HomeMy WebLinkAbout1710 E 3rd St - Building RECEIVE _ F POR'r/1 r (PI)
CITY OF PORT ANGELES P,E.RNtj.T Arr'.LWATION A
Building Division/Electrical Inspections ��� � � � �
3211 East 1P
Fifth Street— .O.Bois 11501 Port Angeles Washington,98362 it...
Ph: (360)417-4735 Fay: (360)417.4711 ELECTRICAL
ilVSpfWGTION� a
Date: e— �1 &2 Single Family Dwelling
*Plan Review Mayl Be Requir Pue Cq pietalectri0al Plan Review information Sheet
Job Address:._..,.,,...[--J�Q �� � ....,.�..�.� _.„
Buildirg Square Footage:,,, ^,(
Oescrlptl❑n or ab❑vE
Owner Inf gnation Contractor Inform ti n
Name; + I Name: 31 01'] r+`C
Mailing Ad ress; Oc �r Mailing�j�dress: h - a x Q
C4 State: WA.. Zip:„9�.^ City:_it�M State:-(Al,Q„zip;
Phone, Fax: Phone: - 7Q Fax:
License#!Exp. �. License dR 1 Exp.
Item Unit Charge Total fQty Mult, 19n3 ed by Unit Charge)
Service/Feeder 200 Amp. 120.00
ServicelPeeder 201.400 Amp. $146.00 $ _
ServicelFeeder 401.600 Amp $205.00 $
Service/Feeder 601-1000 Amp, $26200
ServicelFaoder over 1000 Amp. $873,00
Branch Circuit WI Service Feeder $ 5.00
Branch Circuit W/O Service Feeder $ 73,00
Each Additional Branch Circuit $ 5,00 $
Branch Circuits 1-4 $ 75.00 2S $ '
Temp.Service!Feeder 200 Amp. $ 93.00 $
Temp,Service)Feeder 201-400 Amp. $110.00
Temp.SorvicelFeeder401.600 Amp, $1149,00
Temp,Service/Feeder 601-1000 Amp. $168.00 $ _
Portal to Portal Hourly $ 96.00 $ �.
Signal Circuity Limited Energy-1&2 Family Dwelllrg $ 64.00 $-
Manufactured Rome Connection 6120.00 $w .�
Renewable Electrical Energy-5KVA System or Less $102.00 $
Thermostat $ 56.00 $ _
Nato_$5.00 for each additional T-Slat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft, $120.00 $
Each Additional 500 Square Ft.or Portion of 11 40,00 $ ,�
Each Outbuilding or Delachod Garage $ 74,00 $ _
Each Swimming Pool or Hot Tub $110,00 $,
Total
owner as defined by PCW.19,28.261:(1)Owner will occupy the structure for two years after this electrical permit is frna117ed. ',2)Owner is required
to him an electrical contractor if above said property is for sale,rent or lease. Permit expires after six months of last inspectioi ,
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical e(ntractor. I am making
the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 15.28,WAC,Chapter 2.96.16E,The City of Port
Angeles Municipal Code,and Utility Specificattons and PAMC 14,05.050 regarding Electrical Permit Applications.
Signatur f owner,electrical contractor or electrlcal administrator: ❑ cosh ❑ check
f- l:Credit Card 9--on.y„` ..
r ` Dated;_(' 0110112012
C,
ELECTRICAL PERMIT
CITY OF PORT ANGELES V
360-417-4735
Application Number , , , . . 13-00000700 Date 6/28/13 C
Application pin number . , . 881200
Property Address . . . . . . 1710 E 3RD ST �+
ASSESSOR PARCEL NUMBER: 06--30-00-5-5--0125--0000- REPORT SALES TAX
Application type description ELECTRICAL ONLY on your excise tax form
Property Name to the City of Port Angeles
Prn ert Use
Property zoning . . . . . , , RS7 RFSDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . , 0
Application desc
1-4 circuits kitchen remodel
Owner Contractor
------------------------ ------------------------
CRAIG F AND IDAH SMITH SIMPSON ELECTRIC
1710 E 3RD ST 243036 W HWY 101
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 457-9270
Permit . . . . . , $LECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee 75,00 Plan Check Fee .00
Issue Date . . . . 6/28/13 Valuation . . . . 0
Expiration Date 12/25/13
Qty Unit Charge Per Extension
BASE FEE 75.00
Fee summar y Charged Paid Credited Due
---------- ------ -- ---------- V '
Permit Fee Total 75,00 75.00 .00 .00
Plan Check Total .00 '00 .00 .00
Grand Total 7.5.00 75.00 00 .00
V
INSPECTION TYPE DATE RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
7- 0
FINAL '
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING
e
BUILDING PERMIT
OWNER/APPLICANT
GENE MIDDLETON
1710 E 3RD ST
Port Angeles, WA 98362
360/457-4387
T:
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East 5- Street, Port Angeles, W A 98362
ISSUED: 9/27/2001 PERMIT NO: 13002
PROPERTY LOCATION
1710 3RD ST E
Lot: 8&E2LT9
Block: 100 ~ Long Legal
Subdivision: FG RICHARDS
S: Parcel No: 063000550125
CONTRACTOR
PETTIT OIL
638 MARINE DR
PA, WA 98363-0000
800/972-7002
PROJECT INFO
Project Value: $500.00
Project Type: TANK DEMO
Occupancy Type: RESIDENTIAL
Occupancy Group:
Construction Type:
Zoning Use:
ARCHITECT
N/A
, 98360-0000
360/000-0000
SFD Units:
SFD sa FT:
o
o
Commercial:
Industrial:
Garage:
o
o
o
MFD Units:
MFD sa FT:
o
o
_I
'0
('.""
PROJECT NOTES
SLURRY FILL
,
If'
!~
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: TANK DEMO $15.00
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 TOTAL FEE: $15.00
Sign: $0.00
Plumbing: $0.00 AMOUNT PAID: $15.00
Mechanical: $0.00 BALANCE DUE: $0.00
Radon: $0.00
This pennit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
180 days from the last inspection. I hereby certify that I have read and examintrl this application and know the same to be
true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
the provisions of any state or local law regulating the work specified in the permit.
Signature of Contractor or Authorized Agent
Dale
Signature of Owner (if Owner is builder)
Date
FIRE PERMIT INSPECTION RECORD
Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulatl
or conceal any work before inspected and accepted. Post permit in a conspicuous location.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
InsDection TVDe Date Passed Comments
FIRE SPRINKLER
Underground piping hydrostatically tested ,
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough-in inspection
Alarm final
LP-GAS Completed by Contrador:
Underground piping inspection/pressure test Test #1
Above ground piping inspection/pressure test Piping pressure test psi
Tank (container) inspection Time initiated
. I. Test #2
Appliance inspection Piping pressure test psi
Time initiated
LP-gas flDal
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable/combustible liquids
Tank appropriately abandoned
UST abandonment final
PERMIT OTHER (specify)
permit final <Iff! /~ /
GENERAL COMMENTS:
2/15/00
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
SCANNED'
Date
Initials
N?
15129
) -/) - /y
Port Angeles, Washlngtonmn''__________m_____n_________________n__________n____, 19_______,
In ae<:ordance 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,
~:::s__::i~:::::f;;:~j/;ft~~::~~;.:::::::::::n--;:=:=~:::m~::~~~_~_:~:::::~:~:::::::::::::::::~:::::::::::::
Wiring Contractor _uu__":~.f.il:1_1_f.~...____.U.h________h__h________U. By _.__u________________________u____uuu_____~----u-.---u------..-
/')0/ 'OU_,;
Service, volts ......"!:...m...mr::../.m__._..... Type of Wiring:
No. wires m..m~m..__........._...m_.... Armored Cable mm..mm__m____".m.
, y'/{/ Ce!J
Size wlresmm.__.....m...............m_m
4004
Main fuse m:.....m......mm~......m.....
C
Enclosure .....__...........m..m___..m...
Light Outlets.................mmm...m..........
Receptacle Outlets.......m__.mm..m..__...
Dryer, K\Vj ....n......h..U................._.._n.
Range, KW..hn.hn_.....n..
Water Heater:
}1 _-,j{,-_-,-_-_~__-,-~_,_-_:,iZ",-~__'_-_-,-,_-_-_-_-_-_
Heat~:~-:::::-_::;r.V
Motors: size. volts and phase:
Type of wiring:
Entrance Cable mm_________.__._.........
Rigid Conduit ..m____m_m__.............
MetalUc Tubing ......___..._mm._______
Current transformers:
No. & Size.__...__._..________.................__
Ser. No..............---.........._..______..________
Ser. No......._.........._.._______._______..____....
Ser. No...................____....___.._____...__....
Non.Metallic mm..__.______mmm____.._
Knob & Tube_____mmm.......__..__......
Rigid Conduit ....._._......._..m....m.__
Metallic Tubing _______......____m.......
Race\vay ._.............._.._..__.........________.
Circuits, Light_____.mm____hmm____.m__._h.
Utility h__............................_...__.......
J-Jeat ________________.._____.____...................
Range ................................._....__.....
Water Heater ....._......__.........mm__
Motor __..___.._____.__.____.._..__.__...._________
Dryer......_____.....___.._____........____..._....____
Furnuce --------.._.__._____.....'_..m....
Total Load....__.._______..____..__.__ Ser. NO...................____.._n___.____....._.... Total .................._....................
Remarks: -__n___comrm.e_',-n'n::'''____,-"CL2---::t..-':.L-----::,,--c2O:::!!.m..,g'!;;;X____m_____n______________________m_m____m_m
___________.u_n___u.__.~.__hu__h______u.____.____.n._._____..__.u________.__.__hU_____.n_nnn......u.h_________._____.nhu____u.____nnn.__hhUU____n__
Permit Fee
$____m_____mmm___n___m______
Treas. Receipt
NO.________mmm_______m
By ___.ll_Dt_fkr?:_-&LJ2"""-'=L_____
NOTICE-Current must not be turned on until Cert1ficate of Inspection has been issued. It 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
C) 0 /1"':.0 ,,){r'('.A2~~
"00 ~
..L- /1
ELECTRICAL PERMIT
N?
15129
/ ') / /J e /'..-JJ " ) - J ') )~
Date called for ~spectio~......;......;...i-/7..........._.......................-..__..______...._.__......__...____.._..._...______......._.___.......___.__._____.._._.._.._.........._._.__._....
:Z~ ~ :..-11/ A~&t;;,,_
Preliminary'inspectlondates::...::.:........................:...___..._.__.____._.._.~_.._._..........._.__.....__.........__..______.........__._______..._....______._.........__................_
Inspection comPlete&t!~~~.:::~_.._:~.:_:._.._m_...m...____...______..................mm.nm....... ....._m_..............__......._.........._.___...___m...._...m_
1M 3-72 Olympic Printers, Inc.
Total Load ....__._____..__________.nn___n______________....___.._____...n....................._