HomeMy WebLinkAbout1102 W 8th St - Building .~%' CITY OF PORT ANGELES .
~'-,~"'~'"' ' DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
A~li~ation ~umber ..... 03-00000019 Date 1/14/03
()
.......................... Structure Information .........................
Separate Permits are required for electrical work, SEPA, Shoraline, 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 ~ have read and examined this application and know the same to be true and correct. All previsions of
laws and ordinances goveming 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~ r.ggulatin~ construc.~tie~'or the performance of
Signature of Contractor or Authorized Agent Date Signature o~ Owner (if. owner i..s..bu~ er~ Date
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 0 ~ '~ [ ~
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I ' NO
FOUNDATION:
FOOTINGS ~ ~ '
WALLS
FOUNDATION DR~&INAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGHdN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS I
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
WALL / FLOOR/CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PWUTILITIES/ SITEWORK (EngineeringDiv]slon) SEPARATE PER3MIT #'S:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHOKELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTKICAL - LIGHT DEPT. 417-4735 ELECTKICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIKE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 /' ~)~05 ~r~[] BUILDING
T:\PLANNING\FORMS\I 102.15 [4/2002]
~' ? O RT 4~' I FOR OFFICIAL USE ONLY:
.~o ~oe Date Rec.:~
BUILDING PERMIT - APPLICATION
Date Approved:
Date Issued:
The Building Permit dpplication must be filled out completely.
Please type or print in ink. If you have any questions, please call 417-4815
Applicant or Agent: Phone:
Address: //~ ~ iA.) 9::5"/Pt City: Zip:
Architect/Engineer: Phone:
Contractor License #: Exp:. Phone:
Address: City: Zip:.
PROJECT ADDRESS: ZONING:
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name:
Billing Address: City:.
Credit Card #: Exp. Date: VISA MC
TYPE OF WORK: SIZE/VALUATION:
[] Residential [] New Constr. [] Re-roof [] Wood-stove SF. @ $ /SF. =.$ '
[] Multi-family ~ Addition 121 Move r~ Garage SF. ~ $ /SF. =$
[] Commercial [] Remodel [] Demolition [] Deck SF. ~ $ /SF.
[] Repair [] Sign [] TOTAL VALUATION $
BRIEF DESCRIPTION OF THE PROJECT: .~'~ ~-~ t ] P/--C.) .(7---~ t/1 ~L
' XN,¢ ' "' '
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: __ Construction Type:.
No. of Stories: __ Lot Size: % Lot Coverage: %
Existing Lot Coverage: /sq. ft. + Proposed Lot Coverage: /sq. ft. -- TOTAL LOT COVERAGE: /sq. ft.
PLANNING USE ONLY: APPROVALS: PLAN
Notes: BLDG.
DPW
FIRE
ESA/Wetland(s): [] Yes [] No SEPA Checklist required? [] Yes r~ No Other: OTHER
BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for
review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your
completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division.
VALUATION OF CONSTRUCTION: In all eases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: Your plan check fee is due 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, this 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.
I hereby certify that I have read and examined this application and know the same to be true and correct, and I am 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 applicant's
responst'bt'lity to determine what permits are required and to obtain
Applicant~,~f~ ~"~' ~ ,~.K.~.~..~-
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Location of Work to be inspected i8~ ~ ~) r V.~h
Name of person requesting inspection ~, ~ ~' / ~-/61 ~
Address of person requesting inspection Phone No.~
Type of Inspection (circle appropriate one): ~ Permit No.
Sewer Foundation Framing Chimney Plumbi~ Fina~wer
Excav.
Other
INSPECTION NOTES: ~ ~ W ~
~emarks:
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
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. d Cf L[ S-
DATE /~,; to / !:~_
Site Address:
/ /0
tJ
~
o READY FOR
INSPECTION
License Number:
o WI LL CALL FOR
INSPECTION
Owner/Business Address:
Phone:
Installed By:
Owner/Business:
Sq. Ft.
o New Construction
b Remodel
X Service update/alter/repair
}(Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
{Af'cLa:L; ~
o Overhead
o Underground
Voltage
010 03.0
Service size
o Temporary
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
Amps
DetailslDescription:
'f (JA/LrU:t::
.
".
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection OK
1~ Rough-in/cover O.K.
o O.K. to connect service
o Final O.K.
Size
Comments
Date
Hoid for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Site Address:
.
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the ~ctor i Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224.
y /5 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT _~I 0 D
Amount paid
YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.
/
0612412044 Tue 22 :40 Lincoln Wiring - Lincoln Breithaupt 3604178203 ID: #96 Page 2 of 2
CITY OF PORT ANGELES PERMIT APPLICATION -.
.33 sr9l:
t
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711 JUN 2 5 2014
Date: June 24 2014 X 1 & 2 Single Family Dwelling ELECTRICAL
INSPECTIONS
* Plan Review Ma�yy�13e Retred, Please Complete Electrical Plan Review Information Sheet
,lob Address. 1102 W, 8Th, St. Port Angeles, WA 98363
Building Square Footeg�e: 15005 .ft
Description of above Service C an e. Keplacing tw6-baseboard ea ers WI in-the-wall, force -air s y e ea ers.
Owner Information Contractor Information
Name: Inhn Halkptt Name: Lincoln Breithaupt
MailingAddress: 1102 W. 8th St. _ Mailing Address: 1619 W 7th St
City: Port An eles State: WA Zip: 98363 City: PortAngeies State WA Zip: 98363
Phone: Fax: Phone; 360)808-1757 Fax. 601417 -82US---
License #1 Exp License #1 Exp LINCOW "901 D6 / 3 -26 -16
Item Unit Charge Total My Multiplied by Unit Chargel
Service /Feeder 200 Amp. $120.00 T _ $120.00
_
Service /Feeder 201 -400 Amp. $ 146 00 _ $
ServicelFeeder401 -600 Amp $ 205.00
SenvicelFeeder 601 -1000 Amp. $ 262.00 $
Service /Feeder over 1000 Amp $ 373.00 $ ~l
Branch Circuit W/ Service Feeder $ 5.00 3 $15.00
_
Branch Circuit W/O Service Feeder $ 63.00
Each Additional Branch Circuit $ 5.00
Branch Circuits 1.4 $ 7500
Temp. Service/ Feeder 200 Amp. $ 93.00 $
_
Temp. Service /Feeder 201 -400 Amp. $110.00 $
Temp. Service /Feeder401 -600 Amp. $ 149.00 _ $
Temp Service /Feeder601 -1000 Amp . $168,00 _ $
Portal to Portal Hourly $ 96,00 _ $
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64.00 $ �Y
Manufactured Home Connection $ 120 00 $
Renewable Electrical Energy - 5KVA System or Less $102.00 _ $
Thermostat $ 56.00 _ $
Nate: $5.00 for each additional T -Scat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.00 _ $
Each Additional 500 Square Ft. or Portion of $ 40.00 $ W
Each Outbuilding or Detached Garage $ 74.00 _ $
Each Swimming Pool or Hat Tub $11000 _ $
$135.00 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 orlease. 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 296.4613, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Apo ications. Charles H, Breilhaupt
Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ Check
� Credit Card#
LIh A &Mithotp
06/24/14
X Dated: 01101x1012
Y
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number 14- 00000750 Date 6/25/14
Application pin number 291250
Property Address . . . . . 1102 W 8TH ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2- 5700 -0000- REPORT SALES TAX
Application typq description ELECTRICAL, 6NLY on your excise tax form
Property Us Name to the City f Port Angeles
Property Use � Y g
Property Zoning . . . , RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application Valuation , . 0
. ___.__..__---.------------------------------------------------------------
Application desc
200 amp service and 3 circuits
Owner
Contractor
RESULTS:
JOHN H HALKETT
DITCH
LINCOLN WIRING
1102 W STH ST
1619 WEST 7TH STREET
PORT ANGELES
WA 983635604
PORT ANGELES
WA 96363 .
(360) 808 -1757
Permit . . . . .
. ELECTRICAL ALTER RESIDENTIAL
Additional desa
.
COMMENTS:
Permit Fee . . .
. 135.00
Plan Check Fee
00
Issue Date
6/25/14
Valuation
0
Expiration Date ,.
12/22/14
Qty Unit Charge
Per
Extension
3.00 5.4000
ECH EL- BRANCH CIRCUIT W /FEEDER
15.00
1,00 120.0000
ECH EL -0 -200 SRV FEEDER
12.0.0.0
Fee summary
Charged
Paid Credited
Due
--- ------- -•-- -- - - --
Permit Fee Total
---- - - - - -- ----
135.00
- - - - -- ---- - - - - -- ----
135.00 .00
- - - - --
.00
Plan Check Total
.00
00 00
.00
Grand Total
135.00
135.00 00
00
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
Ap
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTI -IS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:IEXCHANGEWILDING
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