HomeMy WebLinkAbout1105 E Lauridsen Blvd - Building ELECTRICAL PERMIT i
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CITY OF PORT ANGELES
360- 417 -4735 w
Application Number 11- 00000725 Date 7/20/11 T\
Application pin number 301600 REPORT SALES TAX
Property Address 1105 E LAURIDSEN BLVD on your excise tax form
ASSESSOR PARCEL NUMBER: 06- 30- 00- 0- 2- 8180 -0000 y
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
T -stat, 3.5 ton heat pump
Owner Contractor
G
MARGARET WHITE TTE ALL WEATHER HTG COOLING INC
1105 E LAURIDSEN BLVD 302 KEMP ST
PORT ANGELES WA 983626639 PORT ANGELES WA 98362
(360) 452 -9813 1
Permit ELECTRICAL ALTER RESIDENTIAL `1
Additional desc
Permit pin number 189175
Permit Fee 56.00 Plan Check Fee .00
Issue Date 7/20/11 Valuation 0
Expiration Date 1/16/12
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL- LVT- THERMOSTAT 56.00 y
Special Notes and Comments
July 18, 2011 10:23:32 AM Brian 417 -4708. OK
Fee summary Charged Paid Credited Due n1
Permit Fee Total 56.00 56.00 .00 .00
Plan Check Total .00 .00 .00 .00
u405 Grand Total 56.00 56.00 .00 .00
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH IN f ito
l
FINAL _16/711/)/
*zit
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:AEXCHANGE \BUILDING
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City of Port Angeles, Permit Application `,N oy rc.IZr,I vq", Building Dl visionlElectrIcal Inspections t 3 El) c r
321 East Fifth Street-!P.O. Box 1150 elect,...
CI
Port Angeles Washington, 98362 U 1i 1 Q '201' av 4 V
Ph: (360) 417.4735 Fax: (360) 417.4711
JUL U
Date: t?� l ELECTRICAL
INSPECTIONS
X' 1 2 Single Family Dwelling
Multi- Family or Commercial`
Commercial Addition Alteration Remodel Repair'
Plan Review t =equi ed, PI -as- Com'lete ctrical P 'Sp/ism Information Sheet
Job Address: Ilk* ;I 111 1 a Y,
Building Square Footage: Torwr
A�
Description of above I'1 1 r I 1 s lit fi e 1
Owner I fo tip Contrac er infor ado, Name: W t 1 l Name: •t: A ••,t 1 .k i tt� :MI.
Mailin Address: Ire e t( Mailing Address: 1 1A. I lly!'
City: State: Mit Zip: 4 aai:. City: -IP State' fl 1 t: _,..111
Phone: 01,01 ax: Phone.. 1 ,,1'_047tal Fax: License#/ Exp. License Exp. 3IP t C YiL°A' INS
Unit Charge, cay Total (Qty Multiplied by Unit Charnel
93.75 Service /Feeder 200 Amp.
$113,75 Service /Feeder 201400 Amp.
$160.00 Service /Feeder•401 -600 Amp.
$205.00 Service /Feeder 601 -1000 Amp.
$291.25 Service /Feeder over 1000 Amp,
2.00 Branch Circuit W/ Service Feeder
57.50 Branch Circuit W/O Service Feeder
2.00 Each Additional Branch Circuit
72.50 5 Temp. Service/ Feeder 200 Amp.
86.25 5 Temp. ServicelFeeder 201 400 Amp.
5 116 25 5 Temp. Service /Feeder 401 -600 Amp.
5131.25 5 Temp. Service /Feeder 601.1000 Arne.
75.00 Portal to Portal Hourly
69,00 SignlOutline Lighting
75.00 Signal Circuit/ Limited Energy Commercial
50 Signal Circuit/ Limited Energy -1 2 Family Dwelling
50.00 Signal Circuits Limited Energy Multi Family Dwelling
93,75 __. Manufactured Home Connection
80.00 5 Renewable Electrical Energy 51<VA System or Less
5 86.25 First -1300 Square Ft.
27.50 Each Additional 500 Square FL or Portion of
57.50 Each Outbuilding or Detached Garage
86.25 5 Each Swimming Pool or Hot Tub
43.75 _a,,." thermostat
Total
Ownor as defined by RCW,19.28.261: (1) Ownor will occupy iho structuro for two years after this electrlcal permit is finalized. (2) Ownur Is required to hire an
electrical contractor if above said property is for sale, rent or lease.
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 staking the electrical
installation or alteration In compliance with the electrical laws, N.E.C., RCW, Chapter 19.20, WAC. Chapter 296 -469, The City of Port Angeles Municipal Codo, and
Utility Specification.
Signature of owner, electrical contractor or electrical administrator Cash
o Check
X Date: Credit Card
t20 /170 3Eod ENIl�3H cl3HJ M 1 LLT5ZSb09> L 90 SI TZOE,/5Z'! %0
ELECTRICAL PERMIT 1
CITY OF PORT ANGELES 0
360- 417 -4735
0 r
Application Number 11- 00000704 Date 7/12/11 1
Application pin number 190144 REPORT SALES TAX
Property Address 1105 E LAURIDSEN BLVD our excise tax form
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2- 8180 -0000- on y
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
2 circuits heat pump and furnace L &K
Owner Contractor
MARGARET KINTNER REV TRUST BLACK DIAMOND ELECTRICAL CONTR c�
1105 E LAURIDSEN BLVD 502 BLACK DIAMOND RD
PORT ANGELES WA 983626639 PORT ANGELES WA 98363
(360) 565 -1035 �v(�\
Permit ELECTRICAL ALTER RESIDENTIAL 1
Additional desc
Permit pin number 188912
Permit Fee 76.10 Plan Check Fee .00
Issue Date 7/12/11 Valuation 0
Expiration Date 1/08/12
Qty Unit Charge Per Extension
1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50
1.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 2.60
Fee summary Charged Paid Credited Due
-r..
Permit Fee Total 76.10 76.10 .00 .00 C
Plan Check Total .00 .00 .00 .00
Grand Total 76.10 76.10 .00 .00
`�n
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN /6/74)1) ckV 12 )54
FINAL PiA( i cb?
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G \EXCHANGEBU ILDING
R E if s E yc)RT 1
'Sr' MVP
CITY OF PORT ANGELES PERMIT APPLICATION JUL 1 2 2011
Building Division/Electrical Inspections -3
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 ELECTRICAL 0
Ph: (360) 417-4735 Fax: (360) 417 -4711 INSPECTIONS S
Date: 7-11
1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition./ Alteration Remodel Repair*
Plan Review May Be equired, Please Complete Electrical Plan Review Information Sheet
Job Address: //OS P ()cc, a_ tD,S E.•) RV D,
Building Square Footage:
Description of above 44 F FtJIL,J k --E_ PLA-E6+-CiJT—
Owner Inicgmation Contractoformation
Name: /YI4I.6.4 -E j ("04ttT Name: 007.-A Pf AI 0./O JCt- S- c77tf coA•C.
Mailing Address: Mailin Address: Set 2- 3`s4Gt`. Pelt A- a ..wa
City: State: Zip: City: State: GOAc- Zip: 98'3 C. 3
Phone: y S T 6 1 6 0 Fax: Phone: b/-;9 S Fax:
License Exp. License Exp. a CA-C E.G Oil—T:4—
Item Unit•Charge Qty Total (Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp. 119.90
Service /Feeder 201 -400 Amp. $,145.50
Service /Feeder 401 -600 Amp; 204.60
Service /Feeder 601 1000 -Amp. $.262.20
Service /Feeder over 1000 Amp. 372.50
Branch Circuit W/ Service Feeder 2.60 Sn
Branch Circuit W/O Service Feeder 73.50 sc 1 73
Each Additional Branch Circuit 2.60 1 2 1 :-It
Temp. Service/ Feeder 200 Amp. 92.70
Temp. Service /Feeder.201 -400 Amp. 110,30
Temp. Service /Feeder 401 -600 Amp. 148.70
Temp. Service /Feeder 601 -1000 Amp 167.90
Portal to Portal Hourly 95.90
Sign /Outline Lighting 88.20
Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited :Energy -1 2:Family Dwelling 63.90
Signal Circuit/ Limited :Energy -Multi- Family Dwelling 63.90
Manufactured Home Connection 119.90
Renewable Electrical Energy 5KVA System or Less 102.30
Thermostat 56.00
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. 110.30
Each Additional 500 Square Ft. or Portion of 35.20
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub 110.30
u 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. 2
Signature of owne electrical contractor or electrical administrator: Cash heck ..NU'"' J
0 Credit Card
X r Dated: 0110112010
�s,
CITY OF PORT ANGELES
l
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
..1.0.-/ 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000731 Date 7/18/11
Application pin number 623420
Property Address 1105 E LAURIDSEN BLVD REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 8180 -0000-
Application type description MECHANICAL APPL. PERMIT On your state excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 12417
Application desc
HEAT PUMP
Owner Contractor
MARGARET WHITE TTE ALL WEATHER HTG COOLING INC
1105 E LAURIDSEN BLVD 302 KEMP ST
PORT ANGELES WA 983626639 PORT ANGELES WA 98362
(360) 452 -9813
Permit MECHANICAL PERMIT
Additional desc HEAT PUMP
Permit pin number 189241
Permit Fee 64.80 Plan Check Fee .00
Issue Date 7/18/11 Valuation 0
Expiration Date 1/14/12
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80
Fee summary Charged Paid Credited Due
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .00 .00 1
1 V
1
1
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.
7/lg/11 en Mt ec,tion Watt/ t4
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
M Building Inspections 417 -4815 Electrical Inspections 417 -4735
1 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886
t
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.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line 1 I I a
Wood Stove Pellet./ Chimney l (mot/
C ommercial Hood Ducts F INAL D ate Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
P arking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
c3 Fire 417 -4653
Planning 417 -4750
Building 417 -4815
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BUILDING PERMIT APPLICATION Print in ink
CITY OF, PORT ANGELES For City Use Only:
Attn: Building Permit Technician Y
Data Received
321 E. Fifth St., Port Angeles, WA 98362 c/
(360) 417 -4815 fax (360) 417 -4711 Dat Approved 7,
r�
Date ed 7��1-_l(.;
Applicant rl L Oman' Phone Tie 111 61 4 111 i ri
Property Owner ri WallinMc 'hone t s I I PI r,
Property wn is Add es cra' oure s ,ipj
Contractor k\ w� L Phone A rlo `fikeaT.
Contractor's Addr ss IMM CUM,
license A MIR E -mail OA 1 i
PROJECT ADDRESS \\Oc e L wrv')sy x avd.
Parcel Number Lot* Zoning
Project Type 8 Brief Description! Resident/al o Multi-family o Commercial o Industrial
Check all that apply ��1 tAJ J canto/
a New Construction
,o Addition
o' Remodel
o Repair
a Demolition
Re -roof House a garage o other o tear off re -roof o lay over one layer
Heat System Meat pump o wood burning stove gas fireplace pellet stove a other
a Other
Floor Areas Existing (sq, ft.) Proposed (sq. ft.l
Basement per sq. ft.
1" Floor
2nd Floor
3 nd Floor
Garage
Carport
Covered Porch
beck
Shed
Other
TOTAL VALUATION 19,4r1`aQ
Total footprint of structures 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
Max. height of proposed structures ft Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant load of full baths
Will afire sprinkler system be installed? Construction type of half baths
I have read and completed this application and know it to be true and correct. f am authorized to apply for this permit and understand
that it is my responsibility to determine what permits are requlrrd, and to obtain permits prior t yo on projects,
Date 1! Print Name l Signatur•`�,�' g
T:Forms /Building Division /131dg Permit.doc
00 /i;0 39Vd VILLV3H d3HlV3M 77V L'ISGSb099I 90 :9T IIOG /ST /L0
.... CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DWISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 8/21/2002 PERMIT NO: 13643
OWNER/APPLICANT PROPERTY LOCATION
1105 LAURIDSEN BLVD E
MARGARET KINTNER
Lot: 8&9
1105 E. LAURIDSEN BLVD
Port Angeles, WA 98362 Block: 281 [] Long Legal
360/000-0000 Subdivision: TPA
T: S: Parcel No: 063000028180000
CONTRACTOR ARCHITECT
DIAMOND ROOFING N/A
P.O. BOX 2963
Port Angeles, WA 98362 , 98360-0000
206/452-9518 360/000-0000
PROJECT INFO
Project Value: $4,780.00 SFD Units: 0 Commercial: 0
Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0 ......
Occupancy Type: RESIDENTIAL Garage: 0 ~-'
Occupancy Group: MFD Units: 0 ~'~
Construction Type: MFD SQ FT: 0 '~
Zoning Use:
PROJECT NOTES
TEAR Off / REFELT / 3TAB
FEES ASSESSMENT
Building Permit: $111.25 Misc Fee 1: $0.00 "~
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $115.75
Plumbing: $0.00 AMOUNT PAID: $115.75
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 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
co~ction. [
Signature of (~bntractor or Authorized Agent /' D~o Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\ 1102.15 [4/2002[
CIT\' OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
16563
j-]o ....r-
Port Angeles, Washlngtoll._m_____m_mm_________m__.._..m.__._.._..________., 19_,...,:'='
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-
:~:::s: i:_4;;;f?~:e:.~:::-~:~cupancy.....-A~~-~~--~----.-..--__.__.____..
O~~er -.~..."-"'?:i'?if::t;j.rr-;..'-'~....-Y'). .:f_~}lant-..----..---------------...----.---------.-------.---.---------..-.....-
Wmng 65ntractor ;.?f<tt'-~W~::f.-m. By..--.m-.--.------m-m-.--m-.--.-----------...n---------m----
Light outlets...........&.:.i::.~..:.:......::.::- _n - ~ervic~, volts .&."?/-r:!!M____m Type ot Wiring:
Receptacle Outlets__mC..l1...__.__...__ No. wires --...~;--z...----...--...._h Armored Cable ................--...........
./ 81 i y'//f /. Non.Metallic ............mm.............._
Drye" KW..______.<..e.___n.___..n.nn._________ ze w res......_ ..,...{,/..........f.. ..
Range, KW..____/.;)______nn___ Main tuse m.:.ftI-:."'-A---m-- Knob & Tube..................................
/17/ Rigid Conduit .................m.__........
Water Heater:. /" Enclosure .....i....r.....~...~..._.......
KW.....hmn~~h_.....n T'~pe of wiring:
Heat: KW..e1~.~---~o/-- Entrance Cable ...._.__mm.........
Motors: size, volts and phase: ( igid Conduit .............nm
~~:~:::~::~~~
Total ...dL.L................
_:.______/~.m~~~/..mm-----------m--n--m--m-m-mmm---m-mm----...m.--..----....__
"
~{eta1lic Tubing ....mmnmnun
Current transformers:
No. & Size.......................h...hh.......
Ser. NO.n..n..._........____h'__..__......n......
Ser. NO......................:..........._nn........
I. ~
Ser. No..__....___......___.....__....................
Total Load__......hn..mmmm...
Ser. No. ..........___.._......_...___................
Remarks:
Metallic Tubing hu.mnnh.............
Raceway _.__._._._................nn.__..._
Circuits, Light____my...___......___.......__.
Utillty__......~............................
c:.
Heat _________.__..........._..n.........._.._.
Range ........:t....................n............
::t
Water Heater ....h...h....................
Motor ..._.............__._......................_
Dryer ......~~........_........._.............__
Furnace ____nn....n..n.......'_......_...........
., .,
UUh~u~__un_n_;:u____UU~.~-'d!n----.u--.:-uu.:.--u__nn.-nn-----.----_u___UUU_h~nu.n.__..-.__n___u__n_nn..~.__nnnn__n_____nn.n_~.n..n.nu_.
.;:i_.~i_~...~~~---_:.::::.__:-----..n.::~.~_~::::~.~.~~~_~.__.___~nn---.---.-----:~zY:..:~2[~;z~~~--~~~..~
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
16563"
'\ -~..., ....
Address..................._..._.................._..........._.............................___.___._..........._................_._....__.....Date..__..._______..__._.........._......_...::::._.........
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Owner__..~............._____...._........__....._.._......_._...._.._._............_....._...........____...._..........__.....Te.nant.........___.__n_________........................._____.n___:_____
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