HomeMy WebLinkAbout1920 W 4th St - Building 05/07/2014 12: 56 FAX [A 001/001
MEWED .�C
r�R
CITY OF P0RT ANGELES PERMIT APPLICATION �
Building Division/Electrical Inspections 9 'PEC I S
321 East Fifth Street—P.O. Box 1154/Port Angeles Washington, 98362
Pli: (360)417-4735 Fax: (360) 417-4711
Date, 1 &2 Single Family Dwelling
"Plan Review `a Sve R quire , Please Co Idle !ptrical Plan 'ew Infor
Job Address h G C [l'"r�#Th'C�Y � �h. 1• v
Building Square Footage
Description of above_ IPA
Owner Info Contr Inforr iq!rl
Name; ( ' �� Nome: 4,i ee
Mail hn Adtlre �� Mailin A • ss:
C ty. 1 Slate: l zip: �� City: 'D Slate:Y - Zip
Phan dx. Phone. Fax.
License 11 Exp, ^, License I Exp. e4r 12 i_ 073 E5 _y
Item Unit Charge 2ty Total ftatY MLltigiied bv_Un_it Charge!
5eroWFeeder200Amp $12090 _
Service/Feeder 201.400 Amp $146,00 $
Service/Feeder 401-600 Amp S 205.00
ServicelFeeder 501-1000 Amp. $262.00 $
ServicelFesder over 1000 Amp. S373.00 $
Branch Circuit W/Service Feeder $ 5.00 $
Branch Circuit W10 Service Feeder $ 63,00 $
Eaoh Additional Branch Circuit $ 8.00 __ $
Branch Circuits 1-4 $ 7500 5
Tamp Service/Feeder 200 Amp S 9300 1 _ 5
Temp Service/Feeder 201-400 Amp S 110.00 €
Temp.Service/FeOer 401-500 Amp $149.00 5
Temp.Service/Feeder&01-1000 Amp, $168 00 $---
Portal to Portal Hourly $ 9600 $_
Signal Circuit/Limited Energy-1 &2 Family Dweuing $ 64.00 $
Manufac(ored Home Connection $120.00 $
Renewable Electrical'Energy-SKVA System or Less $102.00 S
Thermostat $ 56,00
Noie:$5,00 for each additionai TStat
NEW CONSTRUCTION ONLY:
First 1°,00 Square Fi. S 12000 S
Each Additional 500 Square Ft.or Pertion of S 40.00 S_
Each Outbuilding or Detached Garage S 74.00 S
EaQ)Sw rnming Pool or Hal Tub 5 110 00 S
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 comptiance with the electrical laws,N.E.0,RCW.Chapter 19,26,WAC.Chapter 296-46H,The City of Port
Angel,, Municipsl Code, a Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications,
Sign t re of owner,a etr al contra r r electrical administrant: ❑ Caah ❑ Chach
10�4redW Card#AA— 1
jt1itiv IA-: U
J
ELECTRICAL PERMIT -
CITY OF PORT ANGELES
360-417-4735
Application Number 14-00000B41 Date 5/13/19
Application pin number 017086
Property Address 1920 W 4TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER; 06--30-00-9-0-0122-�0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . , , . .
Property Use to the City of Port Angeles
Property zoning , , , , , . , RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation , . . , 0
----------------------------------------------------------------------------
Application desc
Temp power
--------------------- ---____ -_ __---------_------------------_---------------
Owner Contractor
------------------------ ------------------------
SANDERS FAMILY TRUST SHAMP ELECTRICAL CONTRACTING
1433 E 2ND ST PO BOX 383
PORT ANGELES WA 98363 FORT ANGELES WA 98362
(360) 452--1689
-------------------------------- ---
Permit , , , . , ELECTRICAL TEMPORARY SERVICE
Additional desc , ,
Permit Fee 93,00 Plan Check Fee 00
Issue Date 5/13/14 Valuation 0
Expiration Date 11/09/14
Qty Unit Charge Per Extension
1.00 93.0000 ECH EL-TEMP SRV 0-200 SRV FDR 93.00
Fee summary Charged Paid Credited Due
Permit Fee Total 93,00 93.00 .00 00
Plan Check Total ,00 ,00 00 ,00
Grand Total 93.00 93,00 00 ,00
V
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE )
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contra_ctor X Date;
GAIEXCHANGEWILDING
06/30/2014 16:01 FAX to 001/001
pour
nk-
CITY 0 J PORT ANGELES PERMIT A - :PLICATION
Building Division /Electrical Inspections 30 �EfFy
321 East Fiftli Street — Y.O. Box 1150 / Port Angeles Waghington, 98362
Ph: (360) 417 -4735 F'aY: (360) 417 -4711
Date: _ � 1 & 2 Single Family Dwelling
w Plan Re��N V P. RR(htri .fi acs ("nm I to F *trical PlanR� ew II ofor on Sh t Lk
Job Address, ` ��'j l"CC�' F'G�r' 1_ r
Building Square rdo ;a
Descrlpslon of above i 4--�'
Owner In o rp io `�1 1 Con r In matirt .�
Name', L 1" t�l`�Jt�y Name; t e£ �!
Madir Adore U Marlin A ss:
Cily 1' Slate: o Zip: City: f Stale:l zip 6.
Phan ; ax. _ Phone Fax
License 9&p.. - l.roerse ! Exp.
Item Unit Charge Qt Total Q u l 1 ed b Unit Charge
5erwcelFeeder 200 Amp. $ 120.00 _ $
ServicslFseder 201 -400 Amp. $146.00
Sarvlce)Feade� 401 -600 Amp $ 205.00 $
ServicelFeeder 601.1000 Amp $ 262 00 $
Servlce /Feeder ever 1000 Amp. 3 37U0 $
Branch Circuit bV/ Service Feeder 4 5,p0 $ r
Branch CiroVit 4VIO Service Feeder $ 63.00
Erich Additional Branch Circuit $ 6,00 $
Branch Circuits 1fi $ 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 $ 166,00 _ $�
Portal to Pcrlal Hourly $ 96 00 $
Signal Circuit! Limited Energy - 1 8 2 Family Dwelling $ 64.00 p
Manufactured Home Connection $ 120.00 5
Renewable Electrical Energy - 5KVA System or Less 5102,00 $
Thermostat $ 56.00 $ ��
Note $5 .00 for each additional T•Stat
NI'p! CONSTRUCTION ONLY:
First 1300 Square Ft 3 120.00 $�
Each Additional 500 Square Ft or Portion of $ 40.00 h
Each Outbuilding or Detaohed Garage $ 74.00
Each Swimming Pool or Hot Tub $ 190.00
r 4tdl
Owner as defined by R0W,19 2$.261; (1) Owner will occupy the structure for two years after this electrical pero -ls finalized, (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection,
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical Instal(alton or alteration in compliance wlth the electrical laws, N E,C„ RCW. Chapter 19.28, WAC. Chapler 296 -466, The City of Port
Angeles, Municipal Code, 94 Utility Specifications and PANIC 14.05.050 regarding Electrical Permit Applications,
Signi!iWa of owner, e)6ctr(�al contr
electrical adminl ❑ cash ❑ Cho'
�n X—Cred1l Card p
Dated_ '+� c �,�/� J 01101/2012
lI
ale
rr
�J
A ELECTRICAL INSPECTION
WIRING REPORT
417-4735
KS
DATE
PERMIT m
/I ) I b L4
OWNER 0
CONTRACTOR
S p P, r,�
ADDRESS
.--1-9-2-D LJ
APPROVED NOT APPROVED
❑ .................... DITCH .................... 0
................ ROUGH IN/COVER ............... ❑
.................... SERVICE ................... 13
.................. ... FINAL ..................
CORRECTIONS NEEDED: &v-r cnz c
_J C-pc
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
ELECTRICAL INSPECTION
v IL WIRING REPORT
-4735
17
RK$ 4
DATE' PERMIT 9 INSPECTOR
OWN R
CONTRACTOR
DRESS
APPROVED NOT APPROVED
0 ................... . DITCH ............... --.0
0 ... ............ ROUGH IN/COVER. . .......... . - - 0
........... ........ SERVICE ............. ..... El
..................... FINAL ....................
CORRECTIONS NEEDED: 79 1�
0 - c )o �b rz— 0 0 P-1 7L FZ-- Tl___ &ALA--
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
ELECTRICAL PERMIT
CITY OF PORT .ANGELES
360 -417 -4735
Application Number . . . . .
14- 00000775
Date 11/25/14
Application pan number
751950
DITCH
Property Address . . .
1920 W 4TH ST
ASSESSOR PARCEL NUMBER:
06-30-00-9-0- 0122 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name . , . . . .
j
Property Use . . . . . . . ,
FINAL
Property Zoning . , . . , . .
RS7 RESDNTL SxKGLE FAMILY
Application valuation . . . .
0
COMMENTS:
----------------------------------------------------------------------------
Application desc
2100 square foot home
Owner
Contractor
SANDERS FAMILY TRUST
SHAMP ELECTRICAL
CUNTRACTING
1433 E 2ND 8T
PO BOY 383
PORT ANGELES WA 98363
PORT ANGELES
WA 98362
(360) 452 -1689
-----------------------------------------------
Permit . . . . . . ELECTRICAL
---------- ------
NEW RESIDENTIAL
.__- .__ - - -_ -_
Additional desc .
Permit Fee . . . 256.00
Plan Check Fee
.00
Issue Date 7/01/14
Valuation . .
. . 0
Expiration ]Date 5/18/15
Qty Unit Charge Per
Extension
1100 56.0000 ECH EL-
VIOLATION INSPECTION
56,00
1.00 120.0000 ECH EL-
R -SQFT FIRST 1300
120,00
2.00 40,0000 ECH EL-
R -SQFT ADDITIONAL 500
80.00
_------ - - - --- - -__- -- - ----------------------
Fee summary Charged
- ---------------------------
Paid Credited
Due
Permit Fee Total 256.00
256.00 .00
00
Plan Check Total 00
.00 00
.00
Grand Tutai 256.00
256.00 .00
00
REPORT SALES TAX
on your excise fax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
j
FINAL
, !
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEISUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4 7ffC
Application Number 14- 00000775 EIVED
Application pin number . . . 751950
Property Address . . , . . , 1920 W 4TH ST 8
ASSESSOR PARCEL NUMBER: 06- 30- 00 -9 -0- 0122 -0000- ;JUN i 3 ® 2014
Application type description ELECTRICAL ONLY
Subdivision Name , . , , . , ELECTRICAL
Property Use. . . . . . fldpGil1
Property Zoning , , , , , , R87 RESDNTL SINGLE FAMILY
Application valuation , , , , 0
Application desc
2100 s4uare foot home
Owner
Contractor
RESULTS:
------ ---------- -- - - -
SANDERS FAMILY TRUST
- --
------------------------
SHAM? FLE CTRICAL
CONTRACTING
1433 E 2ND ST
PO BOX 383
PORT ANGELES
WA 98363
PORT ANGELES
WA 98362
�
(360) 452 -1689
Permit , . . , . ,
ELECTRICAL
NEW RESIDENTIAL
Additional desc ,
COMMENTS:
Permit Fee
200.00
Plan Check Fee
.00
Issue Date
7/01/14
Valuation , ,
. , 0
Expiration Date
12/28/14
Qty Unit Charge
Per
Extension
1,00 120,0000
ECH EL- R -SQFT FIRST 1300
120.00
2.00 40.0000
ECH ET,- R -SQFT ADDITIONAL 500
80.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total
200.00
200,00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
200.00
200.00 .00
,00
REPORT SALE'S TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
2�
ROUGH -IN
�
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Data:
G:IEXCHANGRBUILDING