HomeMy WebLinkAbout230 W 11th St - Building
Permit .. . .
Additional desc .
Permit Fee . .
Issue Date . .
Expiration Date
BUILDING. PERMIT - NO PR FEE
OVER LAY, COMP
120.75 Plan Check Fee
11/10/03 Valuation . .
5/09/04
.00
4000
S
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CITYOF PORlfANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION
321.. EAST 5TH STREET,. PORT ANGELES, W A 98362
. .
AppliCation Humber . .
Property Address . . .
ASSBSSOR.PARCEL NUMBER:
AppliCation description
Subdivision Name. .
Property Zoning . . .
Application valuation ;
03-00001090 Date 11/10/03
230 W 11TH ,ST
06-30-00-0-3-4534-0000-
RE-ROOF
RS7 RESDNTL SINGLE FAMILY
4000
OWner
Contractor
wooo GARY LANE
6540 E BEACH RD
PORT ANGELES
WA98.362
AMERICAN WEST INC.
P.O. BOX 2608
PORT ANGELES
PORT ANGELES WA 98362
(360) 565-0237
--~---------------'-------------------~---------------------~-~--------------
BASE FEE
2.00 14.0000 THOU BL-2001-25X (14 PER X)
Extension
92.75
28.00
,Qty unit. Charge Per
. ',' ...' .. .-',. - - - ,
_._-----~-----------------------.--------------------------------~-----------
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- .--------- ---------- ----------
Permit Fee Total 120.75 120,.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 125.25 125.25 .00 .00
S~parat8 Permits are required for electrical work, SEPA"Shoreline, ESA;utllities, private and public improvements. This permit I)eC0ll18S
nullia~d void if work or construction authorized is'not commenced within 180 days, if construction or work Is SUSp8ri~8dorabandol1ed
for a periodof180 days after the work as commencf3d, or if IllqulrEtdlnspections have not been requested within 180 da}fS fl'olTl the liI~t
inspec:tion.1 hereby certify that I have read and examined thl~application and know the same to be true and correct AJlprovisibrisiof
lawsa'nd ordinances governing this pe of work wiUbel!Ompliedwith whether specified herein or not. The granting of a perm~ doesno,t
presume to give au ri~ 0 violat or cancel the provisions of any state or local law regulating construction or the perfonnanceof
cons ,tion '
~ -{ 0-'05
Date
T:\PLANNING\FORMS\1102.15 [412002]
C LL417-4815 FOR BUILDING INSPB(;110NR PLEASE PROVlDp~MlNIMUM 24 HOURNOTICE.IT;lS,UNkAWFClLT()COJIi/R,;
INSUL.ATEOR CONCEAL ANY WORKBBJi'OREINSPECTEDANii';4CCEPrED.. POST PERMIT IN A: CONSPICUP:USLOCATION. .
INSPECTION TYPE
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FOUND^T~ON: .
FOOTINGS .
WALLS .
FOUNDATION DRAINAGE.
ELECTRICAL .... ." (LiGHT DEPT)
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BUThDINGPERMlT INSPECTION RECORD
K€EP PBRMI.. .. TCARD AND APPROVED PLANS AT JOB SITE. .
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT,
A
--)--< ~
PERMI NUMBER
.
TOTAL FEE
16~
CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Owner
Installation By
Installers Address
~r~ "'"
Day Phone Installers Phone J - t., . - .
Application is he;~bY mad," for Permit to Install Electrical Equipment as follows: //"/.4 I.,Jj- ',.'I! '0-:>//7""'-
/.7z." (1,,,-,.//;/'-1' ' ~
Wiring ~ethod __
( //7'~T./
.
NUMBER AMP 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 120V 100R FEE USE OF CIRCUIT PER , 00R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT V 50 VOL T8
OR LESS
CONVENIENCE J c:;lO V /0--- MOTOR
CONVENIENCE . MOTOR
APPLIANCE MOTOR.
DISHWASHER 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 SERVICE ENTRANCE CONDUCTORS
SERVICE . AW.G.
I SUB, TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and in conformance witb the N.E.C.
/ .. ~// f/ tJ. /J
Date Application made liAr ,19 Xh B ...;I,VJ ,,' ~~"--
I I -. .. CONTRACTOR OR OWNER ( AUTHORIZED AGENT)
Permission is hereby given to do the above described:wo'rk; according to the conditions hereon and according to the-approved plans E"-nd
specifications pertaining thereto, 'subject to compliance with the Ordinances of the City of Port Angeles. ,~ . "'.:
1/ "l1 / fl C ~CANS APPROVED 01 TOR CITY LIGHT ,.
vrical Code.
WARNING
Notify Department of City Light by Street Address and Permit umber when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. fo 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
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O.K. FOR COVERING
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'. 'O.K. TO CONNECT SERVICE
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: �,, h 1 i I .Z _ 1 & 2 Single Family Dwelling
* Plan Review Ma Be Required, Please Complete Electrical
Job Z
Information Shee t,
Address:
, n
Building Square Footag : _ 6 A _ j , „�. °-
Description of above d1 ZOO 14
_
e (
l t , _ep
Owner Information +
Contractor Information
Name: ':��OvIrn —�-�
Name
-
Mailing Address: 'Z?) ? t I l.. S
City, ii k-- A,1 _ c 6 State: L—)tA Zip; 12 1'3 UL
_
Mailing Address:
City: State: Zip: _
Phone: �W (IVV z i Fax:
Phone: Fax:
License # 1 Exp.
License # 1 Exp.
Item
Unit Charge
ty Total (Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp.
$120.00
�_ $ Z7_0,00
Service/Feeder 201 -400 Amp
$146.00
$
Service/Feeder 401 -600 Amp
$ 205.00
$
Service/Feeder 601 -1000 Amp.
$ 262.00
$
ServicelFeeder over 1000 Amp.
$ 373.00
$
Branch Circuit WI Service Feeder
$ 5,00
Branch Circuit W/O Service Feeder
$ 83,00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1 -4
$ 75.00
$
Temp Service/ Feeder 200 Amp.
$ 93.00
$
Temp Service/Feeder 201 -400 Amp.
$110.0C
$
Temp. Service/Feeder 401 -6C0 Amp.
$149.00
$
Temp. Service/Feeder 601 -1000 Amp .
$168.00
$
Portal to Portal Hourly
$ 96.00
$
Signal Circuit) Limited Energy - 1 & 2 Family Dwelling
$ 64.00
_
$
Manufactured Home Connection
$120.00
$
Renewable Electrical Energy - SKVA System or Less
$102.00
$
Thermostat
$ 56,00
$
Note: $5.00 for each additional T -Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
$120.00
$
Each Additional 500 Square Ft. or Portion of
$ 40,00
$
Each Outbuilding or Detached Garage
$ 74.00
$
Each Swimming Pool or Hot Tub
$110.00
$
$ n�Total G�
Cwner 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, VVAC, Chapter 296 -4813, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications,
Signature of owner, electrical contractor or electrical administrator:
x Dated: C ! 1
EXi
tr Cash ❑ Check
❑ Credit Card 4
01!0112012
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362"
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date:
1 & 2 Single Family Dwelling
' Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: ca PbSv Ann e5
Building Square Footage: _i t
Description of above t p 11Z o
Owner Infalnation I Contractor Information
Name: �1y7a1 — �� nev.��? �1 Name:
�
Mailir� Address _ Mailing Address:
City: cS State: LOP:D Zip: L "z__ City; State: Zip:
Phone: 3k Fax: Phone: Fax:
License # 1 Exp. License # 1 Exp.
Item Unit Charge ty Total (Q!y Multiplied by Unit Charge)
ServicelFeeder 200 Arnp. $ 120.00
$
ServicelFeeder 201 -400 Amp. $ 146.00
$
ServicelFeeder 401 -600 Amp $ 205.00
$
ServicelFeeder 601 -1000 Amp. $ 262.00
$
ServicelFeeder over 1000 Amp. $ 373.00
$
Branch Circuit WI Service Feeder $ 5,00
$
Branch Circuit WIO Service Feeder $ 63.00
$
Each Additional Branch Circuit $ 5.00
$
Branch Circuits 1 -4 $ 75'00
$
Temp. Service/ Feeder 200 Amp. $ 93,00
$
Temp, ServicelFeeder 201.400 Amp. $110.00
$
Temp. ServicelFeeder 401.600 Amp. $ 149.00
$
Temp. ServicelFeeder 601 -1000 Amp , $ 168.00
$
Portal to Portal Hourly $ 96.00
$
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64.00
$
Manufactured Home Connection $120.00
$
Renewable Electrical Energy - 5KVA System or Less $102.00
$
Thermostat $ 56.00 _
$
Note: $5.00 for each additional T -Scat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $ 120,00
$
Each Additional 600 Square Ft. or Portion of $ 40.00
$
Each Outbuilding or Detached Garage $ 74.00
$
Each Swimming Pool or Hot Tub $110.00 l
$ R t a 00
Total
Owner as defined by ROW. 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 electricai installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -4613, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications,
Signature of owner, electrical contractor or electrical administrator: KI Cash ❑ Check
El Credit Card #
y
I
x Dated: G I ZI Z
6410112012
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number , . . . .
12- 00000763 Date 6/18/12
Application pin number , , ,
956131
Property Address . . . . . .
230 W 11TH ST
ASSESSOR PARCEL NUMBER;
06-30-00-0-3- 4534 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name . . , . . ,
Extension
Property Use
40,00
Property Zoning . . . . , . ,
RS7 RESDNTL SINGLE FAMILY
Application valuation . .
0
Application desc
- -- - -- - - - - --
_200 amp service.
are
Owner. Contractor
TROY D AND BELLY M MANN LINENK OWNER
230 W 11TH ST
PORT ANGELES WA 98362
Permit , . . . , . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
RESULTS:
Permit. Fee 160..00 Plan Check Fee
QO
Issue Date , . . . 6/15/12 Valuation
0
Expiration Date , . 12/12/12
Qty Unit Charge Per
Extension
8100 5.0000 ECH EL- BRANCH CIRCUIT W /FEEDER
40,00
1100 120.0000 ECH EL -0 -200 SRV FEEDER
-----------------------------------------------------------------------------
120,00
Special Notes and Comments
June 14, 2012 11:05;54 AM benders:
Existing location of mast and existing conductor height
are
acceptable. Door opening to flat roof needs to be made
inaccessible or S feet of clearance above roof will need
to
be achieved with service conductor.
Fee Summary Charged Paid Credited
Due
Permit Fee Total 160.00 160.00 .00
.00
Plan Check Total 00 .00 00
,00
Grand Total 160.00 160.00 .00
00
t� w
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:
PERMIT WILL EXPIRE SIX (6) MONTHS FKOM LAST 1NSP> CTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGDBUJLlDING - - - -- - -- -
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . . , . . 12- 00000763 Date
6/29/12
Application pin number , . . 956131
RESULTS:
Property Address , . . , . . 230 W 11TH ST
DITCH
ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 4534 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use .
Property Zoning , . . , RS? RESDNTL SINGLE FAMILY
ROU GII -IN
Application valuation , . . , 0
Application desc
200 amp service
Owner Contractor
TROY .D AND KELLY M MANNvfINENK OWNER
COMMENTS:
230.W 11TH ST
PORT ANGELES WA 98362
Permit , . , . ELECTRICAL, ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 270,00 Plan Check Pee
00
Issue Date 6/15/12 Valuation . . . .
0
Expiration Date 12/16/12
Qty Unit Charge Per
Extension
8,00 5.0000 ECH EL- BRANCH CIRCUIT W /FEEDER
40.00
I.00 120.0000 ECH EL -0 -200 SRV FEEDER
120.00
1.00 1.10.0000 ECH EL- SWIMMING POOR, /H0T TUB
110.00
--------------------------------------------------------- --------
Special Notes and Comments
---- -- ___ --
June 14, 2012 11;05:54 AM banders,
Existing location of mast and existing conductor height are
acceptable. Door opening to flat roof needs to be made
inaccessible or e feet of clearance above xoef will need to
be achieved with service conductor.
Fee summary Charged Paid Credited Due
Permit Fee Total 270,00 270.00 .00
.00
Plan Check Total 00 .00 .00
,00
Grand Total 270,00 270,00 ,00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
Cr�
ROU GII -IN
FINAL,
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Coraractor X Date:
G:IEXCHANGF,WILDi1VG
AID.
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