HomeMy WebLinkAbout1436 E 2nd St - Building
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
App~ication pin number
Property Address
ASSESSOR PARCEL NUMBER:
,Appl.ication type descn.ption
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000532 Date
624224
1436 E 2ND ST
06-30-00-5-6-0055-0000-
RE-ROOF
6/28/05
Lasered
CEO
RS7 RESDNTL SINGLE FAMILY
6000
OWI)..e.:r:. .
Contractor
SUNDBY, HARRY S
.49.78 W EDGEWOOD DR
PORT ANGELES WA 98363
ARMOR ROOFING
2524 RYAN DR
PORT ANGELES
(360) 452-3667
WA 98362
Perm~t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Exp~ra~ion Date
BUILDING PERMIT - NO PR FEE
TEAROFF, FELT, COMP
53413
148.75 Plan Check Fee
6/28/05 Valuation
12/25/05
~
~
~
.00
6000
\\\
Qty Unit Charge Per
Extension
92.75
56.00
Other Fees
STATE SURCHARGE
4.50
~
\~
~
BASE FEE
4.00 14.0000 THOU BL-2001-25K (14 PER K)
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Perm~t Fee Total 148.75 148.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 153.25 153.25 .00 .00
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Separate Permits are required forelectncal work, SEPA, Shoreline, ESA, utilities, pnvate and publiC improvements ThiS permit becomes
null and vOId If work or construction authonzed IS not commenced Within 180 days, If construction or work IS suspended or abandoned
for a penod 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 compiled With whether speCified herein or not. The granting of a permit does not
presume to give authonty to Violate or cancel the prOVIsions of any state or local law regulating construction or the performance of
construction
((~ ~
Signature of Contractor or Authonzed Agent
roll ~/()5"
Date
Signature of Owner (If owner IS builder)
Date
T \PollCles\II02_15 bUlldmgpennlt mspectlOn record05 wpd [1/4/2005]
~
BUILDING PERMIT INSPECTION RECORD
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
YES I NO
FOUNDATION
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS )
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALLfHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
W ALL! FLOOR 1 CEILING
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKlRTING
PLANNING DEPT SEPARATE PERMIT #'s SEPA
P ARKING/LlGHTING 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 R W 1 PWI CONSTRUCTION - R W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 O'6{ z,9{o1 :t U-- BUILDING
T IPollelesl 11 02_15 buildmg penmt mspeetlOn record05 wpd [1/4/2005]
PREPARED 8/29/07, 9 07 20
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER:
INSPECTION TICKET
INSPECTOR JAMES LIERLY
1436 E 2ND ST
ARMOR ROOFING
SUNDBY, HARRY S
06-30-00-5-6-0055-0000-
05-00000532 RE-ROOF
SOODIV
PHONE
PHONE :
(360) 452-3667
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 8/29/07 JLL
~~
BLDG FINAL
08/28/2007 11 20 AM LPANGRLE
LINDA (TO FINAL AN OLD PERMIT)
BLDG FINAL - REROOF
PAGE
DATE
1
8/29/07
-------------------------------------- COMMENTS AND NOTES --------------------------------------
Lasered
CEO
/'
Lasered
CEO
~ ARMOR ROOFING~
Randall Mo6re-ARMORR *024L T
2524 Ryan Dr..Port Angeles, W A 98362
(360) 452-3667
~ESTIMA TE SUBM.ITfED TO~
~JOB LOCATION~
i-I arry S._M d 6 Y
143(0 e Z NCJ
P,A.
~JOB DESCRlPTION~
f~",,",() v'" C"''I J dl.J1JO~t! (") ~. ~iC. 1<7"'10 <. I.. d.'/" r 12 Dc<> r c, r
L r J I
C\.v,,} r:::.l1. uJ5'Tcdl 30 Y~II\.r' LCA,"",."r...J lZo"'~ o~ '(~lJr
C.J..Olc..c...... (e'IJ< f P~hc..n CI/t. "'o.l(;>rlc.~). v,s(.. 30.rt F<<..rr
t/1"I(Jt.r J....y I'M ,,,,'1 1 Vt.fI'T" R.\Uf.c... t.) IiI--{ Li&Y"",q I/~" IZldrc. ve.nr-
~X5'TL""'. 1<... Pi"'<=-..... 411 vt.""r~ WI rJ.... "~UJ. ;/Ad. ".S'K.'{I.,A'f
< x '-/' ~f' '2.'~"2..1 ~I<.,/L,h'" /N(/""'~IJ Curb.1 To J,.,..
;:L1rt\I~"..J ",...J INjr"dl J1 (J o..s e)I,S L.HtLJ w(rv. OWI'lt...r, //V.st'A/I
2. t....yc....s or Tore'" ...Jtl)L..L,AJ 'tV .,...,rtc.r.;; Clt'\L L~y~r r'\J:
5""tJo~'" TOrch Ji>.u.v u"rh Of\f' L~.J~ t') F 9"......'" vl,,-'r~{.)
0&)......,. 1'"-.,.,,... llV'.st'cd\ up To ., ~~rL r)V"'....."'t' W~U-L
t\...c..J~J.O,)Lu^ .$pDuT's war lNc....IuUOJ. Plioi'MI! JAldudlLJ
We hereby propose to furnish material and labor,
complete in accordance with above specifications,
for the sum of: dollars ($
)
00
Subtotaljt (0000-
Sales Tax
Total
All material" guaraateed to be specified. AU work to be completed ID a workmanlike manner accardiag to standard
practices. AAy alteration or deviation from above become an extra cbarge over and above the estimate. All agreements
cOlltlagent upon strikes. acddents or delays beyond our coatroL Owner to carry fire. tornado aad other necessary
Insunllce.. Our worken are f9Jly covered by Workmen's Compensation Insurance..
Authorized Signature: /(~ ~ G/z ~ / ~ ()o.s;-
Note: This proposal may be withdrawn by us If not accepted within days.
Acceptance of Proposal- The abov.e prices, specifications and conditions are satisfactory and are hereby accepted.
You are authorized 0 do th wo as specified. Payment will be made as outlined above.
Date of Acoeptan . ~ t9~
SigDatu .
Signature:
\I
~~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DMSION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
ELECTRICAL PERMIT
Issued: 2/05/97
Permit No:
5826
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
JIM RENO 1436 2ND ST E
1436 E. 2ND Lot:
Port Angeles, WA 98362 Block: Long Legal:
360/000-0000 Sub:
T: S: Parc No:
CONTRACTOR-----------------------------DESIGNER---------------------____________
APS ELECTRIC
546 BENSON RD.
PORT ANGELES, WA 98362
360/452-6753
,
000/000-0000
PROJECT INFO-----------------------------------------___________________________
prj Type: RES. MISC. prj Value: $0.00
Occ Type: Cnstr Type: HOT TUB
Occ Grp: Occ Load: Land Use:
Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
o
o
o
o
Service Type
Riser
Overhead Service
Underground Service
Temp Service
Voltage:
Diameter:
Service Size:
Feeder size:
120,240
X-1 -3
200 AMPS
o AMPS
PROJECT NOTES----------------------------------------___________________________
HOT TUB 9KW
PROJECT FEES ASSESSMENT------------------------------___________________________
service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp service: $0.00
Misc HOT TUB $40.00
TOTAL FEE:
Amount Paid:
$40.00
$40.00
=================================
--------------------------
TOTAL FEE:
$40.00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
, YES I NO
DITCH .
."vuuu-IN / CUVbK
~ERVILE
FINAL I Z/--Gl: I ~
GENERAL COMMENTS,
PW-II02.15(4/96]
f VORT ~
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~
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~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll.DING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Appllcation description
Subdivision Name
Property Use
Property Zonlng . . .
Appllcation valuation
04-00000971 Date
.106285
1436 E 2ND ST
06-30-00-5-6-0055-0000-
MECHANICAL APPL. PERMIT
10/22/04
RS7 RESDNTL SINGLE FAMILY
2503
E"Xpr tz.?D
4/~'/tJ6
@
Owner
Contractor
SUNDBY, HARRY S
4078 W EDGEWOOD DR
PORT ANGELES WA 98363
PELLET HEAT CO.
230 EAST 1ST SUITE C
PORT ANGELES WA 98362
(360) 457-4406
Permit
Additional desc
Permit Fee
Issue Date
II Explratlon Date
MECHANICAL PERMIT
PROPANE INSERT, TANK, LINES
57.65 Plan Check Fee
10/22/04 Valuation
4/21/05
.00
o
Qty Unlt Charge Per
Extension
47.00
10.65
-
BASE FEE
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5
-L
W
~
[Tl
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permlt Fee Total 57.65 57.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.65 57.65 .00 .00
rJ
)
$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 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.
o"-.} F (L E:
Signature of Contractor or Authorized Agent
Date
Date
Signature of Owner (if owner is builder)
T \PLANNING\FORMS\1102.15 [11/14/20031
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 UNLA WFUL TO COVER, INSULA TE 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
I YES NO
FOUNDATION: .
FOOTINGS . . .. .
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT. #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE . n~ 7LJ J.C
"-1 'A~.".{J.
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVISion) SEPARATE PERMIT #'s
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'5 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 R W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 4174653 FIRE DEPT
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T \PLANNING\FORMS\I 10215 [I 1/14/2003]
PREPARED 10/22/04, 12 59.25
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
15
10/22/04
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1436 E 2ND ST
PELLET HEAT CO
SUNDBY, HARRY S
06-30-00-5-6-0055-0000-
04-00000971 MECHANICAL APPL
SUBDIV
PHONE (360) 457-4406
PHONE ,
PERMIT
PERMIT, ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
M"::o':::;~r~Ic\f~\(=>::::~~":::::::::';:::-NO"'-::::::::::::::::::::::::::::::::::::::
10-12-04,
1: 43PM
360 452 0503,# 2
.-
".,
"
8- '-00: 4:aOPM:Clty of p~ F~NT CNTR
:1 Z~,tl JI7 .....-.'1
'" "
.,~h"f ',J.:\ .
BUIL,DIN~/FIRE PERMIT APPLlCA TfON
\';
FOR OffICIAl. tJSE ~:
DII18Rec.:IDt'2-o
PllnnJlII' 64- q 7(
DAle Approved:
DlllO JUYclQ: -
.~
The Bl4ildlng/Flre hlmi! Applicarion must 6e jU/ed 'JUt C{Jmpletely.
Please type or pnut la luk.' If you bave any questloDs. please call (360) 41'.4815
Fax nwnbl!r: (360) 4J7.4711
Applicant and/or Agent:PcSLl.,cs1"
owner:.1dAJUlY ~1~~O(oY
Address:193(O fJi. 2lVO
Contractor~ ~ cfi
Address: 230 .~ C ell _ J 51
Pbone: ~. 457-~
Phone:
zip:G&3fo 2
Phone:~
Zip:~~?
(""~dit Card Holder Nalne:.JJJl:.J:.JAEL
Billing Address: J.~O C ED or Jsr
. "......,.
Credit Card Number b t-J i-, L"F:
'Q.. {!<)J.Jll"-______:_. , _
-..----.- c,J);JJJ(l'J~ Zlp:~2
_t'xp. Dare: ~-CJ7 VlSA_MC_
PROJECT ADDRESS: /4 '3{o En. ZtUD
LEGAL DESCRIPTION: Lot;~ Block:~1 , 4
$uNivisiun:
ZONING
'Ie
ALDiSI1... ST,
CLALLAM COUNTY PARCEL NUMBER: t)ld?1 COO _~loCQ R,~~POm
TYPE OF WORK:
~ Residential 0 Multi-family ,c Commercial 0 Reruo!' 0 LP.g(1S
liRlEF DESCRIPTION OF THE PR~.D:CT: ' '/JJSfnLL {";AS ~, }J'"~1'"""
.------........-
"
VALUATION (Colt of proJect waul Ialea tu) S 2;;y):3. 2'3
BUILDING PERMIT APPLICATION SUBMITTAL: Your completoo applicll1ioll, site pl!lrl (for Ildditions) and building con~trUction
plans are to be sul\mitted 10 the Building Dh')sion. i '
V ALUAnON OF CONSTRUCTION: ID;~ ~esl a valuation amount IlIU-!\1 be entered by lhe applicant. This figure will be reviewtrl
and maybe revised by the Building Div. to complywltb CUlTl;:n1 foo ~cheUules, (Aulael the Pcrulit Coordinator at 417-48 J 5 for assistance.
EXPIRATION OF PLAN REVIEW; Jfno permit ill issuoo wil.l.1ill ao duys OCOH: uule of up plication, this application will elpire
by limitations, The BuilQi.ng OtB.cial can stend the time for action by the applicant up to 180 days, on written request by the applicant
(see Section 107.4 oftbe Unifonn Building Code. current edition). No application can be cxtended more than once.
:.
J hereby certify that I have read and txamined this applicallOn and know the Sullie 10 be In.le and correct, and / am all/hon"zed to apply
fo/' lhis pemJ/I, I understand illJ not the Cl(Y,'s legal "'espollstbilf~}1 10 dCf~I'/lJille whal permils aye required; ir remaln.s the applicants
responsibility to determine what perm"s are required and to o/)/ulll such.
PW.\ l02_U (m>3/.0Cl)
Credit Card Holder's SillllalllW'
T"'\...."....
'S
'\oi...........
Appl~cat~on Number
Application p~n number
Property Address
ASSESSOR PARCEL NU~BER
Application type description
Subd~v~s~on Name
Property Use
Property Zon~ng
Application valuation
Owner
SUNDBY, HARRY S
4078 W EDGEWOOD DR
PORT ANGELES WA 98363
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expirat~on Date
CITY ,OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
12\ EAST 5TH STREET. PORT ANGELES. WA 98362
06 00000168 Date
370184
1436 E 2ND ST
06-30-00-5-6-0055-0000-
ELECTRICAL ONLY
2/16/06
RS7 RESDNTL SINGLE FAMILY
o
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457-9270
WA 98363
ELECTRICAL ALTER RESIDENTIAL
SIMPSONI 200 A PNL.
71332
SIMPSON ELECTRIC
66.90 Plan Check Fee
2/16/06 valuation
8/15/06
.00
o
"
~ ~
V\\
~ ~
~
CA ~
~ ...
~
.:s
\0-
tA
:i
Qty Unit Charge Per
1.00 66 9000 ECH EL-R OR RM 0-200 ALT SRV FDR
Extension
66 90
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Perm~t Fee Total 66 90 66 90 00 .00
Plan Check Total 00 00 00 00
Grand Total 66 90 66 90 00 00
COMMENTS/ACTION NEEDED
\
"
ELECTRICAL PERMIT INSPECTION RECORD
<\LL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCePTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
II INSPECTION TYPE DATE T ACCEPTED COMMENTS
YES NO
)I( :H
RUU<.iH-IN / CUYbR
:ShK YICb
FrN A T 2~'1-0-~ M1'''J
GENERAL COMMENTS:
PW-II02.1514'96J
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..
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ELECTRICAL WORK PE1~T APPLICATION
IJ OWDer
In~LOIlloaljuu JC:ll'::I'iptioro
Cl Commercial ~ReSid(!lJda.l
a New )a'AltendJAdditlOD
ifd~~
+0 ~C70 ~
::2.h:;~ '$2:S;'6" /~ l/ /~/ tV
Ci')VO 1'Lf- A-IUJ 8-/~.s SUjn
Tel,pbr; s'7'-q :2-2 cJ
-f f3 b.f
FAX number
S~
,Su-n
~ :;J, n
Cily P.P~ A~.e/@s,
Phone numbl!r 7 ~~u~gll~/i~
Owner as defined by RCW.J9.28.16/:(1) OWfler wW (J(:C14py the ~lruc;tUi'(! for twCJ
yc(U$ uJier IlIi~ electrical permit IS finaljzcd. OJ Owner i$ requin:d tu fljre an dr:ctdcal
cot/tractor if above ~aj,d p,.operry is fur sate, renl or It!Qj,'t'.
After reading the above: statement., I h*Nby certify that 1 am lh" owner of lh~ above
IUl1nc:d propl:1ty ur II li.;cnseJ c:1t:ctdcal conu-JClor. I llll1 makinG the ch:ctrical inslal-
I"lion or I1lh:r.1lion in compUOlncc with the ch:-ctril:OlI law5, N.S.C., RCW. Chapter
19.28, WAC. Chapter 296-468, The City of Pon Aflg.el"::lI Municipal Code, :Iud
Utility SpecificliIions.
Signature of owner, dettrical c::
Addre, o~u~t;n
Irie I Addl
CI NO LOAD CHANGES
CJ Baseboard KW
o Fumace KW
a Heat Pump Ton
CI Fan-Wall KW
an
tract
IJ Cash IJ Check #
~redilCard 8 Ma~ercard Discover
Card# _ ~__- ~___-____
Expiration Da,. ^
of card y /<3 () CJ b $D>PZO~:c ....
Service Information
.,~r ur 'Im:~;; ~~t~b
x
LAA
o Overhead SeNice
o Temp Service
(J Underground Service
Vo\lage
Phase 0 1 03
Service Size: ~ ~
Feeder Size;
SAME DAY INSPECTION, CALI, BEFORE 7:00 AM 360-417-4735
THE.HMOSTAf / SERVICE
ROUGH-IN
'- D;,,~ .'l.1'I,j(IV.:d Dr 011.111 Appf\lv~J .tIy '- !J1l\<l Appl'Ov~t.I By
2//7 /oFl:ALkD / DITCf( FEEDER
Ap"l",w~l\ &y "- OllIe ~I7fOV~....tI)'
'- / DiI'~ f All(lJUUU By ./ Oill\;
Inspel.:tion Area) Building or Equipment Inlipect~d AClion Tllken Eh:cttical
D.\t~ Imipector
10 3:J'V'd
8I~183l3 NOSdWIS
0a5LS~
1E:51 900G/~1/G0
QTY AF FART ANGELES PERMIT APPLICATION RECUM.,
Building Division/Electrical Inspections
321 East Fifth Street —F.A. Box 11501 Port Angeles Washington, 98361 SEE 2 9 2014
I'M (360) 417-4735 Fax, (360) 417-4711 FLECTRICAL
Date: 21 & 2 Single Family Dwelling NSPECTIONS
Plan Review May Be Required, Please Complete Purl
Re few Information Sheet
Flectrical
Jqb Address:
Building Square Footage;
Description of above
7
owner Info t'
a ion
Corittado I f 0
ppr n orme, on
NSM; oWe "I
Mailing Address; 1,;WdC
Mailing Address: "Wir P)
CIV: — a--- $late.* Zp: --!Lfj-L2'
City: ?'I- state: VoOk
Phone,,s �ax:
7 ex:-'aLr 1
License# I Exp.
LicanseWlExp. m 7— '% 7 s le 6,
Item malt cls
i 10tal MY MUR1211ad by Unit chargel
SorvlcelFeeder 200 Amp, $120.00
ServlcetFeeder 201-400 Amp. $146.00
Sefy1ce/Feader 401-600 Amp $206.00
Service/Feeder 601-1000 Amp. $262.00
SarvIreFeeder over 1000 Amp. $373.00
Branch CIrcult W1 Service Feeder $ 5.06
Branch Circuit W/O Service Feeder $ 63,00
Each Additional Branch Circuit $ 5.00
Branch Circuits 14 $ MOO
Temp. Service! Feeder 200 Amp, $ 93.00
Temp. ServlcelFeeder 201-0 Amp. $110,00
Temp, Serviceffieeder 401 00 Amp, $149.00
Temp. ServicelFeeder 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 $ 68.00
Note: $5.00 foreach additional T-Stat
NPN CAMMUCTIPAPAL-L
First 1300 Square Ft. $120.00
Each Additional 600 Square Ft, or Portion of $ 40,00
Each Outbuilding or Detached Garage $ 74.00
Each Swimming Pool or Hot Tub $110,00
$
i:zv Ej---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 certii 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, KEG,, RM Chapter 19-28, WAG. Chapter 296468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Ele*ical Permit Applications.
Signature; of owner, electrical contractor or electrical administrator: 15 Cash 11 Check
X
ELECTRICAL INSPECTION
- . .. ..... ------ - WIRING REPORT
417-4735
DATE . -
10 ) h
FIF11MIT 11
INSPECTOR
OVVNFR
T."
ADDRESS
�7
APPROVED NOT APPROVED
Ci ......... .... DITCH ....................
(3. .............. ROUGH IN/COVER ...........
.................... SERVIcE... . - - I .... 11.1
❑ ............ FINAL - - - I. I - I ...... I
CORRECTIONS NEEDED:
� A i Si TV
"Z f
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . . 14- 0000 1160 Date 9/30/14
Application pin number . . . 936120
Property Address . . . . . 1436 E 2ND ST
ASSESSOR PARCEL NUMBER! REPORT SALES TAX
06-30-00-5-6- 0055 -0000
Application type description ELECTRICAL ONLY on your excise fax form
Subdivision Name . . . . , .
Property Use to the City of Pouf Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation.. , , . 0
Application desc
Ductless heat pump
Owner Contractor
SUNDRY, HARRY S EXTRA MILE TECH & EL,ECT., LLC
4078 W EDGEWOOD DR 418 N. RACE ST.
PORT ANGELES WA 96363 PORT ANGELES WA 98362
(360) 457 -5222
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc , .
Permit Yee 68.00 Plan Check Fee .00
Issue bate . . . . 9/30/14 Valuation . . , . 0
Expiration Date , . 3/29/15
Qty Unit Charge Per Extension
1.00 5.00D0 ECH EL -ECH ADDNT BRANCH CIRCUIT 5.00
1.00 63,0000 ECH EL -R- 2RAWCH CIR WO/ SER FEED 63,00
Fee summary Charged Paid Credited Due
Permit Fee Total 68.00 58,00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 68,00 68.00 DO 00
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
13
FINAL
$
el
COMMENTS:
PFRMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEWILDING