HomeMy WebLinkAbout1602 W 5th St - BuildingElectical Permit
1602 W 5 "' St
12 -826
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number .
. . . . 12- 00000826
Date 6/28/12
Application pin number
. . . 400996
DITCH
Property Address . .
. . . . 1602 W 5TH ST
ASSESSOR PARCEL NUMBER:
06-30-00-0-1- 2800 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . .
. . . .
Property Use . . . .
. . . .
Property Zoning . . .
. . . . RS7 RESDNTL SINGLE FAMILY
Application valuation
. . . . 0
COMMENTS:
----------------------------------------------------------------------------
Application desc
G
1 -4 circuits living room and expired 10 -1044
----------------------------------------------------------------------------
Owner
Contractor
ANDREW D GLUCK
EXTRA MILE TECH &
ELECT., LLC
1602 W FIFTH ST
418 N. RACE ST.
PORT ANGELES WA 98363 PORT ANGELES
WA 98362
(360) 457 -0198
is�,?
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1 -4
CIRCUITS
Permit Fee . . . .
75.00 Plan Check Fee
.00
Issue Date . . . .
6/28/12 valuation . .
. . 0
Expiration Date . .
12/25/12
Qty Unit Charge
Per
Extension
BASE FEE
75.00
Fee summary Charged Paid Credited
Due
Permit Fee Total
75.00 75.00 .00
.00
Plan Check Total
.00 .00 .00
.00
Grand Total
75.00 75.00 .00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
CIA
DATE:
RESULTS:
INSPECTOR:
DITCH
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
G
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G: \EXCHANGE\BU ILDING
Date:
JUN -27 -2012 12:34 PM E.JANSSEN
0TY OF PORT ANGEEI,.C,S ftlkM1T /A,PPI..IC.ATNON
Building DMsion/Electrical lnapectiarres
321 East FiRb Street — P.O. Bo: 1150 1 Port Angell Wasbiagk►n, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4"111
Jate: ).2 \o %9k 1 & 2 Single Family Dwelling
_. %10
360 452 2982 P.01
r I V k lJ I L�4
.SUN 2 7 2,Q',2
ELECTRICAL
INSPECTIONS
' Plan Review May Be Required, Please 1�ornplete E=lectrical Plan Review Information Shen!
job Address;
cra9cnpllon of atilt" _ � :11(1 li.. ^_.... )cM �s :_1- ..__ _. �v - -- t.'
Owner Into ati
Nam o
® :_►A2��`
Mttilinp ross�
City:
License 0I Fxp., _
am
.'riarkle
VIM L
Service/Feeder 200 Amp.
$ 17G.00
Servloe/Fooder 101 -400 Amp.
g W00
0G
Servlat/Fooder •101$00 Amp
$20.5.00
ServicelFeeder X01 -1000 Amp.
5262.00
Servico/Feedor over 1000 Amp.
1, :?73 00
Brnch Circuit W/ Service Feeder
S `i 00
Branch Circuit W/O Service Feeder
, 0.00
Each Additional Branch Circuit
a 5.00
Brands Circuits IA
Temp, SeNiceJ i'eeder 2.00 Amp.
a;1.f10
Temp. ServlcNFeeder 201.400 Amp.
i 1' :),00
'ramp. Servlce/Feedor 401 600 Amp.
S 149 00
Temp. Service/Feeder 601 -1000 Amp.
$ 15800
Portal to Portal Hourly
3 96.00
Signet Clrcuhl limited Energy -1 & 2 Family :)W4lllrng
fi 64.00
Manufactured Home Connection
r 1:10.00
Renewable Electrical Energy - 5KVA Systnr or t e! :s
S 102.00
Thermostat
`.;5.00
Note: $5.00 for each addillonel 1' Slat
NE1N �Oy,�ji 021 NLY:
First 1300 Square Fl.
5 %20.00
Each Additional 500 Square Fl. or Portion ;'
40 00
Each Outbuilding or Detached Garage
$ 14.011
Each Swimming Pool or Hot Tub
" V) Y)
Contractor information C,
Name; :.c•1 < -- =.. '' !� 7. :�� E! _ /4rJ�stLr�c
4g .__
Malling Address: _.... , .
.- ..ItC-
� .___ - - - -_•
;rate .. v^' C*. Zip: _�3{r: z.
`]5
Phoney:
_l5'.� - S:;r_:. =ax: �2_
LCPnscIFxP
_QtY
Tatxtl,{t,)"t1W ied by Unit Charge)
$ .- ._. -..._.
- ...
Fell
Owner as defined by RCW.1928.261: (1) Ovoier will occupy the structure for two years after thls electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above sald oroperty is for sale rent or lease. Permit expires attar sly °nonths of last in"etion.
After reading the above statement, I hereby certify that I am the owner of the above named property o, a licensed electrical contractor. I am makincl
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19 28, `NAC. Chapter 296 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit. Applicatlont'i.
Slgnstum of ner, electrical contractor or electrical administrator: L. Cerrh �herh
c �✓ �\ �'"'
DOW: etto11411t2
u
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
1 circuit for lighting
ELECTRICAL PERMIT
CITY OF .PORT ANGELES d
360 - 417- 4735 -_
10 00001044 Date
396220
1602 W 5TH ST
06 30 00 0 1 2600 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
9/24/10
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Owner
Contractor
RESULTS
INSPECTOR.
ANDREW D GLUCK
EXTRA MILE TECH &
ELECT LLC
1602 W FIFTH ST
418 N RACE ST
PORT ANGELES
WA 98363
PORT ANGELES
WA 98362
FINAL
(360) 457 0198
Permit
ELECTRICAL
ALTER RESIDENTIAL
Additional desc
Permit pin number
173674
Permit Fee
96 90
Plan Check Fee
00
Issue Date
9/20/10
Valuation
0
Expiration Date
3/22/11
Qty Unit Charge
Per
Extension
1 00 73
5000 ECH EL-
BRANCH CIRCUIT WO /FEEDER
73
50
9 00 2
6000 ECH EL
ECH ADDNT BRANCH CIRCUIT'
23
40
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
96 90
96 90 00
00
Plan Check Total
00
00 00
00
Grand Total
96 90
96 90 00
00
INSPECTION TYPE
DATE.
RESULTS
INSPECTOR.
DITCH
SERVICE
ROUGH IN
23
FINAL
COMMENTS
Fr
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
d
N
1
SEP -23 -2010 09 :13 AM E JANSSEN
k 'Y
3
L
°Clty of Port Angeles Petmlt'Application
:SuildIng OlvisionlElscl.rical Inspections
321 East Filth Street - P.O. eax 1150
Pon Angeles Washington, 98362
Ph; (360)417.4735 Fax: 1360) W-47111
,Dale. I - -Z;=! 0
Y I & 2 Single Family Dwelling
hlulti•Famiiy or Commercial'
C'•ommercial Addibon 1 Alteration / Rerroriel *%
360 4'52 .2982
r�-
P 01
Platt Review May Be Required; Please Compleie EIe tncai Pier Revievv Information Sheet
„oo Addiess.
Budding Square Footage:._.- ______
r C
Uescrlptlon of above _ !►�_ C - -- -. — ' - ' —
__�. .lird►!If`z- �- �- �..3.�i�. -�-- '- �"�-'� ,— c•.dr- as,q- t,..��. ; �.- ,�aa -t.c
J l
'honer Information CgQrilraClor Information
Name '�--XM* All t -0
Mailing Ad ress. -_ /,C 2.._�bL._.tl'� S' !Tailing Ad—dross: 1 ►•l i�,l ��.
^aY,� - Stale: _y!4 6;: 11 :X&r .ity P State. blA-- 7ip. •r c S� WL
hone:
Fax: 'iS7-5".2X Fax. 'fs �.___
_Licerise d 1 rxp -- -- -- ucense 9 1 Exp. �t 7-A AA T 'T 3 j;> L 1 c� /'-2
Uni hgrge olaL jQI - Multiplied by Unit Charge)
S 1 t9 90 _- •_ cerviceffivadei 200 Amp
5 1050 __ eivico.IFeeder 201.400 Amo.
°S 104.60 Serv:colFeadar 40t•600 Amp
S262,20 ServicelFeeder 001.1000 Amp r
:3 371.50 SenncelFeeder.over. 1000 Amp.
S '66 __,_, __ Brand• Cif rult WI Service Feeder
S 73.50 �r 8gmcr- Circuit W10 Service Feeder
S 2.60 4 �7 Each Additional Branch Circuit
.S .92.70 _- Tomp Service/ Feeder 200 Amp
$11030 _ 1 emp 5erd+celFeeder 201.400 Amp
5 14,170 _ Temp. ServirelFeeder 401 -600 Amp
516190 'emp Se(acelfeeder601,1000Amn
Portal to Ponal cloudy
S 63.2C $rgnlGudine Lighting
S 95.9C - -, Signil'C1rcjJV 1 imlted Energy - Cymmeicial. Additiona:
`S '6190 Signal CircwU Limited Energy '14 2 Feebly Dwelling
3 63.90 •— .S'igna+GrcuiV Limited Energy Multi- ram_livf)vAllinq.
S 119 9(i Manufactured Home Connection,
r 1 102 30 �.. T �_ Rene.wnhle Electrical, Energy 'SKVA Svslnnr m I was'
r i
ti. ;31!0.30 _ �:�. __ First. 1300 Square Ft. -r
£
15 20 41 ' Each Additional 500 Square Ft. or Portion or
"S 7350 w __ Each -Outbuilding or Detached Garage-
'5110 30 l; {. E2Cn 3wlmmrnq Pool or Not Tub
:S 56.00 Thermostat
1 Total'
A. ;a
0wneros'de0had by RCW f9.2a,2E'1'.(gowner' will occupy the.structure•lor two years after this electrical permit is finalized. !) -ow .4 it required fo hire an electrical contractor if 1,
x.
.,above dreperty is br tole,•ient or lease. Permit expires after six month; 011ist InapKNon. �, ,�;,;, � �, , n '�. F � .,'�� r-a X1°•
y &r ,'45k :'!K- K s94- :.%" -`: tJ -'v'"� �3: ,.,'�n .i:` �: :+.l.Y:+ ..»,' °��.i- 5`"•': _d` .<.+' .�„'
;>< is Aftot resding the above statement, l hereby cedily that ran, the, owner of the above named proporly.ota Iltenaed electrical c - arrtor: t am making the elect/leel Imtalkdon or,
r Utili S cincadona.
electrical ws YN.E:C. RCW.'Cha ter 19,7.0 WAC.'Che ter 29G 48B;:The'Cil of P0r1'Ange re Munic pal Code, and ty` pe
-' walleretbn in compllanco with the olnct cab t► P y -
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Application Number
Application pin numt)er
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
1 circuit for lighting
ELECTRICAL PERMIT
CITY OF PORT ANGELES `
360 - 417 -4735
10 00001044 Date 9/20/10
396220 REPORT STATE SALES TAX
1602 W 5TH ST
06 30 00 0 1 2800 0000 on your excise tax form
ELECTRICAL ONLY to the City of Port Angeles
(Location Code 0502)
RS7 RESDNTL SINGLE FAMILY
0
Owner
DATE.
Contractor
INSPECTOR.
ANDREW D GLUCK
EXTRA MILE TECH &
ELECT LLC
1602 W FIFTH ST
418 N RACE ST
PORT ANGELES
WA 98363
23 0
PORT ANGELES
WA 98362
FINAL
(360) 457 0198
Permit
ELECTRICAL
ALTER
RESIDENTIAL
Additional desc
Permit pin number
173674
Permit Fee
73 50
Plan Check Fee
00
Issue Date
9/20/10
Valuation
0
Expiration Date
3/19/11
Qty Unit Charge
Per
Extension
1 00 73
5000 ECH EL BRANCH
CIRCUIT WO /FEEDER
73 50
.Fee summary
Charged
Paid
Credited
Due _
Permit Fee Total
73 50
73
50 00
00
Plan Check Total
00
00 00
00
Grand Total
73 50
73
50 00
00
INSPECTION TYPE
DATE.
RESULTS
INSPECTOR.
DITCH
SERVICE
ROUGH IN
23 0
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
a
a
Z
-S—
SEP -19 -2010 08 42 PM E JANSSEN
360 452 2982
P 01
r
ii
OR
.Owner as deftnod try RCW.19.20.261• (1) Owner will occupy the struelure for two years alter this elect► /cal permit Is flnelized .21 Owner is reeuhed to hire an electrical contractor 'd
,above said propory is for tiak-rent or lease: Permit srplres after sir months oils*( lnspoction. :r a
Alter reading the above statement I hereby certify that I IM' the owner of the above named property or a licensed electrical contractor. I am making the electrical Installation .ar
alteration In compliones, with the electrical laws, N.E.C.' RCW. Chapter 19.28, WAC: Chapter 29646B; The City of Port Angeles Municlost Code. and Utility Specifications,
:Signature of owner; oleetrical contractoror slaetrlesl.adinimstratcW n -cosh
,x
Z I� hecit Y
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RECENED
SEP � 0 2009
City of Port Angeles Permit Application
,,�,� .
, for
Building DlvlilonlEloctricat htspactlons
321 East Fifth Street —P.O. Box 1150
ELECTRICAL
Port Angeles, Washington. 98362
INSPECTIONS
Ph: (NO) 411-4735 Fox; 1360)417.1'711
� t:c -! �
Cate: .
1 B 2 Single Famlly Dwelling
Multi-Family of Commercial'
- Commercial Addition/ Alteration I.Rernoeie
Ra:nB,
Plan Review May Be Required, Please Cotrtol-!e electrical Plan Review rVormation Sheet
Job Address.
Building Square Footage:
,
Descripton of above ___ - N/ lbd• - - - -'
r
Owncr Information
Name: /
Contractor Information
Name"_OCX 19.4_ !✓lrC� T�4ff SIG
Mailing Address: r . //e/I,E�^ ,�
_� �_7___- Mailing.AddrASr;: 1 _ S4-
City. _�i_�_ State: ki Jr
.j.i'.il�� ily. P A7-- Staid. jr* zip...CL�3lzZ
Phone __Fax: _
Phone: yS7 -5"��2 Fax:. • - 5!h _
License tl / Exp.- _._
-, _. .:ir.Pnse a l Exp. E�TI�/4 �M T 'i 3 !�, tc' _lam /;Z 6 /.2.x,//
t nl t -e
Iota' ( t Multiplied by Unit rharne)
$ 11g.90
S SarvicelFeader200Amp.
$ 145.50 — _
_ SenriceIrceder 201.400 Amp
S204.80
_ , Suiv cell eider 401 -600 Amp,
$262.20 _
y _ -_ __ SemcerFeeder 601 1000 Amp
$372.50 _
? Semice/Feeder over 1000 Amp
$ 2.60
a eranch Circuit W/ Service Feeder
3 73.50 1 _
t I.LS� Branch Circuit W/O Service* Feeder
S 2.60
tarn Additional Branch Circuit
$ 92.70
1.emp, Servicel Feeder 200 Amp.
$ 110.30 _ _.
Temp S9Mce/Fseder 201.400 Amp
S .4870
_ 1 emp Service /Feeder 401 -800 Amp.
S167.90
Temp Service/Feeder 601 -1000 Amp
5 95.90 _
— portal to Portal Hourly
$ 8620 —_•
I Sign /Cutline Lighting
S 95.90 _ -_•
f Signal Circuit/ Limited Energy - Commercial. Addiuona F
5 63.90
_ _ Signet ClnxtlV 1.1mlied Fnergy 1 6 2 Family Dweillnt3
S 63.9C
_ Signal Crcuit/ Limited Energy Mulb +neri,ly Dweliinr,
S 119.9E
c _Manufactured Home Conneclian
5'102.3(
—__ —_ Rengwable Fleceical Enotgy 5KVA Syatgm or I nFt
$ 110.30
-- First 1300 Square Ft.
;$ 35.20
Fach Additional 500 square rt. or Portion ai
S 73.50'
Lach Outbuilding or Detached Garage
$ 110.30 —� —_
__•_, .. Farn Swimming Pool'or Mot Tub
:5 5600
_ _ Thermostat
E
S � ( Total
OR
.Owner as deftnod try RCW.19.20.261• (1) Owner will occupy the struelure for two years alter this elect► /cal permit Is flnelized .21 Owner is reeuhed to hire an electrical contractor 'd
,above said propory is for tiak-rent or lease: Permit srplres after sir months oils*( lnspoction. :r a
Alter reading the above statement I hereby certify that I IM' the owner of the above named property or a licensed electrical contractor. I am making the electrical Installation .ar
alteration In compliones, with the electrical laws, N.E.C.' RCW. Chapter 19.28, WAC: Chapter 29646B; The City of Port Angeles Municlost Code. and Utility Specifications,
:Signature of owner; oleetrical contractoror slaetrlesl.adinimstratcW n -cosh
,x
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` :X n.cA Date: r f f I Credit Cord* t� _, •x
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
` 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
10 00001118 Date 10/04/10
700196
1602 W 5TH ST
06 30 00 0 1 2800 0000
ANDREW D CLUCK
PLUMBING PERMIT
RS7 RESDNTL SINGLE FAMILY
1800
Application desc
RE PIPE (BASE OF BLDG & INSIDE)
Owner
Contractor
ANDREW D GLUCK
THE PLUMBING CONNECTION INC
1602 W FIFTH ST
175 S BAYVIEW AVE
PORT ANGELES
WA 98363
PORT ANGELES WA 98362
(917) 817 9493
(360) 457 1690
Permit
PLUMBING PERMIT
Additional desc
RE PIPE(BASE OF
BLDG /INSIDE)
Permit pin number
174656
Permit Fee
57 00
Plan Check Fee 00
Issue Date
10/04/10
Valuation 0
Expiration Date
4/02/11
Qty Unit Charge Per
BASE FEE
1 00 7 0000 EA PL -WATER LINE
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
Charged Paid
57 00 57 00
00 00
57 00 57 00
Extension
50 00
7 00
Credited Due
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
00 00
00 00
00 00
"00 J
/�r j
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 has 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
const ction.
Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS —
Building Inspections 417 -4815 Electrical Inspections 417 -4735
Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
Date
Accepted By
Comments
FOUNDATION
Landscaping
Footings
Construction R W PW I Engineering 417 -4831
Stemwall
Fire 417 -4653
Foundation Drainage / Downspouts
Planning 417 -4750
Piers
Building 417 -4815
Post Holes (Pole Bldgs.)
-2
PLUMBING
FINAL Date Accepted by
Under Floor / Slab
Rough-In
Water Line Meter to Bldg)
Gas Line
Back Flow / Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists / Girders / Under Floor
Shear Wall / Hold Downs
Walls / Roof / Ceiling
Drywall Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall / Floor / Ceiling
MECHANICAL.
FINAL Date Accepted by
Heat Pump / Furnace / FAU / Ducts
Rough-In
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts
MANUFACTURED HOMES
Footing / Slab
Blocking & Hold Downs
Skirting
PLANNING DEPT Separate Permit #s
SEPA.
ESA.
SHORELINE.
Parkin / Lighting
Date
Accepted By
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR
TO OCCUPANCY/ USE
Inspection Type
Date
Accepted By
Electrical 417 -4735
Construction R W PW I Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
L
-2
T Forms /Building Division /Building Permit
i
0
C
�T
V
BUILDING PERMIT
;1ti 4lll
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
APPLICATION Print in ink
For City Use Only,
Date Received 10-4— 10
Permit# j0�
Date Approved
Applicant Phone
Property Owner 4v4j< Phone f 7
Property Owner's Address
Contractor 2_01f61AlZ eIVAlE'e:�oA% �"l► Cow Phone
Contractor's Address
License # Expires E -mail
PROJECT ADDRESS
Parcel Number Lot Zoning
Proiect Tvpe & Brief Description.
Check all that apply
❑ New Construction
❑ Addition
❑ Remodel
`Repair
❑ Demolition
Residential ❑ Multi - family ❑ Commercial
/ ^ . A /-
0
❑ Industrial
• Re -roof D_Nuousec�,garage ❑ other ❑ tear off & re -roof ❑ lay over one layer
• Heat System ❑ Heat pump ❑ wood- burning stove ❑ gas fireplace ❑ pellet stove ❑ other
• Other
Floor Areas
Basement
151 Floor
2nd Floor
3`d Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Existing (sq. ft.) Proposed (sq. ft.)
per sq ft. = $
TAL VALUATION $ %p OO &-Z1
Total footprint of structures sq ft. T L size coverage
Site Coverage =the amount of impervious surface on rcel including structures av driveways sidewalks patios
and other impervious surfaces (see PAMC 17 94 1 or exemptions) Site coverage %
Max. height of proposed structures O upancy group # of bedrooms
Will a lawn sprinkler system be installed? Oc pant load # of full baths
Will a fire sprinkler system be installed? Cons ction typv of half baths
I have read and completed this application and know it to be true and correct. /am authorized to ply for this permit and understand
that it idsjm re s nsibility to determines what permits are required, and to obtain permits prior to wo ng on pro.ects
Data/ �� Print Name� y Lt Signature
T Form9lBurling Division /Building permit application
PROJECT STATUS UPDATE
Permit #
Date 4-5 — i
I phoned the Applicant Y'eW �U C, at -1 I� I 943
Property Owner
Contractor
at
at
I left a phone messa a or discussed)
�_2, -11
The permit as expired or will expire soon) What is the status of this project?
Please call and schedule a final inspection
Or
Submit a `permit extension request' letter
Or
Let me know if the project is abandoned
44A
T. Fonns /Buildiiig'nivision/Project Status Update
r%,
``w� CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
v 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 03- 00000127 Date 2/10/03
Property Address . . . . . . 1602 W 5TH ST
ASSESSOR PARCEL NUMBER: 0630000128000000
Application description . . . RE -ROOF
Property Zoning . . . . . . .
Application valuation . . . . 3805
Owner Contractor
--------- ---- ----- - - -- -- ------------------------
VELTKAMP ROBERT D RAINMASTER ROOFING
940 N MARRIOTT AVE 1205 S. O ST.
SEQUIM WA 98382 PORT ANGELES WA 98362
(360) 452 -3213
- - - - -- Structure Information TEAR OFF, FELT, COMP - - - --
Construction Type . . . . . TYPE V NON -RATED
Occupancy Type . . . . . . SINGLE FAM & CONGREGATES
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT - NO PR FEE
Additional desc . .
Permit Fee . . . . 120.75 Plan Check Fee .00
Issue Date . . . . 2/10/03 Valuation . . . . 3805
Expiration Date . . 8/09/03
Qty Unit Charge Per Extension
BASE FEE 92.75
2.00 14.0000 THOU BL- 2001 -25K (14 PER K) 28.00
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 120.75 120.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 125.25 125.25 .00 .00
U
Jr
�y
'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 local law regulating construction or the performance of
construction. n
240-03
or Authorized Agent Date Signature of Owner (if owner is builder) Date
T \PLANNING \FORMS \1102.15 [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
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH -IN
PLUMBING
UNDERFLOOR /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
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD/ DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'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
ELECTRICAL - LIGHT DEPT 417 -4735
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W / PW/
ENGINEERING 417 -4807
CONSTRUCTION - R W
PW / ENGINEERING
FIRE 417 -4653
FIRE DEPT
PLANNING DEPT 417 -4750
PLANNING DEPT
BUILDING 417 -4815
BUILDING
T \PLANNING \FORMS \l 102.15 [4/2002]
•
Of pOflr 4NCm(
�� m
U ?ORT
c�TOi
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO -
DATE d
Site Address: 7r
/J
❑READY FOR
INSPECTION
_ WILL CALL FOR
INSPECTION
Installed By: - l
License Number:
Phone:
OwnerlBusiness:
Phone:
Owner /Business Address:
Sq. Ft.
❑ Residential
Heat KW
❑ Baseboard ❑ Furnace /Boiler
❑ Heatpump ❑ Other
❑ Commercial /Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
Details/Description:
W.S. No. Service
Capacity: ❑ O.K. ❑ Not O.K.
❑ Ditch inspection O.K.
❑ Rough -in /cover O.K.
4VO.K. to connect service
Final O.K.
❑ New Construction
❑ Remodel
❑ Service update /alter /repair
❑ Add /alter circuits
❑ Auxiliary power
(list below)
❑ Special equipment
(list below)
Size Dat
Comments
Overhead
❑ Underground
Voltage
❑ 10 ❑ 30
Service size E=foD Amps
❑ Temporary
d for: ❑ Easement ❑ Letter
❑ Signed up for service /meter
❑ Meter Department notified for installation
❑ Fire Department notified of inspection
❑ Plan Review approved /pending
Site Address: Permit /Receipt No.
Installer: _ New Meters Date:
® Notify the Department of City Light by Street Address and Permit Number when ready fo inspection. Work
must not be cover d or electrically energized before inspection and O.K. for covering or service has been given
by the Ins ecto In W ting on the Wiring Report or the Building Permit. PHON7.0411, EXT. 158 or EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /Zj O T
Inspec r ?"' Amount paid
WHITE — fi by address YELLOW —file by number PINK —Top: Eng, Bottom: Customer GREEN —Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . . . . 14- 00001430 Pate 11/25/14
Application pin number . . . 07473.0
Property Address . . . . , . 1602 W 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 2800 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning R37 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Application desc
Kitchen remodel expired permit
----------------------------------------------------------------------------
Owner Contractor
ANDREW D GLUCK EXTRA MILE TECH & ELECT., LLC
1602 W FIFTH ST 418 N. RACE ST.
PORT ANGELUS WA 98363 PORT ANGELES WA 98362
(360) 457 -5222
Permit . , . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 75.00 Plan Check Fee 'Co
Issue Date 11/25/14 Valuation 0
Expiration Date 5/24/15
Qty Unit Charge Per Extension
.BASE FEE 75.00
----------------------------------------------------------------------------
Yee summary Charged Paid Credited Due
--- -------- - - - --- ---- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - --
Permit Fee Total 75.00 75.00 .00 DO
Plan Check Total 00 .00 .00 ,OQ
Grand Total 75.00 75,00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
0
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:
GAEXCf iANGF1BUILDING
r
X,
I
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . . 14- 00001430 Date 11/25/14
Application pin number . . . 074730
Property Address . , , . . , 1602 W 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 2800 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning . . . , . , . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . , 0
---------- ------ - - - - - -- --------------- - - - --
Application desc
Kitchen remodel expired permit
Owner Contractor
ANDREW D CLUCK EXTRA MILE TECH & ELECT., LLC
1602 W FIFTH ST 418 N. RACE ST,
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 457 -5222
---------------------------------------
Permit . , . . , . ELECTRICAL ALTER RESIDENTIAL
Additional desc , . 1 -4 CIRCUITS
Permit Fee . , . 75.00 Plan Check Fee 00
Issue Date 11/25/14 Valuation 0
Expiration Date 5/24/15
Qty Unit Charge Per
Extension
.BASE FEE 75.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75 00 .00 .00
Plan Check Total .00 .00 .00 .0o
Grand Total 75.00 75.00 .00 .00.
INSPECTION TYPE II - DATE:
DITCH I !
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPME SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor
G:IEXCHANGETUILDING
RESULTS:
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR:
Date:
CITY OF PORT "ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 4174735 Fax: (360) 417-4711
Date: J-I - —ll - -�, & 2 Single Family Dwelling
11 �! rit E 1b 11 �
I I'll U V k' la I U I If
IUVRICAL
n Rev�w In INISPHI]ONS
Plan Review May Be Required, Please Complete Electrical PI formation Sheet
JQb Address:
Building Square Footage;
Deocrippan of above =-e, =.j �Z—e,
Owner Informatilon
Contractor information
blame:." —/A h jj*�'
Name,. 9-K41 wl"Ie
M811MV Address ;
State. zip:
WIN Address: --
City: s4ate"2t—#
ax:
Zip
Phanw. 14 7 5". 1: Fax: I A-
Ucanse 41 Exp.--
—7— —Ul
Licepse V EXp.—_!L�tZIq
Am knit C a e
213f 1-0191 Ift NKK11-i13A-hy-9dLC—ha
Service/Feeder 200 Amp. $120.00
ServicelFeader 201.400 Amp. $146,00
ServIcelFeeder40"00 Amp $ 205.00
Servicall'oeder 601 -100 Amp. $ 282.00
Servicefficeder over 1000 Amp, $373.00
Branch Circuit W1 Service Feeder $ 5,00
Branch Circuit W10 Service Feeder S 63.00
Each Addillortal Branch Circuit $ 5,00
—7—
Branch Circuits 1-4 $ 7HO
$
Temp. Senficel Feeder 2D0 Amp, $ 93,00
Temp, Se0ce/Feeder 201-400 Amp, $ 111HO
Temp. ServIceffeeder 401-600 Amp. $149,00
Temp. SsrVoelFeeder 601 -1000 Amp $168.00
Portal to Portal Hourly $ 96,00
Signal Circuitt Limited Energy -1 & 2 Famlly Dwelling $ 64.00
Manufactured Home Connection $120.00
Renemble Electrical Energy - 5KVA System or Less $102.00
Thermostat $ 56.00
Note; $5.00 for each additional T-Stat
N CONSTRUCTION ONLY.-
First 1300 Square Ft. $120,00
Each Additional 600 Square Ft or Porflon of $ 40.00
Each Outbuilding or Detached Garage $ 74.00
Each SWmmlng Pool or Hot Tub $110.00
$
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 requh
to hire an 016CWCAI contractor if above said property is for sale, rent or lease. Permit
expires after six months of lost 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 Mak
the electrical installation or alterafian In compliance With the electrical laws, N.E.C., ROW. Chapter 19.28, WAG. Chapter 2964613, The City of P
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator.
0 Cash 0 Check
IJ Credit Card
Dated:
6110112H2
ELECTRICAL RICAL INSPECTION
4 �MC
F
b ,� WIRING REPORT
�`�' ®/� 417 -4735
�rtKS F
APPROVED NOT APPROVED
❑ .................... DITCH..
?. ROUGH IN /COVER ............... o
0 ............... .....SERVICE......,.......,.... ❑
❑ ..... ................ FINAL .................... 0 ,
CORRECTIONS NEEDED:
�Dll T Y'L 6-lprl L
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN is DAYS
QFpowrgro
r