The URL can be used to link to this page

Home My WebLink About318 W 6th St - BuildingPREPARED 10/30/06 8 44 15 INSPECTION TICKET PAGE 13 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/30/06 ADDRESS 318 W 6TH ST SUBDIV TENANT NBR GLEN ADOLPHSEN CONTRACTOR PELLET HEAT CO PHONE (360) 457 4406 OWNER ADOLPHSEN GLENN PHONE PARCEL 06 30 00 0 1 6330 0000 APPL NUMBER 06 00001081 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 10/03/06 JLL 10/03/06 AP ME6 02 10/04/06 JLL 10/04/06 CA ME6 03 10/30/06 k1 MECHANICAL GAS LINE TIME 13 00 GLENN 457 3951 10/02/2006 01 09 PM DYASUMUR 10/03/2006 03 22 PM JLIERLY MECHANICAL GAS LINE TIME 13 00 GLENN 457 3951 10/03/2006 09 59 AM DYASUMUR 10/04/2006 04 44 PM JLIERLY MECHANICAL GAS LINE TIME 13 00 GLENN 360 457 3951 10/30/2006 08 18 AM DYASUMUR COMMENTS AND NOTES PREPARED 10/04/06 8 43 39 INSPECTION TICKET PAGE 13 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/04/06 ADDRESS 318 W 6TH ST SUBDIV TENANT NBR GLEN ADOLPHSEN CONTRACTOR PELLET HEAT CO PHONE (360) 457 4406 OWNER ADOLPHSEN GLENN PHONE PARCEL 06 30 00 0 1 6330 0000 APPL NUMBER 06 00001081 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 10/03/06 JLL MECHANICAL GAS LINE TIME 13 00 10/03/06 AP GLENN 457 3951 10/02/2006 01 09 PM DYASUMUR 10/03/2006 03 22 PM JLIERLY ME6 02 10/04/06 L MECHANICAL GAS LINE TIME 13 00 1/ GLENN 457 3951 10/03/2006 09 59 AM DYASUMUR COMMENTS AND NOTES PREPARED 10/03/06 9 39 01 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/03/06 ADDRESS 318 W 6TH ST SUBDIV TENANT NBA GLEN ADOLPHSEN CONTRACTOR PELLET HEAT CO PHONE (360) 457 4406 OWNER ADOLPHSEN GLENN PHONE PARCEL 06 30 00 0 1 6330 0000 APPL NUMBER 06 00001081 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 10/03/06 MECHANICAL GAS LINE TIME 13 00 GLENN 457 3951 10/02/2006 01 09 PM DYASUMUR COMMENTS AND NOTES ADOLPHSEN GLENN 318 W 6TH ST PORT ANGELES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 06 00001081 Application pin number 754349 Property Address 318 W 6TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 6330 0000 Tenant nbr name GLEN ADOLPHSEN Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning Application valuation 3000 Owner Contractor WA 983625902 citaikk Date 9/29/06 PELLET HEAT CO 230 EAST 1ST SUITE C PORT ANGELES WA 98362 (360) 457 4406 Permit MECHANICAL PERMIT Additional desc Permit pin number 88179 Permit Fee 60 65 Plan Check Fee 00 Issue Date 9/29/06 Valuation 0 Expiration Date 3/28/07 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 10 6500 ECH ME -GAS PIPE 1 TO 5 10 65 Fee summary Charged Paid Credited Due Permit Fee Total 60 65 60 65 00 00 Plan Check Total 00 00 00 00 Grand Total 60 65 60 65 00 00 0 -2,6 _07 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 tel 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 g inspection. l- 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 -1 presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of const Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T•\Policies \l 102_15 building permit inspection record05.wpd [1/4/2005] k) ifo) CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 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. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) 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 FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS 11)i ANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING ,PLANNING DEPT PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING FIRE PLANNING DEPT BUILDING SEPARATE PERMIT #'s 417 -4807 417 -4653 417 -4750 T• \Policies \1102 15 buildine permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD YES 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 FINAL DATE ACCEPTED BY. 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1,_ 1 1 d i (774 1 1 1 1 1 1 1 1 1 1 417 -4815 1 16-26-09 1 Exo r NO FINAL DATE ACCEPTED BY. SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING 1 FIRE DEPT 1 PLANNING DEPT 1 BUILDING 1 1 1 1 1 1 1 1 1 9-29-06 56PM y` yy Till out COMPLETELY and in INK Your application and site plan MUST BE COMPLETE to be accepted for revletir If you have any questions, call (360) 417-4815 Applicant or Agent: PI Lev nt re) Owner GLEK) At0S14scL, Address fY 0 Archttect/Enginter Phone. Contractor p ?J S7}E. C0 State License Phones 451440 to Address 220 C rk 1 Sr City'Pr- A J(C1 Zip qC ka PROJECT ADDRESS. I ,JO ZONING LEGAL DESCRIPTION Lot :s to Block: IA. 1 63 Subdivision. C LALLAM COUNTY PARCEL NUMBER. b Credit Card Holder Name. $illurk Address; Credit CarelType VISA, MC 11 TYPE OF WORK. SIZE/VALUATION SF /SF SF ®S /SF S SF S fSF S TO “..14c*. AL VALUATIO?1 5 BRIEF DESCRIPTION OF THE PROXECT tLj 5 Oa. R6u ienini l 7 MJ1b- family Commercial PLANNING USE ONLY r .F(1%MSVa SNSwili1 gperyrilt Vepd 9 Re -roof 0 Move O New Constr Adthnon o Remodel 7 Demolition Repair 9 Slgri BUILDING PERMIT APPLICATION CitY Stove garage o Deck o Other City COMMERCIAL/RESIDENTIAL Occupancy Group: No tit Lot Sao' Existing S. Ft. .Sc Proposed Sq. Ft. Existing 101 coverage Proposed lot eo' erogc T Total lot coverage A(Wrtland(s) Yes G No SEP k Checklist required? 0 Yes No Other Occupant ther Occupant Load, Construction Type TOTAL Sq.Ft. 13 in PERMIT APPLICATION SUBMITTAL. The Building Division can provide yuu v. ilh information on the application sn.3 s:ibirt„ttal requirements if you have questions. ,t i U A i'LON OF CONSTRUCTION In all cases. a valuation amount must be entered by the applicant, This figure will be reviewed r d nw. be revised by the Building Division to corripl with current foe schedules. Contact the Permit Coordinator at 4 1.7 -451. fora PLA.' CHECK FEE IF a p,an check fee is due it must be submitted at the time the building permit application and construe rifle plans are submitted All other permit fees arc due at the tune of pernut isviance, EXPFRAT1ON OF PLAN REVIEW km) permit is issued within 180 days of ate dale n` application the application will expire, Th F 'ldi. Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section i u" a .ii 'he Umform Building Code, current edition) Nu application can be extended more than once, he reby certify (Pat 1 have rood 9rd exarnkled this application and know the same 10 oe true and correct. I am authorized to apply tar t.bs permit and inderstend that if is my responsibility to delmmtne what r.ermifp are repuI ,00t tn city s, and that! ,must obtain such permits prior to work .Applica Phone 457 440 Y✓ Phone Permit x Zip: C 1 1 11 02. Exp. Date_ 13604520503 FOR OFFIC n '/>1 Y Dale Rte Da to Approvx 20 Datc Date tsm APPRON ALS PLAN BLDG DPW11 OTHER_ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT AN(iEI.ES. WA 98362 ELECTRICAL PERMIT ISSUED: 11/01/2002 PERMIT NO 7882 OWNER/APPLICANT PROPERTY LOCATION GLENN ADOLPHSEN 318 6TH ST W 318 W 6TH STREET Lot: 5 & 6 Port Angeles, WA 98362 Block: 163 [] Long Legal 360/457-3951 Subdivision: TPA T: S: Parcel No: 063000016330000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Type: RES. MISC. Project Value: $0.00 Occupancy Type: RESIDENTIAL Construction Type: Occupancy Group: Zoning Use: Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 14 KW [] Overhead Service Voltage: 120,240 [] Heat Pump 0 KW [] TempService Phase: [] 1 [] 3 [] Fan Wall 0 KW Service Size: 200 Feeder Size: 0 PROJECT NOTES ~.,.~ REMOVE BASEBOARD HEATER iNSTALL NEW FURNACE RECEIPT#9885 FEES ASSESSMENT Service: $46.70 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $46.70 AMOUNT PAID: $46.70 BALANCE DUE $0.00 COMMI:.NTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A/viR'IIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WOP~ BEFORE IT IS INSPECTED AND ACCEPTED. DITCH ROUGH-IN / COVER SERVICE GENERAL COMMENTS: CITY OF PORT ~GELES e~' COM~Y DEVELOPME~ BU~D~G DWISION DEP~TMENT OF 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 11/01/2002 PERMIT NO: 13834 OWNER/APPLICANT PROPERTY LOCATION 318 6TH ST W GLENN ADOLPHSEN Lot: 5 & 6 318 W 6TH STREET Port Angeles, WA 98362 Block: 163 ~ Long Legal 360/457-3951 Subdivision: TPA T: S: Parcel No: 063000016330000 CONTRACTOR ARCHITECT ABSOLUTE AIR INC. N/A 2820 E HWY 101 PORT ANGELES, WA 98362-0000 , 98360-0000 360/452-8444 360/000-0000 PROJECT INFO Project Value: $4,500.00 SFD Units: 0 Commercial: 0 Project Type: ELECTRIC FURN. 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 INSTALL ELECTRIC FURNACE & LOW VOLTAGE THERMOSTAT RECEIPT#9885 FEES ASSESSMENT Bui~dincj Permit: $0.00 Misc Fee 1: THERMOSTAT $35.30 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: $73.60 Plumbing: $0.00 AMOUNT PAID: $73.60 Mechanical: $38.30 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 end 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 Jaw regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of'~wner (if cyber 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. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. 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/ GIP. DERS SHEAR WALL WALLS / ROOF / CEILING DRY~VALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERA,IIT #'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 ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION ILW. / PW/ CONSTRUCTION - R.W. ENGINEEILING 417-4807 PW / ENGINEERING FIRE 417-4653 FIILE DEPT. PLANNiNG DEPT. 417-4750 PLANNING DEPT. BUILDiNG 417-4815 / ~- L~ ~ BUILDING T:~PLANNING\FORMS\I 102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date / I*~ //'-/~:~'~ Time Receivedby ~[~'~ (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 Framing Chimney Plumbing ~Sewer Excav. Other INSPECTION NOTES: ~ Inspected: Date~-/~-~ Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel [~Asphalt []PCC []Other [] Repaired by City Work Order # I--) Repaired by Permittee b~ COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15990 , // 1'/ . Port Angeles. Washlngton._____L __.=.____L...________...___u___...___.____, 192.~ 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- mission is hereby granted to dO electrical work as listed below. : };'" tu- G J;,1/ Address .___.~/f.'?.d______.UUU______._~__________U:____hd___u_____________mm. Occupancy.nn/.:;/~'___UU.h.___._____d.U ?il/r, " -f) -?' Owner .___.'hn.:__:q~1<:L,u__(f>..(::<'!!m'2.~:{;t2~'=' Tenant.____._.mm_m__.um.um__.Um__Ud_U__U_nu___u_____u_u , I Wiring Contractor uu1-):!c!-c.o,:!e~m___m___uuunn_n__n____ By_un__dm.humuu.uuuumhm.n___n_.ud___uhdu_u Light OUtlet..mn.__m_~,-.umm_.m, Service, volt. .mm.mnmmnnmnm_m.m Type ot Wiring: Receptacle OUtlet~..'::.-.--h.(................. No. wires ......___...__._................_____.. Armored Cable .....--.....................- Dryer, KW n;'uu...n.............................. f.,1" Size wires...........h__h.....__...___....._.. Range, K\,V :u,..hum..nhuhmm. .' Main fuse ................m.................... Water Heater: Enclosure __.__...__...__..0...._....0....0...... HeatK:~:::::.,';::~:;,r:~jl}j Type of wiring: Entrance Cable _.0....0....0................ Motors: size, volts and phase: Rigid Conduit nmmmmn Metallic TUbing ..........__..... Current transformers: No. & Size....................................... Ser. NO......n_........h_.......................... Ser. No. __..____..__................................. _ Ser. NO..__.n..__.....__...__.....................__ Non.Metallic .................___.........c... Knob & Tube..n.....__....................... Rigid Conduit nn.m.nmnnnum'.uu Metallic Tubing mnmmmnnmn.m Raceway .................._............_......_ CIrcuits, Llght......_................................ Utility ____nnm_m_mnn'h.h___hh.m.____ I-Ieat .................__...................._...... Range ..........................u................. Water Heater ...............__....__........ Motor ..._..............._........................ Dryer ...__...__................__..__...__..__.._....__ Furnace ____..__...._..........._~................... Remark:~ta:__~~~d:_::_:.._:..__::~~:df:d:;~;.~__1;Z~-___.~u___.___u___u~~:.~:u::...:::'____..::::.:.:::.::::::::. n_...._n.n.nn.nnunnn.nnnunnnnnun..n.n_n.nn__.nnn_nn_h.nn..__...__.un.nnn.n..n.nnn_:;7__uA_~.uu..._dhu____u.n_____n______ By .;/ct:}/~~<fA~~~-"_- NOTICE-Current must not be turned on until Certificate 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. Permit Fee Treas. Receipt $:___um____u_____.______.___.___m No__._________u_________.____ NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15990 ,,/ : Address................__._.........................................................................................................._........Date..._......_.._......_.........._......_.....__......... Owner n................................._......_.._......_......_.._..............................._.....................n.... TenanL............................n.............................h...... WIrIng Contractor....nn.....n._.....n.................__................................................n.........................n.. By............................................................._ NOTICE-Current must not be turned on until Cert1f1cate at' 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. . \ 1M Olympic Printers, Inc. a; ELECTRICAL PERMIT APPLICATION FOR OFFICIAL USE. ON} Y _ 0.,,- 4 -~ ~~~~IYed: B8 Oalcllaut..r: The Electrical Permit Application must be fllled out comDletelv. Please type or reprint In Ink. II you have any questions, please call (360. 417-4735 Fax number: (360) 417-4711 Owner or Elee. Contractor Agent: C IE 11I/1( /lJ" /1' '- T AN Property Owner: 8/ e iY /IJ J1 eI" {r Ie. or en' Address: ;5 J 8 w t. r'-. ' City: Electrical Contractor: S <z / P / 0 VJ jIl Q V- I Phone: Fax: JOo.rfJ"'J .j,,-s license II: Phone: i' 6 tJ .<j,J~/ .s' 7' :( Zip: 'lJ?3C::Z Exp: Phone: INSTALLATION WIRED BY: IV OWNER City: o ELECTRICAL CONTRACTOR Zip: Address: Credit Card Holder Name: Credit Card Number: Exp. Date: Zip: VISA:_MC:, Billing Address: City: PROJECT ADDRESS: Jig 4/ ~ j-l r,-J- J1...."'.Jo - ~ Alteration/Addition 7&S6..z TYPE OF WORK: Check all that apply: o New i;l!'Residental 0 Multi-family o Commercial' 0 Mobile Home Sq. Ft. I r 8 0 o Remote Meter o Detached garage OHolTub o Swim Pool OSepticPump OLowVoltage o Telecom. 01 Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: j?Jtrc.f...,-,. Fl-{..)-7'\.,ac...a-. tUjva: I f?",~"dr :,Elocf"..... In v / '/. a ~ J , dJ " 0" " .; o:~~ d , It. h ~o ' i-J~ < f .I...st':.. II t"'-l,.,.," / o Baseboard o Furnace o Heat Pump o Fan-Wall KW 'HKW _KW _KW ~ (26UtJr#18BS Service Information Electrical Heat Load Additions LRA 38 .Lb: Overhead Service o Temp Service o Underground Service Vollage: .,2.. ;I. 0 Phase: 1;(11 0 3 Service Size: Z () (/ Feeder Size: q~1' PAMC 14.05.060(B): For industrial, commercial, & residential projecls larger than a duplex. a one -line drawing of the Electrical Service Feeders. building size (sq. fl.), 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 , 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. 1fZ- -rP 'f\ -o~ I /iJ Credit Card Holder's Signature: Owner or Elec. Cont., Signature: ~c:::icl)~ 16N()/6Z- Date: Date: Ie -.1 'i -c PW-9019 v1~,pt~ Iffl/29~ z---- Application Number . . . . . 22-00001492 Date 11/30/22 Application pin number . . . 075504 Property Address . . . . . . 318 W 6TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6330-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Meter and mast ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MARY J JACOBY ANGELES ELECTRIC 318 W 6TH ST 524 E. 1ST ST. PORT ANGELES WA 983625902 PORT ANGELES WA 98362 (360) 452-9264 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 120.00 Plan Check Fee . . .00 Issue Date . . . . 11/30/22 Valuation . . . . 0 Expiration Date . . 5/29/23 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 120.00 120.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 120.00 120.00 .00 .00 1 . 2 SINGLE.FAMILY EL-ECTRI CAL P E RM I T AP-P LI CAILO-N. PLrblic Worl<s and t,lLilr[ies D,:partntclrt :t2l E. 5tlr Stlcci. Port Angi:lcs, \\,/t 98361 l(r0,;t17.4135 irvr,vrr.citygfla Lrs Icleciricalpt:rrrri{srZr.cirvo{ira.Lrsd tl(D 3 * Project Address: Name Mailing Address , Projepl Descriptio &ingrc-Famity Residen I Duplex / ARU Building Square footage: Email Phone: S@ - / 9O ^ /^ ?/ OWNER INFORMATION ELECTR}CAL CONTRACTOR ]I$FORMATION Name Angeles Electric, lnc. Mailing Addres s: 524 E. First Street, Port Anseles, WA 98362 Licens E: ANGELE1460RS Email ksimpson@olvmpus.net Expiration Date:21412024 Phone: 360-452-9264 PROJECT DETAILS [e!q Service/Feeder 200 Amp. Service/Feeder 20 1 -400 Amp. Service/Feeder 401 -600 Amp. Service/Feeder 601 -1 000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W Service Feeder Branch Circuit WO Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601 -1 000 Amp. Portal to Portal Hourly Signal CircuiULimited Energy - 1&2 DU. Manufactured Home Connection Renewable Elec. Energy: SKVA System or less Thermostat (Note: $5 for each additional) Finst t30O Sqgane Feet . eaeh.A.ddl'tlfualrsgOisqulape, !.eet:' Each QUtbuilding,/ Detabhedi Garage Each Swirnmihg:Pbol / FldtTtrb auaulily t/ antity x Qnit Charge)/zD*Unit Chargg $120,00 $146.00 $205.00 $262.00 $373.00 $s.oo $6s.00 $5.00 $75.00 $93.00 $1 10.00 $'149.00 $16S.00 $96.00 $64.00 $120.00 $102.00 $56.00 $,120-00 '$40:ooi $74.00, $1.1,0.00 Total (Qu $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ S+'.s ':.. s" $;i-r.,-;--.- :'$ .J22+ 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- 468, The City of Port Angeles Municipal Code, and Utility S s and 14.05 50 regarding Electrical Permit Applications Ken Si Print Name Signature (Contractor / Ad ministrator)Date IElectrical PermitApplications may be submitted to City Hallor electricalpermits@cityofpa,us] PREPARED 11/29/22,14:31:06 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001492 318 W 6TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 120.00 TOTAL DUE 120.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Meter repair NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 11/30/2022 22-1492 TAP OWNER CONTRACTOR Angeles Electric PROJECT ADDRESS 316 W 6th St