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Home My WebLink About430 E Park Ave - Building ~ ELECTRICAL PERMIT APPLICATION FOR OFFICI....L USE ONLY 00l1dRa:: Pmnit W: :-7 / D..leAppruved: Dalelul,lt,J: "f!77 1F 7fj The Electrical Permit Application must be filled out comcletelv. Please type or reprint In ink. II you have any questions, please call (360. 417-4735 Fax number: (360) 417-4711 Owner or Elec. Contractor Agent: !fUt'~c ~ca ,.- Property Owner: rMluL f:::/f7/It!)L Address: :3/z- B/bJ!..LtJW Electrical Contractor: It~r; ~c..e-S Address: 1l:2 /.)M1>Jtt..<. /IfWtJ tz.il , INSTALLATION WIRED BY: 0 OWNER Phone: #2. - 6</2L/ Fax: Phone: .5fm/, ?/"-7- I Ql) '1 Zip: 7#3 (; Z- Phone: ~2- 612 Zip: 183hZ- . City: AU" klfd,c, .i JhI U<tU . //VC , license #: 57:" City: A~ A7Y6Mh'; Exp: o ELECTRICAL CONTRACTOR Credit Card Holder Name: Credit Card Number: Exp. Date: Zip: VISA:_MC:_ Billing Address: City: PROJECT ADDRESS: ~30 ,e //'h3:C ;1l.~_, TYPE OF WORK: Check all that apply: 0 New o MerationlAddition ~esidental 0 Multi-family o Commercial 0 Mobile Home Sq.Ft. o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage 0 Telecom. 0 Sigl Electrical Heat Load Additions .f 1b, "If/) '- Service Information o Baseboard o Furnace o Heat Pump o Fan-Wall _KW _KW _KW _KW o Overhead Service gremp Service o Underground Service Voltage: 2-'/o.lf ZO Phase: ~1 AJ 3 Service Size: / f7t} Feeder Size: PAMC 14.05.060(8): For industrial, commercial, & residential projects larger than a duplex, a one -line drawing of the Electrical Service & Feeders, building size (sq. It.), load calculations, and the type & of conductors andlor raceway is required and shall accompany the Electrical Permit application. I hereby certify that I have read and examined this application and know that same to be true and correct, and I an authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: ~ 0_ w S.... Com. ........., ;f?;-d .f!!.ifud( Date: Date: / - 25-0 ~ PW-9019 /&c u,.-- I-Z.8-03 J{11/ ~<~/ ELECTRICAL PERMIT APPLICATION ::~CIALfSE.~~-C5 Dale Appruvcd; Oalclssu.ed: The Electrical Pennit AppHcatkJn must be filled out comDletetv. Please type or reprint In ink. If you have any questions, please call (360. 417-4735 Fax number: (360)417-4711 OwnerorElec.contractorAgenLJ=JO "f,r-It, C;:'Q"d~r., }::1hc.-/ Phone: /.-/S--:>-iPLt:2'f.. Fax: Property Owner _F r U..... \<W ~(1 ) Phone: Address: .:s \ l B I ~ (\\..u~ ' ,', City: J {'Iv-<. .p V\.~tL< Electrical Contractor: fudv--\ <-- ~"'lf\,C<.J I ~r.r Ucense#: EL.Gc; Exp: Address: 8'2- D,Cl~.,. JtL/~. /Cd City: Pbr-f- AittJ~:orV\ INSTALLATION WIRED BY: 0 OWNER ~LECTRICAL CONTRACTOR Credit Card Holder Name: '>:'Q~ '757- (oo"( lip: 0 :;?3~L Phone: '15:2 .tc'12'f lip: 7&,'](,-,':) Exp. Date: Zip: VISA: Billing Address: City: Credit Card Number: MC:_ PROJECT ADDRESS:3 .3. 0 E- Ptil'-k TYPE OF WORK: Check all that apply: 0 New o Alteration/Addition 1.ReSidental, 0 Multi-family o Remote Meter."~\I'1;J Detached garage Number of Circuits added ar altered: i.: . o Cemmercial 0 Mobile Heme , Sq. Ft. o Het Tub 0 Swim Pool 0 Septic p.urnP 0 Low Voltage 0 Telecem. OSi CDr;~<e- SJ1\fU \U / ,.:".", ' DESCRIPTION OF THE ELECTRICAL PROJECT: (l-e l\.J :LO (] G<. v'\f' .ff- WIt-€-/ Electrical Heat Laad Addltians 4 t?at. Cfo Service Infarmation Jf~ -- - Voltage: '\J.k>~ 2.1.0 Phase: ISl:. 1 3 Service Size: ~\) t+ Feeder Size: o Baseboard o Furnace o Heat Pump o Fan-Wall _KW _KW _KW _KW ''\6 Overhead Service o Temp Service o Underground Service PAMC 14.05.060(B): For industrial, cammercial, & residential projects larger than a duplex. a one - line drawing 0.1 the Electrical Service ~ Feeders, building size (sq. ft.), lead calculatians, and the type & ef cenducters andlor raceway is required and shall accompany the Electrical Permit application, I hereby certify that I have read and examined this application and know that same to be true and correct, and I 8 authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. \(l\'Jtlo~{ _ ofv #t7 f~ ~JJ- Credit Card Halder's Signature: rJP~ 0~ Date: Owner or Elec. Cant.. Signature: Date: 1/.2:1:)103 , PW-9019 ~co,~ /- t8-o~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING 321 EAST 5TH STREET, PORt ANGELES, WA 98362 Application Nur~oer ..... 03-00000250 Date 3/10/03 Property Address ...... 430 E PARE AVE ASSESSOR PARCEL NUMBER: 0630155125000000 Application description . . . RES ADDITION Property Zoning ....... Application valuation .... 9000 Owner Contractor KATHOLFRANKj OWNER 312 BIGELOW RD PORT ANGELES WA 983628907 ...... Structure Information RES. REMODEL 84 SQ PT ADDITION ..... Construction Type ..... TYPE V NON-RATED Occupancy Ty~e ...... SINGLE FAM & CONGREGATES Other struct info ..... NUMBER OF UNITS 10.00 Permit ...... BUILDING PERMIT -RESIDENTIAL Additional desc Permit Pee .... 190.75 Plan Check Fee , . 76.30 Issue Date .... 3/10/03 Valuation .... 9000 Expiration Date . . 9/06/03 Qty unit Charge Per Extension BASE FEE 92,75 7.00 14.0000 THOU BL-2001-25K (14 PER K) 98.00 Permit ...... MECHANICAL PERMIT Additional desc . . Permit Fee .... 68.75 Plan Check Fee . . .00 Issue Date .... 3/10/03 Valuation .... 0 Expiration Date . . 9/06/03 Qty Unit Charge Per Extension BASE FEE 47.00 3.00 7.2500 ECt{ MH-VENT FAN 21.75 Permit ...... PLUMBING PERMIT Additional desc . . Permit Fee .... 89.00 Plan Check Fee . , .00 Issue D~te .... 3/10/03 Valuation .... 0 Expiration Date . . 9/06/03 Qty Unit Charge Per Extension BASE FEE 47.00 S,00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 35.00 1.00 7.0000 ECH PL- EA.WATER EEATER 7.00 Fee summary Charged Paid Credited Due Permit Fee Total 348.S0 348.50 .00 .00 Plan Check Total 76.30 76.30 .00 .00 Gra~ld Total 424,80 424.80 .00 .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 construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) ,/ ' I~ate T:\PLANNING\FOKMS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLA B/FUL TO COVER, [NSOZATE OR CONCEAL ./IA(Y WOIffCI~EFORE [N, VPECF£D AND ACCEPTED. POST PERIVgI1T IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE FOUNDATION: WALLS FOUNDATION DP-~INAGE ELECTRICAL (LIGHT DEPT) SEPARATE PEIUMIT: # ~UER FLOOR J SLAB I '3..y/~ c~.~ '~. ~ RACK FLOW / WATER AIR SEAL JOISTS / GI~ERS INgULATION MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHI~EY HOOD / DUCTS PWUTILITIESI SITEWORK (EngineefngDivision) SEPA~TEPE~IT~'s: SANITARY PLANNING DEPT. SEPA~TE PE~IT g'a SEPA: ~ VORT~4~ FOR OFFICIAL USE ONLY: Date Rec.: -~ °~ BUILDING PERMIT - APPLICATION Permit.:'~.~'~ Date Approved:. Date Issued: The Building Permit Application must be filled out completely. Please type or print in ink. If you have any questions, please call 417-4815 Applicant or Agent: '~ ~ ~6-.N ~ ~ ~ Phone: ~ ~ ~ ~ 2.0 Owner: [¢Al~ ~ CA~ D~¢- Phone: ~t'~ ~ MchitecffEngineer: Phone: Contractor ~-¢/'~rd~ ~A~ (-~o~ Licenseg: Exp: Phone: ~/7- Address: City: Zip: LEGAL DgSCmPTION: Lot:~ I * ~ ~o~} ~7 2~ Subdivision: ~m.+s ~A~ , CL~L~ COUNTY P~CEL N~BER: ~ OI ' g~redit Card Holder Name: Billing Address: City:. Credit Card ~: Exp. Date: ~SA MC T~E OF WO~: SlZE~UATION: ~ Residential n New Corem n Re-roof n Wood-stove ff9% SF. ~ $. /SF. =$ ~. ~ Multi-fa~ly n Addition n Move u Garage 5~ ~SF. ~ $. /SF. = $ ~ Comercial ~ Remodel ~ Demolition n Deck SF. ~ $. /SF. = $ ~ Repak U Si~ u TOTAL VALUATION $ ~W0 BmEF DESCmPTION OF THE PROJECT: AD~ ~xO) ~O~X , .qO0 C~geT i~ COMMERCI~SIDENT~: Occupancy Group: '~ ~ Occupant Load: Cons=ction T~¢: ~ No. of Stories: [ Lot S~e: '2-7~t~ % Lot Coverage: l J ~ % E~s~g Lot Coverage: ~ ~ /sq. fi. + Proposed Lot Coverage: ~ ~ /sq. fi. = TOTAL LOT COVE~GE:~/sq. fi. PLANING USE ONLY: ~PROV~S: PL~ Notes: BLDG. DPW FI~ ES~etl~d(s): ~ Yes ~ No SEPA Chec~ist required? ~ Yes ~ No O~er: OTHER BUILDING PE~IT APPLICATION SUBMITT~: Your application and site plan must be filled out compl~ely to be accepted for r~iew. ~e Bmldmg Division can provide you with more derailed ~omtion on the application ~d plan sub~Ral requkements. Your completed application, site plan (for additions) and building com~ction plans are to be subdued to the Bulldog Division. V~UATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by ~e applicant. ~is fig~e ~11 be reviewed and ~y be revised by the Building Division to co~ly with c~ent fee schedules. Contact the Pemt Coordhator at 4174815 for assistance. PL~ CHECK FEE: Yo~ pl~ check fee is due at ~e time ~e building pemt application and cons~cfion plans are subdued. All other pemt fees are due at the time ofpemt issuance. EXPIATION OF PL~ ~VIEW: If no pemt is issued wi~in 180 days of~e ~te of application, ~is application will expire. The Bulldog Official can extend the time for action by the applicant up to 180 days upon ~iRen request by the applicant (see Section 107.4 of the Unifom Building Code, cu~ent edition). No application can be extended more than once. I hereby cert~ that 1 have read and examined this application and know the same to be t~e and correct, and I am authorized to apply for this permit. 1 understand it is not the Ci~'s legal responsibili~ to dete~ine what permits are required; it remains the applicant's responsibili~ to determine what permits are required and to obtain such. Applicant: .//~/~ ~~Date: ~ ~, CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUES~,~,[ /] "~ ~ _~/~on~, arson) Date _t ~[ ~ ~)"~ Time Received by 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. ~L. ~--(~ Sewer Foundation Framing Chimney Plum~ewer Excav. Other INSPECTION NOTEEj: I /~ ~"~j~ Inspected: Date ,~1 (~ J ~'~ Time /~ ~/l~ By Remarks: ~ [ ~ [ RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt I~PCC [~Other [] Repaired by City Work Order # [] Repaired by Permittee ~-~ COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~-~//~- -O~' Time Received by /'-~ (phone, person) Location of Work to be inspected ~//~-~ ~ ~{,~k Name of person requesting inspection ~C::~c'.~ k <~ /-'//~'-~-~--~--- . Y, Address of person requesting inspection Phone No. __~ g~ Type of Inspection (circle appropriate one): Permit No. ~' ~ (~ Sewer Foundation ~ Chimney I~mbi~ Final Sewer Excav. Other INSPECTION NOTE~: \ I~ Inspected: Date ~\\~\ ~}% Time By~_~-~ Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [Gravel [~Asphalt [PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date -~-- ]~-4~)~' Time Received by ~/'~[/// (phone, person) Location of Work to be inspected ,Z.//~'~.~ ~ Name of person requesting inspection ~-~.w~,~ ~ Address of person requesting inspection Phone No. Permit No. Type of Inspection (circle appropriate one): Sewer~ Framing Chimney Plumbing Final Sewer Excav. Other Inspected: Date ~-- 1 (~O ~ Time Remarks: ~r~?' ~'~¥,~/ ~ //~-~'~'~'~-/ RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel [-']Asphalt I-~PCC [~Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE El No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE} CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00000077 Date 2/07/03 Property Address ...... 430 E PARK AVE ASSESSOR PARCEL NUMBER: 0630155125000000 Application description . . . ELECTRICAL ONLY Property zoning Application valuation .... 0 Property owner ....... KATHOL FRANK J Owner address ........ 312 BIGELOWRD PORT ANGELES WA 983628907 {) Contractor ......... ELECTRIC SERVICE Permit ...... ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee .... 64.90 Plan Check Fee . . .00 Issue Date .... 2/07/03 Valuation .... 0 Expiration Date . . 8/06/03 Qty Unit Charge Per Extension 1.00 64.9000 ECH EL-R OR RM 0-200 ALT SRV FDR 64.90 Permit ...... ELECTRICAL TEMPORARY SERVICE Additional desc . . Permit Fee .... 46.70 Plan Check Fee . . .00 Issue Date .... 2/07/03 Valuation .... 0 Expiration Date . . 8/06/03 Qty Unit Charge Per Extension 1.00 46.7000 ECH EL-TEMP SRV - 0-100 SRV FDR 46.70 Fee summary Charged Paid Credited Due Permit Fee Total 111.60 111.60 .00 .00 Plan Check Total .00 .00 ,00 .00 Grand Total 111,60 111.60 .00 ,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 construction. Signatu6~ of ~ontractor or ,~uthoriz/ed Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FOKMS\I 102.15 [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 ,4NY 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 I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / 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 PEP-MIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STOPoX4 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 CONSTRUCTION R.W. / PW/ CONSTRUCTION - RW. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORM S\ 1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT ~ BUILDING DIVISION 321 EAST STH STREET, PORT ANGELES, WA 98362 Application Nun~er ..... 03-00000077 Date 2/13/03 Property Address ...... 430 E PARK AVE ASSESSOR PARCEL NUMBER: 0630155125000000 Application description . . . ELECTRICAL ONLY Property Zoning ....... Application valuation .... 0 Owner Contractor KATHOL FRANK J ELECTRIC SERVICE 312 BIOELOW RD 82 DRAPER RD PORT ANGELES WA 983628907 PORT ANGELES WA 98362 (360) 452-6424 Permit ...... ELECTRICAL TEMPORARY SERVICE Additional desc . . Permit Fee .... 46,70 Plan Check Fee , . .00 Issue Date .... 2/07/03 Valuation .... 0 Expiration Date . . 8/06/03 Qty Unit Charge Per Extension 1.00 46.7000 ECH EL-TEMP SRV - 0~100 SRV FDR 46,70 Fee srunmary Charged Paid Credited Due Permit Fee Total 46.70 46.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 46.70 46.70 .00 .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 construction. Signature of Contractor 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. ITIS 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 I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PEILM1T: # PLUMBING UNDER FLOOR / 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 MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CH1MFNEY HOOD/ DUCTS PWUTILITIES/ SITEWORK (EnginecringDivision) SEPARATE PEKMIT #'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 CONSTRUCTION R.W. / PW/ /' CONSTRUCTION - R.W. ENGINEERTNG 417-4807 PW / ENGINEERYNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\] 102.15 {4/2002]