S vi J J e
z d,,- (.6.,
Parcel Number Lot Zoning
Project Type Brief Description: i -1 sldential Multi- family Commercial Industrial
Check all that apply I__
New Construction J �r-CT 0/ C.._ 4✓4_r -c 5 4�1.
Addition i ,<___0-7' Gz.',
Remodel
Repair
Demolition
Re -roof House garage other tear off re -roof lay over one layer
dyl System Heat pump o wood- burning stove gas fireplace pellet stove other
o Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq, ft.
1 Floor /.2-1
T
2 Floor
r Floor
Garage
Carport RECEIVED
Covered Porch
Deck
Shed AVR 2 4 2012
Other
CITY OF PORT ANGELES
BUILDING DIVISION TOTAL VALUATION -3 GOO
Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see RAMC 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 and understand
that it Is my responsibility to determine what p ermits ar equired, and to obtain permits prior to ing on projects.
Date /1-E j 6 rint Name .r` Z e Signature
T:Forms /Building Division /Building permit application
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735 \I
C/
Application Number 12-00000530 Date 5/10/12
Application pin number 648770
Property Address 321 S ENNIS ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 00 -8 -0 -0440 -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
SORENSEN ROBERT A ANGELES HEATING
PO BOX 6132 2114 W. 8TH ST.
BOISE ID 83707 PORT ANGELES WA 98362
(360) 457 -0111 3! 'G
Permit ELECTRICAL ALTER RESIDENTIAL ��Vll
Additional desc 1
Permit Fee 56.00 Plan Check Fee .00
Issue Date 5/03/12 Valuation 0
Expiration Date 10/30/12
Qty Unit Charge Per Extension 0
1.00 56.0000 ECH EL- LVT- THERMOSTAT 56.00
Special Notes and 'Comments
May 3, 2012 3:24:20 PM tamiot.
Load on transformer looks good
Fee summary Charged Paid Credited Due
Permit Fee Total 56.00 56.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 56.00 56.00 .00 .00 CS\
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN 6) /12 a
FINAL �1)g bl�,
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:AEXCHANGE \BUILDING
L l I 0.i rc h r ,,t,
CITY OF PORT ANGELES PERMIT APPLICATION ri,' 3 ri..2
Building Division /Electrical Inspections
ELECTRICAL l-- fir'
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECTIONS
Date: If I 2— Multi Family or Commercial*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: :3,D.. 1 .S 1-N AI) S
Building Square Footage: D
Description of above _c- /:,Z Am 1.4.414. 4___---
Owner Information Contractor Information
Name: c 6 S o tun's -e-, Name: 0.4 5 If .I leei c
Mailinc_Address: v� 1. S i /V) Mailing Addres: a/ 1 1-
City: `to 4, c c u l State: "`7`__ Zip: C, 43 c_'7 City: P State: £4 Zip: X 313
Phone:34o 77 i Lid) 3 Fax: Phone: Fax:
License Exp. License Exp. C ri f)- i j C
Item Unit Charge cal Total (Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp. 132.00
Service /Feeder 201 -400 Amp. 160.00
Service /Feeder 401 -600 Amp 225.00
Service /Feeder 601 -1000 Amp. 288.00
Service /Feeder over 1000 Amp. 410.00
Branch Circuit W/ Service Feeder 5.00
Branch Circuit W/O Service Feeder 74.00
Each Additional Branch Circuit 5.00
Branch Circuits 1 -4 86.00
Temp. Service/ Feeder 200 Amp. 102.00
Temp. Service /Feeder 201 -400 Amp. 121.00
Temp. Service /Feeder 401 -600 Amp. 164.00
Temp. Service /Feeder 601 -1000 Amp 185.00
Portal to Portal Hourly 96.00
Sign /Outline Lighting 88.00
Signal Circuit/ Limited Energy Multi Family 64.00
Signal Circuit/ Limited Energy First 1500 sf Commercial 96.00
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy 5KVA System or Less 113.00
Thermostat 56.00 46`.=
Note: $5.00 for each additional T -Stat
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.
Signature of owner, electrical contractor or electrical administrator: Cash Check
Er Cr d Card
X Dated: 49 l a. C!1 7 0110112012
RECEIVED
APR 2 4 2012
CITY OF PORT ANGELES
BUILDING DIVISION
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
Application Number 12- 00000531 Date 5/03/12
Application pin number 723579
Property Address 321 S ENNIS ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 00 -8 -0- 0440 -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
1 -4 circuits furnace
Owner .Contractor
SORENSEN ROBERT A ANGELES ELECTRIC
PO BOX 6132 524 E. 1ST ST.
BOISE ID 83707 PORT ANGELES WA 98362
(360) 452 -9264
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee 75.00 Plan Check Fee .00
Issue Date 5/03/12 Valuation 0
Expiration Date 10/30/12
Qty Unit Charge Per Extension n
BASE FEE 75.00 V
Fee summary Charged Paid Credited Due 1
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN 5) Q ii 7, AS) W
FINAL 5 li 04 -010
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:AEXCHANGE \BUILDING
05/03/2012 11:21 FAX 360 452 9265 Angeles Electric Io 0001 /0002
r:L,111 4
J'„i�lPi i J�� it9
CITY OF PORT ANGELES PERMIT APPLICATION
E! ECiRICA!
Building Division /Electrical Inspections INSPECTIONS f
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711 ma y
Date: .2 /1i
1 2 S' gle Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet 3 .vis
Job Address:
Building Square Footage:
Description of above mti $4.4A.v4e4a .P
Owner Info ation Contractor Information
Name: Name: A /&t L 1ES ,.t- ELTKIG 20VG-
Mailing A ress: IIIR�-'=X Mailing .dress: .6 Y gP=
City State: W Zip: i- City: egg tate: A p: 6 A
Phone: ax: Phone: -4 Fax: 4' 5 I s_
License Exp. License Exp.
Item Unit Charge gty Total (Qty Multiplied by Unit Charnel
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 Circuits 1-4 75.00 7S'
Branch Circuit W/ Service Feeder 5.00
Branch Circuit W/O Service Feeder 63.00
Each Additional Branch Circuit 5.00
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 I
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
NEW CONSTRUCTION ONLY:
First 1300 Square FL 120.00
Each Additional 500 Square Ft. a Portion of 40.00
Each Outbuilding or Detached Garage 74,00
Each Swimming Pool or Hot Tub 110.00
7.5' 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.
Signature of owner, electrical contractor or electrical administrator: cash Check
�l tikCt'edn Cara
CA/ 14 6
X Dated: 5 3 Z 01/0112010
Application Number 08 00000723
Application pin number 525859
Property Address 321 S ENNIS ST
ASSESSOR PARCEL NUMBER 06 30 00 8 0 0440 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation .I 0
Application desc
200 amp service Kitchen
Owner Contractor
SORENSEN ROBERT A
PO BOX 6132
BOISE
Permit Fee Total
Plan Check Total
Grand Total
ID 83707
75 00
00
75 00
ANGELES ELECTRIC
524 E 1ST ST
PORT ANGELES
(360) 452 9264
Date 6/18/08
WA 98362
Permit ELECTRICAL NEW RESIDENTIAL n
Additional desc W
Permit pin number 128413
Permit Fee 75 00 Plan Check Fee 00
Issue Date 6/18/08 Valuation 0
Expiration Date _2/15/08
Qty Unit Charge 'er Extension
1 00 75 0000 E:H EL RM 0 200 1ST SRV FEEDER 75 00
Fee summary Charred Paid Credited Due
75 00
00
75 00
00
00
00
00
00
00
1N
SPECTION
TYPE
DITCH
SERVICE
ROUGH Ill
FTh
AL
COMMENTS:
ELECTRICAL
DATE RESULTS INSPECTOR
4 kid, OP) AP P'
06/17/2008 14 21 FAX 360 4:2 9265
Telephone number
City
Og -0
Premises.owner'
Address of inspection
g21 -.S Ar/
,i
S
�aaeX'
.46‘.44:1
Phone number ur
chl pBne�tio f qV
Owner as defined by RC 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 hereb cert that I am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lation 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
X
Electrical Load Addltibhs an
NO LOAD CHANGES
Baseboard KW
Furnace ID KW
Heat Pump Ton LAR
Fan -Wall KW
Inspection
Date
Date Approved By Date
7 FINAL 1 7
1Z118
Date
Date: 4
Elate/ ra/Abie-e..
Approved By Date
Angeles Electric a0001/0001
DITCH
Area, Building or Equipment Inspected
4 GC $fr, !i1 �pca an
ELECTRICAL WORK PERMITAPPLICTf'ON
\(Installation description
Job wired by WoLlectrical Contractor Owner
Commercial laolesidential
Electrical contractor name I License number Date Expires
ANGELES ELECTRIC, INC. J
Purchaser's mailing address 524 EAST FIRS!
PORT ANGELES, WA 98362
City State ZIP
FAX number J
S z.
a name
J&4 u/(9
(O New tered/Addition
Cash Check
(edit Card Visa Mastercard Discover
Card
Expiration Date
of card
Asie
Voltage
verhead Service Phase
Temp Service Service Size:
Underground Service Feeder Size: y
SAME DAY INSPECTION, t:ALL BEFORE 7.00 AM 360 -417 -4735
V ROUGH IN THERMOSTAT SERVICE
Approved By
Approved By
za9 dreg-01u 6 _J
6-1R4-66..\
I
DS-os 'VC) y
FEEDER
Date Approved By
Action Taken
7
Inspection fe
Service Information
Electrical
Inspector
AP I SSA
I I
PREPARED 2/28/08 9 49 02 INSPECTION TICKET PAGE 11
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/28/08
ADDRESS 321 S ENNIS ST SUBDIV
TENANT NBR ROBERT SORENSEN
CONTRACTOR EVERWARM PHONE (360) 452 3366
OWNER ROBERT A SORENSEN PHONE (360) 452 3548
PARCEL 06 30 00 8 0 0440 0000
APPL NUMBER 08 00000171 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 2/28/08 LL MECHANICAL- 0.3;40
February 28 2008 9 36 57 AM 1pangrle
ROB 452 3548
MECHANICAL FINAL GAS FIREPLACE
TNSPECT AFTER 2.00 PM
COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 08 00000171 Date 2/08/08
Application pin number 199252
Property Address 321 S ENNIS ST
ASSESSOR PARCEL NUMBER 06 30 00 8 0 0440 0000
Tenant nbr name ROBERT SORENSEN
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 4061
Application desc
INSTALL GAS FIREPLACE
Owner Contractor
ROBERT A SORENSEN
321 S ENNIS ST
PORT ANGELES
(360) 452 3548
WA 98362
EVERWARM
257151 HWY101
PORT ANGELES
(360) 452 3366
WA 98362
Permit MECHANICAL PERMIT
Additional desc INSTALL GAS FIREPLACE
Permit pin number 12)691
Permit Fee 60 65 Plan Check Fee 00
Issue Date 2/08/08 Valuation 4061
Expiration Date 8/06/08
Qty Unit Charge i er Extension
BASE FEE 50 00
1 00 10 6500 ECH ME GAS PIPE 1 TO 5 10 65
I
7
Fee summary Charred Paid Credited Due
Permit Fee Total 60 65 60 65 00 00
Plan Check Total 00 00 00 00
Grand Total 60 65 60 65 00 00
Separate Permits are required for ;lectrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes
null and void if work or constructic n authorized is not commenced within 180 days if construction or work is suspended or abandoned
for a period of 180 days after the vork has commenced or if required inspections have not been requested within 180 days from the
last inspection I hereby certify tr at 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 v olate or cancel the provisions of any state or local law regulating construction or the performance of
construction
Date Print Name Sign r o C tra or Authorized Agent Signature of Owner (if owner is builder)
T Forms /Building Division/Building Permit (Id /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
INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE
FOUNDATION•
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
PLANNING DEPT SEPARATE PERMIT N's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
BUILDING PERMIT INSPECTION RECORD
DATE ACCEPTED
2 -Z 8 -ag
YES NO
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I fA
BUILDING 417 -4815 I 1 It~I iako
T Forms /Building Division/Building Permit (10 /01 /07).wpd Y
FINAL
FINAL
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
I BUILDING
COMMENTS
DATE ACCEPTED BY.
DATE ACCEPTED BY.
DATE
0
Q9
ACCEPTED
YES I NO
Applicant or Agent 464er A A v Phone
Property Owner 4,sicer A .5og S Phone
Property Owner's Address 37 5 r -KN)S, P �+r
Contractor /Engineer gliz 2wsoutA Phone
Contractor /Engineer's Address
License
PROJECT ADDRESS
Parcel Number
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Re -roof
Demolition
Sign
Heat System
Other
Floor Areas
Basement
1 Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
BUILDING PERMIT APPLICATION Print in ink
CIT" OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
Residential Commercial
Existing (sq. ft.) Proposed (sq. ft.)
sq ft. Lot size
ft.
Occupancy group
Occupant load
Construction type
Expires
For City Use Only
Date Received 2— 9,-0$
Permit t 1
Date Approved
4Sz- 35 +1
32.. 5 4 i1A/15 Pker R+JL s, Wit q83&,2...
Lot Zoning
Multi family Industrial
wall- mounted projecting freestanding awning other
Total sign area sq ft. Maximum allowed sign area sq ft.
I-`eat pump wood- burning stove k fireplace pellet stove other
per sq ft.
TOTAL VALUATION 4, 01/1
L S�
sq ft. Lot coverage
of bedrooms
of full baths
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 and
understand that it is my responsibility to determine what permits are required, and to btain permi prior to working on
projects.
Date �yj Print Name 4664:r 4664:r 4 .v S0f Signature _hi
T Forms /Building Division /Bldg Permit Appl. -2006 Code.doc
Application Number
Application pin number . . ,
Property Address
ASSESSOR PARCEL NUMBER,
Application type description
Subdivision Name
Property Use
Property Zoning . . . . . . .
Application valuation . . , .
ELECTRICAL PERMIT
CITY OF FORT ANGELES
360-417-4735
15- 000D1474 Date 11/20/15
358074
321 S ENNIS ,ST
06-30-00-8-0- 0440 -0000-
ELECTRICAL ONLY
R97 RESDNTL SINGLE FAMILY
0
Owner
Contractor
RAMON L AND SAMANTHA MARTINEZ
BLACK DIAMOND ELECTRICAL CONTR
321 S ENNIS ST
502 BLACK DIAMOND
RD
PORT ANGELES
WA 98362
PORT ANGELES
WA 98363
(401) 871 -9819
(360} 565 -1035
Permit . . , . .
. ELECTRICAL
-----------------------------------
ALTER RESTDarTIAL
Additional desc ,
,
Permit Fee
.00
Plan Check Fee
OD
Issue Date
11/20/15
Valuation
0
]Expiration Date
5/18/16
Fee summary
Charged
---------------------------------
Paid Credited
Due
Permit Fee 'Total
,00
- -- ---- - - - - -- ----------
.00 .00
QO
Plan Check Total
00
.00 00
00
Grand Total
DO
.00 .00
00
1
INSPECTION TYPE I f DATE:
DITCH f
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor
G:IEXCHANGEIBUILDING
RESULTS:
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR:
Date:
1
����Q�~
\.
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East FiftbStruct - P.O. Box 11S0/Port Angeles Washington, 98382
~�
Ph: (360)417-4735 Fax: (360) 417-4?11
Date: C� i&2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electri l Plan Review Information Sheet
Building Square Footage:
Description of above
Owner Information Contractor |
Name: —fijA1yz-77tAJr. Name: ly Ale
Mailing Address: Mailing Address:
City: State: -Zip: City:
Phone:- V01- X71,V11 Fax� Phone:
State: Zp:
Fax:
Item Unit Charo Qty
Total (Q!y Multiplied by Unit ChaMje
Service/Feeder 288Amp, $12100
Service/Feeder 20i400Amp. $146.00
$______
8amoo/Femdor4O1'OOOAmp $205.00 -__-_--
o-__�__--_
Samiwe)Feeder601-1OODAmp. $2O2.00 _------
*__------_
Sem1uelFoedor over i00Amp. *37&OO
Branch Circuit VV/ Service Feeder $ 5.08
Branch Circuit y*D Service Feeder $ 03.00 `-
~-~-�--
Each Add0uns|8�oohCi�u|t $ 5.00 '
--���
Branch Circuits i-4 $ 7500
Temp, Service/ Feeder 20OAmp. $A3.n0
Temp, Service/Feeder 2014DOAmp. $110.00
$
Temp. m*nwomFeemer4u1-6uuAmp, $14e.00
Temp. 8am|*elFoodo/001'1UUU Amp . $188.0O
--------
Portal to Portal Hourly $ 80.00
Signal Circuit/ Limiled Energy i&2 Family DweUing $ 64.00
Manufactured Home Connection *12D.0O ---___
Renewable Electrical Energy 5KVA System orLess $182.08
$_________
Thermostat $ 8800
$-
Note: $0.00 for each additional T'Smt
NEW CONSTRUCTION ONLY:
First l;uo Square Ft. $i28.88
Each Additional 5O0 Square Ft. or Portion o/ $ 400
Each Outbuilding or Detached Garage $ 74.00
--
Each Swimming Pool or Hot Tub $110.00
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, | 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 18.28.VVAC. Chapter 2O8-48B. The City ofPort
Angeles Municipal 6 14.05.050 regarding Electrical Permit
Signature administrator: O ooso'
L cmuuomu#
'7 F
3