HomeMy WebLinkAbout204 S Lincoln St - Building ELECTRICAL PERMIT 1J
CITY OF PORT ANGELES i
360- 417 -4735 0
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Application Number 12- 00000014 Date 1/10/12
Application pin number 143086 REPORT SALES TAX
Property Address 204 S LINCOLN ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -0 -5400 -0000- on your excise tax form
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning COMMUNITY SHOPPING DISTR
Application valuation 0
Application desc
Security system
Owner Contractor Ni..., LAM TITLE COMPANY HI TECH SECURITY INC 1
PO BOX 248 723 E FRONT ST
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452-2727 g6 s t.0 ,_,L_.
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit Fee 96.00 Plan Check Fee .00
Issue Date 1/10/12 Valuation 0
Expiration Date 7/08/12 U P
Qty Unit Charge Per Extension
1.00 96.0000 ECH EL- LIMITED 1ST 1500 SQ FT 96.00
Fee summary Charged Paid Credited Due
Permit Fee Total 96.00 96.00 .00 .00 1-
Plan Check Total .00 .00 .00 .00
Grand Total 96.00 96.00 .00 .00
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN J i J 1�2- A) -5,1-„W' FINAL I t7, iz
COMMENTS: 6
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
FROM HI-TECH ELECTRON I CS FAX NO. 360 452 S560 Jan. 06 2012 06: 02PM P1
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T
i'n: u) 41 7-473:5 Fax: (161)) 41 7 i ELECTRICAL
INSPECTIONS
Single Famiiy Dwelling y., Multi- Feuiily or Commei __Commercial Addition I Alteration Remodel Repair'
iReview May Bi:: Requirat. Plea Complete Eleetricai Plan Review Informa:iori
..,:Lii,,.:i.,;) ...)i F.:::::, T.6.11:11 1_ S te.,,,E!•■Fitil
Ow nal Info:I-nation Contractor information
;‘,.sine r.. lc 0. rt_r_t ....r- N Ili Tech Security
'...•:,:ir„,,s A.:Cr EiS 24? '4 ,55.._ 2. 1 0 C et 1..) m ,i ing .4. 3E Front St.
Port _Angeles s iqi; 7 C■ty. p..c:T.
:J 5 27 27 2") 'f 4 52: 6 5 60
;...Z.CAUC 6 i F. Xi*/ u cc tie g i E 7 1"2 dt'S 9 5 5BS
I-em
-t...- Unit Charge all Totalicav Multiplied bv Unit Charge 200 Amp. $11a.60 5
Servic&f:boctor 201-400 Amp. 5 145.50 5
Servicar1=68der 401-600 Amp Si 204.00 5._
Sarviee. 001 Amp, 5262.20
ti.ans.c.eiFeetier vier 1000 A. 5 372.0 5
Brerich Circuit WI Serliee Feeder 5 2.60
BrorIci; Circuit •lift) Service Feeder 73,50
Each AdditiOtil Branch Circuit 2.60
1 Service, Feeder 200 Amp. 5 92.70
Temp, Service/F 201-400 Amp. 11030 5
Tom:). SaiviceiFeeder 461 Amp. 1:10.70
'ramp. StrvicWFaaJGr 651-1000 Amp 167,00
Portal to Portal I-lowly 5 65.30
r,./Outline Lighting 00.20
Sigriel Clieu:t.) Limited Energy First 1500 sf -Commerciol 5 05.00 I 4
Nail: 55.00 for each ainitional 1500 st
Limited Energy 1 4 2 F2rnity Dwelling 5 63.1)
Bigtiai Citeuit/ Limited Energy Mufti-Family Dwellin9 65,00 I_
Menoia:td Hume Connection 5 11?-90 5-
Rer,:mehls 'Electrical ins* Si(A System or t..c.-us 5 102.50 5
'Thermostat
55.00
NEW CONSTRUCTION ONLY7
First 1300 Square Ft. 5110.30
Each Adbitionalt3N5duart FL Of POtOrl of I 3S.20 S
-2ac'n Outouilding or Detached Garage 73.50
7,6ch raming Pod or ii07 'nab 5 110.30 5
e t 7Y 43 Total
Owner as defined by Ftk:.;VV.1@.28.261: (1) OWIIHI Will occupy the stnicture ior two years alter this electrical permit is finalized, p.) Owner is required
Lc trire an electrical contractor if above said property is fa sale, rent or lease. Permit expires after six months or last inspection.
AfteT readifig tne arove statement, I hereby certify that I am the owner of the, above named properly or a licensed electrical contraciOr. I am making
tr..e eleciricai in:Tails/ion or alleraliQn in compliartce with the elecnic4liaws.. ;..E,C,. ROW. Chapter 10.2, '21/AC. Chapter 296-468, The City of Port
Ang es Municipal Co. and Utility Specifications anti PAIAC 14.05.050 regarding Electrical Pennit Applicaons.
Signature of owner. electrical contractor or electrical administrator: D c,,A, n ch.',
p 14 4 L2:0 I 2_ 1 z0
.... CITY OF PORT ANGELES
' DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 10/31/2002 PERMIT NO: 13826
OWNER/APPLICANT PROPERTY LOCATION
204 LINCOLN S
THOMAS SANDOR
204 LINCOLN Lot: 1 -3
Port Angeles, WA 98362 Block: 54 [] Long Legal
360/000-0000 Subdivision: TPA
T: S: Parcel No: 063000054000000
CONTRACTOR ARCHITECT
OSTERBERG LANDSCAPING N/A
706 S. H ST
Port Angeles, WA 98362 , 98360-0000
360/452-9511 360/000-0000
PROJECT INFO
Project Value: $500.00 SFD Units: 0 Commercial: 0
Project Type: BACKFLOW VALVE SFD SQ FT: 0 Industrial: 0
Occupancy Type: COMMERCIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
INSTALL BACKFLOW VALVE
RECEIPT#9878
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $27.00
Plumbing: $27.00 AMOUNT PAID: $27.00
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
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
Signature of Contractor or Authorized Agefit Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\1102.15 [412002]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:/~ ~ '~ ~'~L'T-/--
Date ~- Time Received by (phone, person)
Location of Work to be inspected ~'~ -~
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. /
Sewer Foundation ~'~,~Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES~. ~ ~ ......
Inspected: Date //"~ *~, ~- ~) ~ Time By ~ ~' ~'
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC ~]Other
1~] Repaired by City Work Order #
~)Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
Backflow Assembly Test Repo~ R~x'civcd
~ City of Pon Angeles
~ %~o ~ Public Works and Utilities Department
Water~astewater Collection Division
NAME OF PREMISES: ~'~ '~ ~'~ ,' ~
ASSE~LY: ~ '~ ~' ' ~ ~
Manufacturer Model Size Serial No.
IS THIS AN ~PROVED ASSEMBLY'? YES ~O ~ IS ASSEMBLY ~STALLED CORRECTLY'? YES ~NO
DATE OF INSTALLATION r ~ . . ~KNOWN~
REDUCED PRESSURE PRINCIPLE ASSEMBLY RP ~ RPDA
DC ~-' DCDA
DOUBLE CHECKVALVE ASSEMBLY sw ~ AVB
CHECK VALVE ~1 CHECK VALVE ~2 RELIEF VALVE PVB/SVB
Initial Leaked ~ L~aked ~ Did Nol Open ~ AIR INLET
Repairs Cleaned ~ Cleaned ~ Cleaned ~ CHECK VALVE
REPAIRS
Cleaned
Final Closed Tight ~ AIR INLET Opened
AIR GAP INSPECTION:
REQUIRED MINIMUM SEPA~IION: YES ~ NO ~ TYPE OF HAZARD J
Line Pressure_' :, ~, psi
COMMENTS
DateTime Tc~ter Si~mture Cen ~ Test Kit Pass~ Failed
WHITE - CUSTOMER COPY YELLOW PURVEYOR COPY PINK - TESTER COPY
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 10/28/2002 PERMIT NO: 13808
OWNER/APPLICANT PROPERTY LOCATION
204 LINCOLN S
THOMAS SANDOR
204 LINCOLN Lot: 1 -3
Port Angeles, WA 98362 Block: 54 [] Long Legal
360/000-0000 Subdivision: TPA
T:CLALLAM TITLE RM 201-202 S: Parcel No: 063000054000000
CONTRACTOR ARCHITECT
REI HIT COMPANY N/A
Port Angeles, WA 98360 , 98360-0000
360/417-6774 360/000-0000
PROJECT INFO
Project Value: $2,200.00 SFD Units: 0 Commercial: 0
Project Type: COMM/REMOD SFD SQ FT: 0 Industrial: 0
Occupancy Type: COMMERCIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use: --L
PROJECT NOTES
REMOVE INTERIOR PARTITIONS ADD NEW DOORWAYS AND WINDOWS
RECEIPT#9849 ~..~
FEES ASSESSMENT
Building Permit: $83 $0.00
Plan Check: $0 $0.00
State Surcharge: $4 ..... $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $87.75
Plumbing: $0.00 AMOUNT PAID: $87.75
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
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 t 80 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.
Sign~ure of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\ l 102. I 5 [4/2002]
eORr FOR OFFICIAL USE ONLY:
o~~ Date Rec.:
BUILDING PERMIT - APPLICATION
Da~: Approved:
Dat~ Issued:
The Building Permit Applica~on must be filled out completely.
Please type or print in ink. If you have any questions, please call 4174815
Applic~t orAgent: ~ ~ ~, ~ Phone:
0~: ~/~'/~ ~ ~ ~ Phone:
Address: j~0 ~ f,' ~r~/~ City:. ~ Zip:.
~chitect/Engineer: Phone:
Contractor~ ~:~ ~, ~ License O: ~e/~tT~Exp: ~ Phone: ~/7-~P '7~
/
Ad.ess: ~Zo ~' ~ Ci~: ~ Zip:
LEGAL DESC~PTION: Lot: Block: Subdivision:
CL~L~ CO~TY P~CEL N~BER: Credit Card Holder Name:
Billing Address: Ci~:.
Credit C~rd ~: Exp. Date: ~SA MC
~E OF WO~: SI~UATION:
~ Resid~fial U New Cons~. D Re-roof ~ Wood-stove SF. ~ $ /SF. =~.
~ Multi-fa~ly ~ Ad~on E Move ~ Garage SF. ~ $ /SF. = $
~o~ercial ~emodel ~ D~olition ~ Deck SF. ~ $ /SF. = ~
~ Repa~ ~ Sign u TOTAL VALUA~ON $
B~F DESCmPTION OF T~ PROJECT: ~ff~t ~F_ ~ ~ ~
COM~RCI~S~EN~: Occup~cy ~oup:. Occup~t Load: ' Com~c~on T~:
No. of Sto~es: Lot Size: % Lot CoVerage:
Ex~t~g Lot Coverage: /sq. fl. + Proposed Lot eo~emge:' /sq. fl. = TOTAL LOT CO~GE: ./sq.
PLYING USE O~Y: ~PROV~S: PL~
Notes: BLDG.
DPW
ES~etl~d(s): ~ Ye~ ~ No SEPA Checker requ~ed? ~ Y~ ~ No O~er: O~R
B~LD~G PE~T ~PLICA~ON S~: Four a~plie~ion and site ~ian ~ be~lled o~t completel~
r~ie~. ~e Build~g Di~sion c~ provide you wi~ more detailed ~o~tion on ~e application ~d pl~ sub~l req~e~nts. Yo~
co~leted applica~on, site plan (for additions) and b~lding com~ction plans are to be subdued to ~e Bulldog Division.
V~UATION OF CONSTRUCTION: In ~11 cases, a v~iuntion ~mount must be enter~ by ~e a~licant. ~s fig~e ~11 be reviewed
and ~y be revised by ~e Bulldog Division to co~ly ~ c~ent fee sched~es. Contact the P~t Coord~tor at 417-4815 for assistance.
PL~ C~CK ~E: Your plan check fee is due at ~e time ~e building pe~t application and com~ction pl~ are subdued. All other
pe~t fees ~e due at ~e time ofpe~t issu~ce.
EXP~TION OF PL~ ~EW: If no pe~t is issued wi~ 180 days of~e date of application, t~s application will expire.
Bulldog O~cial can extend ~e ~e for ac~on by ~e applicant up to 180 days upon ~i~en request by ~e applicant (see Section 107.4 of
· e Unifo~ Building Code, cu~ent effition). No application c~ be extended more ~ once.
[ hereby cert~ that 1 have read and examined th~ application and ~ow the same to be ~e and correct, and [ am authorized to apply~or
thix pe~it. I understand it is not the Ciq~ legal respo~ibiliq to determine what pe~i~ are required; it remains the applicant's
respo~ibili~ to determine what pe~its are required and to obtain xuch.
T:~O~S~PS~uildin~e~t
11/18/2002 13:41 FAX 3604574698
STRAITS ELECTRIC
1$1] 01
Qo
{~(.~/Y'
~"" \::::!
ELECTRICAL PERMIT APPLICATION
RlR OFFICIAl USE ONt. Y
DlIId1ta::
Pcrmi!1t:
!::b1~"PJlOU~:
~Icl~
The EI@CtricaI Permit Application muSt be Oiled our comDletl!lv.
Please type or reprint In Ink. If you have ony questions- pi..... call (360. 4'74735
Fax number. (360) 4174711
79n
Owm.rorEIec, ContJac1orAgent Straits Electric
Properly OYmec tk.uli'LW\ 0 Hf'./
REQUEST INSPECTION r-
452-9104 Fax: 457-4698
Phone.
Phone:
Address:
Clly:
INSTALlATION WIRED BY:
DOWNER
Clly:
~ ELECllllCAL CONTRACTOR
Electric
license.: STRAIE*Ot,4,OS
Port Angles, W/I.
9/03
Zip:
p"""",4S2-9104
Z;p: 98362
Electrical Contractor;
Straits Electric
Address; P.O. Box 2914
Credit Card Holder Name: Strai ts
BlI/lngAddress' P.O. "ox 2914
CredllCardNumbeF'
Exp. Dale'
Zip,98362
VISA:~MC,-
PRCl.IECT ADDRESS:
GLw{Urn Tr-H-e.-
;<O'-f
S GiY\. UJl V)
TYPE OF WORK:
Check 2!! that applY' 0 New
o AnerationlAddition
o Residental 0 Multi-family
~ Commercial 0 Mobile Home Sq, Ft.
o Remote Meier 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage 0 Telecom. 0 Sigr
Number of Circuils added or altered;
DESCRIPTION OF THE ELECTRICAl PROJECT:
,'fi/tJ.c..e'. b~tVLJ (]ev'f?u I r
/~trO wM;r<
h~
Al Orren
Eleetrical Heal Load Additions
<I 3s-.~o
l2i.eAI= 9 'f').. 7
Service Information
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
_I<Y'OJ
I<Y'oJ
_tWJ
_I<Y'OJ
o Overhead Service
o Temp Service
o Underground Service
Voltage:
Phase; 0 1 0 3
Service Size:
Feeder Size:
PAMC 14.0S.D60(B}; For Industrial. commercial. & residential projects larger than a duplex, a one. line drawing of Ihe Electrical Service &
Feeders, building size (sq. ft.). load calculations. and the type & of conductors andIor raceway is required and shall accompany the
Electrical Permit application.
I hereby certify that I have read and ex.amined this application and know that same to be true and correct, and I arr;
f ~authOrize:t to apply f~r this penn~. I undefStan~ ~ is no the. legal responsibility to ,detennine what pennits
If 1ft oare reqUired; It rem:ms the_apPlicants responsibility ~ del: nnm hat pennlts are reqUired and to
d Holder's
Christie Tucker Date:
\ it'\(Jd
OwnEll' or Elec. ConI. Signatv
~w(/~
Dale:
//-/8-~'Z-