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Home My WebLink About916 S Peabody St - Building w~u ELECTRICAL PERMIT APPLICATION FOR OFFICIAL USE ONLY [bIeIRft:; PenniI_: Dale Appnllll:d: Dale IUlICd: The Electrical Permit Application must be IIlIed out completelv. IITl: fr &, 73 Please type or reprint In ink. If you have any questions, please call (360. 417~735 Fax number: (360)417~711 Owner or Elec. Contractor Agent:~I^v/...- WI AN 1'1 ffl4 Phone: 6<1/ ,rf1)~ Fax: -Sqz,,- IvH Property Owner: Address: _.pO INu/- NlrJ B N:. 'Ct- pAtz....n"pl2-<. ,l--/"'-V , . Phone: City: Gt:l-(ll ? t<jO flt.. Wf- Zip: ~ Y"7"V J./ Electrical Contractor: License #: Exp: Phone: City: o ELECTRICAl CONTRACTOR W) l'\ oJN B\?s City: C/fJe..1A P, oil.? f VYJI\ Zip: rJ /.7,7/ ~ VISA: X MC:_ PROJECT ADDRESS: q/,b "5 fb-IJ6/) J/~ . , TYPE OF WORK: Check alllhat apply: 0 New o Alteration/Addition ~Residental 0 Multi-family . 0 Commercial 0 Mobile Home Sq. Ft. o Remote Meier 0 Detached garage 0 Hot Tub 0 Swim Pool 0 SepticP.u~pO Low Voltage 0 Telecom. 0 Si90 Number of Circuits added oraltered: ;. .3 DESCRIPTION OF THE ELECTRICAL PROJECT: ,(j I) 0 ?JIM T(A4~. AP.D Q1-1:T/P\~ IV RfD~) fu., (' I'f/(,)A.\ \' fOlL .GIISLAiJ" r~\ 0(",(. (Jill L..-Iv HIS I ./ 1\<) flIN~) '. ~. ~. Serviee Information )~ WL~ ~- j Electrical Heat Load Additions t-lo AbOttD LDAfY o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 0 3 SeNice Size: Feeder Size: o Baseboard o Furnace o Heat Pump o Fan-Wall _KW _KW _KW _KW PAMC 14.05.060(6): For industrial, commercial, & residential projects larger than a duplex. a one -line drawing of the Electrical Service & Feeders, building size (sq. fl.). load calculations. and the type & of conductors andlor raceway is required and shall accom t is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. l(t SI/)7 - A J L . f - V\:- /).,If, r~ - l L.. ':r -(). . fA Credit Card Holder's Signature: Owner or Elee. Cont., Signature: Date: 71/1fJ~ 7/lo/D3 Date: PW-9019 ~c~ 7'(~'C>"3 PUMI'! \ [ ff:E- 44to,1ot , ~....- . ,..- \ElECTRICAL ~N1SPIECTIONl W~IRlING REPORT 411-4735 DATE _ I(-IO-DL OW~CONTRAGTOR I ADDRESS ~ 073 IN E OR .Ic~ ~ 'J:? l~.-f , APPROVED NOT APPROVED D ................... DITCH ................... D D .............. ROUGH IN/COVER. .. .. .. . . ..... D D .................. SERVICE .................. D D .................... FINAL. . . . . . . . . . . . . . . . . . .. D CORRECTIONS NEEDED: UQ ~fi.A j N-<-<--:;;U/L) f! A/& ./n1 t' ..-~ _-tv [-,<, V:,"\ e>>vJ.u': 1 ~ A- 'd- C~rJJ ~)~~ ~;;4t:7 (2~L NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (380) 452-1381 '.-i , :Y pORT ~ t.J..O~~~ ha "-~ -=-: ~,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00000443 Date 11/13/03 916 S PEABODY ST 06-30-99-0-2-8910-0000- RE-ROOF RS7 RESDNTL SINGLE FAMILY 2000 Owner Contractor ------------------------ WIN-WIN PARTNERS LTD P. O. BOX 654 CARLSBORG WA 98324 (360) 681-8009 ------------------------ ---------------------------------------------------------------------------- ROOF MANAGEMENT 325 E WASHINGTON SEQUIM (360) 683 -2272 WA 98382 permi t . . . . Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE TEAR OFF, SHEET, FELT, COMP 45.75 Plan Check Fee 5/05/03 Valuation 3/06/04 .00 2000 ---------------------------------------------------------------------------- Qty Unit Charge Per 15.00 3.0500 HND BL-501-2K (3.05 PER C) Extension 45.75 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 45.75 45.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 \\ Grand Total 50.25 50.25 .00 .00 -D - 6' \j\ o .., ~ \ ~ ~ p g' o ~ "'-!. 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 J 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. :J.-., ,{ (do/fl' /1 l~) C J-Ol/f. Signature of Contractor or Authorized Agent /I ~/ .J - 0 J Date Date Signature of Owner (if owner is builder) T:IPLANNINGIFORMSI] 102.]5 [4/2002] BillLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL WALLS 1 ROOF 1 CEILING DRYWALL T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEP ARA TE PERMIT #' s SEPA: PARKINGILlGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 Ii .- f(J...() J.I .J,L.k. BUILDING KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE T:\PLANNING\FORMS\1102.15 [412002] ~o~<'('" ~,.~ ~ ~;;;p CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Property zoning . . . Application valuation 03-00000443 916 S PEABODY ST 0630990289100000 RE-ROOF Date 5/05/03 2000 Owner Contractor WIN-WIN PARTNERS LTD P. O. BOX 654 CARLSBORG WA 98324 (360) 681-8009 FARWEST BUILDERS 210 PRIEST RD SEQUIM (360) 683-2360 WA 98382 ---------------------------------------------------------------------------- permi t . . . . Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE TEAR OFF, SHEET, FELT, COMP 45.75 Plan Check Fee 5/05/03 Valuation 11/01/03 Qty Unit Charge Per 15.00 3.0500 HND BL-501-2K (3.05 PER C) Extension 45.75 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 45.75 45.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 50.25 50.25 .00 .00 .00 2000 .G r (\ ~ty~~ (;D "-.J vv--' G D tJv -tV ~of., -\ l/VV 0~ t>~ ~ I..; \fv D./ ~ 3" \V'\ ~ ............ ~, ~ Q r V () o;t- ~ i- 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 10 regulating construction or the performance of construction. i-' Signature of Contractor or Authorized Agent Date T:\PLANNINGIFORMSlI102.15 [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 COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMJT: # ROUGH-IN I I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF 1 CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR 1 CEILING I MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD 1 DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. / PWI CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW / ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 q_()~/O-~ ~, -J" L BUILDING T:\PLANNINGIFORMSlI102.15 [4/2002] 0; "I 'tI ;;;:;;~8E; O'd r< 0<: ~ H:O '" 'd ",:oZZO >-It':l '" -- r<Ot':l>-l:O O<:'d f)) H t':l:o:ot':l ;J> a 0 >-l Zr< ;J>f)) 0:0 f-' ~, Of)) "lM >-l 0 i 0; 0 'd M' :0' 0 0:00 :0 :0'" '" OM'tI "1-- -- ;<:0 a a 'dCO oo~1-Jj1..O S;~ '" r<MO VJCJ'\H::Pi-> -- Mf)) , IZ:::dO"\ Qa a >-l>-l0l aW' :<: MW W MMC oo~tr:lcn r<- OOH a' Hf)) M E; o I..OZ t-l'"C1 f))f-' lJ a'" M '" H ~ I 'lj tJ:I ~ :0 2\ ,p,o)::lC::to '" MHQ W 1 ';:d H 0 '" f))Z Nt-3t"'t:l Cf))'tI ';:dIZt:l~ W ~'"C1~ tIjootr:ltr1 -.J 11..O:::d';:dUJ ';:df->(J)(j)1-j H oa >-l 0' r< "la"l ","0; :001 aO ;J>MC MM a C ' H f))f))2\ a r<:or< COO 00 r<:o t ~OH >-lH'tI "lZ f))'di<l 0 Q __>-l 0 "l OH'<I H ~ MH"l OOt':! HZ G :oZH ~Zt':! Zf)) M f));J>Z f))'d Z r<;J> M 'dM t) "I '" r< Z MO f)) '" >-l 0"1 f-' , f)) "IH r S; , 00 '" "I , :oZ 0 a ;;: , a '-'>-l Z '" t':l , ~:=; 0 .. 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Application valuation 03-00000225 Date 7/14/03 916 S PEABODY ST 06_30_99_0_2_8910-0000- RES FOUNDATION REPAIR 2000 Contractor owner ------------------------ ------------------------ FARWEST ,BUILDERS 210 PRIEST RD SEQUIM (360) 683-2360 WA 98382 WIN-WIN PARTNERS LTD P. 0.' 'BOX 654 CARL~BORG WA 98324 (360) 681-8009 , I ---------------------------------------------------------------------------- permit . . . . Additional desc permit Fee Issue Date Expiration Date PLUMBING PERMIT 61. 00 7/14/03 1/11/04 Plan Check Fee valuation .00 o ---------------------------------------------------------------------------- BASE FEE 2.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP Qty Unit Charge Per Extension 47.00 14.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due -Q ----------------- ---------- ---------- ---------- ---------- permit Fee Total 61. 00 61. 00 .00 .00 ---. plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 ~ Grand Total 65.50 65.50 .00 .00 l0 ."\"\ . ...... .-< ~~ \~ J ~ Separate Permits are required for electrical work, SEP A, 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. ~ 1Jl!ffi;1~ 1 /14 6 3 SlgnaMe of Conteaeta< 0' Authorized Agent Date SIg;.ature of Owne' (If owne, Is bullde,) ,f Date T:\PLANNING\FORMS\ 1102.15 [412002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TlON. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TlON DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ?Iu ",J, ,4 ':j t:t:?(G"'{ ":,. ROUGH-IN uK. WATER LINE -JLc '::::"> GAS LINE q -~ -o-':s BACK FLOW / WATER AIR SEAL WALLS , CEILING FRAMING I JOISTS / GIRDERS 1~-R-6< )LL Fr:::. t..L+....2 6. -4- Ie\, '\ ~fA.~""s.. OK ,) t-L , SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULA TION SLAB WALL / FLOOR / CEILING MECHANICAL HEA T PUMP WOOD STOVE 1 PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW / ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 Iq-6-o~ JLL BUILDING KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE T:\PLANNINGIFORMSII 102.15 [412002] -----~ . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: / READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Owner/Business Address: ELECTRIC HEAT o BASEBOARD KW _ o FURNACE. KW _ o HEAT PUMP KW_ o FAN/WALL KW _ lti RESIDENTIAL \j COMMERCIAL o NEW CONSTRUCTION o REMODEL D. ADD/ALTER CIRCUITS J( SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE PERMIT NO. fig?> DATE :;/t ,,/q '/ Phone: Sq. Ft. o RISER 'fit' OVERHEAD SERVICE fj UNDERGROUND SERVICE VOLTAGE: D1~ 03~ SERVICE SIZE ;::),tx) FEEDER SIZE ~ AMPS AMPS DetailslDescription: :;Wo f..bnt4 ~/U / //.P) ,AI' ~..wo/ HJ // r- '--%.A '7fPA-.r /" fil /!2L.-f'1 ~ . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. ,{f rp O.K. to connect service o Final O.K. Site Address: Oat: p, /'1 Notify Port Angeles City Light by Street Address and Permit Nurriberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. .--?S' / 4p ~ctricallnspector Installer: New Meters . NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ WHITE - File by address PINK - Top: Eng, Bottom, Customer OLnlPIC PRINTERS INC Permit/Receipt No. bO,OO Permit Fee GREEN - Top: Meter Dept., Bottom: City Hall