HomeMy WebLinkAbout620 Evans Ave - BuildingApplication Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
KEDISH STEWART L
PO BOX 507
PORT ANGELES
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
121 EAST 5TH STREET PORT ANGELES, WA 98362
05 00000133
196798
620 EVANS AVE
06 30 01 6 8 0050 0000
ELECTRICAL ONLY
WA 983620077
RS7 RESDNTL SINGLE FAMILY
0
Contractor
Date 2/25/05
DAVE S HEATING COOLING
PO BOX 413
PORT ANGELES WA 98363
(360) 452 0939
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc T STAT
Sub Contractor DAVE S HEATING COOLING
Permit Fee 36 40 Plan Check Fee
Issue Date 2/25/05 Valuation
Expiration Date 8/24/05
00
0
Qty Unit Charge Per Extension
1 00 36 4000 ECH EL LVT FIRST THERMOSTAT 36 40
Fee summary Charged Paid Credited Due
Permit Fee Total 36 40 36 40 00 00
Plan Check Total 00 00 00 00
Grand Total 36 40 36 40 00 00
FINAL
EL:ECTRICAL 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 NO
DITCH 1 I I
ROUGH -IN COVER 1 I I
SERVICE 1 1 I
GENERAL COMMENTS:
itAita,4400
1 1 1
1 1 1
1 1 1
1 1 1
PW -I 102.151 /96)
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
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
04-00001069 Date
.526612
620 EVANS AVE
06-30-01-6-8-0050-0000-
RES NEW SFR
12/09/04
RS7 RESDNTL SINGLE FAMILY
124215
Owner
Contractor
KEDISH STEWART L
PO BOX 507
PORT ANGELES
OWNER
WA 983620077
Structure Information
Construction Type
Occupancy Type
Other struct info
1870SF SFR W/562 SF ATTACHED
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
GARAGE
28.80
V-N
1. 00
1. 00
9000.00
2592.00
2592.00
1. 00
108.60 Plan Check Fee
12/09/04 Valuation
6/08/05
.00
o
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Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
1.00
5.00
1. 00
14.7000 ECH
7.2500 ECH
10.6500 ECH
BASE FEE
ME- INSTALL 100- FAU
ME-VENT FAN
ME-GAS PIPE 1 TO 5
Extension
47.00
14.70
36.25
10.65
~
~
G,
Qty
Unit Charge Per
Permit PLUMBING PERMIT
Additional desc
permi t Fee 146.00 Plan Check Fee .00
Issue Date 12/09/04 Valuation 0
Expiration Date 6/08/05
Qty Unit Charge Per Extension
BASE FEE 47.00
10.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 70.00
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00
1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00
1. 00 7.0000 ECH PL- EA.WATER HEATER 7.00
zp
.-\
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc NEW SFR
permi t Fee 1157.25 Plan Check Fee 462.90
Issue Date 12/09/04 Valuation 124215
Expiration Date 6/08/05
Qty Unit Charge Per Extension
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
construe' IJ. ,
. lL/Lkr
Signature of Contractor 0 Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\1102.15 [11114/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 [i1'J,cj/Ot1 ,5 ~ j,"
WALLS
FOUNDA nON DRAlNAGEIDOWNSPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CIDMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL. LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. / PW / CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1I02.15 [11114/2003]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number 04-00001069 Date 12/09/04
pin number .526612
Qty Unit Charge Per Extension
BASE FEE 1017.25
25.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 140.00
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
A residential fire sprinkler system shall be installed per
NFPA 13D will be required.
2nd option is to install an out side alarm bell that is
eletronicly connected to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as "Fire alarm"
The proposal will result in the construction of a new single
family residence with attached garage for a total of 2592
sq. ft. or 29% lot coverage. Setbacks are good. No land use
issues are noted.
Public works electrical engineering has no requirements for
this plan review.
Construct driveway to City Standards.
No concrete with exposed aggregate is allowed in the City
road right of way.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1411.85 1411.85 .00 .00
Plan Check Total 462.90 462.90 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 3649.25 3649.25 .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
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 [11/1412003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 i !l.. .II D .... I \ L,
WALLS J- H -('J 'r" j, L
FOUNDATION DRAINAGEIDOWNSPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN t;; - J. ')- Os 1J1...c(:)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN 1.1 -I)/-O.S- L J....
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS 13-lh ..0\ .\ l-L I
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING [3 -ff" -;J <' ,j j-t..--
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING 1'1 -0.1. O~ I i 1.J
MECHANICAL
HEAT PUMP
GAS LINE !~-, t -(f)~~ iJ-J..-
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. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ~- !}.H -oS Ika ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. 1 PWI t)-I};;.J -0 <) -IF CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 ~-~5-O~ IJ)..V BUILDING
T:\PLANNING\FORMS\ II 02.15 [11114/2003]
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FOP. OFF1CLAL LISE 01<rL:/:
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in P\'K. Your application and site plan MUST ~
COl\1,PLETE to be accepted for review. If you have any questions, call ~
PERMITS (360) 417-4815 F}\X(360)417-4711
II'
D~I~ Approved'
Dale lssued.
Applicant or Agent S-r-e_uJ AQT KED IS f+
:;leuJ~l -/(B...b{SH
Address: Po Box- 5b 7 . City: M M 1e ((? S
Architect/Engineer: 13 A ~ tf1 5 50 C ( A- r- (? S
Contractor ... 0 uJ fJ E'f?- ~1 M!. t ED 5State License #: /ltIt,tll6C C
1'/ t2 Fe IUT. J:iJ0 )
Address: \ 0 r.J[)~ sa 7 City: '(4-A-t0~e (to :> Zip: '7 ~ 3 b l-
(0 J-O E lft4--uJ 5 AVE - PA <183{3 ZONING: f2S 7
LEGAL DESCRIPTION: Lot 5 Block: Subdivision: ~ ecc I"f\.O () AJ..,... [ S TA;-'"7'E 'S
CLALLAMCOUNTYPARCELNUMBER: DhgOD Ib606S0 ~
Ovmer:
Phone: -:3 0() . c.; 5;'- S' () 0 S-
Phone: Jfoo-L(S 7 - S-Oo S-'
Zip: 7( 25.3b 2-
Phone: '177- 0 I Cr()
Exp:
Phone:
PROJECT ADDr~SS:
Credit Card Holder Name:
Billing Address:
Credit Ca.rd Type VISA MC #
TYPE 6F WORK:
-€j/Residential ~ New Constr. 0 Re-roof
o Multi-family E....Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRll'TION OF THE PROJECT:
City:
o Stove
''f/J.. Garage
b' Deck
o Other
IJe u.>
Exp. Date:
SIZE/VALUATION: J!>
/8?!1a SF.@$~9 ISF.=$1122COOC
5~2 SF.@$ .S8/SF.=$I~2.6i~OO
SF. @ $ ISF. = $
TOTL\l, VALUATION $/~?..42(~ 00
O,<-~dl~) ft~a.1-- ~iA.~IC.
I
COMMERCIALIRESIDENTIAL: Occupancy Group:
~DOu
No. of Stories: ~ Lot Size: 7 $"'" X I)...() Existing Sq. Ft. 0"
Totallot coverage '2, 8 :co
Occupant Load: Construction Type: frZI}/'}'l. E.
& Proposed Sq. Ft.25Cj Z = TOTi>.L Sq. Ft. 25"9 Z.
%
APPROVALS: I
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checldistrequired? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with infOIDUlti0l1 on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure 'Will be reviewed
and nUlY be revised by the Building Division to comply with cun-ent fee schedules. Contact the Pemrit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building pemrit application and construction plans are
submitted. All other permit fees are due at the tin1e ofpernrit issuance.
EXPIRATION OF PLA.N REVIEW: Ifno permit is issued within 180 days ofthe date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R1 05.3.2
ofthe International BuildinglResidential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the City's, and th t I ust obtai c / ~ tr to work.
HRVESS\BLDG-fo=-bmolmreo~OO3-B,ildi"lW'~" wpd Applioout - {/ Dak ~4
Prescriptive Approach - Simple Form
For the Washington State Energy Code (2003 Edition)
Climate Zone 1
Site Information
Building Department Use Only
Lot:
...-
S
Permit.#:
Address: <.a 2,0 t:::. V"l!!)..V\....$ A \t~
City: P A.
State: \N Pr Zip: C\~3bL
Contact: St-Q..Wo...r:~€.d~ sk
Notes:
Phone 2:
Phone:
Fax:
Un mute azmg tlon ny
Glazing Glazing U-Factor Door9 Wall Wall Wall Slab4
Option Area !O U- Ceiling2 Vaulted Above Int4 Ext4 Floors On
% of Floor V erti cal Overhead II factor Ceiling3 Grade Below Below Grade
Grade Grade
III Unlimited
Group R-3 0.40 0.58 0.20 R-38 R-30 R-21 R-21 R-IO R-30 R-IO
Occupancy
Only
Table 6-1
PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
r . d GI . O. 0 I )
See the code text for footnote references
This project complies with the following:
./' The project is a single family residence or duplex.
./' The project is wood frame OR all of the insulation is interior or exterior of the framing.
./' All building components meet the requirements listed in Table 6-1, Option III.
./' The project will meet all other provisions of the WSEC and VIAQ.
The project will take advantage of the following exceptions to the prescriptive option:
o 602.6 Exception 1. One door, that is 24 ft.2 or less, that does not meet the standards is allowed.
Location of the door taking this exception
o 602.6 Exception 2. Doors with a U-factor of 0.40 allowed without calculations, Option III only.
Location of the door(s) taking this exception
Copyrighl2002, WSUCEEP02-056
Copied by permission from the Washington State University Extension Energy Program
Prescriptive - Simple Form - Climate Zone 1
7/26/2004
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This map is not intended to be used as a legal description. ,".iQ.
This map/drawing is produced by the City of Port Angeles for its own use and purposes. ,,.;
Any other use of this map/drawing shall not be the responsibility of the City. W
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
.~21 EAST 5TH STREET. PORT ANGELES. WA 9tB62
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00001069 Date
.526612
620 EVANS AVE
06-30-01-6-8-0050-0000-
RES NEW SFR
3/06/05
RS7 RESDNTL SINGLE FAMILY
124215
Owner
Contractor
KEDISH STEWART L
PO BOX 507
PORT ANGELES
OWNER
WA 983620077
Structure Information
Construction Type
Occupancy Type
Other struct info
1870SF SFR W/562 SF ATTACHED
TYPE V NON-RATED
SINGLE ?AM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
GARAGE
28.80
V-N
1. 00
1. 00
9000.00
2592.00
2592.00
1. 00
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL
EXTRA MILE
EXTRA MILE
143.20
3/06/05
9/02/05
NEW RESIDENTIAL
/ 2432 SQ. FT. SFR.
TECH & ELECT., LLC
Plan Check Fee
Valuation
.00
o
~
~
Qty
1. 00
3.00
Unit Charge Per
73.0000 ECH
23.4000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
73.00
70.20
~
~
V>
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36. 050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
A residential fire sprinkler system shall be installed per
NFPA 13D will be required.
2nd option is to install an out side alarm bell that is
eletronicly connected to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as IlFire alarm"
The proposal will result in the construction of a new single
family residence with attached garage for a total of 2592
sq. ft. or 29% lot coverage. Setbacks are good. No land use
issues are noted. .
Public works electrical engineering has no requirements for
this plan review.
Construct driveway to City Standards.
No concrete with exposed aggregate is allowed in the City
~
\'
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPE(2T.ION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
I INSPECTION TYPE DATE ACCEPTED -c- COMMENTS
YES NO
11 1 '1"( 'H
ROUGH-IN! COVER
:S~.K. V lC~
I
GENERAL COMMENTS:
PW-II02.1S (4196)
'~
'Ioii..;'"
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
.l21 EAST 5TH STREET. PORT ANGELES. WA 98162
Application Number . . . . . 04-00001069
pin number . . .526612
Page
Date
2
3/06/05
Special Notes and Comments
road right of way.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 143.20 143.20 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 1917.70 1917.70 .00 .00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPEQ'JON RECORD
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 PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEC110N TYPE
DATE
COMMENTS
NO
----
GENERAL COMMENTS:
PW-Il02.1~ (41'96]
'(I
"'" r..'"
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 9R.l62
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00001147 Date
.326986
620 EVANS AVE
06-30-01-6-8-0050-0000-
ELECTRICAL ONLY
12/13/04
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
KEDISH STEWART L
PO BOX 507
PORT ANGELES
WA 983620077
EXTRA MILE TECH & ELECT., LLC
418 N. RACE ST.
PORT ANGELES WA 98362
(360) 457-0198
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL TEMP~RARY SERVICE
100A TEMP SERVICE
EXTRA MILE TECH &
48.10
12/13/04
6/12/05
ELECT., LLC
Plan Check Fee
Valuation
.00
o
Qty
1. 00
Unit Charge Per
48.1000 ECH EL-TEMP SRV - 0-100 SRV FDR
Extension
48.10
~~
~~
\\
,,~
~
)~
~~
~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 48.10 48.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 48.10 48.10 .00 .00
COMMENTS! ACTION NEEDED
ELECTRICAL PERMIT INSPECf,lON RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
/-Zr71;O 5vC--,
GENERAL COMMENTS:
PW-II02.1S(4I96)
MAR-01-2005
,~ ~l\
GV;~~\'
08:42 PM
E.JANSSEN
360 452 2982
P.81
l!f EJ~etrlc.1 Contractor
C A~nUaJ Permit Cl Alarm CJ Cunl"nl Q Commercial ~ Re.identlRI CI Resldentlal ~1aint. 0 Slgnl Q Tbermoltlt 0 Telecom.
~
~i
CI Owner "~~....y
ELECTRICAL WORK PERMIT APPLICATION
.
o Request Inspection
J~ wired by
"EleeMeor Contractor
o Owncr
Ingtallation uC9cription
Shltc lIP
WA
C18~" L
~ 5/Nyle
1-i(lIVlE. wi;'l.
--.l.L~.tJl ~"'"... J
F~M;/*,
4. Uo t\-
.$Q.IW I ~.
F.leclirical conlmclor nzunl!
&T~A, /YI J L.E='
pUffer ~nal'lnlll!ddttRIj
/6 N ~1\t,E
C'1rA
License number
E/.ec.-kl. Ie. f.\ I
Tc:!l~ hon~ Ilunlher,/ f^X number
'-/U? I 33
Prtnllael OWnu'! nllne f
--SITEiv' KEDI:Srl
AddtltSl or Insp~cUon
~Zj) ~VlI-AJ5 A;,€
t.L e~
50>
~r,
Slg~.ture
I own", ",ml..1 '01:3'"'' .dmlnl",.lo,
/c17o
5{;2-
dl Lf32- Gia-
o Credit Card Visn Mastere.~, Discover
Card II _ _M"107It:- ~'TIZ;/ _1/ ~~ D __
hpirdlion D.le 1 / 3, ZD
of card In.llpee:lion fee:
$
o Cash
o Check #
!
--
I her~by certifY that I 11m dtc: owner of the above nilmed rropcny tlf a Iil::cnscd
eleclljiClI contr.1Clor (or the tlrm's aUlhori2ed a~c:nt) :.t.nd am making the det.:LriCIl.I
IDstal!ation or IItc=rntil1n in compliDnce: wirh the eledric311aw, Chapkr I'J.28 RCW.
x
WALLS
In!luhl.linll Only
/
CF.IIJNG
Insullllil1r\ Oldy
~
~- ^1'r,.'~",IH~ ~~
~/;~/,,?ovcr #t:tO ~/'~I-Suv"
,; [) ~ ^(1llI~,vl:Ill),. ~~
, ,----
~LlUld Addltlono ond or o"ubt.r~~tions
o NO,LOAO CHANGES
o eo.JebOard _ KW
o Fu,~.co +KW -(0
o H.~ Pump02_LtIon _ LAR
o F8.n~Wall KW
^llpro\.cll 11)1
.~<Z
/ THI:RMOSTAT
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" Qte~,. ApJllll"."j [j~
/ SERVICE
3jlll>~ /<-0
, Ie ^OPftIved D~ --I
FErnER "\
'- O"'l~ AM-v.riAy
Service Informotlon
o Overhead Serviet:!
o Temp Service
tJZf Underground ServicE!
Vo~.g.
Phose 0 1 03
SOMee Size:
Feeder Size:
Ih&p~C:lian
. Dale
Arc41. Building or Equipment Inspected
^ C'tlon Ti.lkcn
Electrlc"l
Inspector
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FROM :Dave's Heating & Cooling Srvc FRX NO. :13604520939
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Feb. 24 2005 06:51RM P1
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ELECTRICAL PERMIT APPLICATION
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The EISC~C8i P&fmit Applloliltlon _&1&11 hA fl'I_l1cut r:omulilJtslv.
Pl.... Ifp..: ..."nnt in Ink. lIto" h....II\' _.tlano, plw... ..11(150) .'7"73~
FOIl numb"': (350) .170<171'
s,JDngA~-1.t). kx t.(13
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0"",.. or e.... C.ntrllolorAg!ont J?a.Ve.I:;, H.eo.+1",'/) ot-LcOO(' "9 PIltl".: 'f:'5,9~0"l3"7' FIIJI.:
Pro~.rtyQoMn.;.' S+ew..<4-- Mo.r-eie.. K..e.6.\~. .pna..,
....r..... P.D. ~. 56, _....___Cl"': fo..,..,.. k.~\..sLs
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ElodncaJCon~or. ])av-e.'s f{e,,-~~~ \...00'1 "% U.....~:.,. bp: 505
P 1CR..,-%.<l.-. P . A (
Addre..: .0. l!ox <(/3 . CI\Y: o.....i-7lh%' 0.8
INSTALlJ\T1l>>1 WIRED BY: D OWNER o1fLEc,.R~CAl CON-rAAC,-;~ "'" '. '., --. .......
CrwIiH;.rrI Holder N8m.: --3-e.~"'~-T_f O(deA-'< l<-o..";p_..:Da.<I-e..ls'
POd A...:yJ..o..s ,
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"-/6':>-0<73,"1
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Phone: '(5:;.0'73'".
Zip: "fl?34,;;L.
~ctIY:
M-eo...+l:"'~ '+ Co'" I ;"'l
wA Zip: <9g3";;;,..
VISA: .,,-/ Me:
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CtedIl C8trJNumbr. /. Exp. D8te:_ '
PROJECT AIlDRI!Se' &, ;;l D (;' Va h 5-'.-A Ve: '" v.. ~ .
TYPe O~ WORK' GhBCk aIJlhill apply: ~ 0 A1tOlllfianlMdlliUo'
~oaldentjel D MUlli-fIimily 0 Comm8rclal . 0 ~blle Home SQ. Ft
o !l.emole Meler 0 Detached 91l1lllle
~ Hot Tub 1:1 Swim Pool 0 Septlc ,"u,,;p
~w VOl!Bge D Tolecom.
. ~.......... D~:.,-dt;-
OS:gr
Number of Cio;ut. 8ddlllll or .11iIrwd: .
DIOSCRlPTIClN OF TICli IiLec;TRlCAl. PRO.JI!CT:.:..._._ \ D "-:;> V b \ -\- "'-"If-- ~""" 0 -"'+ "-- -\-
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iJlI~W:.' Hl:lIt LMd Addltlonll""Biia1l1' llubtraetlellll ----- . Servlc.. Informlillnn
o BaMbosrd
If'l'..l'rnece
~..I ,"ump
o 1"1lI\-W8~
'_KIN
-1Q. KW
..2/:';o-TON_UlA
~KW
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oTomp Sen/I.,;,
\BWn~argrDUnd SllIVice
VDllIIg., /'M/Z</O
Ph""", art 0 3
Service SIZe:
Fenr SI
T hernby certify thai I have T98d and elCflminad this application and know that same to b. we and C()rrsct anti I am
aulhoriZJJd to apply for this permit. I fJl'!der$ttm~ II is not /h8 Oi!Y'" " ine what ;,.,rrollS
.JAremqufRJd;.Jt.mrnaln&tbao/iJppllceuts.reSPO/1SlhTJ/f;y-.iD-dtltllrmJIl8..wlJ'!41"rmlts.-B'-fi/Uir..rJ.alllil-to-QtJtain..sUGh~.._
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'OwnerorEJ.~.Cont.$lgnature.. , ~ Date: a;{d.3/05
PERMIT FEE: $ 3c...yg.
:,iEI.ECTRJC1.U'l!RMITAPPUCATION
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f"66 RE'q;u ( 126' I.A. CJJ r
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DEC-0S-2004 07:57 PM
E.JANSSEN
360 452 2982
P.0l
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'EI~ctrlc81 Contractor
CJ A nual Perlnit CJ Alarm
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CI Owner ......."'"
Q Cornlval Q Commercial ~ Residential
ELECTRICAL WORK PERMIT APPLICATION
l:I Request Inspection
1:1 Residenlial Mainl. 1:1 Sigll. 1:1 Thermo,tat 1:1 Telecom.
wired by
-.(Electrlc81 Conlractor
i:I Owncr
InstllUalion description
rE'M P
'>G7~.1I1 C ~
Elee rical contractor namc Licensc nunlbcr
hi I t...E
Slate ZIP
Wif fyg" z-
FAX n\lmbcr
I
I heteb)' certify lhat I am the owner of the above I'IQrned property or a Iiccn!Ocd
c1cc"ical contr3clor (or the firm's auUmn7.cd lI~cnt) 11nci anl making the clccujc:al
in~~ltation or aheration in compliance with thc electriCAl [nw, ChllpfCr 11J.28 HeW.
o c..h . Check #
if Crecti, Card Visa
Mastercard
Discover
Card II
~. .10... or ow.... .;::t:~t~\:Jtrl,"1 .dml.I,'n'.,
Expiration Date
ore.rd
l.1Ja<tJ\ddlllons and Dr Bublractlon!!
IJ N LOAO CHANGES
IJ B...~c.rd KW
D FJ~ea KVV
IJ H~" Pump Ton LAR
Service Information
- - , ,--,~...~
IJ F. -Wall KW o Underground ServIce Feeder Size;
IllJpection Arca.. Ouilding or Eqllipmr=nl rn~el'lcd Action Token F.lectriCAI
Dotc Inspector
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//.4/ "";"~';ti4<:..(} j/7t';/r~ /217 - -,
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o Overnead $vrviC9
C1 Temp Servloo
Vollage ___
Phase Cl 1 Cl 3
Service Size'
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