HomeMy WebLinkAbout211 W 6th St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMI.0 DEVELOPMENT BUILDING DIVISION
�r.._ 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001384 Date 12/08/11
Application pin number 471096
Property Address 211 W 6TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-0- 9275 -0000-
Application type description RE -ROOF On your state excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RESIDENTIAL HIGH DENSITY (Location Code 0502)
Application valuation 8900
Application desc
TEAR OFF /INSTALL COMP
Owner Contractor
COTTON DAVID L PENINSULA CONTRACTING RFNG
211 W 6TH ST 732 W 7TH ST
PORT ANGELES WA 983626008 PORT ANGELES WA 98363
(360) 912 -2371
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF /INSTALL COMP
Permit Fee 193.75 Plan Check Fee .00
Issue Date 12/08/11 Valuation 8900
,Expiration Date 6/05/12
Qty Unit Charge Per Extension
BASE FEE 95.75
7.00 14.0000 THOU BL- 2001 -25K (14 PER K) 98.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 193.75 193.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 198.25 198.25 .00 .00
1q7-0111
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.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
Uo PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:
V• Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATIOIV:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -ln
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Filocking Hold Downs
jSkirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lightin9 ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
D Inspection Type Date Accepted By
V Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 1Z_ --t
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BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require plan review.)
Date Received j? g' a
Permit# 35`
City of Port Angeles Please print in ink. Date Approved d-
Attn: Building Permit Technician Approved by
321 E. 5th St., Port Angeles, WA 98362
360 -417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express)
Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm
Contact person: Phone:
Z
Z:- 4 Bvacior.J 9/2 2377
Property owner: D Co-/-f-0 lA 6?".e-frt V Zvi l K 1 -a ndv r k one: y5 7$G I
Property owner's ailing address: .r6 j7, J7rtve/ mo(al(cc DI re.. ?-7039
Contractor's business name: Pe H, -1 Cow /ya0Al Y 00� Phone: 9 2 2 3 7/
(or property owner's name if he /she is doing /overseeing the w ork)
Contractor's mailing address: 73 2 tio y L An e jeS A
9 r
Contractor's L &I license number: Expiration date:
P5VMC 9d Pill 3- RI- 20 /2
Project Address: I k IN 6
Project Type: Residential ID Commercial o Industrial o Multi- family
Project Business Name:
(for commercial, industrial, or multi family projects)
The following permits are usually issued over the counter immediately, without the need for plan review.
Complete only the portions of this permit that are relevant to your project.
R -roof 'z house garage other
Iv( tear off re -roof lay over one layer
1) Licensed contractor: Submit a copy of your re -roof bid.
Project Valuation 6900 (labor materials, not including sales tax)
Re -side: house D garage other
Project Valuation (labor materials, not including sales tax)
Repair: (explain the project)
Project Valuation
*Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the
cost of materials, to reflect the value the repair adds to your property.
Cost of materials x 2. Project Valuation
T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011)
Page 1 of 2
Swimming Pool or Spa 24" deep): For prefabricated swimming pool or spa projects that
do not require plan review:
Obtain the City of PA handout entitled "Pools Spas" follow the requirements.
Project Valuation
Demolition: A demolition permit is needed when an entire building gets demolished.
What will be demolished? house garage other
Note: some demolition permit applications need to be reviewed by various City departments, and may take
approximately two weeks to obtain.
Agree to ensure that all utilities are /will be properly turned off (and capped off if needed)
prior to demolition.
Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to
be demolished. Submit the map with this application.
Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA)
Demolition Permit Application.
Contact ORCAA at 360 -417 -1466 to discuss whether or not an ORCAA Demolition Permit will also
be needed.
yes no Will the debris be going to the Regional Transfer Station in Port Angeles?
yes No If yes, will a licensed contractor be taking it there?
If yes, obtain (from the City of PA) a copy of the Waste Disposal Application.
Complete and submit the waste disposal application to the Building Permit Technician, now
(or later if asbestos testing is needed).
Plumbing Permit: (explain the project)
Project Valuation
Mechanical Permit: (explain the project)
Project Valuation
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 Signature
Print Name
Page 2of2
12/7/11 Gmail Roof Estimate for 211 W. 6th
o
s Evan Bradow <evanbradow @gmail.com>
n
Roof Estimate for 211 W. 6th
1 message
Evan Bradow <evanbradow @gmail.com> Tue, Nov 22, 2011 at 9:17 AM
To: stevel @olypen.com
Peninsula Contracting and Roofing
732 W. 7th Street
Port Angeles, Wa 98363
360- 912 -2371
Peninsula Contracting and Roofing is liscensed as a General Contractor in Washington State.
Job Address: 211 W. 6th
Job description:
1) Tear off all of the old roofing and dispose of in county landfill.
2) Replace old sidewall flashing where necessary. this siding must be cut 2 inches above roofline and then new
metal installed under the old siding and over the new roof. This new step flashing is critical to fixing this roof and
will eliminate the need for caulking along the sidewalls)
3) Inspect sheeting and repair or replace where needed.
4) Install new synthetic felt over sheeting.
5) Install new roof vents in compliance with city code.
6) Intall new plumbing pipe flashings
7) Re -flash around chimneys.
8) Install 30 composition shingle Color to be determined
8,900.00 plus tax and permit permit is approximately $200
Any questions please call me at 912 -2371
Thank -you,
Evan Bradow
https: mail.google.com mail ?ui= 2 &ik= 9835aa9e4e &view =pt &q= repair flash... 1/1
PREPARED 9/23/11 8 42 07 INSPECTION TICKET
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY
ADDRESS 211 W 6TH ST SUBDIV
TENANT NBR DAVID COTTON
CONTRACTOR PENINSULA HEAT PHONE (360) 457 2775
OWNER COTTON DAVID L PHONE
PARCEL 06 30 00 0 0 9275 0000
APPL NUMBER 05 00000879 MECHANICAL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RES RESULTS /COMMENTS
i
ME99 01 9/23/11
MECHANICAL FINAL TIME 01 00
September 23 2011 8 41 02 AM 1pangrle
DAVID 461 2604
MECHANICAL FINAL HEAT PUMP
AFTERNOON
PLEASE CALL HIM 10 MINUTES BEFORE YOU GET THERE
COMMENTS AND NOTES
PAGE 1
DATE 9/23/11
09/16/05 07 02 FAX 3604572864 Peninsula Heat
Applicant or Agent: Adal ale )4P y P r�t Phone:
Owner a V I tI (04+tsY
Address: w 1A) Cam cit r. 1* /4w
Architect/Engineer:
Contractor ?Anatol tot S1AJ /L State License #•_efEJu)j j Phone q 5"7- 775
Address: 5Q2 bkJ City: s Zip: rag
PROJECT ADDRESS X11 LA) 60+—h- Gh—.e e- ?of
LEGAL DESCRIPTION: Lot; Block: Subdivision
CLALLAM COUNTY PARCEL NUMBER.
Credit Card Holder Name:
Billing Address:
Credit CardType VISA
ME OF WORK;
Residential 0 Nyw Constr.
Multi family 0 Addition
Commercial 0 Remodel
*p 0 .Sign
BRIEF DESCRIPTION OF THE PROJECT.
PLANNING USE ONLY
TAFORMSIAPPS thildingparnitwpd
MC
FUl out COMPLETELY and in INK. Your application and site,plan MUST BE
COMPLETE to be accepted for review If you have any questions, call
(360)417.4815 P\ Phone
9 2,3 U y pl 2 664
BUILDING PERMIT APPLICATION
O Re -roof
O Move
O Demolition
COMMERCIAL/RESIDENTIAL, Occupancy Group:
O Skive
O Garage
.0 Thick
tieGt4 P14
City:
ESA/Wetland(s): 0 Yes D No SEPA Checklist required? 0 Yea 0 No Other:
1 hereby certify that 1 have read and examined this application and know the sa to be true
understand that d is my responsibffity to determine what permits era requ the Cay s
'SIZE/VALUATION:
SF
SF S
C orr RIL�u
Phone, 2,.
Zip: /g6
Phone:
Exp. Date:
.e,
Occupant Load: Construction Type:
J0 2
FOR OFFISUAL UP ONLY'
Date nee.: 1 0(0.5
/SF =s
/SF =1
SP /SP
TOTAL
5
No of Stories: Lot Size: Existing Sq. Ft Proposed Sq. Ft TOTAL Sq.Ft.
Existing lot coverage Proposed lot coverage Total lot overage 9'0
Permit mr:
Dare Approved: Gt
Date matted: g I p OS
GrE9 9 citie4t4 e
APPROVALS:
PLAN
BLDG:
DPWTh
FIRE:
OTHER:
BUILDING PERMIT APPLICATION SUBMITTAL. The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all eases, a valuation amount must be entered by the applicant This figure will be reviewed
and maybe revised bythe Building Division to comply with cuuent fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE:1P.a plan check fee is due it mast be submitted at the time the buildi1tg.petnut application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official call extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107 4 of
the Uniform Building Code, current edition). No application can be extended more than once.
coned I am authorized to apply for this permit and
in such pernsis prior to work
ate: Q d s
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES, WA 98362
Application Number 05- 00000871 Date 9/16/05
Application pin number 896659
Property Address 211 W 6TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0- 9275 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RESIDENTIAL HIGH DENSITY
Application valuation 0
Owner Contractor
COTTON DAVID L
211 W 6TH ST
PORT ANGELES
WA 983626008
OLYMPIC ELECTRIC
4230 TUMWATER
PORT ANGELES
(360) 457 -5303
WA 98363
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc OLYMPIC EL./ FURN -HP
Permit pin number 60061
Sub Contractor OLYMPIC ELECTRIC
Permit Fee 48.10 Plan Check Fee .00
Issue Date 9/16/05 Valuation 0
Expiration Date 3/15/06
Qty Unit Charge Per
1.00 48.1000 ECH EL -R OR RM 1 -4 ALT CIRCUITS
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
COMMENTS /ACTION NEEDED
Charged Paid Credited
48.10 48.10 .00
.00 .00 .00
48.10 48.10 .00
Due
Extension
48.10
.00
.00
.00
ELECTRICAL PERMIT INSPECTION 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
INSPEC110N TYPE DATE ACCEPTItD COMMENTS
YES NO
I JlTI 'H
W )I II -rH_IN / CUY hK
;:S~K V lC~
FIN AT I '1.,7 JJ$ rx-'T A-rA')1
GENERAL COMMENTS:
PW-II02.15 (4196)
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
COTTON DAVID L
211 W 6TH ST
PORT ANGELES
Permit ELECTRICAL
Additional desc
Permit pin number 60368
Permit Fee 36 40
Issue Date 9/16/05
Expiration Date 3/15/06
Qty Unit Charge Per
1 00 36 4000 EC EL -LOW VOLTAGE
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983626008
MECHANICAL PERMIT
60350
61 70
9/16/05
3/15/06
S gnature of Contractor or Authorized Agent
T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
05 00000879
888217
211 W 6TH ST
06 -30 00 -0 0 9275 0000
MECHANICAL PERMIT
RESIDENTIAL HIGH DENSITY
7000
Contractor
PENINSULA HEAT
502 W 8TH ST
PORT ANGELES
(360) 457 2775
ALTER RESIDENTIAL
Plan Check Fee
Valuation
Plan Check Fee
Valuation
Qty Unit Charge Per
BASE FEE
1 00 14 7000 ECH ME INSTALL 100- FAU
Other Fees STATE SURCHARGE
Charged Paid Credited
Permit Fee Total 98 10 98 10 00
Plan Check Total 00 00 00
Other Fee Total 4 50 4 50 00
Grand Total 102 60 102 60 00
Date 9/16/05
WA 98362
00
0
Extension
36 40
00
0
Extension
47 00
14 70
4 50
Due
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 govern) this type of work will be complied with whether specified herein or not. The granting of a permit does not
presune,to give authority o olate or cancel the provisions of any state or local law regulating construction or the performance of
con r ion.
Date Signature of Owner Of owner is builder) Date
09/16/05 07:02 FAX 3604572864
Peninsula Heat
~02
BUILD'ING PERMIT · APPLICATION
FOI out COMFLETELY and in INK. Your application and site.plau MUST BE
COMPLETE to be acCepted for renew. If you bave any qUe.rtiODSJ caD
(360) 417-4815
ApplicantorAgent:~ A-nJ~ . Phone; L.f.6~1.. 77r
~ .~~~ PbQne:-Y5;;1--lh~ dl9
Add=s: .~, \t2~:f:: Ci'T-_~{-t- rylfs Zip: '1'X'S6:2.
ArchitectlEngineer: Phone:
contrB.ctorYeYtl~~~rStateLicense#:~~~. PhOne:Lf ~Ji'-d'7
Address: ~2 lAJ .g tf1.. City:~3Alt1 S . Zip: q ~ ?-
PROJEer ADDRESS: ;;l \ \ W t>+..h- 5+-r-..e e. + ?c>74: ~Jt.gwNING:
LEGAL DES~ON: Lot; Block; Subdivision:
CLALLAM COUNTY PARCEL NUMBER.:
CredJt Card Holder Name;
BWing Address:
Credit CardType VISA . Me #
'fY]!EOF-WO~ <f ~ALUATION:
dr"':R.esidential 0 N~Coustr. 0 Rc-mof 0 Stove " SF. @.$ ISF. - S ,"', .
0- Multi-fainily' C. AdditiOD - 0 Move 0 Gange . :. SF. @$ ISF. = $ _,-
[J ~CO:olmerCial C'Rezm:del 0 Demolition.~ ,,[] DCl:k -.' SF. @ ~ 'V : IS'P;-;- S..... _
'. .' t'-l!q>air.. _ o.l!igJ1,:. , .0 QIh." . :ttJtAI,YAI,UAno~: s. 7, ~~
.ll1UEFDESCRimON6FTIIE~'~r~~.1Zl .. - . ~
COMMERClAuR.ESIDENTIAL: Occupancy Group: OccUpaIlt Load: Construction Type:
No. of Stories: _ Lot Size: Existing Sq. Ft & ~roposed Sq. Ft = TOTAL Sq.PL
Existing lot coverage _ % &. Proposed lot coverage _% - Total Jot coverap %
Clt}':
E:Ep. Date:
-,
. ..
APPROVALS:
PLAN:
BLDG:
DPWtJi.
FIRE:
OTBER:-:-
PLANNING USE ONLY:
ESAlWet1and(s): 0 Ye& C No SBPA ChecklistICqUired? 0 Yea 0 No Other:
'BUILDING PERMIT APPLICAUON SUBMITTAL: The Building Division can provide you with infonnation on the application and
plan submittll req~ if you have questions.
VALUATION OF CONSTRU<:nON: In aD eues, a valuation amount must be.entered by the applicant. This figure will ben:viewed
mdmaybclCvised bythcBuiJdingDivision to comply with CUIreDtfecschedules. Ccmtactlho PCIDlit Coordinator at4174815 forusisbmcc.
PLAN CBECKFEE: IF,a pIan check fee is due it mqst be submitted at the time the buildi:ng,p~ application and cODStnaction pbms are
subnUtted. Alll)thcr pem1it fees arc due at the time of peImit issuance.
EXPlRAnON OF PLAN REVIEW: Ifuo pennit is issued within 180 days of the date ofapplicatioD, the application wid elpire. Tho
Building Official caD. =.end the time for action ~by the aPPlicant up to 180 days upon written request by the applicant (see SectiOlll 07.4 of
the UnifonnBwldiDg Co~1 CUIl'ent edition). No application can be e;c.tended more than once.
conecl. J 8m suthorized to apply for Ihis pennit and
t I ust 0 in such pennits prior 10 work.
ate: t1/;6ItJ~
I ,
T:\FORMS\APPS\lfuilcllnflPClJlliLwpd
Applican
d'~'~
~
"~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:121 EAST 5TH STREET. PORT ANGELES. WA 98:162
ELECTRICAL PERMIT
Issued: 4/20/99
Permit No:
6612
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
DAVE COTTON 211 6TH ST W
211 W.6TH ST Lot: 18
Port Angeles, WA 98362 Block: 92 Long Legal:
360/452-6629 Sub: TPA
T: S: Parc No:
CONTRACTOR-----------------------------DESIGNER---------------------------------
OWNER
VARIOUS
Port Angeles, WA 99360
206/000-0000
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: RES. OUTBUILD prj Value: $0.00
Occ Type: Cnstr Type: ADD CIRCUITS
Occ Grp: Occ Load: Land Use: RMF
Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
r -
o
o
o
o
Service Type
Riser
Overhead Service
Underground Service
Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
120,240
X-I -3
200 AMPS
o AMPS
PROJECT NOTES--7-------------------------------------------------------_________
one circuit ,to -shed for light and plugs.
PROJECT FEES ASSESSMENT--------------------------_-----------------_____________
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Misc outbuilding $27.00
TOTAL FEE:
Amount Paid:
$27.00
$27.00
-------------~-------------------
---------------------------------
--------------------------
TOTAL FEE:
$27.00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENfS
VES I NO
-IN I
:stK YILt
I ~ Ivtl,t{r{ ~I
GENERAL COMMENTS:
PW-I102.1S14'961
{)~ ?9
FEE RECEIPT NUMBER
CITY OF PORT AN9ELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A ooo/~4_
PERMIT NUMBER
.
"\ ' \ >" \'- . dJ : I. ,.1
.' '/6~Oo. :. ! " -' ~, . . \
TOTAL FEE .
. 90NT. L1.C. Np:. TI.t-J)ET.q CO~P~ETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Addres:' "'2-,'1, &.I: 2oT+-I :. '<s;-; ,., ,
~. . ", .CORRECT ADDRESS 15 RESPONSIBILITY o~ ApPLICANT PER~ITS WITH WRONG ADDRESSES ARE CANCELLED
Owner _PAl/tO' c:: DTTOU
~4Y\e." .
Day Phone >"'1 S 2. .-'("WZO) '. - j'qS).. -( 7 77 In~'iallers Phone~
Application is her~by made for Permit to instail Elec)rlcal Equi~menras tol'lo";;.:, f~.:e.iNll'te
10 ""'R..c:C IDE1>...Ic.E.. :,' {;lfn/~. ;;5 .(.I~J.~' ,
',.,\
,
..
Owner's Address
Installation By
" .
Installers Address
~ r /J
,/7n~,,.u.dd!~
~ IS..CLLb Atit>tTlO/-.l
lo .
..","
"
Wiring Method
eJ
AMP . , . 240V , ., ',' . AMP 24QV
NUMBER 120V .- NUMBER 120V
USE OF CrRCUIT- CIRCUITS PEA 10 100R FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE
CIA 30 CIA 30
LIGHT "2- SIGN
,
50 VOLTS -
LIGHT OR LESS
CONVENIENCE , - MOTOR -
.
CONVENIENCE . MOTOR
APPLIANCE .' MOTOR
DISHWASHE~ ,. , - F[AE ALARMS -'I, , , -
J ,
DISPOSAL . \ , ,">\ B_U~GLAA.ALAAM
, ., .\ .. ,
RANGE MISC,
OVEN
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - Oil
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT 76,00
TOTAL FEE
ELECTRIC HEAT SIZE OF SEAVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
. I SUB.TOTAL
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
t certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
Date Application made
f'EB"R. VA~-,{
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,19 St;;;
By
.
Date Permit Issued
~pr"ftr
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of t~e City of Port Angeles. I
DIRECTOR OF CITY LIGHT
ByL4tU/,L~&f ~
PLANS APPROVED .
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.
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
\
WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
REPORT OF INSPECTOR
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DATE OF VISIT MADE BY REMARKS
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3604523498
OLYMPIC ELECTRIC
PAGE 01
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ELECTRICAL WORK PERMIT APPLICATION
,
r
Job wired by
rrEleetrlcal Contractor 0 Owner
Tnstallation description
o Commercial lEfRcllidential
~7"C~
Pure"o. r's ailing adc;lrcss
--!i..h7d 7P-/77.-'.rl"&.--
City State ZIP -d.
.;&~~rkr LV;7. 7-f?7-
TelepllOnc ,number FAX number
IJNew
[
hr& ?c.e" .,? 6;r .4-/y
[
IJ AIr.eredl Addition
Electric::!! conLrac:tor rmme
DlIte Expires
/P.j'Y~>.Ht;'"J//
LiGcn~c number
prp;s owner's nJlbe
,-/~ ~&/7
Address M inspection .
-.2dL ~ ~~
Ci~ f-A /
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Ph~nc nnmber to :<llcl;';dule jn~rectlon:
'1.7;2. -?6~/
Owner 4.~ defined by RCJJ</9.21J26J:(l) OWlrer will Oc.cupy the slt'uct/Jrtfor two
yea,,:,: o:pcr thi.' eleel1-lcal permit r:~/11l(11i;;rd. (1) Owner. is r~ui,,!d Jfl ,,;~ a1f eJec,,.i('./ll
COnh"act"r if nbow: .'aid prf)p~ty ;s f()r .~('Jlr. ren' or JI'!Qse,
Aftt=T reading lhc above statement,. I hereby certify th<lc J am the ow"cr of the nbove
named pmpcrt)' or a liecnscd electrical contractor. I am making the elccfrical in~t31-
lation or altefinion in' eomp1i:ulce with the electrical laws. N.E.C.. RCW. Chapter
19_28. WAC. Chapter 296-46B, The City of P(lTf Angeles Municipal Code. and
Utility Spccificlltion~.
Sl~nlllurc of pwner. electrical contradpf fJf cleUric31 :administrator
o Cash Cl Check #
~editCard Visa
Card #
Mastercard
Discover
----------------
Date:
Expiration Date
of card
~
fJ
tb
E oal Loa!l.Addltlons and_Qr subtraotl~1lJ;
IJ NO LOAD Ct-4ANGES
CJ Baseboard K)N
IJ Furnace 1,2 tfKW
l:J Heal Pump ..;_ Ton _ LAR
IJ Fen-Wall KW
o Overhesd Service
o Temp Service
tJ Underground ServIce
wV
~c.e Informatlo.!!
Voltage ~ if 0
Phase ~ IJ 3
Service Size: ~
Feeder Size:
SAME DAY JNSPECTTON. CALL BEFORE 7:00 AM 360-417-4735
ROUGR-IN llJERMOSTAT SERVICE
Dal!~ APJlmvdRy D'Il~ ....~vrdBy
FINAL DITCff
" .Ad)
u., ....r)l'l!'l)...cd Dy ODic AfrrI'(Wetl By
Dnre ^f1l'Klvl)f;1 By
FEEDER
Dalll ^"pfllY1ld By
4tt<< vr
Area. Building or Equipment Tnspected Action Taken
'It !t?>
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Application Number . . . . . 23-00000100 Date 1/31/23
Application pin number . . . 514200
Property Address . . . . . . 211 W 6TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-9275-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
FRANK G AND CHRISTINE L BRUMME PENINSULA HEAT
211 W 6TH ST 11003 CREVISTON DR NW
PORT ANGELES WA 983626008 GIG HARBOR WA 98329
(253) 313-4656
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 56.00 Plan Check Fee . . .00
Issue Date . . . . 1/31/23 Valuation . . . . 0
Expiration Date . . 7/30/23
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00
----------------------------------------------------------------------------
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
PREPARED 1/30/23,13:29:28 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000100 211 W 6TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 56.00
TOTAL DUE 56.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Heat pump
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
2/7/2023 23-100 TAP
OWNER
CONTRACTOR
Peninsula Heat
PROJECT ADDRESS
211 W 6th St