HomeMy WebLinkAbout623 E 10th St - Building
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f$UILl)llIG PERMIT
OWNER/APPLICANT
RAYMOND VANNAUSDAlE
623 E 10TH STREET
Port Angeles, W A 98362
360/457-5784
T:
RECEIPT#9426
FEESASSE~SMI:NT
Building Permit:
Plan,.Check:
State Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
."
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East Sib Streef,~ Port'Angeles,. WA98362
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$O~OO
$0.00
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PERMIT NO:,
CONTRACTOR
OWNER
VARIOUS
Port Angeles. W A 99360
206/000-0000
PROJECT INFO
Project Value: $0.00
Project Type: ABANDON Oil TNK,
Occupancy:Type: RESIDENTIAL
Occupancy Group:
Construction Type:
Zoning Use:
S:
ISSU.~P: .7/09/2902
PROPERTY. LOCATION
623 10TH ST E
Lot: 15
Block: 286
>~Subdivision: TPA
Parcel No: 063000028675000
D long legal
ARC'HITECT
N/A
, 98360-0000
360/000-0000
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SFD Units:
SFD sa FT:
o
o
Commercial:' 0
Industrial: 0
Garage: 0
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MFD Units:
MFD sa FT:
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Mise Fee 1: ABANDON TANK
Mise Fee 2: ,
Mise Fee 3:
$15.00
$0.00
$0.00
.I.~ .;"
TOTAL FEE:
. . t
AMoUNT PAID:
BALANCE'DUE:
$15.00
$15.00
$0.00
This pennit becomes null and void if work authQri:Z,~!! is JIpt cpmmenced witilin 180 days,jfw()~~issus~ended or
abandoned for a period of 180 days afer the work has commenc",d,or if required inspections' have not;beenrequested with
180 days from the last inspection. I hereby certify thatl ha.ve read and examimd this application aIld kflowfuc"same to be
true and correct. All provisions of recognized standards, 'la\Vs8J1d ordinances governing this type of w()rk, will, becornpled
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
the provisions of any state or local law regulating the work specified in the 'permit.
Dare ~~)
Signature of Contractor or Authorized Agent
~~;2.
Date
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FIRE PERMIT INSPECTION RECORD
Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulafe
or conceal any work before inspected and accepted. Post permit in a conspicuous location.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydt:ostatically tested
. .
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM ---
Rough-in inspection
-. . ..
Alarm final .
LP-GAS Completed by Contractor:
Underground piping inspection/pressure test test #1
Above ground piping inspection/pressure test Piping pressure test psi
Time initiated -
Tank (container) inspection test #2
Appliance inspection Piping pressure test psi
LP-gas final Time initiated
, ---
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable/combustible liquids lO .2.1. . 'Z.oo'1.
Tank appropriately abandoned lO .2.2.. ZOO2 IW:1..
UST abandonment final 10.2.'Z. . 2.00'2. -
PERMIT OTHER (speciry)
permit fmal
,
Inspection Type
I Date Passed I
Comments -'. ...,
GENERAL COMMENTS:
2/15/00
- ~~~~---
Tank Pull 623 € \OT',,\
oc.:to~~ l1, 2-002..
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N9
15241
/6-;;.~~ >V
Port Angeles, Wasbington.nn........n.n.n...n..m..m....m.n.....mn......, 19n....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.
Address ...'-..iln}.....f/[::.tf.....n_nm.m__mm.....m....m__..._n Occupancyn...d_!?"Lm._.m.n__.nm..m.n..
~:) j/ (,.
Owner ____{i:~-..:~:::.r.._u_L.te:_~:__-:_:_:!:.!'..::.__~'-...:g.e.(!.._..________ Tenant_____________.mn_________.__________Ud__U.___Uh_.___.__u._______
V
Wiring Contractor ....~!.:".!:-?.,'"'.!'~::"='::::_mnn._mnnm.__m.m... Bynnmm..n..n.......mm..mn....._.__n.nnmn.......nn
Light Outlets_m_______________..h......h....._____
Receptacle Outlets_.____________.____............
Dryer, KWj..__________u______._________________.___
Range, KW.__________________._____________________
Water Heater:
KW..mnnm.mnnnnmn .nmmmmn
Heat: RW..__________.....___..____...._____.______..__.....
Motors: size, volts and phase:
1.'2 0/ ~Y:{'
Service, volts ......0.._____,.-________.____._____....
?
No. wires _______-=_.__................0.____.__
. <;//0" ..-
SIze wires......__.....__...____________.........
.- f
Main fuse _____.__r:?:'::._:!...!....._________..
S
Enclosure ...._________....0......_.._____.______
Type of wiring:
Entrance Cable _____.__________________..___
Rigid Conduit ...00.00......00...00..........
MetaIllc Tubing ___.....___......___.......
Current transformers:
No. & Size_.......________....____....hh.______
Ser. N 0..____..0._.....___0.__.__________.....__..__
Ser. No.._______...._____________..._.__..._________.
Ser. NO..____h...........____h............h..__.._
Type of Wiring:
Armored Cable .............___.....________.
Non.Metallic ___...____..________________.....
Knob & Tube___..............___.........m.
Rigid Condnit .....00000000..........00.0000.
Metallic Tubing ________m.___m.........
Raceway _
Circuits, Lighl.....__..m..__.....mh________h...
Utillty.n...........nnnnn_...........nn.n..
Heat
Range ._......._...__......_..____.______________..
Water Heater 0._____._.._...................
Motor ..._.......__....................._...__._.
Dryer......_______________________......___............
Furnace __.._________nnn_...._'_...........
Total Load.____.___.................... Ser. No.__....________......_...____......_.......... Total ____.....__.._....._________________.0.
Remarks: ...__._ld?_-::~_________"!5___I:~_~;~.u:LQn______~J.:_!_~:~::____:::::.:__m...n_________h______________uum..___...........__.m_....___
(j - ~J
;~~~.;;~.m.....mnnmnnnnn;~~;:;::.~~~:;~~m.n.-mum---.mmm.----m..rne7n.;!"m.mmnmm!?--u--m-mm.
$__________h+UUh__...__..__.mm. N O.______......h_____________ By .__:.i'..:_ci:_____Z~~~::::__:~..::':.~~'i!d;~~-__?::--'~-~:-:m---
NOTICE-Current must not, be turned on until Certificate of Inspection has been issued. It work Is to be con.
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
,.Jl rU) A A..eA-~
ELECTRICAL PERMIT
N?
15241
. ,--, /-;' .....~ "
f. ,;J? r-; /C') 1+ jc..,- <.-.; r -- ;>y
Date called loV inspectI~n~r--"::':............--..f.:.................---..............-......--..---.._.._._._.......___.____............_____.....__.____..__........_______...____.____........___..
'/. . /)/ , ,:
, . A '1""': -Ir.--' ..1......, .('_-----t.<'\?~/~><;..Q....
preIlmlnarYinSp~ctlondates.........-----...---.........._..__....::.~__................._......__..._._.__..........______.._..____._......_____....___........_________.......____....._.........
....-L. :t". "-~ (_
Inspection completed;..___.:.______.......________.___..._.........._.._..___..__...._..... ..._.. _ __..............._ ____ _..............._..___.........__........______._...__..____..__......_
Total Load ..n___.............__._u.____.________._________..__.......n..__..._n................. ....__...__............hh...n_..u__............h__..n...._nn..._.......h_________=___...._......_
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1M 3-72 Olympic Printers, Inc.
S.
CITY OF PORT ANGELES PERMIT ArpLICA,TION RECEIV
—B—iffiding ivision lectrical Inspections`'I'
321 East Fifth Street —I'.O. RpX 1150 / Fort Angeles Washington, 98362 i JAN 2 0
Ph: (360) 417 -4735 Fax: (360) 417- 47111 Zli Date; '1 lo'l 2 Single Family Dwelling
Plan Review May tae Required Please Complete Electrical Plan Review information Sheet
Job Address; Z 9– •
Building Square Footage:
Description of above
Owner information Contractor Information
Name; *++ Name; 1, c
Mailing Address; 2 crt"` 3 Mailing Address: 2 a. S�-
Clty; -State; '*4A 7iP: C�'Z _ city S State, WA- _Zip: 9?tgez
Phone;Zf 14t 253 Fax:
Phone: '-4lq Fax: 4,21 2'. o
License # / Exp.. ---- License #! Exp.
Item Unlit ivharoa Total (Qty Multiplied by Unit Ciharael
Service/Feeder 200 Amp. $120.00 �_ $ 120, a•�
SenricelFeeder 201 -400 Amp. $146.06 § _
ServicelFeeder401.600 Amp $ 205.00 $
ServicelFeeder 601 -1000 Amp. $ 262.00 $
ServicelFeeder aver 1000 Amp. $ 373,00 $
Branch Circuit W1 Service Feeder $ 5,00
Branch Circuit WID Service Frieder $ 63,00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 14 $ 76.00 $
Temp. Service/ Feeder 200 Amp. $ 93.00 $
Temp. SwvlcelFeeider 201 -400 Atop, $110.00 $
Temp. Ssrvico /Rader 401 -600 Amp, $149.00 $
Tramp. 5ervicelFeader 601 -1000 Amp , $168.00 $_
_
Portal to Portal Hourly $ 96.00 $
Signal Clroultl Urnked Energy -1 & 2 Family Dwelling $ 64,00 $
Manufactured Rome Connection $ 120.00 $
Renewable Electrical Energy - 5KVA System or Less $102.OD $
Thermostat $ 56.00 $
Note: $5,00 for each additional T -Scat
NEW CONSTRUCTION ONLY:
First 1300 Squaref f _ _ $ QUO $
Each Additional 560 Square Ft. or Portion of $ 40.00 $
Eaoh QutIcOlding or Detached Garage $ 74.ao $
Each Swimming Pooi or Not Tub $110,D0 $
$Total
Owner as defined by RCW.19,28.261: (1) Ownerwiil occupy the structure for two years after this elaotriCal permit is finalized, (2) Owner is required
to hire an electrical contractor If above said property is for sale, rent or lease_ Permit expiras after six months of lest inspection.
After reading the above statement, I hereby cartify that I am the owner of the above named property or a licensed electrical contractor, I em making
the eleclrical installation or alteration in compliance with the electrical laws, N.E.C,, RCW. Chapter 19.28, WAC, Chapter 2964B, The City of Pori
Angeles Munlclpal Code, and utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator; ❑ Cash El checll
V -Credit Card #
� 1
X Oared: f� �.cf- 1 �� _. 0110T2012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
Application Number . . , . , 15- 00000050 Date I/28/15
Application pin number . . . 501350
Property Address , , . . . . 623 E IOTA ST
ASSESSOR PARCEL NUMBER; 06-30-00-0-2- 8675 - 0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . , , .
Property Use . . . . . . . ,
Property zoning . , , . . RSV RESDNTL SINGLE FAMILY
Application valuation , , . , 0
Application desc - - -- -----
SERVICE PANEL CHANGE
Owner Contractor
------------------ - - - - -- ------------------ - - - - --
DONALD AND TIMMIE WIKSTROM KIRSCH ELECTRIC INC,
623 E IOTA ST P. 0. BOX 3396
PORT ANGELES WA 983627929 SEQUIM WA 96382
(360) 683 --6819
Permit . , . , . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . ,
Permit Fee 120,00 Plan Check Fee 00
Issue Date 1/20/15 valuation , . . . 0
Expiration Date 7/26/15
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL -0 -200 SRV FEEDER 120,00
Fee summary Charged Paid Credited Due
Permit Fee Total 120,Q0 120.00 .00 DO
Plan Chec1, Total .00 00 .00 .0p
Grand Total 120,00 120.00 '00 .00
REPORT SALES TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
`I
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electxical Contractor X Date:
G:IEXCHANGEIBUILDING