HomeMy WebLinkAbout3808 Park Knoll Dr - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
CHANCE DAVID L
3808 PARK KNOLL DR
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00 46 0000 ECH EL R OR RM 1 4 ALT CIRCUITS
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 983623738
ELECTRICAL ALTER
SIMPSON/ HOT TUB
127225
46 00
5/28/08
11/24/08
08 00000627
422713
3808 PARK KNOLL DR
06 30 15 3 1 0250 0000
ELECTRICAL ONLY
RS9 RESDNTL SINGLE FAMILY
0
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
RESIDENTIAL
Plan Check Fee
Valuation
Charged Paid Credited
46 00 46 00 00
00 00 00
46 00 46 00 00
Date 5/28/08
WA 98363
00
0
Extension
46 00
Due
00
00
00
r
r
SPECTION
TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS:
attio
ELECTRICAL
RESULTS IN SPECTOR
Owner
CHANCE DAVID L
3808 PARK KNOLL DR
PORT ANGELES
WA 983623738
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
npp.Licacion Number 05 00000566
Application pin number 104278
Property Address 3808 PARK KNOLL DR
ASSESSOR PARCEL NUMBER 06 30 15 3 1 0250 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
Date 7/08/05
WA 98363
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc SIMPSON/ 1 4 CIRCUITS
Permit pin number 53892
Sub Contractor SIMPSON ELECTRIC
Permit Fee 48 10 Plan Check Fee 00
Issue Date 7/08/05 Valuation 0
Expiration Date 1/04/06
Qty Unit Charge Per Extension
1 00 48 1000 ECH EL R OR RM 1 4 ALT CIRCUITS 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
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
DITCH
ROUGH -IN COVER
SERVICE
FINAL
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
YES
NO
4 'Pe-V6.5?
PW- I102.13 [4/96]
07/05/2005 21 23 4579270
7 /'b (as
?Electrical Contractor Owner 11
Annual Permit 0 Alarm Carnival Commercial )(Residential Residential Maint Signs Thermostat Telecom.
1 /installation description
add AC-titAT
Job wired by
Electrical contractor name itzic
or) Elec Purchase mailing address
(0 `f 3 0
Cityk
Telephone number
'4 42—Z0
owner's na
due
City
)12 Electrical Contractor Owner
License number
iep
Address of Inspection
3 g' 0 8 rO4c.K Ii) 0 I r
1
Sm I7A=fk3
PAX number
q 36 7
P th gQle -f ed
I hereby certify that T am the owner of the above named property or a licensed
electrical contractor (or the firm s authorized agent) and am making the electrical
installation or alteration in compliance with the electrical law. Chapter 19.25 RCW
/Signature yrf owner electrical contracto
X
WALLS
Insulation Only
unte Approved By
Cover
Date
Dale Approved By Date
J
D e.ctrical LoaelAdditioraL; d or subtrag1ons
NO LOAD CHANGES
O Baseboard KW
O Furnace KW
Heat Pump Ton LAP
0 Fan -Wall KW
Inspection
Date
q10 q I nOi 6 es0
electrical administrator
CEILING THERMOSTAT
insulation Only
Cover
Approved By
Approved By
Date
Dale
Overhead Service
Temp Service
Underground Service
Area, Building or Equipment Inspected
SIMPSON ELECTRIC
ELECTRICAL WORK PERMIT APPLICATION
Reg uest Inspection
Cash Check
O Credit Card
Card
Expiration Date
of card
DITCH
i
Approved By l)are
Approved By Data
Mastercard Discover
[nape on fee
$k
L
Voltage
Phase 1 CI 3
Service Size:
Feeder Size:
Action Taken
SERVICE
FEEDER.
PAGE 01
Service Informatim
I
Approved By
Apprnvet Fy
Electrical
Inspector
,,-/
OS/23/2008 02:45
4579270
SIMPSON ELECTRIC
PAGE
01 )".-
~O'_ \:J
,~
)
CS'-,
'N
--J
.
ELECTRICAL WORK PERMIT APPLICATION
,10b ",ired by )4 Electrical Contractor CJ Owner
E~rricDI c:olltractoT Dame . ~~::me number l)Jr,~...E~Tf:$
"::>in:liiJ&m &:je;..trr.'e ;;:;i!d!l PSEL 97:; ~
PurchaSer" maili1lg !lddre~S!l. . \
..f21./.::?,n23h ..:..._ t.o/ {;V
CitYP~ ~~ :;'Jf ZIP q '?3b3
Telephone humh:;' d FAX number ~
)..70 ~,-
Preml!lC!:"rtWDet's name f) J
!JIWlcP ~n.lltrL-e...>
=:3 g O'f'tl.'P Cl-ir-I< Kn tJ/ / IJ '-
2~~rft. 'C~,~.f.,:S
- fa
Owner tU d~fin.~rI by RCw.19.28.261:(I) OWtlcr will Dee"p)' Ihe .ft",clur,:jor iwo
yt:tIrs after thLf el(!crr;c;al permll i.'t finalized. (2) Ow"er l$ rt!tJUirnl to kin an ell!t:trica1
controcfor if abow! sold property (t lot sale, rent or lme.
After 'e~din~ the above statement, I htlreby "rtify that I am the OW!\Ct' of the: sbove
nsmed property or 8 licensed elccQic:al contractor. , em makins: ~lte eleetr1cal i"'tal-
lation Of t',ltenttion in oompH.nee: with the electrical law$, N.E.C.. R.CW. Chapter
19.28. WAC. Chapter 296-469, The City of Port Anglltrs Mllnir.ipal Code, Bnd
Utility 5 I cBtion~.
Slca.t re r Wntr. tlet:trlc I ontnctol' or eleelrie8r .t.dml
lnst::s.llatioll description
~ Commerdal ~R"llIottaJ
~ Ne.. ;t AltendJAdd1tloD
J~):. up
1M r u-h
/- '-f Of ~I:s
CJ Cash CJ Checlc: #
reditCan! ~ Masten:ard Discover
Card# ____-__,__.____-____
~cll!J.oad Ad!! t ci
CJ NO LOAD CHANGES
[J Baseboard KW
Cl Fumace _ KW
(J Heat Pump _ Ton _ loAF!
a FSf'I-Wall _ KW
ExpinUion Date
ofean!
1m! eeli01l r~c
S fo.~
lilllrv/ce Informntlon
a O.erhead Sorvice
o Temp Service
CJ Underground Setvlce
VollBgo
Phaso CJ 1 CJ 3
Servlce Size: _
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360.417-4735
F ROUGH-IN TIlERMOSTAT " SERVICE
i-2-/'-lP:, ~ ^llPfltVeclBy
"- Do~ AprltWtlJ lly '- D~l<l Apprcrvc:dIJy D..o:
r FlNAL DITCn , FEEDER
{yZh"Ui<. ~ 7~~ ~
OJlle ^"rroved 8y Do" ^I"fIf'OYGd By '-. Dlle ~8'1./
Inspection Area, Building or Equipmeot Inspected 'Eleetrie.al
Date: Action Taken Inspec10r
O<i - ,,/-;;;
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
App11cat1on Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
7/13/05
05-00000613 Date
104168
3808 PARK KNOLL DR
06-30-15-3-1-0250-0000-
MECHANICAL APPL. PERMIT
fl'NALtt?
o/ze;/~ ltt/
RS9 RESDNTL SINGLE FAMILY
5967
Owner
Contractor
CHANCE DAVID L
3808 PARK KNOLL DR
PORT ANGELES WA 983623738
FERRELLGAS LP
ONE LIBERTY PLAZA
LIBERTY
(360) 683-9029
MO 64068
Permit MECHANICAL PERMIT
Additional desc MULTI-FUEL STOVE,GAS & TANK
Permit pin number 54429
Permit Fee 57.65 Plan Check Fee .00
Issue Date 7/13/05 Valuation 0
Expirat;ion Date 1/09/06
Qty Unit Charge Per Extension
BASE FEE 47.00
1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65
Fee summary Charged Paid Cred1ted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.65 57.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.65 57.65 .00 .00
w
~
<0
\S'
~
"'\
7'
^
:s
~
V
"\
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.
1/7/1 t1.A~ a, cUA.c..lAJ.U
Signature of Contractor or AuthOrized Agent
((1310'S"
Date
Signature of Owner (If owner is builder)
T \PohCIes\1102_15 buddmg permIt mspectlOn record05 wpd [1/4/2005]
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 UNLA WFUL 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
FOUND A TION
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS )
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS I GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS I ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL/ FLOOR/CEILING
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
)I GAS LINE 7-dO~t)\ JL-L
WOOD STOVE / PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
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
CONSTRUCTIONR W / PW/ CONSTRUCTION - R W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 4 I 7-4750 I PLANNING DEPT
1"'7 ,'''''A 11'11 \/W
... BUILDING 417-4815 V/ W/vl' BUILDING
,',
T \Pol1cles\1102_15 bUlJdmgperrrnt mspectlOn record05 wpd [1/4/2005]
PREPARED 2/28/06, 12 59 55
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR- JAMES L LIERLY
3808 PARK KNOLL DR
FERRELLGAS LP
CHANCE DAVID L
06-30-15-3-1-0250-0000-
05-00000613 MECHANICAL APPL
PERMIT
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME6 01
7/20/05 JLL
7/20/05 AP
ME99 01
~~
MECHANICAL GAS LINE
07/19/2005 03 38 PM
MARCIA
07/20/2005 04 08
MECHANICAL FINAL
02/27/2006 11 18
MARSHA 452-3267
PAGE
DATE
1
2/28/06
SUBDIV:
PHONE (360) 683-9029
PHONE :
DYASUMUR
452-3267
PM JLIERLY ----------------------------
TIME 13 00
AM DYASUMUR ---------------------------
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 7/20/05, 12.59 04
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
3808 PARK KNOLL DR
FERRELLGAS LP
CHANCE DAVID L
06-30-15-3-1-0250-0000-
05-00000613 MECHANICAL APPL
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
SUBDIV
PHONE (360) 683-9029
PHONE .
PERMIT
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME6 01
~/05
l1eJ
JLL
~
MECHANICAL GAS LINE
07/19/2005 03 38 PM DYASUMUR
MARCIA 452-3267
PAGE
DATE
8
7/20/05
-------------------------------------- COMMENTS AND NOTES --------------------------------------
~
Ferrellgos
June 20, 2005
David & Mar.cia Chance
:3,l808 Park Knoff Drive
Port Angeles, Wa 98362
Dear David & Marcia,
Enclosed is a bid for installation of a 120-gallon propane tank, and piping to your range..
120 Gallon propane tank purchase price
Regulators
Underground piping
Misc. Fittings
Labor
Interior piping to range
Shut Off & Flex connectors
Total
$ 529.00
$ 65.00
$ 75.00
$ 24.00
$ 225.00
$ 50.00
$ 25.00
$ 993.00
Please note: Bid does not include permit required for this installation, or sales tax.
Thank you for your interest in Ferrellgas. If you have any further questions, please feel
free to call me at (360) 457-1151.
Sincerely,
Joshua Piper
Delivery Manager
Ferrellgas- Sequim
PROPANE
EXCEPT70NAL ENERGY'"
~[NJ~(Q)~~~
600 East First Street, Port Angeles, WA 98362
(360) 457-6202 . Mon -Sat. 9 am to 6 pm
CH~NCl, DAVID ~ MARSHA 210&
3B08 PARk KNDLL D~u
PRCIFIC' HEFNIGENO'lIU!V
i'OUP 4~.'PL i/..}NC-E 4ND Tt..-L F:'~'.r D ] OJ>'
I 'ROr- ,r.: [,'f....r ONRU::i
THrJi'l/k 'r'DU FDF: SHOPP j /1/6 L-':"C'f::'LL'"
j:'[.RT qtjGFU::.:S~ WA SiB3bc
(:l.;b0 J --1}.:5t::-2;2E. 7
hie, -r~?,(!ilS Due O"l} 0611l'(:../tZl~i
SOLD BY: DAVID F~- H.l~,tY 17.l&.I 11I3 l 1215 4:51 pm-Jt,1.-"':; INV# :'~":rf~b 1. PAGE J OF
')'<*0]> oj> COpy Df iDvolce -lHH'di- ~;OPY Df inVUle? ."..!<--I(.):- CDi=~ "{ of i. 'ft V':" .3 1.- E: ~.*~*
ITEM NUMBER DESCRIPTION QTY PRICE EXTENDED PRICE
WO DF 2.04--L.P 30" DUAL FUEL RANGE t ..:j <j :~ '+ u ILali '+':l7':1.1;10
Ser~i.:;:d :j:j 11.:'::03390
***********DELIVERY: **"********.Jf
* WILL CALL WHEN COMES IN '*
* APPRDXu JULY *
* it-
*" .)(-
********************************
*'*** C[}p}.' - NOT original iTl\loic'-' ~""'N-""
CASH NON-TXBL
CHECK REG-TXBL $1+':174.. IlliZI
CARD TAX :;;i} 1:::. El4
CHARGE t538G.84 INVOICE TOTAL $53Bb~ J:~4
CUSTOMER'S CHANGE ...
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
I' 0 ·
,II try LlG"
Sit~ Address:
'II
Ins:lalled By
II .;t./l..A't.
ow~erfBuslness: 0L.
1'1 ~
ow:I'lerfBUSiness Address: ~~
i!
ELECTRICAL PERMIT
PERMIT NO. .I Ii' tj 3
DATE ~//o,/f3
READY FOR D WILL CALL FOR
INSPECTION INSPECTION
Phone:
Phone:
c.
Sq. Ft.
[I] Residential
1'1 Heat KW
qJ Baseboard 0 Furnace/Boiler
O~ Heatpump 0 Other
~I" Commercial/Industrial load
iii Total Connected load
I:, (attach breakdown)
" Total Motor load
, (attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
~Add/alter circuits
o Auxiliary power
(list beiow)
o Special equipment
(list below)
o Overhead
o Underground
Voltage
o 1.0' 03.0'
Service size
o Temporary
Amps
Det ilslDescription:
.
-'l
~
1:1
W,Sr No. Service
ca~..~ city: 0 O.K. 0 Not O.K.
o cjIitch Inspection O.K.
,
1'- ~ ~ough-In/cover O.K.
o W.K. to connect service
Il!1' ~inal O.K.
111\t
Size
Comments
Date
Hold for: 0 Easement D Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Permit/Receipt No.
/0t/3
Inslaller: New Metero Date: /iY J' P
"
Not~fY the Department of City Light by Street Address and Permit Number when ready for inspection. Work
mu'. t not be covered or electrically energized before inspection and O.K. for covering or service has been given
by I. e Inspector in Writing on the Wiring Report or the Building Permit. PHONE 451'011' EXT. 158 or EXT. 224.
ii! . NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 1/ ()...()
'I 'flt.A/I.A.. / b .--
---t Inspector . . Amount paid
I ~'
WHllfE -- file by address YELLOW - file by number PINK -- Top: Eng, Bottom: Customer GREEN -- Top: Inspector, Bottom: City Hall
OLYM~IC PRINTERS. INC.
.