HomeMy WebLinkAbout114 W 5th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Security surveillance system
Owner
JOHN L SCOTT
PROPERTY MANAGEMENT
934 E FRONT ST
PORT ANGELES
(360) 457 8593
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 98362
09 00000690
944120
114 W 5TH ST
06 30 00 0 0 9105 0000
ELECTRICAL ONLY
RESIDENTIAL HIGH DENSITY
0
X52 331E
Contractor
ELECTRICAL ALTER COMMERCIAL
150037
75 00
7/14/09
1 /10 /10
Charged
75 00
00
75 00
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
HI TECH SECURITY INC
723 E FRONT ST
PORT ANGELES
(360) 452 2727
Qty Unit Charge Per
1 00 75 0000 ECH EL LIMITED 1ST 1500 SQ FT
75 00
00
75 00
Plan Check Fee 00
Valuation 0
Paid Credited
00
00
00
DATE RESULTS
Date 7/14/09
For Sr
WA 98362
Extension
75 00
Due
00
00
00
,rA
*mi i'A 4 7
Signature of owner or Electrical Contractor X Date
INSPECTOR.
FROM HI -TECH ELECTRONICS
City of Port Angeles Permit Application
Building DrrlstonIElecbical Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 58362
Ph: (360) 417.0735 Fax: (360) 417.4711
Date' 1 -4
1 2 Single Family Dwelling
Multi Family or Commercial'
Commercial Addition Alteration Remodel Repair
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 114 u s• S 'M
Building Square Footage:
Description of above r.axia" secant 1''C 4 S.moutl *.-tom'.,
Owner Information
Name' thidwove Fimw+�t.►�ieS
Mailing Address: 114 ..r r
City' -Pew A+psw State: Zip: 9$3al2
Phone: 34 ysg tl
License Exp.
Sig nature of owner, electrical contractor or electrical administrator
Date: O -0 9
KUMifCU
FAX t. 6
tu Q 9i
,�i f 560
dd (per
ONDUONS
Contractor Information
Name' Ri Tech Security Inc
Mailing Address: 723 East Front St
City: Port Angeles State: WA Zip:
Phone: 36o -452 2727
UMW /Exp, HITECTS955BS
Unit Charue Total (ON Multioliec by Unit Chart
5 93.75 Service/Feeder 200 Amp,
1113.75 Service/Feeder 201-400 Amp.
5160.00 .5 Service/Feeder 401400 Amp.
5205 S Service/Feeder 601 -1000 Amp.
$291.25 Service/Feeder over 1000 Amp.
.5 200 branch Circuit W/ Service Feeder
S 57.50 Branch Circuit WIO Service Feeder
S 2.00 .5 Each Additional Branch circuit
S 72.50 g Temp. Service/ Feeder 200 Amp,
5 8625 5 Temp. Service/Feeder 201.400 Amp.
5116.25 Temp. ServicelFeeder401.600Amp.
$131.25 Temp. 5175.0 Portal m Pored H u y 601-1000 Amp,
S 69.00 S SigalOuSine lighting
S 75.00 t 5 Tr..o Signal Circuit/ limited Energy Commercial
S 50.00 5 Signal Circuit/ Limited Energy 1 8. 2 Family Dv ling
50.00 Signal Circuit/ Limited Energy Multi•Family Dwelling
.5 93.75 S Mano(ac*ured Home Connection
5 80.00 5 Renewable Electrical Energy 5KVA System or Less
S 66.25 5 First 1300 Square Ft
27.50 .5 Eech Additional 500 Square FL or Portion of
57.50 S Each Dumuilding orDeleched Garage
5 86.25 5 Each Swimming Pool or Hot Tub
43.75 S Thermostat
f_ 00 Total
Jul 10 2009 07 53AM P1
90362
Owner as defined by RC W.19.28.261- (1) Owner will occupy the suucture for two years alley this eloctrical permit is finalized (2) Ownerle required to hie an
elecrrleal contracrorif above said property is forage, rem or lease.
a
Amer reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. l am making the electrical
installation or alteration In compliance with the electrical laws. t1EC_ RCW. Chapter 1928. WAC. Chapter 286.468, The City of Port Angeles Municipal Code, and
Utility Specifications.
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Pin number . . . .
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000138 Date
.301146
114 W 5TH ST
06-30-00-0-0-9110-0000-
RES REMODEL
3/22/05
RESIDENTIAL HIGH DENSITY
30000
Owner
Contractor
YEO, JOHN C TRUSTEE
13912 KINBROOK ST
SYLMAR
<;;'j 'i''7, (r i' '1 C';/'.
Structure Information
Construction Type
Occupancy Type . . . . .
Other struct info . . . .
CA 91342
STA-BUILT-IT-TY
4960 CENTER RD
CHIMACUM
(360) 732-0403
CONVERT GAARAGE TO 2 NEW APARTMENTS
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
NUMBER OF UNITS
WA 98325
4.00
permi t
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
76.00 Plan Check Fee
3/22/05 Valuation
9/18/05
.00
o
Qty
Unit Charge Per
4.00
BASE FEE
7.2500 ECH ME-VENT FAN
Extension
47.00
29.00
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
CONVERT GARAGE TO 2-APT
465.25 Plan Check Fee
3/22/05 Valuation
9/18/05
186.10
30000
""".
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Permit PLUMBING PERMIT
Additional desc
Permit Fee 103.00 Plan Check Fee .00
Issue Date 3/22/05 Valuation 0
Expiration Date 9/18/05
Qty Unit Charge Per Extension
BASE FEE 47.00
8.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 56.00
Qty
Unit Charge Per
5.00
BASE FEE
10.1000 THOU BL-25,001-50K (10.10 PER K)
Extension
414.75
50.50
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
needs 40 parking spaces
Other Fees
STATE SURCHARGE
4.50
Fee summary
Charged
Paid
Credited
Due
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 to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
(--,
Jl.:{/ ~ / /. .)
ture of Contractor or Authorized Agent
t'::
j
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIQNS.
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 DATE I ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TlON 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 I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULA TlON
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. SEP ARA TE 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 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 4 I 7-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\l ]02_15 building permit Inspection record05.wpd [1!4/2005]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 05-00000138
pin number . . .301146
Page 2
Date 3/22/05
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
644.25
186.10
4.50
834.85
644.25 .00
186.10 .00
4.50 .00
834.85 .00
.00
.00
.00
.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 to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:\Po]icies\1102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
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 DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.J
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN S -ze .(:5 .JU
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS (p /?JO 106 :J LA/
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF 1 CEILING J-i -/;; -I:) 'y" J ~1-- 't= 0../\ H iN 6 S' - '2 ('\- M7 At> -l LL
DRYWALL (INTERIOR BRACED PANEL ONLY)
T.BAR
INSULATION . ,
SLAB 7;1?O 10 c, J [,1/
WALL / FLOOR 1 CEILING I JJ,-<:,-() <"" I .) j...}...
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 4] 7-4807 PW / ENGINEERING
FIRE 4] 7-4653 FIRE DEPT.
PLANNING DEPT. 4]7-4750 PLANNING DEPT.
BUILDING 417-48]5 BUILDING
T:IPo]iciesl] 102_15 buildmg permIt Inspeclton record05.wpd []/4/2005]
.
BUilDING PERMiT - APPliCATiON
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
~IULl.v'CN. ! ee.. tl
ApplicantorAgent: srt:J-t3UiL.T-/T-TLj Phone: :'5(,D-",32.- 0'-/6S
Owner: c.,)O 14 (0 fj f.... 0 Phone:
Address: 5 TIr S~T/-<E-Cr City: PT. ;CJA.J('.-0J-- E...(~ Zip:
Architect/Engineer:
Phone:
S7n;3{) J(C k Lf ra3 - m 13
State License #: Exp:
City: CH / /'?7 /-l C C/'''n
5" T/I ':;T/-<&E- r
Phone:
Contractor , '3 t"A.f3U I L T - I T - T If
Address: ::. <.J , ~('7 >L C;ZO S
,
PROJECT ADDRESS: / / $t ?c./
LEGAL DESCRIPTION: Lot: -#=" .3
CLALLAM COUNTY PARCEL NUMBER:
Zip: '? R-3 .;2-5'
ZONING:
Block:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof
~ Multi-family 0 Addition 0 Move
o Commercial 15. Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
o Stove
o Garage
o Deck
o Other
AOb
SIZEN ALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TAL VALUATION
COMMERCIAL/RESIDENTIAL: Occupancy Group:
Construction Type:
No. of Stories: Lot Size:
Total lot coverage
Existing Sq. Ft.
& Proposed Sq. Ft.
= TOTAL Sq. Ft.
%
PLANNING USE ONLY: APPRO V ALS:
PLAN:
BLDG:
DPWU:
FIRE:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER: -
V ALUA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2
of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what perm~uired ,not the City's, and that I must obtain such permits prior to work.
T,IRVESS\BLDG-f'=-bm'b""\2004-B,;ldi"gpcrmil.Wpd A!lJ2!i( P J2 07 f n~ Date' d- - d- g- ---0 S
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98]62
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000138 Date
301146
114 W 5TH ST
06-30-00-0-0-9110-0000-
RES REMODEL
6/27/05
RESIDENTIAL HIGH DENSITY
30000
Owner
Contractor
Structure Information
Construction Type
Occupancy Type
Other struct info . .
STA-BUILT-IT-TY
4960 CENTER RD
CA 91342 CHIMACUM
(360) 732-0403
000 000 CONVERT GAARAGE TO 2 NEW
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
NUMBEIO OF UNITS
WA 98325
YEO, JOHN C TRUSTEE
13912 KINBROOK ST
SYLMAR
APARTMENTS
4.00
~
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Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
.permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
SEQUIM EL./ 4 PLEX 320A.
52514
SEQUIM ELECTRIC
97.80 Plan Check Fee
6/27/05 Valuation
12/24/05
.00
o
'"
t.
Qty
1. 00
Unit Charge Per
97.8000 ECH EL-RM-201-400 1ST SRV FEEDER
Extension
97.80
-LC;
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r' \
ft' 0
1Cf.'
)..
V'\
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Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. lOrd. 14.36.050-EI
needs 40 parking spaces
VI
'\
Other Fees
STATE SURCHARGE
4.50
o
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 97.80 97.80 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 102.30 102.30 .00 .00
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COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPEg.ION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
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~ORTANGELES
WAS H I N G TON, U. S. A.
Public Works & Utilities Department
June 23, 2005
Sta-Built-It-Ty ,
P.O. Box 205
Chimacum, W A 98325
SUBJECT: 110 W Sh Street convert duplex to four plex
Dear Sirs:
-.x-'--"
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,
The load calculations show that the transformer serving the remodel at 110 W 5th Street is
adequate for the new load. The owner will, however, be responsible for the cost of the
additional meter installation which is $160.00.
-
-
2):..
This amount may be payed at the time of electrical pennit purchase or payed to the. cashiers at
the City Hall front counter. The attached form is for use when making the payment.
t
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If you have any questions orconcems, please do' not hesitate to contact meat 360-417-4708
mail', lain......). m
or e- . ~ (QJCltyO a. us.
Sincerely yours,
jM:!1V~
Electrical Engineering Specialist
cc:,~ PJectrical&gineering Manager
C Permitting
AI Oman, Sr. PJectricallnspector
~
Phon~: 360-417-4805 /Fax: 360-417-4542
Website: www.cityofpa.us / Email:.publicworks@cityofpa.us
321 East Fifth Street . P.O. Box 1150/ Port Angeles, WA 98362-0217
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L90k Up a Contractor, Electrician or Plumber Search Result
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Click on License # in the License column to view details.
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License Name UBI City Type Status
STABU"963fA6 STA-BUILT-IT-TY 601612270 CHIMACUM CONSTRUCTION SUSPENDED
ST A6UC'9Z4D6 STA-BUILT-IT-TY 601612270 PORT CONSTRUCTION REREGISTERED
CONSTRUCTION GAMBLE
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A business registered as a construction contractor with L&I to perform construction work within the scope
of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment
of account and carry general liability insurance.
License Information
License STABU**963MB
Licensee Name STA-BUILT-IT-TY
Licensee Type CONSTRUCTION CONTRACTOR
UBI 601612270 Verify Workers Comp Premium
Status.
Ind. Ins. Account
Id
Business Type INDIVIDUAL
Address 1 POBOX 205
Address 2
City CHIMACUM
County JEFFERSON
State WA
Zip 98325
Phone 3607320403
Status SUSPENDED
Specialty 1 CARPENTRY/FRAMING
Specialty 2 CONCRETE
Effective Date 7/212004
Expiration Date 7/2/2006
Suspend Date 10120/2004
Separation Date
Parent Company
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Name
Role
Effective Date
Expiration Date
BERLIN, CLIFF
OWNER 07/02/2004
Bond Information
Bond Bond
Company Account Effective Expiration Cancel Impaired Bond Received
Bond Name Number Date Date Date Date Amount Date
ACCREDITED
SURETY & Until
#1 CAS CO 10023303 06/28/2004 Cancelled $6,000.00 07/02/2004
Savings Information
No Matching Information
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Company Policy Effective Expiration Cancel Impaired Received
Insurance Name Number Date Date Date Date Amount Date
NORTH FIELD
#1 INS CO CP464109 03/21/2004 03/21/2005 10/20/2004 $300,000.00 08/09/2004
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5/26/2005
o Electrical Contractor
...... Of~!;;;~(t~~
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........."
ELECTRICAL WORK PERMIT APPL
DOwner
..
o Annual Permit 0 Alarm 0 Carnival 0 Commercial 0 Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom.
Job wired by
o Electrical Contractor 0 Owner
Installation description
Electrical contractor name
License numbh:.
5 'IJ-BU'tV.CJb.~mp,
CDi3
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p, () , '3 ox ,;;( c 'S.
City
C.H I ~}114 eLl t/1
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Address of inspection
10 6--/ID - Wv5'7?I
City
'p, A. UJA.
/'Q/L€?' H "':
\. {'/f1;/ H:":1i/A -
I hereby certify that I am the owner of the above named property or a licensed
electrical contractor (or the firm's authorized agent) and am making the eleetrical
installation or alteration in compliance with the electrical law, Chapter 19.28 RCW.
~Tf\E't:., '/
1&'-'l~4 l/k'G
o Cash 0 Check #
o Credit Card Visa
Mastercard
Discover
Card #
/1..-<:..d2f) 0; r Lc:.,-{___
-Yc9 3
Expiration Date
of card
Inspection fee
$
of owner, electrical contractor or electrical administrator
WALLS
Insulation Only
CElllNG
THERMOSTAT
SERVICE
Insulation Only
Date
Approved By
FEEDER
Date
Approved By
Date
Approved By
Date
Approved By
DITCH
Cover
Cover
Date
Approved By
Date
Approved By
Date
Approved By
Date
Approved By
Electrical Load Additions and or subtractions
D NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
o Fan-Wall KW
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage
Phase 0 1 0 3
Service Size:
Feeder Size:
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
"
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.../ .7
~ORT.ANGELES
WAS H I N G TON, U. S. A.
PUBLIC WORKS & UTILITIES DEPARTMENT
April 20, 2005
Jaybird Electric
142 Goldfinch Lane
Port Angeles, W A 98363
SUBJECT: 110 W 5th Street convert duplex to four plex
Dear Jay
~) (i\ /' f"\. \
The load calculations show that the transformer serving the remodel at 110 W 5th Street is
adequate for the new load. You will, however, be responsible for the cost ofthe additional
meter installation which is $160.00.
----
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This amount may be payed when you purchase your electrical permit or payed to the cashiers.
Please use the attached form when making your payment.
If you have any questions or concerns, please do not hesitate to contact me at 360-417-4708
or e-mail: gmc1ain(iv.cityofpa.us.
Sincerely yours,
//, ~
J?l . (,,' 1'1, ,. P C-
J c~/' ,. ;J!~ / ~~~__,/
Gail McLain J
Electrical Engineering Specialist
cc: James Harper, Electrical Engineering Manager
Roger Vess, pennitting
Al Oman, Sr. Electrical Inspector
File
~
~ILE
321 EAST FI FTH STREET · P. O. BOX 1 150 · PORT ANGELES, WA 98362-0217
PHONE: 360-417-4805 · FAX: 360-417-4542 · TTY: 360~417-4645
E-MAIL: publicworks@cityofpa.us
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date &5 - :f-6 - 0 _S- Time /0 h.d}. Received by
. . . . .
(phone, person)
Location of Work to be inspected II J../ oJ .ti' fYt J:;.;T
Name of person requesting inspection ~;f.-4>~
Address of person requesting inspection ~ r-Mt.t I" ~ ii}::.. Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
.sv_~p",,~dd&f1'l-~y J..lc..ells~ (s t4 - BiJ- -I T- T}-)
INSPECTION NOTES:
Inspected: Date
Remarks:
Time
By
RESTORATION REQUiRED...... YES NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
COMMUNITY
DEPART~~~~L~~ME~T
Routing Slip
TOJ-~~.... ~~'~~y
FROM.~ f--' f ()~ c~
DATE: 3-. q/ turn for filing
Noie and re
o uest
o Per your req
answer
o please roval/signature
Foryourapp
o . comments
, Return with
(L( . formation
o For your In
o Let's discuSS
o Other ,
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. 9'1''>1'"
//2Jh~
, .
DATE
Site Address:
-u...
Installed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
~
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
,. FAN/WALL KW ~
~ RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
~_ REMODEL
~ ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
fA. / Ad
o TEMPORARY SERVICE
(
C
('
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
D1l1\ 0391
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
Details/Description:
~
nJj~
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
~~ O.K. to connec~ce ,
1/J1'^.?Q Final O.K. ~..vv-. -
Site Address:
~~
Permit/Receipt No.
.
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224. II
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 3-0
I . $
Electricallnspeclor Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Halt
OlYMPICPRINTERSINC
..
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
3P~ .3
DATE
/<~2z-~Pc:.
ELECTRICAL PERMIT
Site Address:
/1
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
Oymer/Business Address:
Sq. Ft.
~SIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o N-EW CONSTRUCTION
~EMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
~ERHEAD SERVICE
o UNDERGROU~S~E
VOLTAJ3E: /2C),.2-
g..-sf"NGLE PHAS
o THREE PHA~
SERVICE SIZE AMPS
DetailslDescription:
(>>r~C
I~~
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
~ Rough-in/cover O.K.
o O.K. to connect service
!IE- Final O.K.
Site Address:
Installer:
WrS"'
L
Permit/Receipt No.
;J 9.;z3
New Meters ____
Date:
/,;2-2-2-.-
.
Notify Port Ange s City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspecti n and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224. .$ f!)-O
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ !I- C:;;ZO
Electrical Inspector Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Half
OLYMPIC PRINTERS INC
ils7
EE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
O&a9 '1'7-
PERMIT NUMBER
TOTAL FEE
~
fY
.:,-, -
(
CO NT. lie. NO.
TIME TO COMPLETE
NO. STORIES
lEGAL OCCUPANCY
Site Address
. ~ 'EL~C~_ AlGAL PjR}1~T ONLY
tV. ~r-'-1 '-
C9RRECTADDRESS IS ESPONSIBllITY OF APPLl~ANT
Ct. . "
NO OCCUPAN~Y OR USE ESTABLISHED UNDER THIS PERMIT
,
Owner
Owner's Address-
- -'f'<1~
PERMITS WITH ~RONG AOD~~ES ARE CANCELLED
Installation By CL"'~
Installers Address
Installers Phone
Day Phone
Application is hereby mad~ for ,Permit
n
Wiril}g Method
.'
AMP 240V NUMBER AMP 120V 240V
USE OF CIRCUIT NUMBER - PER 120V 100A FEE USE OF CIRCUIT PER 100R "FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT . , 50 VOLTS
OR lESS
/ .-:10 -" ~_:::::ul":~ .
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE " MOTOR
qlSHWASHER , . - FIRE ALARMS ~ ,
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN , -
WATER HEATER
LAUNDRY
DRYER . REINSTALLATION LIGHT FIXTURE # -
FURNACE . - SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC -.
BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
.,-
A.C. UNIT AMP PHASE
FEEDER SIZE OF S~RVICE ENTRANCE CONDUCTORS
SERVICE - ~
A.W.G.
" - ~ I SUB-TOTAL'
SIZE OF GROUND , SIZE OF ENTRANC~SWITCH
I certify that the work to be performed ::Cier :hi~ermit will be done by the i~staller and in rtrmanc~7ctrical COde~
Date Application made /? 3 I lS'i ,19 By /, - ./A ~'
~ . -- , . .. - - C~~f..6R OWNER lOR AUTHORIZED AGENT)
~ermission is hereby. given to do the.above described work, according to the conditionshereo nd according to the approved.plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Por ngeles. t:.\.~ -.' \ ','., f
, - - , . - . DIRE TOR OF CITY'(IGHT ,_ - " ,
I WARNING
8 - 3/- ,~y ~::ANSAPPt! ' ,_
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for. covering or service has been given by Inspector in
Writing on Permit Placard. A. . Permits Phone: 457.0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
.
Date Permit Issued
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
8- JI-f{ '-ze/ (!{)K - .'
'.
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.
-
.
. . ,
.
\
8-3,4{ -~ O.K. FOR COVERING
O.K. TO COftNECT SERVICE
j-,,'f-n- JJ1fJ? FINAl. O.K. ,
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N'!
17431
)~ -II ;n:;
Port Angeles. WashlngtoIL..m.._.u._.m.____m.._._..mm__....._m..... 19""',000
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 d6 electrical work as listed below.
Address uml~r..----~..3.=Ft'..----u..--mm..----m...---umm.--. Occupancy__.A..~~~'!!.....~____..._m..um_u
Owner .mu.~~.~.~m__..m..____mm.m_umm.__. TenanL__m____m.mm_.m.m___....__.m__u___m____m_.......__
Wiring Con~actor .:f#.:.t;',-~.~~~.:.~.--..u.u-- By...__umm__..__mm__...___mm__m.m._.m.....__m.....
eft:2-. /,N/':>Yc; . i
Light Outlets.....___..._........m_......._..__d_ Service, volts __..._._.........._..__..............._ Type of Wiring:
Receptacle OutletsmL.~.__..........._... d ~ No. wires .....__;1..:.......__.__............ Armored Cable ...........--.................
. t: t//rJ ~
::::'~, ::........_._._.'24._..._.._._.___._.._._._....._..__ ::~n :~::s::'..Jtiti.?f:::::::::~::
e.r
Enclosure ...______............_____.............
Water Heater: /""
KW......m0...,~.........nmnm...
Hea" KWonn&..!!...t!k=nnon.on
Type of wiring:
Entrance Cable ......_m..m._.......__.__
Motors: size, volts and phase:
/#-:.~"'':::'::.on.on.onnnnn.nnnmm.n
/.-!!.t.:4.'fnnon_.mon....onn.nm....
Rigid Conduit m...m..................
Metallic Tubing ____m__......._
Current transformers:
No. & Size_...........____....__...........__....
Ser. No.........._.__....._..._....___.___..._......
Ser. No. ._.....____......_......___.._..............
Ser. No.._...____...............____..._____.........
Non.Metallic .........._._._...._..__..__...._
Knob & Tube................._.............__
RIgid Conduit ..onon.....on..onn...._..
Metslllc Tubing ....ononn....onon.....
Raceway __..___........._......._......_.__.__
6
Circuits, Llghl....on...n......n.n..on........on
~:~:ty..::::3.E..~::~~::::::::::::~::=
.::L.
Range __..._..............___.........___...........
::1
Water Heater ..,..._..................__...
Motor ..._........_.........._._..._......__....._
Dryer ____..~...~....._.....__....u....._..____
Furnace ._.......................'_............_......
3;)
Total wad.........___..._______....... Ser. No..__...___........_..._...____.............. Total ...-..----.............................
Remarks: m.__.'.=.:2be.-!;~:':'::::...u__.___~"".~~.:!!.mm____..______m.mm...____.m__m____...______000000000..._____000.....
.______.__.__..________________________._____________n....__________________.._.____________n_________._________________.__._________________.._.._________________-..--.--.--
.;f.~i;i;~~.~~~.......---.__---u----.::~~.~:...~.~.~~~~~~~~~.~..--------m--..--::mjj;ZJf~f..~~:~::~ .
NOTICE-Current must not be turned on untl1 Certificate of Inspection has been issued. If work is to be eOD-
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
ELECTRICAL PERMIT
N?
17431
Address....._.......__..._..___..._.._..............................______.........................._...__..__........._..__..._.._..._._......Date..__...____._..____.......----.-..-.....---.-.-.--
Owner__.__.:.....___.________.__.......__..._..__._...__._......______................__._.....__...._.......__...__._..______.Tenant..._.........__..__..__._.._.___.._.............._...__..______..__.
WirlngContractor....____._............._......_.._......_......._.____..._............__......._...._._._.._.........._.._....._..____By.__..__..__.._............................................---.
-\ NOTICE--Current must not be turned on until Certificate of Inspection has been issued. If work Is to be COD-
realed due notice must be given the Inspector so that work may be inspected before concealment. .
1M Olympic Printers, Inc.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15134
) ~'7' "~
Port Angeles, Washlngton_______n_:_mn_______n____mm__mmmmm___mm, 19:~_:n_
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 electrical work as listed below_
~::::s__::::l=:;:z~~=lt~:::::::::::::::::::::::----;:~~:~::___~::~l:~_n_c_~:::::~::~~:~:::::::::::::::::::::::::::::::
.' , 'l/ l, / a ~ C'i
Wiring Contractor n__'-:l~,'--4,eJJ:6l----r..'f1::(;,-}nn-nnnn_ By.mn_nnn_nn_____nm_nnn.____m__n_n__mnnnn_nnn
(j
Light Outlets..................................._..... Service, volts ....(Q..r;?...(!~...~=.~.. Type of Wiring:
.J
No. wires .......................................
. 9/ () cJ-i
Size wlres............h....................._..
'I
Main fuse ....r.~A...mmmm
Enclosure .m...~.h.........................
Receptacle Outlets.............................h
Dryer, K\Vj.........n...nn................._......
Range, KW.....n.................
Water Heater:
KW.mnnnmmnmn_n..nnn..nm
;y- !!Is' 1:'!3
Heat: RW...........'1..rT.:........./-L.,...........
Motors: sIze, volts and phase:
Type of wiring:
Entrance Cable ..................n.........
Rigid Conduit ............0..................
MetalUc Tubing ..........0................
Current transformers:
No. & Size....h............................h...
Ser. NO.........._n................................
Ser. No...............................................
Ser. No. ...0.....................................0...
Armored Cable ....m...mn..............
Non.Metallic .................u...........n.
Knob & Tube.
Rigid Conduit 0..............................
Metallic Tubing ...........................
Raceway .....00................................._
Circuits, Light..............m..........m.........
Utility 0............................................
Heat
Range .............................................
'Vater Heater .........0.....................
Motor ..._........................................
Dryer_.................................................
Furnace .........................'_._
Total Load............................. Ser. No............_................................. Total.......................................
Remarks: --nm_n,_d_-"--d__,_L<__:__!:m___nnnyn~_,/!..!2.n;,7"e.,~_"'-?:..nn_n.m_nnmn__.__m.nmmm.m.______nn_m___
.....................................................u.............................u..........................................................................................
.i~_~~__~~~~-_~~~~-~._-_~_.~--~_~----------i:~_~_~:~-_~_~_~_~i.~_~~-_-~~~.--------------m-:~-::~::~::l~::2~:=~::::::::
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con.
cealed due notice muet be given the Inspector 50 that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
q ~{~w-- 8!J
() I
J-b'~ ,A.
ELECTRICAL PERMIT
N?
15134
,.
lit; I/.}-{tl -
:::~~~:r:f:~f.~;~:$E~)~~~:::~~;;..:~~::::::_::::.:.:::::::::::::::::::~::::.~:::::::::::::=::::::~~:::::::::::::::::::=:::::::~::::::=
InSpeCtioncomPleted..._....,..._...~...;J_.........:....................................._....................................................................._.................._._..............._
To.tal Load .......................................................................................... ...................h..........................n........................................._.........._......_
\ 1M 3.72 Olympic Printers, Inc.
'. '
FOR1ANfGEtflS
WAS H I N G T b N, U. S. A.
.
PUBLIC WORKS & ,UTILiTIES DEPARTMENT
May 27,2005
. To: John Lee
From: Al Oman
Re: Remodel to change it duplex into a four plex.
. Electrical work performed by gencral contractor.
Contractor,Owner: Cliff Berlin
Business name: Sta-built-it-ty
Lic. # STABU**963MB
, Address: P.O. Box 205
I' . Chimacum, W A. 98325
IPhol}e: 360-732-0403 .
I Cell: 360-509-0653
I
I
Owner/address where work performed:
John Yeo
114 W. 5th St.
Port Angeles, WA. 98362
I. A telephone conversation with Cliff Berlin on 5/24/05 revealed he had done the electrical
wiring at the above address. He also further stated he had done the plumbing as well.
Enclosed is a copy of his electrical work perl1,lit application.
1fT can be of any further assistance call 417-4735 or Fax 4J 7-4711.
Sincerely,
Al Oman
321 EAST FI FTH STREET 0 P. O. BOX 11500 PORT A'NGELES, WA 98362.-,02"t 7
PHON E: 360-41'7-'4805 O"FAX: 360-417-4542 0 TTY; 360-417-4645
,
E-MAIL. publlcworks@cityofpaus