HomeMy WebLinkAbout728 Milwaukee Dr - Building ELECTRICAL PERMIT N
CITY OF PORT ANGELES g I 360 417 -4735
W
Application Number 12- 00000534 Date 5/03/12
Application pin number 948006
Property Address 728 MILWAUKEE DR REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 01 -7 -1- 9000 -0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning
Application valuation 0
Application desc
Security system
Owner Contractor
RICHTER EDWARD D/S J HI TECH SECURITY INC
728 MILWAUKEE DR 723 E FRONT ST
PORT ANGELES WA 983631421 PORT ANGELES WA 98362
(360) 452 -2727 9-2.. 25560
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 64.00 Plan Check Fee .00
Issue Date 5/03/12 Valuation 0 Vq
Expiration Date 10/30/12
Qty Unit Charge Per Extension
1.00 64.0000 ECH EL- SINGLE CIR LIMITED RES 64.00
Fee summary Charged Paid Credited Due r
Permit Fee Total 64.00 64.00 .00 .00
F—j
Plan Check Total .00 .00 .00 .00
Grand Total 64.00 64.00 .00 .00 2'
c'�
C3
P
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN Z
lii
FINAL 5i I
COMMENTS: I `"'e
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
r
c r j
CITY OF PORT ANGELES PERMIT APPLICATION t\
Building Division/Electrical Inspections Q
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 ELECTRICAL
Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECTIONS Numpir
Date: 5 -3 -2010 P] 1 2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: rte e.1.«...
Building Square Footage:
Description of above Inca sao.ey
Owner Information Contractor Information
Name: Ea a Shots rmr. Name: x Tech seamy. tie
Mfg Ate: rm r..r. o. Malting Address: 723 Er Runt St
City: ho+aarm State: Zip: ee City. P oi kad Stale: `^u Zp: N3 2
Phone: 3 O 15 O 04 Fax: Phone: 380452-2721 Fax: 36045245110
License all Exp. License a Exp. wrECr829608
Item Unit Charge Qty Total (Qty Multiplied by Unit Charnel
Service/Feeder 200 Amp. 120.00 S
Service/Feeder 201 -400 Ana. 146.00
Service/Feeder 401-600 Amp 205.00 S
Servica/Feeder 601 -1000 Amp. 262.00 S
Service/Feeder over 1000 Amp. 373.00
Breach Ciraut W/ Service Feeder 5.00
Branch Circtit W/O Service Feeder 63.00
Each Additional Branch Cactit 5.00 S
Branch Cirvtits 14 S 75.00
Temp. Service Feeder 200 Amp. 93.00 S
Temp. Service/Feeder 201 -400 Arp. 110.00 S
Temp. Service/Feeder 401-600 Arrp. 149.00
Temp. Service/Feeder 601 -1000 Amp 5168.00
Portal to Porte, Harty 96.00 S
Signal Circuit/ Limited Energy -18 2 Famiy Dwelling 64.00 1 S swop
Manufactured lime Correction 120.00
Renewable Electrical Energy 5KVA System or Less 10200 S
Thermostat 56.00
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Squae Ft 120.00 S
Each Additional 500 Square Ft or Porton of 40.00 S
Each 0uffititdng or Detached Garage 74.00
Each Swimming Pod or Hot Tub 110.00
e, co 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.
Signature of owner, electrical contractor or electrical administrator: cash Check
cred c i On FHB
X Mike Shirley Gary Politika Imo, 5-3-12 01/011 2012
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner Contractor
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
06 00000382 Date 5/23/06
336988
728 MILWAUKEE DR
06 30 01 7 1 9000 0000
ED SHEILLA REICHTER
RES REMODEL
18000
RICHTER EDWARD D/S J CUSTOM BUILT DESIGN LTD
728 MILWAUKEE DR PO BOX 1101
PORT ANGELES WA 983631421 SEQUIM WA 98382
(360) 683 4542
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc KIRSCH/ 5 CIRCUITS
Permit pin number 77982
Sub Contractor KIRSCH ELECTRIC INC
Permit Fee 53 40 Plan Check Fee
Issue Date 5/22/06 Valuation
Expiration Date 11/18/06
Fee summary Charged Paid Credited Due
Permit Fee Total 53 40 53 40 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 57 90 57 90 00 00
00
0
i Qty Unit Charge Per Extension
1 00 48 1000 ECH EL R OR RM 1 4 ALT CIRCUITS 48 10
1 00 5 3000 ECH EL R OR RM ALT ADDNT CIRCUITS 5 30
Other Fees STATE SURCHARGE 4 50
co
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 COMMENTS
YES 1 NO
DITCH
ROUGH -IN COVER
SERVICE
FINAL
GENERAL COMMENTS:
15 —o6
IsaSioitcT1/U PEEL..
A,o ka✓rP
MI-IM.15WM
s 1
PREPARED 6/12/06 12 12 44 INSPECTION TICKET PAGE 12
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/12/06
ADDRESS 728 MILWAUKEE DR
TENANT NBR ED SHEILLA REICHTER
CONTRACTOR CUSTOM BUILT DESIGN LTD
OWNER RICHTER EDWARD D/S J
PARCEL 06 30 01 7 1 9000 0000
APPL NUMBER 06 00000382 RES REMODEL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
SUBDIV
PHONE
PHONE
(360) 683 4542
PL2 01 5/11/06 JLL PLUMBING ROUGH IN TIME 13 00
5/12/06 AP 05/10/2006 12 19 PM DYASUMUR
JOSE 670 7305
05/12/2006 08 59 AM DYASUMUR
PL99 01 2/06 PLUMBING FINAL TIME 13 00
1.9�i'1� ED 457 0194 06/09/2006 03 31 PM DYASUMUR
COMMENTS AND NOTES
PREPARED 5/22/06 11 00 40 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/22/06
ADDRESS 728 MILWAUKEE DR SUBDIV
TENANT NBR ED SHEILLA REICHTER
CONTRACTOR CUSTOM BUILT DESIGN LTD PHONE (360) 683 4542
OWNER RICHTER EDWARD D/S J PHONE
PARCEL 06 30 01 7 1 9000 0000
APPL NUMBER 06 00000382 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BAIR 01 5/22 /06 �7L
BLI 01 5/22/06 JLL
BL3 01 5/22/06
l
JLL
BUILDING AIR SEAL TIME 13 00
05/19/2006 09 07 AM DYASUMUR
WILLIAM 360 600 6845
BUILDING INSULATION TIME 13 00
05/19/2006 09 08 AM DYASUMUR
WILLIAM 360 600 6845
05/19/2006 10 57 AM JLIERLY
BUILDING FRAMING TIME 13 00
05/19/2006 09 07 AM DYASUMUR
WILLIAM 360 600 6845
05/19/2006 10 57 AM JLIERLY
COMMENTS AND NOTES
City
05/19/2006 08 06 3606830869
V7_, L] Request Inspection
k Electrieal Contractor Owner a••
Annual Permit Alarm Carnival Commercial )(Residential O Residential Maint. Signs
/Installation description
.Job wired by XElectricai Contractor Owner
ElectriFal/ onaactor name r icensc cr es 4
Pure 'r o smg! t 3 SS may„ cad S
Cit}r1 A uto A State ZI 3
Tcicoumbg9 lo t /SAX number 190 /,I n go al-TN
Premises r
Address of inspof invp
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 electrical
installation or alteration in compliance with the electrical law, Chapter 19.28 RCW
"Signatu caner, electrical contract 'Q• r eloctl ical administrator
r t A ML
.K
w
Dnto
Inspection
Date
WALLS
Insulation Only
Cover
Approved By
J �nr�
go 4.
A .name A ntiit/VV,.
tm) buk.14e
g iaQ
Dale
Electrical Load Addltions and or subtractions
CI NO LOAD CHANGES
Baseboard KW
Fumace KW
Cl Heat Pump Ton LAR
Fan -Wall KW
CEILING
Insulation Only
Cover
i
Dare
Approvfd By
Appmve(1 Hy Da Appmvea By
Dale Approved By J nee Approved By
Service Information
O Overhead Service
Temp Service
Underground Service
Area, Building or Equipment inspected
KIRSCH ELECTRIC INC PAGE 01
ELECTRICAL WORK PERMIT APPLICATION
D Cash D Check
Expiration Date
of card
inspection fcc
THERMOSTAT SERVICE 4
DITCH
Approved By
Thermostat Telecom.
Mastercard Discover
Voltage
Phase 0 1 3
Service Size:
Feeder Size:
Action Taken
iNsperszari /14, elk
Dale Appmved By
FEEDER
Electrical
Inspector
e7
J "1
E v.?warui
---I HEARTH HOME,
Date
To
With
From
Subject.
We are transmitting 3 pages, including thls cover letter If there have
been problems In transmission, or you do not receive all pages, please
advise us at (360) 452-3366
Thank you
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257151 Hwy 101 Port Angeles WA 98362 (360) 452 3386
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BUILDING PERMIT APPLICATION
PLANNING USE ONLY
Fill out COMPLETELY and in INK. Your application and site play. MIDST BE
COMPLETE to be accepted for review It you have any questions, call
(360) 417 -4815
Applicant ll �t itt4f�All.. )4 E
Pp
owner. 1 G, h 4e. r Phone 7 0 l 9
Address. I t t A A k.lep c bir City 0 0 Zip 8
Architect/Engineer Phone'
USE u.) 1
Contractor _F) p t� ARM State License #-�S dtk Exp.. if /11 to 6 Phone 4 /6 2-336,
Address: ZS" (1 0 Y Q 1 City Pa-- Zip 9 R 4i Z
PROJECT ADDRESS' `5 ZONING
LEGAL DESCRIPTION Lot: Block: Subdivision.
CLALLAM COUNTY PARCEL NUMBER. 0 C, 3 Q Pt 7 9 o Ch 0
Credit Card Holder Name.
Billing Address.
Credit CardType VISA MC
E OF WORK.
Residential New Constr. 0 Re -roof 0 Stove
0 Multi- family 0 Addition Move 0 Garage
0 Commercial 0 Remodel 0 Demolition 0 Deck
Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT
Litude
COMMERCIAL/RESIDENTIAL. Occupancy Group:
No. of Stories: Lot Size: Bxisting Sq Ft.
Existing lot coverage Proposed lot coverage
Zd Wt190 L0 900Z BT 'FieW
City.
9eO4t747it
Phone: •1 5 3 3
Erp. Date:
SIZE/VALUATION
SF (a7, /5F a$
SF /SF
SF /SF S
TOTAL VALUATION
BSA/ ictland(n). 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other.
Occupant Load: Construction Type:
Proposed Sq Ft.
Total lot coverage
FOR OPPICt l. S Bp
47 '1
DeeRec. �t"
P WAR H 0/ /f 30_ 3 �'F
bate Approved* Pe'
bate framed: 3 4 7 /04.
TOTAL Sq.Ft.
APPROVALS.,
PLAN
BLDG
DPWU
1.[RE,
oTlOL.
BUILDING PERMIT APPLICATION SUBMITTAL. The Building Division can provide you with information on the application and
:tan submittal requirements if you have questions.
VALUATION OF' CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
end may be revised by the Building Division to comply with current ice schedules, Contact the Permit Coordinator at41 7- 48 15 for assistance.
'LAN CHECK FEE. IF a plan check fee is duo it must be submitted at the time the building permit application and construction plans are
ubmitted. All other permit fees are due at the time of permit issuance.
XPIRATiON OF PLAN REVIEW if no permit is issued within 180 days of the date of application, the application will expire. The
tuilding iciaLcatLe dthe.limmelotacton_b-y the_ applicant up to days upon written request bythe- applicant (sec Section 107 of
lie Uniform Building Code, current edition). No application can be extended more than once.
1 hereby certify that 1 have reed and examined this application and know the same lo be true and correct. 1 am authorized to apply for this ponnit and
t nderstand that it is my responsibility to determine what permits are requi od t the City's, and that I must obtain such permits prior to work.
1 VORM5■APMSulldingpermit.wpd Applica Date
L9E2ZSVOSET ON XUd
3WOH HleJ3H Watlf1213l3 WOi'Id
PREPARED 5/11/06 13 27 58 INSPECTION TICKET
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY
ADDRESS
TENANT NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
PERMIT
TYP /SQ
PL2 01
728 MILWAUKEE DR
ED SHEILLA REICHTER
CUSTOM BUILT DESIGN LTD
RICHTER EDWARD D/S J
06 30 01 7 1 9000 0000
06 00000382 RES REMODEL
PL 00 PLUMBING PERMIT
REQUESTED INSP
COMPLETED RESULT
5 11/06 JLL
J
DESCRIPTION
RESULTS /COMMENTS
SUBDIV
PLUMBING ROUGH IN TIME 13 00
05/10/2006 12 19 PM DYASUMUR
JOSE 670 7305
COMMENTS AND NOTES
PHONE (360) 683 4542
PHONE
PAGE 13
DATE 5/11/06
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
06 00000382 Date 5/10/06
336988
728 MILWAUKEE DR
06 30 01 7 1 9000 0000
Tenant nbr name ED SHEILLA REICHTER
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning
Application valuation 18000
Owner
RICHTER EDWARD D/S J
728 MILWAUKEE DR
PORT ANGELES
Permit PLUMBING PERMIT
Additional desc
Permit pin number 77024
Permit Fee 78 00
Issue Date
Expiration Date 11/06/06
Contractor
CUSTOM BUILT DESIGN LTD
PO BOX 1101
WA 983631421 SEQUIM WA 98382
(360) 683 4542
Plan Check Fee 00
Valuation 0
Qty Unit Charge Per Extension
BASE FEE 50 00
4 00 7 0000 ECH PL EA FIXTURE ON ONE TRAP 28 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 78 00 78 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 82 50 82 50 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
pr-sume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
co truction.
Si ure of Contractor or Authorized Agent L 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 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
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION 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
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
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 SEPARATE PERMIT Ws
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
YES 1 NO
I I I
I
1 1
1 1 1
I 1
I I
I I
1 1 1
I I
1 1 1
1 1
1 1 1
I I 1
1 1 1
1 1
I 1
1 1 1
1 1
1 1
1 1 1
1 1
I 1
1 1 1
1 1 1
1 1 1
FINAL
FINAL
SEPA.
ESA.
SHORELINE.
DATE ACCEPTED BY.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I 1 I I FIRE DEPT
PLANNING DEPT 417 -4750 I 1 1 I PLANNING DEPT
BUILDING 417 -4815 1 1 1 1 BUILDING
T• \Policies \I 102_15 building permit inspection record05 wpd [1/4/2005]
1 I 1
1 1 1
1 1 1
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 06 00000382 Date 4/27/06
Application pin number 336988
Property Address 728 MILWAUKEE DR
ASSESSOR PARCEL NUMBER 06 30 01 7 1 9000 0000
Tenant nbr name ED SHEILLA RECCHTER
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning
Application valuation 18000
Owner
RICHTER EDWARD D/S J
728 MILWAUKEE DR
PORT ANGELES
CUSTOM BUILT DESIGN LTD
PO BOX 1101
WA 983631421 SEQUIM WA 98382
(360) 683 4542
Permit BUILDING PERMIT RESIDENTIAL
Additional desc
Permit pin number 75317
Permit Fee 319 75 Plan Check Fee 127 90
Issue Date Valuation 18000
Expiration Date 10/24/06
Qty Unit Charge Per Extension
BASE FEE 95 75
16 00 14 0000 THOU BL 2001 25K (14 PER K) 224 00
Other Fees STATE SURCHARGE 4 50
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
319 75 319 75 00 00
127 90 127 90 00 00
4 50 4 50 00 00
452 15 452 15 00 00
Charged Paid Credited
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 goveming 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 Authorizedlgent
T \Policies \1102 15 building permit inspection record05 wpd [1/4/2005]
Contractor
Due
Date Signature of Owner (if owner is builder) Date
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
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION 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
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
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 SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T \Policies \l 102_15 building permit inspection record05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
YES
1 1 1
1 1 1
1 1 1
I I
1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
417 -4735 ELECTRICAL
LIGHT DEPT
1 1 1
1 11 1
1 1 Txvire.4`I 1t: 7.1+
NO
FINAL '7/ t1 b DAT
FINAL
SEPA.
ESA.
SHORELINE.
CONSTRUCTION R.W
PW ENGINEERING
1 FIRE DEPT
1 PLANNING DEPT
1 BUILDING
ACCEPTED BY.
DATE ACCEPTED BY.
1 1 1
1 1 1
I I I
Applicant
Owner
Address:
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST
COMPLETE to be accepted for review If y ou have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
or Agent: l.!' R(, (Emit. CI
L�
17 n4 14! 4 1-Q City
TYPE OF WORK.
ie esidential New Constr Re -roof Stove
Multi- family Addition Move Garage
Commercial 'Remodel in Demolition Deck
Repair Sign Other
BRIEF DESCRIPTION OF THE PROJECT PI (U
COMMERCIAL/RESIDENTIAL. Occupancy Group
TAFORMS\BIdgPermitform.wpd Applic
L s4A
No of Stones: Lot Size: Existing Sq Ft.
Total lot coverage
PLANNING USE ONLY
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
FOR OFFIC USE NLY
n Date Rec. 06'
Pennit #0
ate Approv
ibiate Issue
Phone: .3 Go --(o E3 —4 (42.-
Phone. 3 a ¥7—b l c' c
(,J Zip cl'P"3l
Phone:
Occupant Load. Construction Type.
Proposed Sq Ft. TOTAL Sq Ft.
Date: 0q/2.4/7D4
Architect/Engineer 11/ 4
Contractor CIA f 0 (A e,(,t trliaaikf to GLD
License C7 j2) 24, F /9 -3
7 Phone: ,—�S 2
Address: P." r go /742 Cit (i L 1 (i/m( Zip ''i? a�
PROJECT ADDRESS r 2 C rw k‘x.v -e ZONING Q
LEGAL DESCRIPTION Lot: Block: Subdivision.
CLALLAM COUNTY PARCEL NUMBER. Of. 30 -7'
SIZE/VALUATION
SF /SF DO o
SF /SF I
SF /SF
TOTAL VALUATION I'3 61:
,1o11; h� to R. e2ob 9v /s�
APPROVALS
PLAN
BLDG
DPWU
FIRE
OTHER.
VALUATION 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
Coordmator 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 If no 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 permits are required not the City's, and that I
must obtain such permits prior to work.
qa
Approval Date
CITY OF PORT ANGELES Construction Plans
The Issuance of this, permit based upon these plans, specifi-
cations and other data shall not prevent the building official
from thereafter requiring the correction of errors in said
plans, specifications and other data, or from preventing
building operations being carried on thereunder when in
violation of all codes and ordinances of this jurisdiction.
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Phone (800) 474099 *.FAX 0 645425$, www.ipsOlate.com
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
property Use . . . .
property Zoning . . .
Application valuation
06-00000230 Date
027000
728 MILWAUKEE DR
06_30_01_7_1_9000-0000-
ED RICHTER
MECHANICAL PERMIT
3/09/06
rINALf:D
~/ \1/VL
4000
72538
50.00 plan Check Fee
3/09/06 valuation
9/05/06
.00
o
~
~ ~
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:+=- \
Z
J>-
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Contractor
Owner
------------------------
------------------------
EVERWARM
257151 HWY101
PORT ANGELES
(360) 452-3366
WA 98362
RICHTER EDWARD D/S J
728 MILWAUKEE DR
PORT ANGELES WA 983631421
----------------------------------
------------------------------------------
Permit . . . . .
Additional desc .
Permit pin number
Permi t Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
Qty unit Charge Per
1.00 50.0000 ECH ME-WOOD BURNING APPL.
Extension
50.00
---------------------
Fee summary Charged Paid credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 50.00 50.00 .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 orwork 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.
q ?~ c;~C
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102_15 building permit inspection record05.wpd [1/412005]
BUILDING PERMIT INSPECTION RECORD
.-
c,
'}
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 UNLA WFUL 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 NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA nON DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY & (11!&r., j7,(j FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD J DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKlNG/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. / PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 .s. JO!fl/ JW BUILDING
. .
T:\Policies\1102_15 building permit mspechon record05.wpd [1/4/2005]
4-30-03; 8: 12AM;CITY PORT ANGELES
~I'QM~ .;;;~' ....,.,
fS..
_ Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, caU
(360) 417-4815
;3604174711
;; 1 /
BUILDING PERMIT - APPLICATION
=:~01ge?;~~~?~; 1~4 l-\uMf-
Address: 7 2. ~, hl_"_~ City: 90-
.---
Phone: ~ 5"2 3 3~ b to
Phone: ~ 57- 0 I q 4-
zip:~8 "3 to ~
Credit Card Holder Name:
Billing Address: City:
Credit CardType VISA MC # Exp. Date:
mE OF WORK: SIZENALUATION:
~Re.identi.al 0 New Constr. 0 Re-roof 0 Stove SF. @ $ '/SF.... $
o Multi-family 0 Addition 0 Move 0 Garage SF. @ S ISF, == $
o Commercial 0 Remodel 0 Demolition 0 Deck SF. @S ISF. = $
o Repair . CJ Sign CJ Other ' T~TAL VALUATION, $ ~ ~Ot:>,O(!)
BRIEF DESCRIPTION OF ~ PROJECT: / D.ocd .b u r /~ In.5e Y!- LV'.~
(to r)."-) ,I) /.e..4.e-. Ch I r>-. n e y Lt. Y1....LJf2.
--I .
COMMERCIALlRESIDENTlAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stories: _ Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq.Ft.
Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage %
APPRO V ALS:\
PLAN:
BLDG:
DPW1J:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes CJ No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
V ALUA nON 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 PernUt Coordinator at 417 -4815 for assistance.
PL.AI'lj" CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans arc
submitted. All other permit fees are due at the time of permit ~suance. .' '
EXPIRATION OF p~ REVIEW: lfno permit is issued within 180 days of the. date ofapplication, the application will expire. The
. Building.officiaLcan eXtcri.d. the.timeJ"auction..b.y..the.applicant up. to 180-daY6-upen.writteB.requestby the-applicant (see Section '107.4 of
the Uniform Building Code, current edition). No application can be extended more than once. 0;
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorize.d to apply for this permit and
und.mand that! Is myrasponsibillfy to datennln. what p<Jrmls a.ra~. t the City'S~ and that I must obtain such permits:rior ~o ~Ork,
T"'ORMS,^'PS"'uild,"""""it.wpd Apphca t: q 4- ~ Dato:..3 '7 cJ tb
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Apr 11 02 08:42a
Bobb!:t O. Coleman
360-452-7594
p.1
Ii
FQ]l.OFFICI......USF.ONl,."t
........
P'a1roU.._~_
.....AIlP'.......'______
ELECTRICAl PERMIT APPLICAllON
The electnc:al Permit Application must be 'ihd out c:omnIetelv.
Please tv.- IN I'1Iprjqt i" ink. If you have any qU85liomi. plHGe call (DO) 417-
47:15
Fax number: t36D) 411-4711
Qwne,a,ElecCon...to,fogen' W~ C~..:!!!::; phon.;:J
Prop""'Own~" ~ c!:Ji"-'''-
Ad..... "7::; ~ /?Z; /m7:2~,./IS'..; c;ly ~ //
EI_Cootm_ aA~Ar-- ~h~..d'
REQUEST INSPECTION 0
- 7b'7' ~Fa'" ;:;- - 7<5'7' </
Phone:
7ip:
license"';
Exp,
Phone'
Arldre$s;:
City"
Zip:
INSTAlLATION WIRED BY: 0 OWNER }@LECiRICAL CONT~TOR
C<edlt Canl Holder Name' ~bl6<'f e. ak>h4'~
(
Billing A_.,s-
CIty:
<;L~/J'. -I yq/ 33M..
/77/" &p.Date:
CrerTtt (;ani Number
3/03
Zip:
V1SA~ MC,--
PROJecT ADDRESS'
7~,r
~ d>-- - L.~
TYPE OF WORK:
Check J!!! that apply: 0 N_
o Alteration/Addition
JIl Residential 0 Mulli-family
o Commercial 0 Mobile Home Sq. FI
Remote Meier 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage 0 Telecom. 0 Sign
Number of Cin:uits added or altered:__
J..fz To.J
I/v..d f1;w",~
(/
d-
~ 0 I<' ...)
---
/--~,,"Pl ~ ~
PESCRlPTlON OF 1ME ELECTRICAL PRO.IECT:
Electrical Heal Load A_ons
PERMIT FEE: ~~SO
Serviee Information
ClBa._
o Fumace
o Heal Pump
o Fan.-Wall
KW
2l2KW d
~~NkLRA
o Overhead Service
o Temp SeNk:e
o Undetground SeovR;e
Voltage:
Pha",,: 01 03
Service Size:
Feeder Size:_
/ hereby certify that / have read and examined this application and know that same 10 be /rue and correct, and I am
au/holized /0 apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are required; it r,,",ains the applicants responsibility 10 determine what permits are required and (0 obtain such.
Credit Card Holder's Signature:
.~~~
Dale: ~-/ /.. ClZ-
Owner or EIee, Cont Signature:
C1ELECTRICALPERMITAPPLlCA liON
Date:
CITY OF PORT ANGELES
' PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
I~UIJ..I. JIIII(.~ l"t't~MII ISSUED: 4/04/2002 PERMIT NO: 13331
OWNER/APPMCANT PROPERTY LOCATION
ED RICHTER 728 MILWAUKEE DR
728 MILWAUKEE DR Lot: SP 89-6-3 (A)
Port Angeles, WA 98363 Block: [] Long Legal
360/457-0194 Subdivision: SUBLOT41
T: S: Parcel No: 063001719000000
CONTRACTOR ARCHITECT
PENINSULA HEAT N/A
502 W. 8th Street
Port Angeles, WA 98363 , 98360-0000
360/457-2775 360/000-0000
PROJECT INFO
Project Value: $0.00 SFD Units: 0 Commercial: 0
Project Type: HEAT PUMP ADD SFD SQ FT: 0 Industrial: 0 ~.~"7
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use: RS9
PROJECT NOTES ~',
ADD NEW HEAT PUMP AND LOW VOLTAGE THERMOSTAT
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: LOW VOLTAGE $34.40
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0,00
Sign: $0.00 TOTAL FEE: $68.55
Plumbing: $0.00 AMOUNT PAID: $0.00 (3<~:~
Mechanical: $34.15
Radon: $0.00 BALANCE 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
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does nol
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the perfon~ance of
construction.
Signature of Contractor~Authodzed Agent Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BU1LDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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
I INSPECTION TYPE I DATE ] ACCEPTED COMMENTS
YES I NO
I WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PER_MIT: #
PLUMBING
i UNDER FLOOR ? SLAB
ROUGH-IN
WATER LINE
GAS LINE
I
BACK FLOW / WATER
WALLS
FRAMING
i JO1STS / GIRDERS
SHEAR WALL
i WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
MECHANICAL
HEAT PUMP
WOODSTOVE / PELLET/CHIMNEY / INSERT
HOOD/DUCTS
PW UTILITIES ] SITE WORK (Engineering Division) SEPARATE PERMIT
WATERLINE / METER
SEWER CONNECT/ON
SANITARY
STORM
PLANNING DEPT. SEPARATE PEP~MIT #'s SEPA:
PARKING/LIGHTING BSA:
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.
ENGINEBRTNG 417-4807 PW
FIP~E 417-4653 FIP~E DEPT.
BUILDING 417-4815 / BUILDING
C:'~APPL.WPD
FOR, OI~CIAL USE ONLY:
BUILDING PERMIT - PREAPPLICATION ,
~¢~ The BulMing permit . Preapplicatlon murl be fdltd out completzty. ~ ~
Pleme type or print In Ink. Xfyou have any questions, please call 417-4815
Architect/Engineer:, Phone:
,uoaxcr nuu ss: '7 9 zzhzf__ ff/ ' ZONnaO
LEGAl, DESCRIFrloN: Lot: ~ Block: Subdivision: (D~ ~ OE9 [ '~ ~ ~ 0 ~ ~b O 63 (3
TYP,,,,ru-o F WORK: SIZFJVALUATION:
c~'Rcsideatial u New CousU:. u Reroof u Woodst0v¢ SF. (~ $ /SF. = $
~ Multi-family o Addition o Move . u Garage ,,, SI:. (~ $ ,/SF. = $
o Commercial o Remo~l a D~nolition a Deck SF. ~} $ /SF, = $
r~ Repair o Sign
TOTAlr
VAL~UATIOI~
amV.zscau, ov ao zcr: '
COMMERCIAI./RESIDENTIAL4 Occupancy Group:. Occupant Load: __ Conslructioo Type:
No. of Stories: Lot Size: % Lot Coveragc: %
Existing Lot Coverage:. /sq. ft. + Proposed Lot Coverage: /sq. fi. = TOTAL LOT COVERAOE: /gl.R
PLA.NNI~G USE ONLY: APPROVALS: PLA~
Permits Required: _ Notes: BLDG.
Max. Height: Setbacks:, Z3aing: DPW
Site Plan and Use Approved ~y: Date: FIRE
ESA/Wetland(s): tn Yes r~ NO SEPA Checklist required? ~ Yes r~ No Other: OTHER
PREAPPLICATION SUBMi l-fAJ.~ Your applh,m?o_n and ~eplan must befi~.d out compl~¢,'~ to 6e accelatedfor revltw. The Building
Division can provide you with more detailed information on the application and plan submittal requirements.
BUILD/NG PERMIT APPLICATION SUBMirfAL: Your completed application, site plan (for ~_dditions) and building coastruction
plans arc to be submitted to the Building Division. Any addition larger than 500 ~q, ft. will need · Preappllcatlon Review.
VALUATION OF CONSTRUCTION: In all ea~, a valuation amount must be entered by the applicaat. TI~ tlguro will be reviewed ami
may be revised by the Building Div. to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for a~t~istsnco.
PLAN CH~CK FEE: Your plan cl'gck fee is due at the time the building permit application and construction plans are submitted. All other
permit fees are due at the time of permit ~ce.
EXPIRATION OF PLAN REVIEW-, If no permit is issued within I$0 days of the date of applicatioa, this application will expire by
limitatiom. The Building O~cls] can e:~nd Ihe time f~- action by the applicant up to 180 days, on w~tten request by the applicant (s~e Section
304(d) of thc Ur~'orm Building Code, current edition). No application can be ex'tended more than once.
I hereby ce~if/that I have read and examined thi.~ application and know the ~ame to bt true and correct, and I am authoHzed to app~for
t/tis permit. ! under~tand it i$ not tbt City~ legal respo~sibilitv to dtter~in~what permits are required; it remains t/re appllcant'~
Par:C:kDATAIWP~(E£PER~BLDAPP. FRM ' p'~.l 1~]
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES. WA 99362
ELECTRICAL PERMIT ISSUED: 4/11/2002 PERMIT NO 7611
OWNER/APPLICANT PROPERTY LOCATION
ED RICHTER 728 MILWAUKEE DR
728 MILWAUKEE DR Lot: SP 89-6-3 (A)
Port Angeles, WA 98363 Block: [] Long Legal
360/457-0194 Subdivision: SUBLOT41
T: S: Parcel No: 063001719000000
CONTRACTOR ARCHITECT
COLEMAN ELECTRIC N/A
PO BOX 1326
PORT ANGELES, WA 98362 , 98360-0000
360/452-7594 360/000-0000
PROJECT INFO
Project Type: RES. MISC. Project Value: $0.00
Occupancy Type: Construction Type: H. P./FURNACE
Occupancy Group: Zoning Use: RS9
Electrical Heat:
[] Baseboard 0 KW [] Riser [] Underground Service
[] Furnace 20 KW [] Overhead Service Voltage: 0
[] Heat Pump 3 KW [] TempService Phase: [] 1 []
[] Fan Wall 0 KW Service Size: 0
Feeder Size: 0
PROJECT NOTES
2.5 ton heat pump and 20 kw furnace
FEES ASSESSMENT Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $45.50
Temp Service: $0.00
Misc Fee: $0.00
TOTAL FEE: $45.50
AMOUNT PAID: $45.50
BALANCE DUE $0.00
(?OMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COIT. R,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT .1OB SITE
DITCH
ROUOH-IN / COVER q//~/o z/ 2 ~
SERVICE
GENERAL COMMENTS:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
N~
17620
ELECTRICAL PERMIT
?-/5 D
Port Angeles. Washlngton..mm........m.......m.m.........m..mm.mm... 19..m.__
In aocordance 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 ..m.Z~.my.:.~f/i-j;t-.p:~AfE..~.---.i2r1., Occupancy_~.~....-.m...__....__.m__....
Owner m.9f:.~~_7~~~..7.,;re~t................m.._.....m..---mm.--mm..m..m.......m"
Wiring Contractor ..m'...ZC.mm.....m...::..m.-....~-m. By_.......m.....m....._.....mm.n..m....__.m.__.______.....
Light Outle!~-:--................................_.--..
Receptacle 9utlets.--............................
Dryer, KW......,...................................
Service, volts ........______............__...........
No. wires ........____..............__...........
SIze wires........____............__..__....._..
Range, KW...__.....__....__......____...__.........
Maln fuse ....__...............................__
Water Heater:
Enclosure ___................__..................
KW.n.__nnmn...._mmn___hnn_nmn_
Type of wiring:
Entrance Cable .....__................
Heat: KW.............................................
Motors: size, volts and phase:
Rigid Conduit ...............................
MetaUlc Tubing ..................
Current transformers:
No. & Size.........__..__............
Ser. No..__.........................____.............
Ser. No..__........................................_
Ser. No.....__......__..__...__.......................
Type of Wiring:
Armored Cable .........__...................
Non-Metallic .........__...........__.........
Knob & Tube__...........__...................
RIgid Conduit _h__n__..._.____...nn___...
Metalll. Tubing ..._m_h__....m........
Raceway ......................._......___._
Circuits. Llght______...._____...__....____________h.
Utility _n_..._nn_n_._______....n___......_n___
Heat ...............................................
Range .............................................
Water Heater ....--...--..................--
Motor ..._........................................
Dryer...__.____......................................_
Furnace .........................._...................
Total wad.__.....__.::.......____.__.. Ser. No. ..____..........._.._....................__ Total ........----...........................
Remarks: .._.~,a~#-._g..........!.f.~.~.....,.~~....'b...........
, /1
:=:::=JZi'i2=::::::::==::::-:::==::::::::::=~7:::==;;=:::::::::::::::::
Permit Fee Treas. Receipt q : (LJ JI:.';; /"
$.m.......__m.m_.........mm.. NO...m..m__mm..__...... . By -"74.:m.J!;..)m~~C",::;"'--
~ NOTICE-Current must not: be turned on until Certificate of Inspection has been issued. If 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
"
ELECTRICAL PERMIT
...
Address
...................-...........................-......................................................................................
Owner..................................._.................._......_.._......................................................_...Tenant....................................................................
Date..._.........._.._.._.........._......_......_.........
N~ 17620
y
\
WirJng Contractor..............J..........................................._.............. .............................................. By..... ......................................................
"
NOTICE-Current must not: be turned on until Cert1f1cate of Inspection has been issued. If' work Is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.
I IUI i '
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17612
y- 3/ F'/
Port Angeles. Washlngton..........m...m.............m..m....m.m.....m.... 19..oom.
In accordance with the City Ordinance to regulate the installation. extension. or repair ot elec-
trical equipment In. on. or about any building or other structure in the City ot Port Angeles. per-
mission Is hereby granted to d6 electrical ,.ror~ as listed below.
Address ...Z~..T....9!I:Ji:::il1J;;;.h~"J.I24!:~!:::f!.. Occupancyn_L:L.&:!1-1..m_...__.u..._m_u
O,,:,~er .~Ib.:1,~w.lJ~7-m.~;j)t'~:nLoo.nm.moo......m----m...m....m...mm...mm....m."
Wmng Contrfctor ....~.c..___._..m_m.m..oo..&.m...nn-n.mm By...moo..oomm..n____m..____...m___.m..___mm___..__..oo
Light Outl.t................-...............__.._..._
Receptacle Outlets.....___........._____.........
Service, volts .......................................
No. wires .......................................
Dryer, KW.....n......n............n.__n........
Size wires..................._.............._..
Range, KW..................n.............__
Water Heater:
Main fuse .......................................
Enclosure ........................
KW.....m.n.mn___..__nm_m
Type of wiring:
Entrance Cable ...___......________.........
fleat: KW.............................................
Motors: size, volts and phase:
Rigid Conduit ............------.............
MetalUc Tubing .................
Current transformers:
No. & Size....___.__..........___.......
Ser. No..............................................
Ser. No. .............................................
Ser. No..............................................
Typ. of Wiring:
Armored Cable ..............................
Non-Metallic ................---..........---.
Knob & Tube..................................
Rigid Conduit _______......__..........____..
Metallic Tubing ..........--...............
Raceway ..............................._._~.._
Circuits, Llght................___....................
Utility .................__.........______......__...
I-Ieat .......................................-......
Range .............................................
Water Heater ...............................
Motor .............................................
Dryer .....................................__.......__
Furnace .........................._...................
Total Load.......::.................... Ser. No.............................................. Total.......................................
Remarks: .___C~~r'g..__..;~....~..mm7~~.m..~~..,.~..eP...~
...u.""1.;:),,~.<,.1--t-/l(d~..~.m..__...m.m....m.m.m__m_oomm.....oo.....m.m__...mm.m..m....m..mm...mm..
_~~:;~.;~~m-m.m-..--m....mm;~~~:...;~~~;~~mm----m--m.--..---..m:;~~~;~2--m..m...
$m.m.m_..mm..m___mmm. NO.....mm.................. By'4~..t!.......mmm......mmmm..........m:2!-!':-:t....<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
ELECTRICAL PERMIT
N~ 1 76 1 2
Address..................._...................................................................................................................Date..._......_.._.._.._..........-......-......-.......-
Owner ..................................._......_.._......_......_.._.......................00.......0000.........00......00.... Tenant......n............................................................
Wiring Contractor......\................................................_............................................................. By..............................................................
. NOTICE-Current ~.not be turned on until Certificate of Inspection has been issued. It work is to be con-
I. . c.al.d due notice mu.t b \ ven the In.p.ctor .0 that work may b. In.p.ct.d b.fore conc.alment. '.
1M Olympic Printer;, Inc.
LEI
CITY w ftw AxGEj,ES PERMIT APPLICATION `
Building Division/Electrical Inspections a
321 ]East Fifth Street — P.O. Boa 1150 [Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fair: (360) 4174711 Y 2 3 2014
�
Date., '� .� 1 & 2 Single Family Dwelling ;MIRICAL
'Plan Review Ma Be " aired, Please Complete Eleddeal Plan Review Information Sheet
Job Address: a,. Uee
Building Square F"e:
Descriptlon of above
a S ^v r—
Owner Inform tip , C
ContractorinFa on
Nomw G
Name; rr5 ,
,c—z cA
M &fling Address; ; Gc.eZc -c CAB e
err M
Malling Address;'' e,6, 0
041, _
City: ffir- � s State: 2JI zip: -- -98'3 e., --3. C
_
Phone, -orT Fmc: _ _ -- P
Phone:%Ca4 r 94,2r
License # 1 Exp, t
tksnse #r f Earp. c?
Rem U
Unit Chmae I
Iftaft M
Multiplied by Unit Charnel
ServicoiFeWer 200 Amp, $
$1.20,00 $
$
SeMeelFeeder 201400 Amp, $
$146.00 !
! $
$
ServicelFeader401 -600 Amp $
$ 205.00 $
$
ServicelFeedor 605 -1000 Amp. $
$ 262,00
ServioalFeader over 1000 Amp. $
$ 373.00 $
$
Branch Circuit W! Service Feeder $
$ 5.00
branch Circuit W10 Service - Feeder $
$ 63.00 i
i $
$
Each Addl(lonal Branch Glwult $
$ 5100
Branch Circuits 14 $
$ 76,00
Temp. Service) Feeder200 Amp. $
$ 99.00 i
i $
$
Temp. ServicelFeeder 201 -400 Amp. $
$110.00 $
$
Temp. Servlcofeeder 401.600 Amp. $
$149.00 $
$
Temp. ServicelFeedw 601 -1000 Amp . $
$160.00
Portal to Portal Houdy $
$ 96.00
Signal Orcullt limited Energy - f & 2 Family Dw Iling $
$ 64.00 $
$
Manufactured Home Connection $
$120.00 $
$
Renewable El"cal Energy - 5KVA System or less $
$102.00 $
$�
Thermostat $
$ 56.00 $
$
Note: $5,00 for each additional T -Stat
NEW CON STRUCTIQN ONLY:
First 1300 Square Ft. $
$120.00 -
-- $
$
Each Additional 500 Square Ft. or Portion of $
$ 40.00
Each Outbuilding or Detached Garage S
S 74.00 $
$
Ea h S1w,' ' I T b 1
10
ng o0 ar at u $ S .00 $ .....
7a: - Total
Owney 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 sib months of last Inspe0on,
After reading the above statement, I hereby certify that I am the owner of the above named pmpertX or a licensed electrical contractor. ) am making
the electrical insWlation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296466, The City of Port
Angeles Municipal Code, arid Utility Specification and PAMC 14.05.050 regarding Electrical Pe6O.ApplicWons_
Signature of owner, electrical contractor or electrical administrator. ❑ cash b Cheek
C�.cceda cars rr 0)j.C._.._
x -paw 5 Z
INSPECTION TYPE
]SATE:
RESULTS:
INSPECTOR:
ELECTRICAL PERMIT
SERVICE
CITY OF PORT ANGELES
b
360- 417 -4735
Application Number . . . . .
14- 00000600 Date 5/27/14
Application pin number . . .
193200
Property Address . . . .
728 MILWAUKEE DR
. .
REP ®RT SALES TAX
ASSESSOR PARCEL NUMBER:
06-30-01-7-1 -9000 -0000-
Application type description
ELECTRICAL ONLY
on your excise fax form
Subpe2vty Use Name . . . . . .
Pro ezt Use
to the City of Port Angeles
Property Zoning . . . . . . .
(Location Code 0502)
Application valuation . . . .
D
Owner
Contractor
RICHTER EDWARD D/S S
KIRSCH ELECTRIC SNC.
726 MILWAUKEE DR
P, 0. BOX 3396
PORT ANGELES WA 983631421
SEQUIM WA 98382
(360) 683 -6819
Permit . . , . , , ELECTRICAL
ALTER RESIDENTIAL
Additional deac WASHER DRYER
CIRCUITS
Permit Fee . . . . 75,00
Plan Check Fee D0
Issue Date 6/27/14
Valuation . . . . 0
Expiration Date 11/23/14
Qty Unit Cbarge Per
Extension
BASE FEE 75.00
----------------------------------------------------------------------------
Fee summary Charged
Paid Credited Dus
Permit Fee Total 75.00
75.00 .00 .00
Plan Check Total 00
.00 .00 00
Grand Total 75.00
75.00 .00 .00
•
i
J�
INSPECTION TYPE
]SATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
,-
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X ]date:
G:\EXCHANGE\BUILDING