HomeMy WebLinkAbout2140 W 6th St - Building 03/21/2012 15 : 09 FAX 360 452 3498 Olympic Electric Cc. PA CITY INSPECT A 003/007
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street—P.O.Box 11501 Port Angeles Washington,98362
Ph; (360)417-4735 Fax: (360)417-4711
Date as V f W2 Q 18 2 Single Family Dwelling
"Plan Review May Be Required, Please Complete E91 id Plan Review Information Sheet
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Buildlnp Square Foo*e:
Descriphan cf above gEMANG RE8pON9E VNV7 FOR WRYER HAhYEP
Owner Information Contractor Information
Namm 0OR07HYORISTQW Name; OLYMPICELEOTRIC
Mailing Address: 21+0 w,BTHST WIN Address; 4230ruMwA7En TAIJN aaure
City, PORTANa"es State: WA zlp, CUBS Clty: PQRTANQELC& State; WA zip: U303
Phone:+or.2,oi Feu: Phore:aeo-ar.eaoa Fax: 3104U.34e8
License 41 Exp. License#I Exp OLYMPEC205o,
Item Unit Charge f,yt Total Qty Multiplied by Unit Charge)
SarvloWFesder 200 Amp, $120.00 $
$ervicelFeeder201-400 Amp. $148.00 $
Service/Feeder 401.600 Amp $205,00 $
Serv!WFesder 601.1000 Amp. $262.00 $
ServloelFeeder over 1000 Amp. $373,00 $
Branch Clrcull W1 Service Feeder $ 5,00 3
Branch Circuit W1D Service Feeder $ 63.00 $0,00
Each Addltonal Branch Clreult $ 5,00 $
Branch Circuits 1-4 $ 76.00 $
Temp.Service/Feeder 200 Amp, $ 93,00 $
Tsmp.ServicalFaeder 201-400 Amp. $110.00 1
Temp,Servlos/Feeder 401.600 Amp. $149,00 $
Temp.ServlcelFeeder 601-1000 Amp. $168.00 S
Portal:o Portal Hourly $ 86.00 $
Signal Circulll Limited Energy-1 &2 Family Dwelling $ 64.00 S
Manufactured Home Cornadcn $120.00 $
Renewable Electrical Er orgy-5KVA System or Lose $102,00 $
Thermostat S 56,00 $,
Nate:$5,00 for each additional T-Stet
NEW CONSTRUCTION ONLY:
First 1300 Square Ft, $120.00 $
Each Additional 500 Square Ft.or Portion of $ 40.00 $
Each Culbullding or Detached Garage 3 74,00 $
Each Swimming Pool or Hot Tub $110.00 S
$LQ 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 eXplres after six months of last Inspection.
After reading the above statement,I hereby certify#hat 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.EC.,RCW,Chapter 19,28,WAC.Chapter 296.4613,The Clty of Port
Angeles Municipal Code,and Utility Speclflcatlons and PAMC 14.05.050 regarding Electrical Permit Applications,
Signature of owner,electrical contractor or olectrlcal adminlatmtoe ❑ Caeh ❑ check
nadir cord N
x Nod: 03 1 21 1201 2 OVOI O12
ELECTRICAL PERMIT
t
CITY OF PORT ANGELES (�
360-417-4735 V�1
Application Number . . . . . 12-00000337 Date 3/22/12
Application pin number . . . 477537
Property Address . . . . . . 2140 w 6TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER; 06-30-00-9-8-0030-0000- 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 . . . . . . RS7 RESDNTL SINGLF FAMILY
Application valuation . . . . 0.
Application desc
Demand response no fee per Larry Dunbar
Owner Contractor
JENSEN, JOHN OLYMPIC ELECTRIC CO INC
2140 W 6TH ST 4230 TUMWATER
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 457-5303
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc DEMAND RESPCNSE NO FEE PER LAR
Permit Fee 00 Plan Check Fee .00
Issue Date 3/22/12 Valuation . . 0
Expiration Date 9/18/12
Fee summary Charged Paid Credited Due
Permit. Fee Total .00 .00 .00 .00
Plan Check .Tota1 .00 .00 D0 .00
Grand Total .00 00 .00 .00
INSPECTION TYRE DATE: 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_; _�
&\EXCI IAN(iElI3U 1L,DIN(3
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4135
Application Number . . . . , 12-00000337 Date 3/22/12
Application pin number . , , 477537
Property Address . . . . . . 2140 W 6TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-9-8-0030-0000- 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 . . . . . . , R37 RESDNTL SINGLE FAMILY
Application valuation . , . . 0
--------------------------____-__------------_-------------------------------
Application desc
Demand response no fee per Larry Dunbar
.--------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JENSEN, JOHN OLYMPIC ELECTRIC CO INC
2140 W 6TH ST 4230 TUMWATER
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 457-5303
---------------------------------------------°_-__--------------------------
Permit . . . , . . ELECTRICAL ALTER RESIDENTIAL
Additional desc DEMAND RESPONSE NO FEE PER LAR
Permit Fee .00 plan Check Fee .00
Issue Date 3/22/12 valuation . , . . 0
Expiration Date 9/15/12
Fee summary Charged Paid Credited Due
--------------- ------ ---------- ---------- ----------
Permit Fee Total. .00 .00 .00 .00
Plan Check Total 00 .00 00 .00
Grand Total .00 .00 .00 .00
INSPECTION TYPE DATE: 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\BU1LDING
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDll'~G DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00001045 Date 10/27/03
2140 W 6TH ST
06-30-00-9-8-0030-0000-
RE-ROOF
RS7 RESDNTL SINGLE FAMILY
5000
Owner
Contractor
JENSEN, JOHN
2140 W 6TH ST
PORT ANGELES
WA 98363
ARMOR ROOFING
2524 RYAN DR
PORT ANGELES
(360) 452-3667
WA 98362
permi t . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT
TEAR OFF, FELT,
134.75
10/27/03
4/25/04
- NO PR FEE
COMP
Plan Check
Valuation
Fee
.00
5000
Qty Unit Charge Per
Extension
92.75
42.00
<).)
BASE FEE
3.00 14.0000 THOU BL-2001-25K (14 PER K)
..--
Other Fees
STATE SURCHARGE
4.50
..c
o
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 134.75 134.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 139.25 139.25 .00 .00
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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
C7!~ ~ IOu-dol
Sig'nature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\ll 02.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE 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 I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
ilEA T PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT ff's:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNIJ'.:G DEPT. 417-4750 ;:: UJ, r~ d "....., PLANNING DEPT.
BUILDING 417-4815 7J-!i,'- ,()JI-()S (k'V BCILDING
T:\PLANNINGlFORMS\1102.15 [4/2002]
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
.
N? 16299
--->" . )-. .
G -F '
Port Angeles, Washlngtonmn___.m'"..m._.-'::.m...m.m.............mm., 19<..::
In aC{lordance 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.
"
2. ( 51 (' j--' r: .. /
Address .....n:'.n.CQmm.::.::n..n.~::.m:~nm.m.m....n.nn....nm...__ Occupancy..":'...':;'__"":n......nm___....n..n..m.
"'. / . /. 0 ~.......;., '
Owner .un.~.__::'__n.__".:~.n~.';-u~_~~-~_:n~n._~t:_....hnn__nn Tenant.n_n..__.__.n..n__~.h.__.h_.____nnnnn__nn__n._____..unn
Wiring Contractor n.,.,:.::.fn::.:n~.~:-~f..:m'l:C::':...n...n.m.__ By..nn.mm.nmmm..mm__mnnmn.mnmmmnn....
:; 0 /' / ~ y.
Light OuUet8....__...._.......":':':~__......;"_.._..... Service, volts ..._'.:.~..___.......<;::~-......~-..... Type ot Wiring:
/.;: .3
Receptacle Outlets.........~~..__2..__....... No. wires .m__...m__ro..m....m_...m_... _ 0 Armored Cable ....._m.....................
( 81 1 X. ;~t.~ €11 V Non-Metallic ....._...m_....................
D'ye" KW m,'n.n......nn'...._n'''''''_'''''' Z. w r...._:..,:.::<.....,:..........:_.. .-
/:2 //') , ,
Range. KW........./n:......n.................. Main fu.. ..../'.<..~(!.............
r-'" /
Enclosure ....":,::,:-:::::...__.l:'!?___m........_.
Water Heater:
--
/:>
KW..._____..__.__....::...._...........__.._.____
. "", ';
-')/ ,U/
Heat; K\V..........~...:..:.......m...~.:::....m...m.__
Type of wiring:
Entrance Cable _mm__mm___m_
Motors: size, .volts and phase:
/ /,)1_~h
:::;.:;i::~:;.:::~::::::::::::::::::.:::::::
Rigid Conduit ...............................
Metallic Tubing ...........................
Current transtormers:
No. & Size__.._....___......______.__.......__...
Ser. No...._______.....____....__.._.__.__.....____...
Ser. NO._____.____n.________...._____.__.__..__.....
Ser. No............_...................._......_.....
Knob & Tube......_.____...................._
RIgid Conduit ...............................
M.talIlc Tubing 0000.....00.........____...
Raceway .......~........_.._..._.........._
X
CIrcuits, LighL:.-.;....m........__.................
/
Utility......-:..___.__......____.....................
/y
II cat .._........_.........................._......
~J
.....
Range ........__......___..___....____.............
,""
Water Heater _~:____..__................
Motor ........................__..........____.....
Dryer ...___...~.-;...__.___....__..................._
Furnace .........................'__..................
~) c:
Total Load............................. Ser. NO.__n_..m....__...mm...._.____m..___.. Total ~-=:!.__.mm___...__...............
Remarks: mnn...u......~::.-:1.!.lF==--~-:!-::.~==__-..-~_t:L:-!-.:.s;--:-:;0~~.t.'~---nnm.mnnmuunnun............u..numumu...nnum...
/'
.;::;~~..~:~.....m...n....m....n...;~:~~:.;:~~~~~mnmnm.h.n...mm.m"'~~f~'~:7~':~':::"';r:'h:':"7--''''''''
$~u..i~"~nZ~.~~'~nun.n.u.n_u.. NO.un_..n~n_~..n.._n..n. By u.~_n_uu:_~_nn.~u_~._.I...~._.:__n..nn:::__nn::::n~_:::::.n
NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. It work is to be con-
cealed due DoUce 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?
16299
Address................................................._........................................._......_..__.._______........................Date..._._...______.______.____.....___...____......_._.....
Owner .___.....__._....____.....__.......___...__.._......___...._..___........__.....__....__..............._............__.... Tenant._...__......_.......................................................
WlringContractor_...___..__._.___........................__.............._.......:.........................__.______._..._____..____...._.By.....__......_...._.____............__.........:.~._.......___
NOTICE-Current must not be turned on untU CertifIcate ot Inspection has been issued. If work Is to be con-
cealed due not1c~ must be given the Inspector so that work may be inspected betore concealment.
nl......"'l.... P";nt"'T". In,,_