HomeMy WebLinkAbout830 W 15th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000340 Date
735180
830 W 15TH ST
06-30-00-0-4-2835-0000-
BEVERLY BROWN
MECHANICAL APPL. PERMIT
4/02/07
J
-6
RS7 RESDNTL SINGLE FAMILY
9832
Owner
Contractor
BROWN BEVERLY
830 W 15TH ST
PORT ANGELES
WA 983637228
ALL WEATHER HTG & COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452-9813
Permit MECHANICAL PERMIT
Additional desc INSTALL HEAT PUMP
Permit pin number 98665
Permit Fee 64.70 Plan Check Fee .00
Issue Date 4/02/07 Valuation 9832
Expiration Date 9/29/07
Qty Unit Charge Per Extension
BASE FEE 50.00
1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.70 64.70 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 64.70 64.70 .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 t pe of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violat or cancel t e provisions of any state or local law regulating construction or the performance of
construction.
Signature of Owner (if owner is builder)
Date
'-..
T:\Polieies\ II 02_15 building pennil inspection rccord05. wpd 11/412005)
BUILDING PERMIT INSPECTION RECORD
CALL 417-48] 5 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL AIVJ' WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT I]\; A CONSPICUOUS LOCA TJON.
KEEP PERMIT CARD AND APPROVED PLANS AT .JOB SITE.
INSI'ECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOllNDA nON:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDA TION DRAINAGE / DOWN SPOUTS I
PIERS I I
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDGl
GASLlNE FINAL DATE ACCEPTED BY;
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
ROUGH-IN I
HEATPUMP/FURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE / PELLET / CmMNEY
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKlRTING
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 ELECTRJCAL
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.
BUTLDING 417-4815 ('1-2- n <6 P8 BUTLDING
T:IPoliciesl] 102 15 building penn it mspection record05.wpd [1/4/2005]
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03/30/2007 03:07
13604525177
ALL WEATHER HEATING
PAGE 01/02
f5~I'ORJ"~~~
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-
BUILDING PERMIT.. APPLICATION
FOR OFfICIAL USE ONLY;
Datc Rocc.: (!') '?, h~ 0 h 'I
I r
Pcnnit #: C!:) 7 -5 H D
Date Approved:
Dille Jssued:
Fill out COMPLETELY and in INK. Your application and site pllln MUST nE
COMPLETE to be accepted for review. !fyou have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agcnt:.eA-\ \ \.0P~'f'-r,UPlX-hLA.tL.~hone:'~LDD-l.15c9-9 X J .~
owner.~-"'~ '.A~ (">,.., (.L:>lA ;S . . Phone: i3laD - L/<s,;2 - QOlDS
Address: '.. ~ _ '. ~ . ~ City: ~ D M- AtA"j' Ie", Zip: q '€; ?, ~ ;:>,
ArchitectlEngineer: .li.\ 'P( Phone:
-Contractor AU IL~~ '~'A'~ fno~ State License#:AtlkOEi-ICJ~UExP:g- I -D=t-p~one~Y'5d -'1<3 J :3
Address:rD a 'be ""'~ ~~ ~ ~vA::L\,t. n;f ).",,,, Z1p:q ~ ?, ~ ;;l
PROJECT AnDRESS: ~ '6 C") IA'J \15 ZONrnG:
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
Credit Card E:older Name:
Billing AddresN:
Credit Card Type VISA MC #
TYPE OF WORK:
~Residential 0 New Constr. 0 Re-roof
dJ 'Multi~family D AdditioD. C Move
o Commercial Cl Remodel Cl Demolition
[J Repair .0 Sign
BRIEF DESCRIPTION OF TBE PROJECT:
City:
Exp. Date:
SIZEN AJ1UATION:
SF. @$ ISF. =$
SF. @ $ ISF. '" $
SF. @ $ IfJF. = $
TOTAL VALUATION $.9~DJ ~
~J~~ ~~~
o~j;' Cons1rnction Type:
& Proposed Sq. Ft ;;: TOTAL Sq. Ft.
o Stove
o Garage
D Deck
o Other
COMMERCIALIRESlDENTIAL: Occupancy Group:
No. of Stories: _ Lot Size: Existing Sq. Ft
Total lot coverage %
~
PLANNlNG USE ONLY:
APPROVALS:
PLAN:
BLDG:
DFWU:
FIRE:
OTHER:_
ESAlWetland(s): Cl Yes 0 No SEPA Checldistroquired? 0 Yes 0 ~o Other:
V ALU.ATION OF CONSTRUCTION: In all cases, a vAluation amount must be entered by the applicant. 11lis figure will be reviewed
and may be revised by the Building Division to eottlply with curccntfe.e schedules. Contact the Permit Coordinator at 417.4815 for assistance.
PLAN CHECK FEE: IF a plan cb.eck fee is due it l11USt be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of peIDJit issuance.
EXPXRA.TION OF PLAN REVIEW: If no permit is issued within 180 days of the date ofapplication, the application wUl expire. The
Building Official can. extend tb.e time for action by the applicant up to 180 days upon written request by tho applicant (see Section Rl 05.3.2
ofthc International BuildinglResidcntial Code, 2003). No application can be extended more than once.
I hereby certIfy that / have read and examined thIs application and know ~he same to be true and correct. I am authorized to apply (or this permit and
und'''bmd Ibat U Is my I9sponsibltlly to determine wIlat penna, .m required ,nO/ the city~, end;;;:r obtain svth ;rmn' prior'o .",,*.
T'IRVIlS~_O"""'''n''''''''''''d A.pp~tt-UIf~~ U nate: <~~J ~("':l"'l-
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
04-00001107 Date
.735015
830 W 15TH ST
06-30-00-0-4-2835-0000-
RE-ROOF
3/01/05
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
RS7 RESDNTL SINGLE FAMILY
24880
Owner
Contractor
BROWN BEVERLY
830 W 15TH ST
PORT ANGELES
WA 983637228
INTERLOCK INDUSTRIES, INC
7505 HARDESON ROAD
SUITE 400
EVERETT WA 98206.
(425) 438-8585
Permit BUILDING PERMIT - NO PR FEE
Additional desc
Permit Fee 414.75 Plan Check Fee .00
Issue Date 3/01/05 Valuation 24880
Expiration Date 8/28/05
Qty Unit Charge Per Extension
BASE FEE 92.75
23.00 14.0000 THOU BL-2001-25K (14 PER K) 322.00
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 414.75 414.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 419.25 419.25 .00 .00
EXPIRED
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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
construction.
.-/~~.~~~
. Signature of Contractor or Authorized Agent
,5;> /J4(".
" "
Date
Signature of Owner (if owner is builder)
T:\Policies\1102_15 building permit inspection record05.wpd [r/4/2005]
Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417~4807 FOR PUBLIC WORKS UTILITIES
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 DRAJNAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I I
MECHANICAL
HEAT PUNWI FURNACE 1 DUCTS
GAS LINE
WooDSTOVE/PELLET/C~Y
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKlNGILIGHTlNG 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. 1 PW 1 CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102_15 building penmt inspection record05.wpd [1/4/2005]
12/01/2004 10: 15 FAX 425 438 8577
INTERLOCK INDUSTRIES
~001/002
gl"m~
INTERLOCK INDUSTRIES, INC.
Suite 400, 7505 Hardeson Road
Everett. W A 98203
~@
Tel: (425) 438-8585
Fax: (425) 438-8577
FAX COVER LETTER
DAm:~.
TO:
~%~(~QO-q)
(NllDle DC Com y)
cJ;u >>r' ~
AlTENTION:
(Name of IncIividual)
FAX NO: doc y rr - 'i ::rLL
FROM: &t~
WE ARE TRANSMIlTING c2.,. PAGES (INCLUDlNG TInS COVER PAGE)
MESSAGE:
~r~ .
'.~~~~ e~Jf:X~ ~/J:rif~~~~4;~11~tfJ
~k6J ~ ~ J1QPf(I.~ .
Q-
THE INFORMATION IN TInS FACSIMILE IS D'ITENDED FOR THE NAMED RECIPIENTS ONLY, no MAY
CONTAIN PRlVlLEGED AND CONFIDENTIAL INFORMATION.
If you have received this facsimile in error, please notify us immediately by a collect telephone call to (425) 438-8$85 and
return the original to the sender by mail. We will reimburse you for postage. Do not dhclose the contents to anyone. Thank
you.
Fonn 091
12/01/2004 10:15 FAX 425 438 8577 INTERLOCK INDUSTRIES
L.UU"J:/ -'1.1/1.1.1 Ul\! lU,,,o,;) .run vll! ur tM .D1..U,-> lJ.t(!
rJl.A !'jO.jbU 4l'1 4'111
~ 002/002
P. JOl
. ... _.. f/ . -- . -". .. -. .--
POR. OFFICIAl. USD ONL"Y: \
1>a~ n..r..:1 } - J - 01-/
Pennitil: 0J..f- " 0 ? \
~~:
DatI ImIed:
--- . .--.. -- -.... _.
(I
BUILDING PERMIT.. APPLICATION
Fill out COMPLETELY and in:JNK. Your appUoatioD. md site plan :~{(JST BE
COMPI..ETE 111 be accepted for review. Jl you have any,questiO!3S, call .
(360) 411-4815
.Applicant OT Agent
OWner. ~('l)I'" ')0-
Adrlrcs5;p?;D W ItSit' &:r~City~Y+ Ail5V-"'"
~ec:r: N IA Phone:
ContnI.c:tor I n-teJLioc.k. I~du..6:tJci.cu,-,--li84e Lioemse #: IWTERIt020 u:Exp:-L' 17/05 Phone: 1425 L 438-8515
Addr~~ 7505 HtVLde.6o!!:..,Rd. SuLte 400 City~ EvVte.t.:t. WA Zip:__ 98203
,aoJEct ADD:R:ESS~ ~3o ~ ~t:.YP~t- Th~p \.e~ '1 g;:::iP~~NlNG:
LEGAL DESCRIP'OON: Lot Blook: Subdivision: ..--
CLALLAM coUNI'YPARCEL NUMBER:
1 ntVLtod. I ndlU:tJr...i.e.6 lIne.
Phone: 1425) 438~8S85
Phoue: .&eLl 'f6j- e'J.C~
_Zip:~l{)~
Credit C~ Holder Name:
BWlDg Addrus:
Credit CardType ~C - #
Tn'EOJ'WOnx:
II :R.csiill'!Q1:jal C New CoD!tt. ! h.l'Oof
ti Mu1ti.~:IimIi1y t:I Addition C Move
[J o.~ C Remodel 0 D~
[J :Repair 0 Si&D
>>JUESDESCIUPll0N OF:IS PROJECT:
Su.pply 'dnd ..L~.ta.U a1.urn..i.n.um I!.O 0 (yi.ng .
co~CXAI.JRESmENTIAL~ OCCUPm1l:f Gxmlp: Oc:copmt Load: __ CcmstnlC1iOl1 Type:BtYTlDt-
No.ofStoUe$:_ LotSize: . ~S'l.Pt. &ProposedS'l'Pt -TO'I'ALSq..Ft..
~ lot ~e _ % & PmposodlotcoVtnlge _% cToGllot eo'VemgC_ ~
CIty:
kp..1>..te: _
o Stove
'C~e
C Deak
C Othl:
SlZI'JV ALUAnON:
. SF. @$. .,.JSF." S
SF.@S_ /SF.-S..
SF.@S_ ISF.-S
TOTAL V.AI:UA110N $=~ ~€XJ.c:!l W/I~x.
A!'!'1l0V ALS:
f'I.J..N:
BLI)G:
D~t
FIRE!
OTJIER:_
PLANNING USE ONLY:
ESAlWetl:mdCs):.[J Y-es.CNo SBPAC'hccJdi&tteqaaeo.? C Yes [J ND O~;
BUlLDIl\{G l'EIiMrr APPLICATION StJBMlTTAL: The BuildiDg DMsion CtnproWle :ytlU wi1h iJlfoIDJa1icm 011 ibc applica1iou and
plmsubmiUal ~ if you lJave quc:&1io~. '
V ALt1A'l'ION OF CONS'lRUcnON: In a1l cases, . T8luaHoll :\lmoU!lt naust be entered llyihe app1:lcanr. 'I'h:Is figure win be reviewed
andmay 'be teVised by1hc BWldiDg Division to" eomplywitb cmrtutfee schedules. Conract1he PeDDit ComdmuoX' at417 -4815 fot assistance.
PLAN CBJtClC.}'U: IP II. PWl ehealc fele is due itmllSt be Ilubmitted atthc time tbe building :;JemM ~1icm. m4 coDStr1K:tlonp1ans are
~ All otberpemUt fees are dac a.t'tbb time ofpenxnt jssU1lDCO.
EXPmA1:10N OF l'LAN BEVDtw: rino pem:dt is u;SI1Cd within 180 days of1hc ,da.te of:pplica.ticm, 1be appJica1ion will e:r;pire. 'Ib
Buildiag O~cial C'/IIl extend 1he tUDb for action by the applicant up 10 180 days upon written Il:qucst by fhe appIkant (see Section 107.4 of
the UmfoIm Building Code, c:mrt:I1t edition): No applicaUDD. can"= ~"~%DOfe than once.
I hereby certify that I have raad snd examined thIs eppliGaffon and know the li8/T1e 6:l bEl tnJe end c;oJrea. J 8m authorilBd to apply for thIs permit and
undsn:tand fhst It Is my 19spanslbruty to detel7T1in~ what permits are required ,not the Clty's, that I must obtain such pennlts prforw work.
1':\11QP.MS\APPS'Buildia~t,wp4 Applicmt I Daft: ~
Appl~cation Number
Application pin number _
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr, name
Applicat~on type description
Subdiv~s~on Name
Property Use
Property Zon~ng
Application valuation
07-00000340 Date
735180
830 W 15TH ST
06-30-00-0-4-2835-0000-
BEVERLY BROWN
MECHANICAL APPL PERMIT
4/15/07
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
,21 EAST 5TH STREET. PORT ANGELES. WA 98,62
'"
RS7 RESDNTL SINGLE FAMILY
9832
Owner
Contractor
BROWN BEVERLY
830 W 15TH ST
PORT ANGELES
WA 983637228
ALL WEATHER HTG & COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452-9813
Perm~t
Addit~onal desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
ALL WEATHER / T-STAT
98962
ALL WEATHER
35.00
4/15/07
10/12/07
HTG & COOLING INC
Plan Check Fee
Valuation
.00
o
m
w
Q
Qty Unit Charge Per
1 00 35 0000 EC EL-LOW VOLTAGE
Extension
35.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ---------- [
Permit Fee Total 35.00 35 00 .00 .00
Plan Check Total 00 00 .00 .00
Grand Total 35 00 35 00 00 .00
~
fA
,-\
COMMENTS/ACTION NEEDED
ELECfRICAL PERMIT INSPECTION 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
If
GENERAL COMMENTS:
PW-Il02.lS [4'96)
't;
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
121 EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Appl~cation pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning .
Application valuation
07-00000340 Date
735180
830 W 15TH ST
06-30-00-0-4-2835-0000-
BEVERLY BROWN
MECHANICAL APPL PERMIT
4/20/07
RS7 RESDNTL SINGLE FAMILY
9832
Owner
Contractor
BROWN BEVERLY
830 W 15TH ST
PORT ANGELES
WA 983637228
ALL WEATHER HTG & COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452-9813
Permit
Add~tional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Exp~ration Date
ELECTRICAL ALTER
SIMPSON ELEC /HP
99069
SIMPSON ELECTRIC
46 00
4/20/07
10/17/07
REqDENTIAL
CIR
plan Check Fee
Valuation
00
o
Qty
1 00
Unit Charge Per
46 0000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
46 00
'I CO
vJ
o
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.00 46 00 .00 00
Plan Check Total 00 00 00 .00
Grand Total 46 00 46 00 00 00
l
-.
I 1.I\
\}
~
"
COMMENTS/ ACTION NEEDED
ELECfRlCAL PERMIT INSPECfION RECORD
CALL 4 t 7-4735 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 ACCEPTED COMMENTS
r YES I NO
III "( 'H
AJ'AA '-"AA
Illlll(TH_lN I CUV-hK
SER V ICE
FINAL I./-~ -0. I L...J:1
GENERAL COMMENTS:
PW.lI02 IS (4'961
Port Angeles, Washlngtonu...u!/)m::....L./2.m.......u__......u..., 19....7
,
\
In accordance 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.
.,.,/ R
Address ...5.(.u3.()...!A)mm.L~-=..!.~>muoooo.~u.oou-:!mmm. occupancyum,m1d'c.'=m.u.uu.uumm....
-- r .
Owner u.__L.!/.'.~uu.mu.<!""...uumummmu.__u__m TenanLm....uu...oomu.moo.oo._oo...mmum___..__.mumm...
Wiring Contractor .mu!d...<.~;;;;.,~nQ..mm__.__uum By...mm...__..____.__umum.m.mumu.ummnm.muu
/~ -
Light Outlets.......::2.....J.........__.._..... Service, volts ..l,:J__9._~~.-:t...Q.......
I .
::;:.::~....~~t:.e.~;;;::.:.:~::::.:~:::......:::. ::.:nw:::.::l1s~.::~::
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Water Heater:
Enclosure .....__.__._____m______.______.......
--
KW..oo...moo!:,Lm~Lm..nmoomm
Heat: Kw....Ls...tfn'..,)nn.~~J},nn...
Motors: size, volts and phase:
n 'A } ".../-
"1.------.---..-------......................--........
lJ_:1!_..-f:..~!_?.--,._-.___.__._-__-_.__..._.-......
Type of wiring:
Entrance Cable ......_........._.._.........
Rigid Conduit ___.__um_mm.............
MetalUc Tubing ....h..h.................
Current transformers:
No. & Size.......................................
Ser. No............................................__
Ser. No..............................................
Ser. NO.....h.....................__............__...
N? 15527
')-
Type of Wiring: .
Armored Cable ................hd........_
Non~MetalUc ................._..............
Knob & Tube................................_
Rigid Conduit ......~......................
Metallic Tubing h............._mh.....
Raceway ......................._....._..__
'f
Circuits, Light................_.....................
Utllity .................'-../..(2............00000
:L
Heat ..................1....._............._.._.
Range .............................................
Water Heater ...............................
Motor ................h...........................
Dryer ..................................................
Furnace h........................_...................
J) -::=;
Total Load....hh........h..h....... Ser. No. ...h.....................__................. Total .......:::=...,.::.._."".h.........
Remarks: ..moooo.__...m__.../~lL:oo,.).oo___:,...,..oo".....oo..t...m.......m......mmm....m..n.__.................m..m......u..m...
Permit Fee Treas. Receipt I
fn.2.....1....!2m............ NO..........m................ By ....u....:..,:(j,.".~....m..;..:."._JC,.L.L~j;,"....!._. ""-
NOTlCE-Current must not be turned on until Certificate of lnspection has been issued. It work is to be con.
cealed due noUce must be given the lnspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
(I.A./~,j _;...:~
IS K. vJ .0. (.9
ELECTRICAL PERMIT
N?
15527
:::::..=:f:t::::..=::::~:~:!::~::::~:::~::::::::~:~:::::::::::::::::::::::::::::::::::::n.~:~~~.a.t~:.:~':::~~:~:~::~:::(~:::~::::::~::~::~~.::::~
/" ~ '"
WiringContractor.......~.~......~!.L-::'.~.~:-d::L~.d~.~...........................................................By.................~..~..J.......-::..'--=-...__..................
NOTlCE-Current must not be turned on until Certificate of lnspection haa been issued. It work Is to be con.
cealed due notice must be given the lnspector so that work may be inspected before concealment. .
1M Olympic Printers, Inc.
04/01/2007 21:13
4579270
SIMPSON ELECTRIC
PAGE 01
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ELECTRICAL WORK PERMIT APPLICATION
.
In.'lulbtinn dC.'lcription
[J Commercial )4. Residential
D New vi Allercd/AddiHon
Ad d , r; Y<-l' u ,'-I- ~ IJu.:f
/es
Lull
cs~~c~c 'astian:
OWfIl!/' a.~ deJiMI!rf hy nc:;w 19,18.2r;l:(f) Owner will ocwp)' Iht: SIJ'r.t('t~r(' lor (wo
yenr.~ fljlt';I' 'his dleclricol PCl'fII;! is jinulizcd. (2) OWller ;s required f" hire an elecfrical
con/rac!",. ~r OM""''' ,~lJjd "rnpf!rly ,:f for sale, fen! or 1~'(1S('.
A ftet rc~din.lJ the ar.ovc stntement, I hereby certi ry thill I 11m the owner of the above
named pTOnCrty or \l licensed electric;!l contractor. I 3m n1"king the clct,;lricaJ in:;ul.
IBtion or alteration in cnmpli:ltlcc wi!" !he electric.,l laws. N.E.C.. RCW, Cll:lpr,cr
19.2R. WAC, Ch:tptCf 1.96-46'8. The City of Porl Ang:clc~ Municipnl Code. nnd
Utility SpccilicatioT1!l.
Sil!nAlU . 0 owner. dccfrica nfrscfnr nr cll!:cnlc:ll ~dmlnl'll'r:unr
Date:
-;2-07
Q Cash Q Check #
o CreditCar~ Mastercard Oiscnver
Card # A-v.-_...L ~J- -
--~~T~--------
Expiration Date
ofeard :;J..o 10
Eleclrici.U.&<Ilt~d.dlll.cms and or
D NO LOAD CHANGES
o Baseboard KW
o Furnace KW
(Y"Ho.t Pump ;:L Ton _ LAR
Cl Fan-Wall _. ... KW
tractions
Service Information
CJ OVQrn~ed $E!I'Vice
a Temp Service
o Underground Service
Voltage
PhoseD 1 D 3
Service Size: ~__
Feeder Sill;!;
SAME DAY INSPECTION. CALL BEFORE 7;00 AM 360-417-4735
~- ROUGH-IN 1lI1ffiMOS1:AT /' SERVlCF.
" O~'c ^l"r,.,...,rd f.I) Aprrovc<J Dy 0~1t" - - ^/IT''Ovcd By
O',le;
/ FINAL I -,--r DITCH FEFDER
1f/~;;'7 ~
V I]'r.tt: ^PProvcdB,:,~' l)~lC ~.t'.WI:I'A,!..../ U~tc ^ppttlVcd Hy...........
In::;pcclion Area, Building or Equipment rnspcctcd Action T:tke:n 1!lcclricn!
Dnte TnspCC:l0'
~ECIE IVIED
.--
, n'l\ U ~UUI
.
"'-'1 . ,.... u .
03/30/2007 03:07
13504525177
ALL WEATHER HEATING
PAGE 02/02
~
?~R
ELECTRICAL WORK PERMIT APPLICATION
Job wired by
Electric~1 Conlr~ctor 0 Owncrq -, . 61-
Date Eltpir(ls
~ltJ7J:lcI.,OKU
lnstnll<1tioll dCSleri~tion
o Commercial K Residential
l!1eetriclll contractor m.~mc
(' 'Na."
iJ New
iJ Altered! Addition
Purchaser's mailing address
3;27 ~0 ';:.1-
A!.ty fI
\-tICt" ~LW
Tclcrhonc Tlumber
(
LV,-S+D-+
1>~C9 OWtlDrl~ name
'.u ~LM
Addrl!:4!i M inspectlD~
<R3o u..J
PUv~ \<Y\~.-tD
Phone n mbcr to !lche ,lc Inspection:
S
Stote Zll>
VJA '1636')..
FAX Immbcr
1....\'5
(6(U\.1J0
\61:1,
Owner as de.finl!d by RCW. /9.28.26J:(J) OW,It!,. will occupy the St1'llt:lIIJ"e for 11'1'0
yeal'S after this clcctrko/ pcl7llit is flnolt~(!d. (2) CMmer Is required to lIin.' em elee/rir-hi
contractor if Q/.Jov~ .~nid pmperfy is for sale. nmf or lease..
Aftc:f" rC3ding the above st..1tcmcn'. 1 hereby certify d'1ll.l I urn (he owner of the abov~
n~mccl propcrtv or II liccnsC<l electrical contrne\or. I 11m makinc: Ihe elcetriclll iMbll-
lation or altcr~tion in compliance with the c\cctricn\ Inws~ N.E.C.. RCW. Chaptct'
19.Z8. WAC. Chapter 296-468. The City of Port An8c1c!l Municipal Code. ('lnd
Utility SpecinClllions.
Sign ure o( nwdcr~ electrical c
o Ca.~h 0 Check #
<<. Credit Card Vi,.
C~rd #
Ma.~tcrcard
DiscQver
Date:
l:.'lLko dditl n nd ~rJ;_ub!rM:tions
iJ N 1.0AD CHANGES
o Baseboard KW
iJ Furnace I<W
Cl Heal Pump _ Ton _ LAA
o Fan-Wall KW
Expiration Pate
of card
$nspce~ ~ c0 C>
Service Information
a OVGlrheed Service
Q Temp Service
Cl Underground Service
Voltage
Ph~se iJ , iJ 3
Service Size:
Feeder Si%e:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN TIlERMOSTAl' /' SERVICE
OnlC III'f1r(t~~tI By Dnl: ^"pro~c<1 13)' "- D"te ^I'IflOVUtl0)'
./, .FINAL A DITCH /'
FEEDER
../, /-7 ~ D,,(~ DMe
" Ol' ^i'pr"vcl."Y/ ApprovulT:ly '- """"mvc,1 Hy
In~peclion Area, Building 01' Equipment Inspected Aclion -faken F..lcelrieal
Dotc Inspector
"
~:e::~ ~IR\
.=
MAR 3 o 200~
UGHTDEP1i'.
Application Number . . . . . 22-00000839 Date 7/08/22
Application pin number . . . 016568
Property Address . . . . . . 830 W 15TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-2835-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Het pump system
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BROWN BEVERLY ALL WEATHER HTG & COOLING INC
830 W 15TH ST 302 KEMP ST
PORT ANGELES WA 983637228 PORT ANGELES WA 98362
(360) 452-9813
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 56.00 Plan Check Fee . . .00
Issue Date . . . . 7/08/22 Valuation . . . . 0
Expiration Date . . 1/04/23
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 56.00 56.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 56.00 56.00 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
EL1-2 SF 1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □ Single-Family Residential □ Duplex / ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit Charge Quantity Total (Quantity x Unit Charge)
Service/Feeder 200 Amp.$120.00 $
Service/Feeder 201-400 Amp.$146.00 $
Service/Feeder 401-600 Amp.$205.00 $
Service/Feeder 601-1000 Amp.$262.00 $
Service/Feeder over 1000 Amp.$373.00 $
Branch Circuit W/ Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp. Service/Feeder 200 Amp.$93.00 $
Temp. Service/Feeder 201-400 Amp.$110.00 $
Temp. Service/Feeder 401-600 Amp.$149.00 $
Temp. Service/Feeder 601-1000 Amp.$168.00 $
Portal to Portal Hourly $96.00 $
Signal Circuit/Limited Energy - 1&2 DU.$64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional)$56.00 $
First 1300 Square Feet $120.00 $
Each Additional 500 square feet``$40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool / Hot Tub $110.00 $
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., RCW. 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.
Date Print Name Signature (□ Owner □ Electrical Contractor / Administrator)Permit #: New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
PREPARED 7/06/22,14:59:25 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00000839 830 W 15TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 56.00
TOTAL DUE 56.00
Please present reciept to the cashier with full payment
Application Number . . . . . 22-00001056 Date 8/24/22
Application pin number . . . 469216
Property Address . . . . . . 830 W 15TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-2835-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat Pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BROWN BEVERLY BLACK DIAMOND ELECTRICAL CONTR
830 W 15TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983637228 PORT ANGELES WA 98363
(360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 8/24/22 Valuation . . . . 0
Expiration Date . . 2/20/23
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Pub! ic \Yorks and ULili ties Department
32 l E. 5th Street. Port ;\ngeles. WJ\ 98362
300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us
Project Address:--------------------------------------
Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _
OWNER JNFORMATtON
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRfCAL CONTRACTOR fNFORMATION
Name: ___________________________ License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp. $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/ Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp. Service/Feeder 200 Amp. $93.00 $
Temp. Service/Feeder 201-400 Amp. $110.00 $
Temp. Service/Feeder 401-600 Amp. $149.00 $
Temp. Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal CircuiULimited Energy - 1 &2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Ren ewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional) $56.00 $
First 1300 Sql;Jare Feet $120.00 $
Each Additional 500 square feet" $40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool/ Hot Tub $110.00 $
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., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
'"'CJ CD
PREPARED 8/22/22,11:02:25 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001056 830 W 15TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 63.00
TOTAL DUE 63.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
11/7/2023 22-1056
TAP
OWNER
CONTRACTOR
Black Diamond Electric
PROJECT ADDRESS
830 W 15th St