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Home My WebLink About1030 W 4th St - BuildingElectrical Permit lO3OW4thSt 12 -1001 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN ii /291 FINAL 3 1 1 z9l z COMMENTS: J Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Demand response hot water tank no fee Owner LEROY AND SANDRA SINNES 1030 W 4TH ST PORT ANGELES WA 983632109 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 12- 00001001 883809 1030 W 4TH ST 06-30-00-0-1- 0928 -0000- ELECTRICAL ONLY 0 Contractor OLYMPIC ELECTRIC CO INC 4230 TUMWATER PORT ANGELES (360) 457 -5303 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc DEMAND RESPONSE HOT WATER TANK Permit Fee .00 Plan Check Fee Issue Date 8/06/12 Valuation Expiration Date 2/02/13 Fee summary Charged Permit Fee Total Plan Check Total Grand Total .00 .00 .00 Paid .00 .00 .00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G: \EXCHANGE \BUILDING Credited .00 .00 .00 Date 8/06/12 WA 98363 Due .00 .00 .00 .00 0 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: b 08/03/2012 09:07 FAX 360 452 3498 CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street P.O. Roc 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: b 1 1 2 Single Family Dwelling t Plan Review, May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address; 1 D L) l ti ‘4 +N' Building Square Footage: Description ofabove Install Demand rte;aponde Disconnect for Hot water Tank Owner Information Name: k L, 1 hrta,s Mailing Address: J CYI,t) _LA) City: Port An ales State: Wa Zip: Phone ax: License Exp. Item Unit Charge Service /Feeder 200 Amp, 120,00 Service /Feeder 201 -400 Amp. 146,00 Service /Feeder 401 -600 Amp 205.00 Service /Feeder 601 -1000 Amp. $262.00 Service /Feeder over 1000 Amp. 373,00 Branch Circuit W/ Service Feeder 5.00 Branch Circuit W/O Service Feeder 63,00 Each Additional Branch Circuit 5.00 Branch Circuits 1.4 75.00 Temp. Service/ Feeder 200 Amp, 93.00 Temp. Service /Feeder 201.400 Amp, 110.00 Temp. Service /Feeder 401.600 Amp. $149.00 Temp. Service /Feeder 601 -1000 Amp 168.00 Portal to Portal Hourly 96.00 Signal Circuit/ Limited Energy -1 2 Family Dwelling 64.00 Manufactured Home Connection 120.00 Renewable Electrical Energy 5KVA System or Less 102.00 Thermostat 56.00 Note: $5.00 for each additional T•Stal NEW CONSTRUCTION ONLY: First 1300 Square Ft. 120.00 Each Additional 500 Square Ft, or Portion of 40.00 Each Outbuilding or Detached Garage 74.00 Each Swimming Pool or Hot Tub 110.00 Dated: Olympic Electric Co. 4 PA CITY INSPECT It 002/007 1 RECElvED AS 6 2O)P ELECTRICAL 3 NSPECTIONS Contractor Information Name: Olympic Electric Melling Address: 123O Tumwater City: Port Angeles State: rAr Zip: 98363 Phone :360- 457 -5303 Fax: 350- 452 -349$ License Exp._(21,,Yt LPEC2 A 5 D1 01/01!2012 on Total Total (Qtv Multiplied by Unit Charge) 0 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 1 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 -468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Sign tture of owner, electrical contractor or electrical administrator: O Caeh Chock Qg Credit Card CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 04- 00000311 Pin number 063307 Property Address 1030 W 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 0928 -0000- Application description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning Application valuation 0 Owner Contractor OLSEN JR ERLING V OWNER 1030 W 4TH ST PORT ANGELES WA 983632109 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc HP/ ONLY Sub Contractor DAVE'S HEATING COOLING Permit Fee 46.70 Plan Check Fee Issue Date 4/16/04 Valuation Expiration Date 10/13/04 T: \PLANNING \FORMS \I 102.15 [11/14/2003] Date 4/16/04 .00 0 Qty Unit Charge Per Extension 1.00 46.7000 ECH EL -R OR RM 1 -4 ALT CIRCUITS 46.70 Fee summary 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. 1 hereby certify that 1 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,lopaI law yegulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date LAJ 0 1. cA INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE /DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: 8 ROUGH -IN I I PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE PELLET CHIMNEY HOOD/ DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT it's: WATERLINE METER SEWER CONNECTION SANITARY SEPA: ESA: SHORELINE: STORM PLANNING DEPT. SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT. 417 -4735 Il 1 OQ �l 1 V f7 A Jo F'�j�J LIGHT DE T CONSTRUCTION R.W. PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING T: \PLANNING\FORMS \1102.15 11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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. Application Number 03- 00000479 Property Address 1030 W 4TH ST ASSESSOR PARCEL NUMBER: 0630000109280000 Application description ELECTRICAL ONLY Property Zoning Application valuation 0 Owner OLSEN JR ERLING V 1030 W 4TH ST PORT ANGELES T: \PLANNING \FORMS \1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 WA 983632109 Contractor ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452 -6424 Date 5/20/03 WA 98362 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Sub Contractor ELECTRIC SERVICE Permit Fee 94.80 Plan Check Fee .00 Issue Date 5/20/03 Valuation 0 Expiration Date 11/16/03 Qty Unit Charge Per Extension 1.00 94.8000 ECH EL -R OR RM 201 -600 ALT SRV FDR 94.80 Fee summary Charged Paid Credited Due Permit Fee Total 94.80 94.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 94.80 94.80 .00 .00 t Q t 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 INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: ROUGH -IN 1 1 I 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 PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM SEPA: ESA: SHORELINE: PLANNING DEPT. SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT. 417 -4735 �f J 17 3 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. PW/ ENGINEERING 417 -4807 .240 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING T: \PLANNING \FORMS\ 1 102.15 [4/20021 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 ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Property Zoning Application valuation Owner OLSEN JR ERLING V 1030 W 4TH ST PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per T: \PLANNING \FORMS \1102.15 (4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 WA 983632109 MECHANICAL PERMIT 03- 00000495 1030 W 4TH ST 0630000109280000 MECHANICAL PERMIT 3000 Contractor Fee summary Charged Paid Credited 61.80 Plan Check Fee .00 5/21/03 Valuation 0 11/17/03 BASE FEE 1.00 14.8000 ECH ME- INSTALL FLOOR FURNACE Date 5/21/03 DAVE'S HEATING E COOLING 991 FRESHWATER PARK RD. PORT ANGELES WA 98363 (360) 928 -0245 Due Permit Fee Total 61.80 61.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 61.80 61.80 .00 .00 Extension 47.00 14.80 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 fora period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. !hereby certify that 1 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 con a ction. Signature of Contractor or Authorize Agent b ate Signature of Owner Of owner is builder) Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: q ROUGH -IN 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 KE 1 PUMP r Woe" (9 s 49 r) Y WOOD STOVE /PELLET /CHIMNEY HOOD /DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT N's: WATERLINE METER SEWER CONNECTION SANITARY STORM SEPA: ESA: SHORELINE: PLANNING DEPT. SEPARATE PERMIT k's PARKING /LIGHTING LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT. 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 y� A-40.03 J. 1-. BUILDING 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 ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE T: \PLANNING \FORMS \1102.15 [4/2002] BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Applicant or Agent: 74/1 y Pf ithOk .5tAkt o Phone: Owner: QU3 CL en Phone: Address: /030 /v 4 Sr City: a An r ig, Architect/Engineer: Phone: 9agp-Days Zip: td Wt., Contractor? qua #t )413ES44 94/ •.�n.s State License Exp: :ilni /U$' Phone: Address: W G.32 V E4 GG 494 /4,, City: T A) M Zi PROJECT ADDRESS: /031 Ltl 4114$ S r ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: 9,a 8 -Oa Vs 'SSG a Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC Exp. Date: TY)E OF WORK: SIZENALUATION: ¢{Residential New Constr. Re -roof Stove SF. /SF. Multi- family 0 9ddition Move Garage SF. /SF. Commercial u Remodel Demolition Deck SF. /SF. Repair Sign Other TOTAL VALUATION ,3e1 j es DESCRIPTION OF THE PROTECT: S., p.4. 0/ rq.i. if i/aat/ /7% w e�� ,Yi.na/f.. COMMERCIAL/RESIDENTIAL: Occupancy Group: Occu t Load: Construction Type: No. of Stories: Lot Size: Existing Sq. Ft. Propo Sq. Ft. TOTAL Sq.Ft. Existing lot coverage Proposed lot coverage Total lot coverage PLANNING USE ONLY: ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. 1 hereby certify that 1 have read and examined this application and know the same to be true and correct. am authorized to apply for this permit and understand that it is my responsibility to determine what permits are regj not the and that 1 must obtain such permits prior to work. T:\FORMS\APPS\Buildingpermiiwpd Applicant FOR OFFICIAL USE ONLY Date Rec.: C, q Permit S Date Approved: Date Issued: Date: S /Z//0,3 APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: REQUEST: Date194- CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT Location of Work to be inspected Name of person requesting inspection Y—Cocs Iist Address of person requesting inspection Phone No. 794t47)-40' Type of Inspection (circle appropriate one): Permit 1 e Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. co a Psryt a c-e INSPECTION NOTES: Inspected: Date Remarks• Time By RESTORATION REQUIRED SURFACE RESTORATION: SURFACE TYPE: I Unimproved EGravel I1] Repaired by City D Repaired by Permittee D No Damage Found (Continue on reverse side if necessary) Time '3 7..-D Received by,„n /0 3 D t4) /1/ YES NO D Asphalt fl PCC Work Order COMPLETE fl INCOMPLETE (phon 19 STREET SUPERINTENDENT (DATE) ID Other Application Number 03- 00000495 Property Address 1030 W 4TH ST ASSESSOR PARCEL NUMBER- 0630000109280000 Application description MECHANICAL PERMIT Property Zoning Application valuation 3000 Owner OLSEN JR EALING V 1030 W 4TH ST PORT ANGELES T: \PLANNING\FORMS\ 1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 WA 983632109 Qty Unit Charge Per 1.00 35.3000 EC EL -LOW VOLTAGE Contractor Fee summary Charged Paid Credited Date 5/21/03 DAVE'S HEATING COOLING 991 FRESHWATER PARK RD. PORT ANGELES WA 98363 (360) 928 -0245 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 35.30 Plan Check Fee .00 Issue Date 5/21/03 Valuation 0 Expiration Date 11/17/03 Due Permit Fee Total 35.30 35.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.30 35.30 .00 .00 Extension 35.30 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 prestufte to giv,E authority to violate or cancel the provisions of any state or local law regulating construction or the performance of cq'str ction. 9: LLI2, Signature of Contractor or Authorized Agent Date Cj Signature of Owner (if owner is builder) Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: ROUGH -IN 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) N's: SEPARATE PERMIT WATERLINE METER SEWER CONNECTION SANITARY STORM SEPA: ESA: SHORELINE: PLANNING DEPT. SEPARATE PERMIT k' s PARKING /LIGHTING LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT. 417 -4735 00 /7 W ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING 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 ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE T: \PLANNING \FORMS \1102.I5 [4/2002] FROM :Dave's Heating Cooli Srvc FAX NO. :13604520939 Apr. 14 2004 11:00RM P1 'tit: UE[ t l' Owns' or Elec. COr mc1or Agent: ya✓e N.0241 Phhurra. «52 Fax: 715 13 Peons: `f57 9 l 5 Aebress: /030 14 Str'eor cit Por4 A. 5 ZJp AA VE E 91 K Electrical Coneedor. Dave f1P�efid h5l CoA I 1..S lr� c. Dense :DAV p: OS /P Phone: 5 h msa:. 1 Box x(13 tl ow: joy* 1'I Neria -s Zit `r y g INSTALLATION WIRED BY: OWNER e(ELECTRICAL CONTRACTOR Properly OWnec .8u6 O15en a- AL Le Ols Credit ard Holder Name: veiv.'d L. 61denp,,,P /...Davila ge. --c. Ming AaWss PC. Box 113 city: taer -f ,(mss, Zip 1836 Credit Card Number: SbEzp. Data: PROJECT ADDRESS: 63 O l J e sF `f `�f i°e j �o r 4 �4r1s 5 TYPO OF WORK* Check All anal apply. 0 New Aeration/Addition tesldendal 0 Multi -amity Commercial 0 Mobile Horne Sq. Ft 0 Ramona Meter D Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage Telecom. 0 Sig? Number of Circuits added or altered: 1 bES CRIPTION OF THE ELECTRICAL PROJECT: 7)r;Trnnner, Tor (N LeJ Electrical Heat load Addlthons and or Subtractions o Baseboard KIN C% P 0 Over h ad 6ervice c l Fvmace KW eat Pump _TON St LRA o Temp Service 0 Fan -Wall KW D Underground Service thereby cezt%fy that I have read and examined this application and know that same to be true and correct, and 1 am authorized to apply for this permit f understand it is not the City's legal responsibility to determine what permits _5cersquireri,.itrernains- the applicants- responsibr7rfy -to -d mine.. a Tequila ;r,iand s Credit Card Holder's Signature: 'W ,Y i Date: r D4{ r�i, L I �c Date: 04 °carer m at mok adal -h-'" v-e ks-. PERMIT FEE: q 70 7 :1ELEC7RICALPERWITAPPiJCATION vie/Ay ELECTNICAL PERMIT APPLICATION Tea Electrical Psrnii Application mesh be riled ova SMnaletelo. Plisse tam o r sprint M Ink. 11 you have any questions. please WI (360) 4174736 Fax number: 1360) 4174711 Owner or Ears. Cont. Signature: Coc.ltF P011 091MAL use art. Davila. P.m%Y i Du. lag.4 Du.Wad 0g-3// WEA: ✓MC: .DervIce Infumatlon Voltage: Phase: 1 e 3 Servioe Sim: Feeder Size: FROM Electric4S REQUEST INSPECTION C Owner or Elec. 510.-tr?tc ,,c hit 4L Phone: Vr2—(yNZV Fax: Lk S'Z. u k DI C op Phone: Property Owner. Address: PROJECT ADDRESS: Baseboard o Furnace O Heat Pump o Fan -Wall The Electrical Permit Application must be filled Out completely Please type or reprint In Ink. N /ou hen any question., please call (360) 4174735 Fa: number: (360) 4174711 n C L City: Electrical Conttr �tZ j i r License!!:?' v Address: �C C,X�, r2 Q City raft INSTALLATION WIRED BY: ❑OWNER USLCGTRICAL CONTRACTOR Credit Card Holder Name: Billing Address: City: Credit Card Number: Exp. Date: t ResIdental Multi- family Remote Meter Detached garage Number of Circuits added or altered: Electrical Heat load Additions KW a KW ASTON KW ∎A). TYPE OF WORK: Check all that apply: New Commercial Mobile Home Sq. Ft C Hot Tub 0 Swim Pool Septic Pump DESCRIPTION OF THE ELECTRICAL PROJECT: 1 P) G,wte SC(VL e.47 r t ir( 1. I 1 KRR r,rvr,r7 C .r v14 1 IOK LRA 51(t,0 FAX NO. 4526424 May. ELECTRICAL. PERMIT APPLICATION PERMIT FEE rn Alteration /Addition ;EfOyertilead Service Temp Service 0 Underground Service 16 2003 07:39AM P2 Fun OFFICIAL L ONLY Service Infarmatlort C� Pa,,,,, e Diuc Appru'd Date Lamed: if Inc( Phone: tit Z--GY. 4736 Zip: VISA: Voltage: I 2. p Phase: 1 3 Service Size: Feeder Size: MC Low Voltage Telecom. PAMC 14.05.060(E): For industrial, commerc?ai, residential projects larger tan a duplex, a one line drawing of the Electrical Service Feeders, building size (sq ft load calculations, and the type of conductors and/or raceway is required and shall accompany the Electr Permit application. I hereby certify that t have read and examined this application and know that same to be true and correct and I authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits required; it remains the applicants responsibility to determine what permits am required and to obtain such. qJ p o x., t' I C dit Card Holder's Signature: i Owner or Elec. Cont. Signature: C: /ELECTRICALPERM ITAPPLICATION Y Date: Date: 0 PW -9019 Property Owner: 8 WO 0 L Se Irt Address: 1030 sT Baseboard @tumace Heat Pump Fan -Wall ELECTRICAL PERMIT APPLICATION The Electrical Permit Application must be filled out completely. Please type or reprint In ink. If you have any questions, please call (360. 4174735 Fax number: (360) 4174711 0,3 Fax: 7 Owner or Elec. Contractor Agent '44 ^1i /�r� Phone: S�SZ Phone: City: i T 1 r >MUNC fit kc Electrical Contractor:.YA�+) fie i� License a: Exp: S/0 don Phone: Address: a3 2 4/ 5 6 A 41.4.4 City: tP r•t 4ne414- /e l a Zp: ?Lie. 9 INSTALLATION WIRED BY: OWNER 13'ELECTRICAL CONTRACTOR Credit Card Holder Name: Billing Address: City: Credit Card Number: Exp. Date* PROJECT ADDRESS: /0 el Sr TYPE OF WORK: Check all that apply: New ❑`Alterati Addition lIf sidental Multi- family Commercial obile Home Sq. Ft. Remote Meter Detached garage Hot Tub CJrSwi Number of Circuits added or altered: F.= DESCRIPTION OF THE ELECTRICAL PROJECT Credit Card Holder's Signature: Owner or Elec. Cont. Signature: FOR OFFICIAL USE ONLY Dait Pt.mn Dale Appnned: Date Issued' Zip: ir s3 3 Zip: VISA: MC:_ I Septic Pump ow Voltage Telecom. S 35 ,3 0 4' hi .So Service Information c 1 7.1 M 115' Voltage: Overh: •d Servi &\f Phase: 1 3 CI Temp -wits Service Size Undergr• nd Senn Feeder Size: PAMC 14.05.060(B): For indus al, com ial, resid ntial project- larger than a duplex, a one line drawing of the Electrical Service Feeders, building size (sq. ft.), lo calculations, and the \fpe &6ofcon c, ctors and/or raceway is required and shall accompany the Electrical Permit application. I hereby Certify that l have read and examined this application and know that same to be true and correct, and I 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. Date: Date: �Zi /n CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT REQUEST: Date 7 USr"O 7 Time 7 H Received by DPKwts C (phone, person) Location of Work to be inspected O 3v Lc) X Name of person requesting inspection l7.e.trt c Address of person requesting inspection c'rp Vac /1 q B Phone No `F `7 —V (5 9 Type of Inspection (circle appropriate one): J Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Ot r ��e r INSPECTION NOTES: Inspected: Date 7 01 Time A 414- By e wv` s Remarks Ke /A e.J ezl Serv(Ce .Qr-c--. w--c. fro w 1L&c(0 i w-.e_-I-t r S2•} c r` J RESTORATION REQUIRED YES X NO 0 V) `1e-- (41/2 2" CT Ott P Ws' 4lle SURFACE RESTORATION: SURFACE TYPE: Unimproved ❑Gravel IgAsphalt PCC Other Repaired by City Repaired by Permittee El No Damage Found (Continue on reverse side if necessary) Work Order 3b 3 q(=> r 9 Z K COMPLETE 74 5 INCOMPLETE U STREET SUPERINTENDENT (DATE) CITY OF PORT ANGE Lr,�SRKRM 11'APPLI CATION Buildijig DivislonlVectrical In4j)cctlons 321 East Fiftli Stroet — PO, Box 1150) Port Angeles Waslilngton, 98362 Pb; (3 0) 4174735 FuN-. (360) 417-4711 C)at�; 9 /1/1114 — I & 2 Single Family Dwelling oa RECEIVED SEP 2014 ELECTRICAL m3PECj.I0N3 * Plan Review May Be Required, Please complete EIK.Ir�;al Plan Review Information Shut AAddf0sT 103OW 4th St BU13&flg'5q5JXa Fooja;q: 1974... ..... Owflof Infomallon jqaMe: Leroy/sandVsinnes Ma&V Ad*= I030 W 4th St Ott . Port Angeles Sifltt). aA Zp; 983632�09 fte—M ,%MmFeedar 200 A". $46,00 ,AMM'Feader 401•M Amp 2050 ServlceJfreoft 00 1 -10 Amp, Uryiceffiee&rayef NDGAmp, S 373.0D &Wh MCUR WJ SOViCa Feedm 5,00 branch Dalf! V110 Urke F"dar 6a 00 F� Additlomd Sr h CjrWt 5.00 Smpch Ckculls 1.4 75,00 Tear;. Serviced FWer 200 Amp, 93.00 TOMP. SeNiC#)Fftdet 201.400 Amp, 10.0 temp. ServicelFaedar 401-600 Amp. $149.00 Temp. SWWFeedst 601.10 Amp > 168,00 pm fl to po" ptudy $ 96Z Sigoal Ckall/ Wed Energy - i A 2 Family 1)wc4ing $ 64,0D Wnufniured Rome Connedion $120.00 RenewaW fleckal Energy . 5KVA Sys4am or Lem $102,0D ThamosW $ 56AG NO,-: $540 W each adc6knal T-Sial NEW C0NSTRVqL0 (aj LY- Each Ad(ftonal 5114 Sq0,T0 ft .v Poajon d 40.00 Each outhwAft of lached Garage 74,00 Each SjAiiamLiq Pool Hot TO 311[8.01 Contractor Information N3MV, Protect Your Horne M&M2AWM= 3750 Pr[orlty Way South Dr cagy �Indiana MWO;,JN.... .. Zo! 462,LC eLw� F140110L. 866-502-3559 raX� 317-564,2547 Lkmo#tExp,_P_Ro_TEYH934Rsexpl2/ioi2ei3, Total (Qtv M ultiolied by Unit Char 01 Total Omer as defmd by RCK19,28,261 : (1) Owner will O=py the strwture for two years after this electrical POMit IS Anak_ede (2) Owner is requfred to hire an 01%WCM cOntractor it above said prWdy Is for sale, rent a tease. Permit expires after nix months of lost inspection, After reading the above statement, i hereby c k Ifia I M [No owner of the above Oamed ProPorty Or a 11cemed electrical contractor, I am making the elecirtat Inslagaliork or operation in COMPHOnce w[Ul the elecM laws, N.U., RCW, Chapter I9,28, WAC. Chapter 2964168, The City of Port Aneles Municipal Code, and Utility Speciricakils and PAMG 14.05,0 50 fegarrfing Electrical Permit AppkaUons. Signature of owner, electrical contractor or electrical administrator, 0 C34N 0 Check 0 d da e 9/2/2014 __e__�V,tod� ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 . Application Number , . , . . 7.4- 00001041 Date 9/03/14 Application pin number 315394 Property Address 1030 W 4TH ST ASSESSOR PARCEL NUMBER 06- 30- 40 -0 -1- 0928 -0000 Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use , . , . . , . . Property Zoning Application valuation , , , . 0 Application desc Security ---------------------------------------------------------------------------- Owner Contractor ------------------ - - - --- ------------------------ LEROY AND SANDRA SINNES PROTECT YOUR HOME 1030 W 4TH ST 3750 PRIORITY WAY SOUTH DRIVE PORT ANGELES WA 983632109 4200 TNDINAPO.LTS IN 46240 (317) 510 -4720 Permit . . , . . . ELECTRTCAT, ALTER RESIDENTIAL Additional desc . Permit Fee . . , . 64,00 Plan Check Fee 00 Issue Date 9/03/14 Valuation , . , . 0 Expiration Date 3/02/15 Qty Unit Charge Per Extension 1,00 64.0000 ECH EL- SINGLE CIR LIMITED RES 64.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ---- ---- --- - --- -- ---- - - - - -- ---- - -- - -- - --- - - - - -- - --- --- - -- Permit Fee Total 64,00 64.00 .00 .00 Plan Check Total 00 .00 .00 .00 Grand Total 64.00 64,00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN c� FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION. Signature of owner or Electrical Contractor X Date: QTEXCHANGEIBUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . , . . 15- 00001613 Date 12/24/15 Application pin, number . . , 690351 Property Address , . , , , . 1030 W 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 0928 -0000- Application type description ELECTRICAL ONLY Subdivision Name . , . . , . PORT ANGELES Property Use STE 105 Property Zoning . . , . . , , IT-711L Application valuation , , . . 0 Application desc Securit m --------------- -- --- ---- - - - - -- Owner Contractor ff-A, "1 LEROY AND SANDRA SINNES ADT LLC 1030 W 4TH ST 11824 N CREEK PARKWAY., N PORT ANGELES WA 983632109 STE 105 IT-711L FINAL BOTHELL WA 98011 COMMENTS: (206) 719 -0347 Permit . . , , . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee 96,00 Plan Check Fee .00 Issue Date . , . 12/24/15 Valuation , , . , 0 Expiration Date , . 6121116 Qty Unit Charge Per - Exten.aicn 1100 96.0000 ECH RL- LIMITED 1ST 15D0 SQ FT . 96,00 Fee summary Charged Paid Credited Due Permit Fee Total 96.00 96.00 DO 00 Plan Checis Total 00 00 .00 .00 Grand Total 56,00 96,00 .00 ,00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: ff-A, "1 INSPECTOR: DITCH ,_; SERVICE REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN IT-711L FINAL .. COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date. GAEXCHANGETUILDING Il To: Page 2 of 2 . 2015-12-23 20:02:15 (GMT) 18884000383 Prom: Deborah Shields �j :0 CITY OF POW 4NGrJ.X8 P.FRMIT AP.Pix'ATION Builditig Division./lKlectrical Inspectilloiis 321 East Fiffli Street — P,O. Box 1150 / Port Migeles Waslifitgton, 98362 Pb. (360) 417-4735 Y'ax: (360) 417-4711. Date: �Multi•Farniily or Commercial* * Plan Review M7, Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 10.10W oljdhsr Buildin4 Square F(mage, Oescdptiqn of above owner Information Contractor Information Marne' rainy 3Len s NaMe4 AMT11C,' Ma0tig Addresq:, MaNngAddrpss: City: St9je: 'IIA Zip: city: State: Zip: Phone: 360-460-4557 —Fax, Phone: 20ify'94F9 F'= License #/ License A Exp. f�iou Item Unit char a Total (Q—ty Myttiplied 4Y Unit Char gel Ssrvice/Feede(200 Amp. $132.00 ServiGe,'Feeder 201-400 Amp. $160.00 $ Sarvice/Feedsr401-600Amp $225,00 Spirvice/Fooder 601-1000 Amp, $288,00 ServiciVFeeder over 1000 Amp, $410.00 Branch Circuit W/ Service Feeder $ 5.00 $ Branch Circuil)NIO Service Feeder $ 74.00 Eadi Additional Branch Circuit $ 5.00 Branch CirCHItS "A $ 86,00 $ Temp. Servicet r aedar 200 Arnp• $102.00 . ...... Temp, SenjiceilFeeder 201-400 Amp, $121,00 Temp, Sprvice!Feeder 401-600 Amp, $ 164,00 Temp, Sei vice/Feeder 601-1000 Amp $ IMOC $— Portal to Porial Hourly $ 56'00 Sign /Outline Lighting $ 88,00 Signal Circu!V Limited Energy – V, ulfl-Famdy $ 64.00 Signal Circuli/ Limited Energy/ Firsi 1500 sf,-- Commercial $ 96,00 $ Note: $5.00 for each additional '1500 8f Renewable Electrical Energy - 6KVA System or Less $ !13.00 Thermosmi $ 56,00 $ . .......... ....... ...... - - - Note: $5.0 for each iddlilonal T-Stal s —cl 69Total Owner as defined by RM19.26-261: (1) Owner will occupy the structurf, 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 cr leasf)• P%mlt 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 license(] aiert6oall contractor• I am making the electrical inst4ation or alteration in compliance with the electrical €@ws, N•E,C,., RCW. Chapter 19.28, `VAC. Chapter 296.4138, TN City of Port Angeles MuN(;4ml Code, and Utility Specifications and PANIC 14.05.050 regarding Electrical Permit Applications, Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ Cherk IN Lr LN Credd Gard 0 Jennifer Covello 12/23/2015 . ..... ......... . . ...... - - - ----- - X ...... .. . . ....... . . ...... . .... - - WOV2012 (J�