HomeMy WebLinkAbout526 E 11th St - BuildingCITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 03 00000932
Property Address 526 E 11TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 3910 0000
Application description ELECTRICAL ONLY
Subdivision Name
Property Zoning
Application valuation 0
Owner Contractor
SUNBY HARRY SIM
526 E 11TH ST
PORT ANGELES WA 983627936 SEBRING
Date 9/30/03
FL
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc HEAT PUMP/ FURNACE HOOK UP
Sub Contractor SIMPSON ELECTRIC
Permit Fee 46 70 Plan Check Fee 00
Issue Date 9/30/03 Valuation 0
Expiration Date 3/29/04
Qty Unit Charge Per
1 00 46 7000 ECH EL -R OR RM 1 -4 ALT CIRCUITS
Fee summary Charged Paid Credited Due
Permit Fee Total 46 70 46 70 00 00
Plan Check Total 00 00 00 00
Grand Total 46 70 46 70 00 00
Extension
46 70
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 Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T•\PLANNING\FORMS \1102.15 [4/2002]
FOUNDATION•
FOOTINGS
WALLS
ELECTRICAL LIGHT DEPT
ENGINEERING 417 -4807
FIRE 417 -4653 I
I PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
T \PLANNING \FORMS \I 102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. 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
YES I NO
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT if
ROUGH -IN
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL
WALLS ROOF CEILING
DRYWALL
T -BAR I I
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE PELLET CHIMNEY
HOOD DUCTS
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA. Imo/
i v D
PARKING /LIGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
PW ENGINEERING
I I I
I I I
I I
FIRE DEPT
PLANNING DEPT
BUILDING
COMMENTS
I I I
I I I
I I I
r
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
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
04-00000682 Date
.144968
526 E 11TH ST
06-30-00-0-3-3910-0POO-
FIRE ABANDON TANK INSPECTION
8/04/04
RS7 RESDNTL SINGLE FAMILY
800
Owner
Contractor
SUNDBY, HARRY
526 E 11TH ST
PORT ANGELES
(360) 417-0611
WA 983627936
PETTIT OIL CO.
638 MARINE DRIVE
PORT ANGELES
(360) 457-9404
WA 98362
permi t . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
UNDERGROUND
SLURRY FILL
15.00
8/04/04
2/01/05
TANK RES
IN PLACE
Plan Check Fee
Valuation
.00
800
Qty unit Charge Per
BASE FEE
Extension
15.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 15.00 15.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 15.00 15.00 .00 .00
v-
I
<f>
~
,,\
1
~
This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
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 recognized standards, laws and ordinances governing this type of work will be compied
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
thepsovisio~~ of a~y.state o~/loc~lla~ regulating the work specified in the permit.
jj Ii;/ /1 1/ f;:J (/ d L/. .L!
if /t/ {//(A' . If,)0 (/-7 -,() .
Signature of Contractor or Authorized Agent Date
Signature of Owner (if Owner is builder)
~
~e
FIRE PERMIT INSPECTION RECORD
Call 360-417-4655 for fire inspections. 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 PERlVIIT CARD AND APPROVED PLANS AT JOB SITE
Inspection Type
I Date Passed I
Comments
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically 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 # I
Above ground piping inspection/pressure test Piping pressure test pSI
Time initiated
Tank (container) inspection Test #2
Appliance inspection Piping pressure test pSI
Time initiated
LP-gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable/combustible liquids
Tank appropriately abandoned S -11-6'-( kDp
UST abandonment final
PERMIT OTHER (specify)
permit final
I
GENERAL COMMENTS:
2/15/00
e
~'
. ....,).i'..>, '<\, (;3ITXi,QJ1>~QRT~G~LESr. .' . ......... ..
DEPARTMENT'OFCOMMUNl'I;YDEVELOPMENT - BUILDIN(] DIVI~rON
}~lEA.ST5rnSm~!POR'D~pE"'ES. WA98362', > ,.
:'n/ -,\ ". i:,. t;;:'~:fl~::' ,':r'.~ .:-, _",,:.:'~\)l'
Application Number
.Property ,Addr~ss" .
ASSBSSOR PARCEL NUMBER:
APPlication description
.,' SUbc:livision Name . .
PrOperty Zoning. . .
Application valuation .
OWner
SUNBY.. HARRY
526B 11TH ST
PORT ANGELES
WA 983627936
;C'i"........'-O+,H.
\. " , - -.<",' ':., -' . ',,"~,
--'--------------------------------------.-----------------------------------
03-'00000936 Date 9/24/03
526 B 11TH ST
06-30-00-0~3-3910-0000-
MECHANICAL '. PERMIT'
6559
Contractor
_",. ~'. _~ .1,,"-
ALL'. WBATHBR~'. :HEATING" & COOLING '"
302KBMP ST.
PORT ANGELES ;'" WA
PORT ANGELES ,,' ';'", 'WA 98362
(360)452::9813
ELECTRICAL ALTER RESIDENTIAL"
permit .. . .
Additional desc .
Permit Fee
Issue Date; . .
Expiration' Date
35.30
9/23/03
3/22/04
Plan Check Fee .
valuation' ,
.00
o
Qty Unit Charge Per
1.00 35.3000 BC BL-LOW VOLTAGE.
Extension
35.30
MECHANICAL PERMIT
- - '..' - - - - - - - - - - - - - - - - - - - - - - --- - - - - - - - - - - -.. - - - -.;. - - - - - .'..,;'- ~ - - - - - .'- -.- - - - - - - - - - - --
Permit .'. '. . .
Additional desc
PermI~'Fee:. .
. Issue' Date . .
Expiration Date
, ~1.?().
9/23/03
3/22/04
Plan Ch~ckFee
VaJua~iop.
.00
o
Qty Unit Charge Per
BASB FEE
1.00 14.7000 BCH ME- INSTALL 100- FAU.t"
Extension
47.00
14...70'
Feeswmilary
Charged
,. .;..--'-....-...------
permit Fee Total
Plan ,Check Total
Grand Total
97..00"
.00
97.00
Paid
CrecW:ed
----~~---~..;,;
Due
----..;...._-_..
97.00
.00
97.00
.00
.00
.00
.00
'.00
.00
Sepal'iJt~~!rml~,~@requl,~d fOfEtlpl~! wO~.,~EPAi'~~r~!I,ffi~f~~~~t!lJ~9~eriV,~!~.~"n~.p~blic,imp,fpv~~~r~~.T~l~~""; .:'li~.'f~m!i
n~lI.and v41~jf wo~ orconstructioriauthbrized is not commen~d Withfg..1;8Q,,(jaya, if construction or workls.IiHspeq . '8().~n~~m~~
for aj;lEiliiodof,1~O'C:lays after the WOrk as col1'lmenc~.()rJf.r,,~~~,:!d In.~~C#ions hav.e not beenreqiJestedwi~hln18. ~iPth~.a~*
Inspectlon;t~ereby:CertifYthanl1a~e read'andexamin9d tffl~':appli~tioniand .know the same to be true. andcorre " iSion,i>'!3f
la~s and (lIl.flnances governing thi~ type of work wi'nj~ Grimpl(eqw!th,'wl1etl\er specified herein or not The graritlhg9 ......' .... . ",8s'riOt
presume to 'give a!Jthorityto violateqf cancel the provisionscjfany :state.orl()callaw regulating construction"or:tfie..p~rt()rmanCeof
conStruCtion. :~.,. '#:;,,,;,:,"
~ p;' ~ . "ld'ld:j^fi,'"~'
Sign~ture()fContractor or orized Ag~nt.. . "Date '
T:\PLANNIJIIG\FORMSm02.1S [412002]
BUILDINGPERMITINSPEClioN RECORD
, .... !','Jr,.I;' ., . '( ":"\ . .:,.
-. ;' ..- ,', ,,' ! ",t, . - ~. - , ',. _' '-' _ .'" ,', '- '-'-~ : .,,,
CALL 417-4815 FOR BUILDING INSPECTIONS.~LE~SE PROVIDE A MINIMUM 24 HOUR NOTICE. 1'1' IS UNLAWFULTq qo~
INSULA TE OR CONCEAL -1NXJJ'.QJ!K.llRl'.O~JIY.S.PECTED ANDAC~BPTED.POST PEkM1T IN A <::ONSPlCUOU~'L~"'IOl\f"
>,' ," -"- ':'.-~""'-" --...... """.-'. '"."""''''-,". ,",'-.,." ~:,';'.;~, "",- ..~~ ",: '--~.:""';"- -',-:':"'-':~',::::::-"--;>::"':\~,:,,'-;"-<".:':~('-;'-";':~~~:"',~.:'!);:;.~-_:;
KEEPPERM~T.St\RD AND APPROVED PLANS AT JOB SITE
.. . : - ,
INSPECTION TYPE DATE ACCEPTED COMMENTS., ..'.... ,
'.'
I ~'\i . ~~
. YES NO. -.-..'
FOUNDATION: . c, "~.C.'
FOOTINGS . .
WALLS
FOUNDATION D~INAGE .-
. ".~.
. .
ELECfRICAL (LIGHT DEPl) SEPARATE PERMIT: 1# " ,:i
ROUGH-IN I ..1 . I ,.,
-
..
PLUMBING
-
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW I WATER .'. ..' .~ ~ .:"
AIR SEAL ..'.
WALLS
CEILING I -,', :....... . . '..
'. ...... " .' ..'
FRAMING "
, JOISTS I GIRDERS
SHEAR WALL - .
WALLS I ROOF I CEILING
h;J
DRYWALL
T-BAR . It
INSULATION -
. .
SLAB
W ALLJ FLOOR I CEILING -
MECHANICAL -.
HEAT PUMP
WOOD STOVE I PELLET I CHIMNEY
HOOD I Duers I
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: ,
WATERLINE I METER .
SEWER CONNECTION .'
SANITARY .
STORM
PLANNING DEPT. SEPARATE PERMIT I/'s SEPA:
PARKINGlLIGHTING ESA:
LANDSCAPING SHORELINE: .'
: \, . .i"': t'JNAJ>JNS,I'f;C1J9~ REQUIRED PllIQR TO,O<;C.l!rA!"C;;VIUS~co>, ,-- . .'.....i.
RESIDENTIAL '0' .:., : DATE .,.J YES . NO' COMMoCIAL DATE .'. ACCEPTED
, .: '.' "m " ....
NO
. "- .'.
ELECTRICAL - LIGHT DEPT. 417-47~S 1D'" ELECTRICAL ..
:.I;-IGHT D~M.: .:
CONSTRUCTION R. W.I PWI CONSTRUCTION.. R. W.
ENGINEERING 417-4807 PW I ENGINEERING
'. fiRE DEPT. '. 0 .'\
FIRE 417-46S3 ,.. '\ .- ."1" ., . .......
.
PLANNING DEPT. '417-47Sq ~#/I;IA ;..:t1 .. PLANNING ~.PT. .... 'Y "; . ..'i.'-. :"",
BUILDING 417-4815 HI/J-I /().~ /(v BUILDING .,
....
t .'.
T:\PLANNING\FORMS\1102.IS (412002)
-
+--- ---- - filIWE/1!f(!.OQ3:J::>C-
BUILDING PERMIT . APPLICATION
FOR OFF\CJAL U-S.E OljI,.,Y:
Date Rec.:,-23-0::;:>
Pennit #: '-(--:<, 6l
Date Approved:
Date Issued:
~~ The Building Permit - Pre-application must be filled out completely.
Please type or print in ink. !fyou bave any questions, please call 417-4815
Applicant or Agent: A II W:~/< lfzI- .I/V(' Phone: 3(;.6 .1<S 2:: '1!J/.3
Owner: &z S(l.v Y _!hone: :3btJ~-f/?-tJ6//
Address: 5 b ~ // /.i. / City: Fale f !lYuJEk~ Zip: 763ft, z....
ArchitectJEngineer: JVO/vE Phone:
Contractor/lll tJ'(l1t1Et2-1f/t rl1J~ License#:A//W~#('/.so~xt: <1-/-0rPho~e: 4~ij8J.s
Address: .302- /(cl'?.o S-PZ( City: F6l.rf}^)6:k.s Zip: 1rSl 2-
(/
ZONING:
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Billing Address:
Credit Card #:
Block:
Subdivision:
Credit Card Holder Name:
City:
Exp. Date:
VISA
MC
TYPE OF WORK:
o Residential 0 New Constr.
o Multi-family 0 Addition
o Commercial 0 Remodel
o Repair
ORe-roof
o Move
o Demolition
o Sign
SIZEN ALUATION:
o Woodstove SF. @$ /SF. = $
o Garage SF. @ $ /SF. = $
o Deck SF. @ $ /SF. = $
o TOTAL VALUATION $ ~ 55~,. ~
ILMAJ ~ ~ - &!li J'N#z,e?-
v I'
BRIEF DESCRIPTION OF THE PROJECT:
-
COMMERCIAL/RESIDENTIAL: Occupancy Group:
Occupant Load:
Construction Type:
No. of Stories: _ Lot Size:
Existing Lot Coverage:
PLANNING USE ONLY:
Notes:
% Lot Coverage:
/sq. ft. + Proposed Lot Coverage:
%.
/sq. ft. = TOTAL LOT COVERAGE:
APPROVALS: PLAN
BLDG.
DPW
FIRE
Other: OTHER
/sq.ft
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No
BUll..DING PERMIT APPLICATION SUBMITTAL: Your application and site plan must befiUed out completely to be accepted/or
review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your
completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division.
VALUATION OF CONSTRUCTION: In aU 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: Your plan check fee is due at the tinie 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: If no permit is issued within 180 days of the date of application, this .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 107.4 of
the Uniform Building Code, current edition). 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, and I am authorized to apply for
this permit. I understand it is not the City's, legal responsibility to determine what permits re required; it remains the applicant's
hresponsibility to determine what permits are required and to obtain su h. ~/ /'
Applicant Dale: ~
T:\FORMS\APPS\Buildingpennit
rJVOl'l'~
o~
VJfJ
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
ELECTRICAL PERMIT
Issued: 5/02/97
Permit No:
5914
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
526 11TH ST E
Lot:
Block:
Sub:
Parc No:
Port Angeles,
360/000-0000
T:
WA 98360
Long Legal:
S:
CONTRACTOR-----------------------------DESIGNER---------------------------------
MCLENNAN ELECTRIC
2431 W. 16TH
PORT ANGELES, WA 98362
360/457-5689
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: RES.REMODEL prj Value: $0.00
Occ Type: Cnstr Type: ADD CIRCUITS
Occ Grp: Occ Load: Land Use:
Electrical Heat
, Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
o
o
o
o
Service Type
Riser
X Overhead Service
Underground Service
Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
120,240
X-1 -3
200 AMPS
o AMPS
PROJECT NOTES-------------------------------------------------------------------
ADD CIRCUITS IN KITCHEN REMODEL
PROJECT FEES ASSESSMENT---------------------------------------------------------
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $40.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
$40.00
$40.00
=================================
TOTAL FEE:
$40.00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
~
. ''''''._,
.,
;'.1'
ELECTRICAL PERMIT INSPECTION RECORD
I
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMlT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COM1o!ENTS
I YES I "0
" " I
])flnqr..lN f COVER I SlZF17 7&-v-
r:F ,
l<Th1 d T ~It/ c -} I. ~ -- j,fih L-,-~
I
GENERAL COMMENTS:
PW-II02.Jj{4r'96]
~
09/21/2003 23:35
4579270
SIMPSON ELECTRIC
PAGE 01
...
~~
PIl)Q~~ l~OIia l)r r~Pl"lnt In Ink. IF you nlMlony quuUons, P'QM (l~r.1 (~~(f. tf>1l ,f~/;fr;
, F.. numb<lr: (SGO) 417-4711
;,'- _ , Cl?11 ,<f.tOo'/Ol{.b .
Owner or EI.o, Conlracto. AQQr1I:~l~.s!l..t1.-f~~__ Phon9 !d5..1:JJ..7..!);" .. ,~_i!'-_..m
I ItJ+LR_L " h ~ ncn"
Property O\Nnr.Jr: HI.....J J lA. _"__M'_"U . , A ,_M_ "__.___'__0"
Mor...: ~ b, 7I~:~~- ~I\Y: Po>-+- ~.__...__'''''' . ,',e ...9r?3./;Z..
Elecl,lo.1 Contr""lor: l ('fle~.?]_____ .~ kc:t-ric. f.loenae d:~i?Z1~' ~"" . ...P~" ,. "'[.e, ,(I ... ,_.____._
AQ~ra..: c;';J,-/ _=$ 0.3 b A:J~_.lgJ. W City: -P('{!.~b" 62.. ._.___._._., ,-, ,.__.. ':'P' .,'1...._f.:i.?.3....
INSTALLATION WIRED BY: 0 OWN:"R D SI.ECTRICAL CONTRAOTOR
ti
..
ELECTRICAL PERMIT APPLlCAT!ON
....."~.._" ""--'~~'"'-""'~"_.........,.,
I :11l;i mV1t'I.~.L U~l! :;tNt. v ; ~H
! ,;~~~I~:r!~;;':;,,:,:~(=.=:~=___=:. j ~
i ,. ~:,::~:,:.I.::~,'~I~:~-::=~.:~==:.J
Tho "I"r.~'io"1 Permit Applloallon lDlIa' be llllea outtla~ftJ:t.
flm '1:5 Z-
Credit Card Holdsr Neme: ______,.......,....,________.__..
__......_~.___..M,_..,.,"._ ,.".,_ . _.., "_',._~....._.__,_..._.___,_.."._._,
13ll/1ng Add,....;
..,.._........____~.. City:
--~..._""~r...~. ,._. _.,., .,.."
:,,,, ZI~l: ..,..._.___...,....
Credit Card Number:
-....-.........,..____. Exp. Ostl!l,---
"..,-'.~.~,-_..~--,,~..",..,,~ -.
"'.'.~',' 'Y,f~.;;A\:..__M__MC:_..~,..
PROJECT ADDAEIlIS,
~-1-_&..".1~...:... / 14 .5-1 .
o. n. ,. ._' "'"'_'___'''__''._..~,.
TYPE Of' WORK:
Check I!1J lllO! apply; 0 NllW
~Aller~llon/Adclltlon
~Rasld"nl61
[J Multi-family
eJ CQmmerolal
o MObile Home
Sq. Ft.._,.............,,,..
o Rsmol" Meter 0 D<!taehsd g<l'''Il'' [J Hot Tul1 [J Swim Pool 0 Septic Pump Ci I_c'''' '.:'.:::!"':I~ ::, '.'''!oGem, CJ SlgI'
Numb$' of ClrOIJII. .ddod or ~1I~red: ...., ..., m_"___ JJe4
~~::.rIONOFTH&El5C1:~~.~r:~~.~cT~"..._!::..Q~~~:~.~. :.,_~ .<!O A~=~__.=: ~
--...-..--.-.-----.".,. . -. .....yle.,..:.===__,...
_"_H'._."."~..__.,,..._.__
EiI~r1.QIlI Heat Lesd AClldli!GIJ~
1/1,1PV
/rJ(
.~l"~JI !2~J1I!2,m:M. !;;:::<
[j !l>asepoard ~
I~rn""" Ir'f':.- KW
1ln1~1l1 Pump ;J. 'Io-1iD KW
L:J Fon.Wall _ KVoI
o Ov",rl,sed SIl~'O$
o Tmmp Service
o Underground Service
\,'r"::'f.1qJ;':,m,.,
Ph,(i,l~r~: ;',',.1 ''',
S~;lrV!c~~ r.,'::.! c.':
Fel0r!r2,;,;.;;';!r.,;,
.....,.,.....,"...'''1
f'IIMe 14.OIS,oeO(B): For Induelr;~I, oommo""AI, 8. ",.ld~ntIQI profect. l"'ll'" thon a dupl$', 9 Ol1t' . I;n~i (h'.i",; ," ih~ h",;q'l<;el Servlca 3,
F~Qdero, building al.e (.q, 11.), le~d c.lo"'alier.. 6nd lhllllYPIl 8. 01 oondUOlOIII sndlorrac~wey i!'I'BqlJin,,:: ,'-'Ic;! ,,::.:', '-"':--'-':.I';II:l~nv the
Eleolrlcal Permit application, , .
PW.9019
I hereby certify thl!t I have read Bnd examined this applIcation and know that 8mnlE! to h~i 11'1/6, (Jrll') correct, and I am
author/zed to apply for rhls permit. I understand It Is not the Olty's 189al rospcme;lbillty to o~"le',~:m~'! ,'dJ..~t permits
are reqlJired; It I'8malns tIle /!lpplic,~ms responsibility to rietermlne what permits are reql.Ji,<"lJ;c,1 1'(I,:i 10 ob!8fn such.
9{:/!~ C~('cI /AJj ~rec.:f rJ1r(), - C)~- ~s r''S , ~~
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To: Page 2 of 2 2014 -10.29 17:42:36 (GMT) 18884000383 Frorr: Deborah Shields
Building Division. /Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: 1012912014
❑Multi- Family or Commercial*
S
ELECTRICAL � v
0INSPFCTIONS 0�
'Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 526 E 117H STREET
Building Square Foot " e: 2000
Description of above FISTING SECURITY SYSTEM', REPLACE RAD1012G TO 3G AND OTHER LOW VOLTAGE ADC- ONPREPLACE DEVICE AND WIREITERMINAL
Owner Information Contractor Information
Name, SANDY ROYALTEY Name: ADT LLC
Malting Address: 526 E 11 TH STREET Malling Address: 1182414 CREEK PKWY N, SUITE #105
City PORT ANGELES Stafe WA Z 08363 City: eOrHELL State: WA zip: 88011
Phone: 360462261U Fax: Phone: 200-774-9499 Fax; 88a.400.0383
Lioense #1 Exp. L'Icanse # 1 Exp. ADTLLL'681O0 W 3l2IN2o16
Item
Unit Charge oty Total Qty Multiplied by Unit Charge}
ServicelFeeder 200 Amp.
$132.00
$�
ServicelFeeder 201400 Amp.
$160,00
$_
ServicelFeeder 401.600 Amp
$ 225,00
ServicelFeeder 601.1000 Amp.
$ 288,00
$
ServicelFeeder 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 14
$ 86,00
$
Temp Service/ Feeder 200 Amp,
$ 102,00
Temp ServicelFeeder 201.400 Amp,
$ 121,00
Temp, ServicelFeeder 401 -600 Amp,
$ 164,00
$
Temp, ServicelFeeder 601 -1000 Amp ,
$185,00
$_
Portal to Portal Hourly
$ 96A0
$�v
SignlOu #line Lighting
$ K00
$_
Signal Circuit/ Limited Energy -- Multi - Family
$ 64,00
$-
Signal Circuill 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
$
Note; $5,00 for each additional T -Scat
,,�� �
$otal
Owner as defined by RCtl.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 296.466, The City of Pori
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: o cash ❑ Check
U �h a,'nnr, ,u.'rcw,no
ELECTRICAL PERMIT
CITY OF PORT ANGELES
Application Number . . , . . 14- 00001326 Date 10/30/14
Application pin number . . . 438252
Property Address . . . . . . S26 E 13TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-3910-0000-
Application type description ELECTRICAL ONLY
Subdivision Name , , , , ,
Property Use , . , . , , . .
Property Zoning . . . . . , . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Application deac
Update existing security system
Owner Contractor
--------- --- --- --------- ------------------------
ROYALTEY ITT, HAROLD H ADT LLC
526 E 11TH ST 11824 N CREEK PARKWAY, N
PORT AIVGFLES WA 983627936 STE 105
BOTHELL WA 88011
{206} 719 -0347
Permit • . • . . . ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee 96,00 Plan Check Fee ,00
Issue Date 10/30/14 Valuation , , , . 0
Expiration Date 4/28/15
Qty Unit Charge Per Extension
1100 95.OQ00 ECH EL- LIMTTED 1ST 1500 SQ FT . 96.00
Fee summary Charged Paid Credited Due
Permit Fee Total 96.00 96.00 .00 .00
Plan Check Total .00 ,00 .00 .Q0
Grand Total 96.00 96100 .00 .00
2 /Ally -a
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS: `
r
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGMBUILDING
Application Number . . . . . 24-00000219 Date 3/08/24
Application pin number . . . 583775
Property Address . . . . . . 526 E 11TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-3910-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ROYALTEY III, HAROLD H ALL WEATHER HTG & COOLING INC
526 E 11TH ST 302 KEMP ST
PORT ANGELES WA 983627936 PORT ANGELES WA 98362
(360) 452-9813
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 95.10 Plan Check Fee . . .00
Issue Date . . . . 3/08/24 Valuation . . . . 0
Expiration Date . . 9/04/24
Qty Unit Charge Per Extension
1.00 95.1000 ECH EL-LVT-THERMOSTAT 95.10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95.10 95.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 95.10 95.10 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
EL1-2 SF 1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □Single-Family Residential □ Duplex / ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Unit Charge Quantity Total (Quantity x Unit Charge)
$190.20 $
$190.20 $
$285.30 $
$380.40 $
$475.50 $
$5.30 $
$95.10 $
$47.55 $
$95.10 $
$95.10 $
$190.20 $
$285.30 $
$380.40 $
$95.10 $
$95.10 $
$190.20 $
$190.20 $
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuit/Limited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.30 for each additional)$95.10 $
First 1300 Square Feet $190.20 $
Each Additional 500 square feet``$47.55 $
Each Outbuilding / Detached Garage $95.10 $
Each Swimming Pool / Hot Tub $190.20 $
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.
Date Print Name Signature (□Owner □Electrical Contractor / Administrator)
Pe
r
m
i
t
#
:
New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
3/21/24 24-219 TAP
OWNER
CONTRACTOR
All Weather Heating
ADDRESS
526 E 11th St