HomeMy WebLinkAbout1026 W 15th St - EngineeringElectrical Permit
1026 W 15` St
12 -1173
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
lb Jz z
FINAL
1 �i
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COMMENTS:
Application Number 12- 00001173 Date 9/10/12
Application pin number 120452
Property Address 1026 W 15TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-4- 3030 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
1 circuit for garage
Owner
SMITH, LOUISE A
614 W 8TH ST
PORT ANGELES
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
WA 98362
ELECTRICAL ALTER RESIDENTIAL
63.00
9/10/12
3/09/13
Qty Unit Charge Per
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED
63.00
.00
63.00
Contractor,
Paid Credited
63.00
.00
63.00
Plan Check Fee
Valuation
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G: \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
BOTERO SON ELECTRICAL
940 TAMARACK WAY
PORT ANGELES
(360) 452 -4766
.00
.00
.00
WA 98362
Due
.00
0
Extension
63.00
.00
.00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Date:
4
d
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date:
Item
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp.
Service /Feeder 401 -600 Amp
Service /Feeder 601 -1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1 -4
Temp. Service/ Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp.
Temp. Service /Feeder 401 -600 Amp.
Temp. Service /Feeder 601 -1000 Amp
Portal to Portal Hourly
Signal Circuit/ Limited Energy -1 2 Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
Note: $5.00 for each additional T -Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Owner Information
Name:
Mailing Address:
City: State: Zip:
Phone: Fax:
License Exp.
Unit Charge
120.00
146.00
205.00
262.00
373.00
5.00
63.00
5.00
75.00
93.00
110.00
149.00
168.00
96.00
64.00
120.00
102.00
56.00
120.00
40.00
74.00
110.00
Signature of owner, electrical contractor or electrical administrator:
Dated:
1 2 Single Family Dwelling
Plan Review May Be Required, Please Complete Elgctrical Plareview Information Sheet
Job Address: /0 fe CO S %.7
Building Square Footage:
Description of above
Contract g f.mation
Name: j 0/c.c.0
Mailing Address:
City: c�
Phone:
License Exp.
Qty
ELECTB ?CAL
INSPECTIONS
0110112012
Cash Check
V Credit Card# SIR 1 e
Zip:
SP
JdiC' e q ?..10(
Total (Qty Multiplied by Unit Charge)
rr3
L3cP_ 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., ROW. 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.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
RETRUSS /REROOF GARAGE
Owner
SMITH, LOUISE A
614 W 8TH ST
PORT ANGELES
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty
BASE FEE
9.00 14.0000 THOU BL- 2001 -25K (14 PER K)
Special Notes and Comments
May 15, 2012 5:13:26 PM sroberds.
No land use issues anticipated. Re roof and change pitch of
roof in the RS -7 zone.
May 9, 2012 3:54:32 PM Brian 417 -4708
Work may not commence as proposed until electrical wire is
rerouted from work area. Final roof line would violate
clearances to conductor. Insertion of a secondary pole could
route conductor away from work area but would be at
customers expense.
Public Works Utility Engineering has no requirements for
this plan review.
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
T:Forms /Building Division /Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
WA 98362
Unit Charge Per
12- 00000543
501248
1026 W 15TH ST
06-30-00-0-4- 3030 -0000-
RES REPAIR
RS7 RESDNTL SINGLE FAMILY
10780
Contractor
OWNER
BUILDING PERMIT RESIDENTIAL
RETRUSS /REROOF
221.75 Plan Check Fee 144.14
5/22/12 Valuation 10780
11/18/12
STATE SURCHARGE 4.50
Charged Paid Credited
221.75 221.75 .00
144.14 144.14 .00
4.50 4.50 .00
370.39 370.39 .00
Date 5/22/12
Due
Extension
95.75
126.00
.00
.00
.00
.00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
q-2L• A/7
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
Construction.
Date Print Name Signature of Contractor or Authorized Agent
ignature of Owner (if owner is builder)
Inspection Type
Date
Accepted By
Comments
'FOUNDATION:
Electrical
Footings
Stemwall
PW Engineering
417 -4831
Foundation Drainage Downspouts
Fire
Piers
417 -4653
Planning
Post Holes (Pole Bldgs.)
417 -4750
PLUMBING:
FINAL Date
Accepted by
Under Floor Slab
3-21• 1-
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
0
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
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
SEPA:
ESA:
SHORELINE:
Inspection Type
Date
Accepted By
Electrical
417 -4735
Construction R.W.
PW Engineering
417 -4831
Fire
417 -4653
Planning
417 -4750
Building
417 -4815
3-21• 1-
PLANNING DEPT. Separate Permit #s
SEPA:
ESA:
SHORELINE:
Parking Lighting
Landscaping
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.
T•Fnrmc /Ri iilriinn nivicinn /Ri tilr1inn Pprmit
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
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Applicant Sri
Property Owner Z/�G;G's e sij2��l�
Property Owner's Address y e134,
Contractor g h:s s i-ctc ja 2 Chem Phone
Contractor's Address 27575 1, 4Ase 7 r
License etzy. Ayg s+ 00 xpires 7/ lz E -mail
PROJECT ADDRESS J G a 6 ply k r f t %s 9 P 7 4 3
Parcel Number Z c. Lot Zoning
Project Type Brief Description:
Check all that apply
New Construction
Addition
Remodel
'Repair
Demolition
he-roof
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3` Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Max. height of proposed structures
Will a lawn sprinkler system be installed?
VUII a fire sprinkler system be installed?
T:Forms /Building Division /Building permit application
BUILDING PERMIT
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
Residential
RE DIVE
MAY 4 201?
CITY OF PORT ANGELES
BUILDING DIVISION
Date :7 /,v Print Name ®vises 4-,
..3
i 1.
APPLICATION Print in ink
Ph
Phone
Multi family o Commercial
For City Use Only:
Date Received S (1-. 1 a.
Permit 2
Date Approved i p
3
2 ,y
Industrial
,$'House At garage other a tear off re- roof /fay over one layer
Heat pump o wood- burning stove gas fireplace pellet stove other
Existing (sq. ft.) Proposed (sq. ft.)
per sq, ft.
TOTAL VALUATION 100 cY
Total footprint of structures t 1 sq. ft. Lot size sq. ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other Impervious surfaces. (see PAMC 17,94.135 for exemptions) Site coverage
ft. Occupancy group of bedrooms
Occupant load of full baths
Construction type of half baths
I have read and completed this application and know it to be true and correct. am authorized to apply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects.
Signatur sue✓
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C U DLit. IV S. MEW t.lai•o aaw
and RIGHT -OF -WAY PERMITS
City Phone: 206 457 -0411, ext. 124 G
eLICANT /OWNER: )S U) e S I l ADDRESS OF JOB: 1 D ZCO W7 J 7 1 b
PPUCANT ADDRESS: PHONE LEGAL OF JOB: P> I k
ORK IS 0 OUTSIDE or 0 INSIDE OF TRAVELED ROAD VALUE OF WORK IS:$ (If work is outside roadway
Id is equal to or less than 52,000, then permit may be issued to other than licensed and bonded contractor.)
LANS REQUIRED 0 YES 0 NO CONTRACTOR: DATES FOR START FINISH
ERFORMANCE BOND REQUIRED 0 YES 0 NO AMOUNT:
ROOF OF INSURANCE: 0 Work 52.000 or leis: 550.000 personal injury, 5100.000 per incident, 520,000 property
0 Work over 52,000: 5200.000 personal injury, 5500.000 per incident. 5100.000 property
0 Right of Way Use: 5300,000 personal injury, 5300,000 per incident, 5100,000 property
ertttee understands that no sheet may be closed to traffic unless approved by the City Engineer and Chief of Police in advance of the
losure; that there is a 24 hour minimum notice prior to inspection, and to call 48 hours before digging to: 1 800 424 5555.
rallela die smiled Rio soak. Ir Imberyrab Y r Cap of Pea A.Pra Snot Sean eot. SIM nails Wb gyaaaaa W►Ir1O0'asPaWBA•
forw 1201001.100 rS Y /awr Pr. rsPO P OWN no pale otook d re .arta/wln0.rshe aw of this raliataa d t1. o.. pinata an r Oad soar
Ihstr, =net WI at W busts r Soap ad 4 -r •ohs l 12 I 1
1�
signed: S W e s rr' DATE: 4
�r
TlY retire• is a des sat iPHni 1 r Irk la a. ea M Ya.bd r d bi MA tlo-. ea Or Gnat Ed Fare• F.tw4 w to us ism. of W Tama are• Its Nba•ta
•d rIAIs. r w Sims 4" Cle d M MO" Mrre1 Cal. NaIiIF Wand Seale •S1 Seal to atones i picture of Allis applicable r- .1 e Gin. Cease. Stets e. Fdsal Gases
COMMENTS /CONDITIONS:
I uo Svc_ wire-
0 Install 0 Repair
0 Watmmain
Stt.inry seer
0 Storm Drain
0 Undagrouod Telephone/Electrical
_ttmu TOTALS S RECEIPT N ISSUED BY: DATE:( C
INSPECTION FEES S WORK ORDER No.
PW•0209.t0 1121931 INSPECTOR'S COPY WHITE APPLICANT'S COPY PINK OFFICE COPY CANARY PERMIT O O 4 41
TYPE
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SAN. SEWER {Sftl (0' sit. a'aa'
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1113104X0120 0
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MID
CATCH SAWS N LOTS PER EACH
RD. WATER SERVE! X Lt•
SECONDARY SEWER ASSESS.
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VARMS LI IIW
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MOO IEWM
TOTALS
S
C U DLit. IV S. MEW t.lai•o aaw
and RIGHT -OF -WAY PERMITS
City Phone: 206 457 -0411, ext. 124 G
eLICANT /OWNER: )S U) e S I l ADDRESS OF JOB: 1 D ZCO W7 J 7 1 b
PPUCANT ADDRESS: PHONE LEGAL OF JOB: P> I k
ORK IS 0 OUTSIDE or 0 INSIDE OF TRAVELED ROAD VALUE OF WORK IS:$ (If work is outside roadway
Id is equal to or less than 52,000, then permit may be issued to other than licensed and bonded contractor.)
LANS REQUIRED 0 YES 0 NO CONTRACTOR: DATES FOR START FINISH
ERFORMANCE BOND REQUIRED 0 YES 0 NO AMOUNT:
ROOF OF INSURANCE: 0 Work 52.000 or leis: 550.000 personal injury, 5100.000 per incident, 520,000 property
0 Work over 52,000: 5200.000 personal injury, 5500.000 per incident. 5100.000 property
0 Right of Way Use: 5300,000 personal injury, 5300,000 per incident, 5100,000 property
ertttee understands that no sheet may be closed to traffic unless approved by the City Engineer and Chief of Police in advance of the
losure; that there is a 24 hour minimum notice prior to inspection, and to call 48 hours before digging to: 1 800 424 5555.
rallela die smiled Rio soak. Ir Imberyrab Y r Cap of Pea A.Pra Snot Sean eot. SIM nails Wb gyaaaaa W►Ir1O0'asPaWBA•
forw 1201001.100 rS Y /awr Pr. rsPO P OWN no pale otook d re .arta/wln0.rshe aw of this raliataa d t1. o.. pinata an r Oad soar
Ihstr, =net WI at W busts r Soap ad 4 -r •ohs l 12 I 1
1�
signed: S W e s rr' DATE: 4
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TlY retire• is a des sat iPHni 1 r Irk la a. ea M Ya.bd r d bi MA tlo-. ea Or Gnat Ed Fare• F.tw4 w to us ism. of W Tama are• Its Nba•ta
•d rIAIs. r w Sims 4" Cle d M MO" Mrre1 Cal. NaIiIF Wand Seale •S1 Seal to atones i picture of Allis applicable r- .1 e Gin. Cease. Stets e. Fdsal Gases
COMMENTS /CONDITIONS:
I uo Svc_ wire-
0 Install 0 Repair
0 Watmmain
Stt.inry seer
0 Storm Drain
0 Undagrouod Telephone/Electrical
_ttmu TOTALS S RECEIPT N ISSUED BY: DATE:( C
INSPECTION FEES S WORK ORDER No.
PW•0209.t0 1121931 INSPECTOR'S COPY WHITE APPLICANT'S COPY PINK OFFICE COPY CANARY PERMIT O O 4 41