HomeMy WebLinkAbout828 E 4th St - BuildingBuilding Permit
828 E 4`h it
12-248
CITY OF PORT ANGELES
cf
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
/ . 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 12-00000248 Date
3/07/12
Application pin number . . . 693736
Property Address . . . . . . 828 E 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -7525 -0000 -
Application type description RE -ROOF
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . 57925
----------------------------------------------------------------------------
Application desc
TEAR OFF & INSTALL MEMBRANE
----------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
BOWPORT ESTATES, INC AN OR CRP CENTIMARK CORPORATION
C/O COLDWELL BANKER 12 GRANDVIEW CIRCLE
PORT ANGELES WA 983620256 CANONSBURG PA
15317
(206) 243-2749
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT - NO PR FEE
Additional desc . . TEAR OFF & INSTALL MEMBRANE
Permit Fee . . . . 726.25 Plan Check Fee
.00
Issue Date . . . . 3/07/12 Valuation . . . .
57925
Expiration Date 9/03/12
Qty Unit Charge Per
Extension
BASE FEE
670.25
8.00 7.0000 THOU BL -50,001-100K (7.00 PER K)
----------------------------------------------------------------------------
56.00
Other Fees . . . . . . . . . STATE SURCHARGE
----------------------------------------------------------------------------
4.50
Fee summary Charged Paid Credited Due
-----------------
----------------------------------------
Permit Fee Total 726.25 726.25 .00
.00
Plan Check Total .00 .00 .00
.00
Other Fee Total 4.50 4.50 .00
.00
Grand Total 730.75 730.75 .00
.00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, tilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced wit ' 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if reqy#d inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and exafcied
application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will bwith whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the prany state or local law regulating construction or the performance of
construction.
Date Print Name Signature f ontractor or A rized Agent Signature of Owner (if owner is builder)
T:Forms/Building Division/Building Permit
N
4A
W
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL. TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
Date
Accepted By
Comments
FOUNDATION:
Electrical 417-4735,
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
FINAL Date Accepted b
Under Floor / Slab
Rough -In
Water Line Meter to Bldg)
Gas Line
Back Flow/ Water
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists / Girders / Under Floor
Shear Wall / Hold Downs
Walls / Roof / Ceiling
Drywall Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall / Floor/ Ceiling
MECHANICAL:
FINAL Date Accepted b
Heat Pum / Furnace / FAU / Ducts
Rough -in
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts
MANUFACTURED HOMES:
Footing / Slab
Blocking & Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s
SEPA:
ESA:
SHORELINE:
Parkin / Lighting
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR
TO OCCUPANCY/ USE
Inspection Type
Date
Accepted By
Electrical 417-4735,
Construction - R.W. PW I En ineerin 417-4831. '
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
Applicant
Property Ofvner
Property Owner's
Contractor -:4,A
Contractor's Address
License # r i
BUILDING PER -MIT
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
U
) 417-4_ 5 fax (36 )417-4711
%z1_e4'
PROJECT ADDRESS
Parcel Number
ss
APPLICA TION' Print in ink
For City Use Only:
Date Received 3- *7 - /a
Permit # /2_-724 6
Date Approved 3- 1--/ 2
Phonej- %g
Phone .
Phone
xpires " " E-mail
Project Type & Brief Description; ❑ Residential
Check all that apply
❑ New Construction
❑ Addition
❑ Remodel
❑ Repair
❑ Demolition
Lot
Zon
❑ Multi-famlly ❑ Commercial ❑ Industrial
'<Re -roof ❑ House ❑ garage i FlUct
❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas
❑ Other
Floor Areas
Basement
19' Floor
2nd Floor
3`d Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Existing (sq. ft.) ' Proposed (sq. ft.)
'oXtear off & re -roof ❑ jay over one layer
ce ❑ pellet stove ❑ other
@ $ per sq, ft. = $
TOTAL VALUATION $
Total footprint of structures sq. ft. T Lot size sq. ft. = Lot coverage %
Site Coverage = the amount of imperviot.is surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage - . %
Max. height of proposed structures ft. Occupancy group # of bedrooms
Will a lawn sprinkler system be Installed? Occupant load # of full baths
Will a fire sprinkler system be installed? Construction type # of half baths
I have read and completed this application and know it to be true and correct, lam authorized to app for this rmit and understand
that it is my responsibility to determine w t pre required, and to obtain permits pdorto w r ' on pro' ts.
Date 7 - Print Name AYIt- 1"' "is Signature
T:Forms/Bulfding Division/Building permit application
ro
APPROVED: ENTRY DATE: SAP NO.
ORDER TYPE: STANDARD F� SUB F-1 SERVICE
SALES CONTRACT ENTRY ORDER FORM
QUOTE NO.: SALESMAN: Lk 10 LV4�d
AUTO QUOTE NO.: TECH �f^ � � � TECH REP: C'�I/f (� to61
AUTO PROPOSAL N1: ,0,
SOLD TO:
NAME
ADDRESS
PHONE: _ (Cip
CONTACT: 1--4:o. J% I .
ORDER REASON: NEW CUSTOMER INTERNET NATIONAL UREFERRAL `���,�v
OLD CUSTOMER TELEMARKETING ❑TRADE SHOW COLD CALL. `�
CONTRACT TYPE:
Signed CenbMark Agreement
Customer PO>75K
SHIP TO:
PROJECT NAME
X10 ADDRESS
PHONE:
SITE CONTACT:
Customer Contract 0 CentiMark Contract (Over $80,000)
Customer PO<75K E] Verbal PO Letter of Intent
PURCHASE ORDER NUMBER:
MATERIAL CODE:
CONTRACT AMOUNT:
BILLING PLAN: NET 30 DAYS DOWN PAYMENT
OTHER
p.kt 3® Ai -FV, I
nlwpldvotl
[ArINET 60 0 wit— ,/A
v1,61- In^ d V-4I►I� eO , X10
TOTAL SQ. FOOTAGE: 4 ROOF TYPE:
SECTION NAME:��'
TYPE/LENGTH OF
WARNTY: yel
T t\
START DATE: FINISH DATE: l
kA
ESTIMATED EXPENSES Complete only if chances need to hP maria to tho n„t.,
Ote.
LABOR
MEALIMILES
$
Total Regular Hours
PERMITS/BONDS
$
Total Over Time Hours
0 MISC. OTHER
$
Total Regular Time
$
FUEL
$
Total OverTime
$
CONTRACT MATERIAL
$
REFUSE
I $
FREIGHT CONTRACT
$
SUBCONTRACTOR:
$
SMALL TOOLS
$
EQUIPMENT:
$
TAXES SPECIAL
$
LODGING
$
OTHER
$
TOTAL EXPENSES:
$
EST, GROSS PROFIT
PREPARED 4/05/13, 15:08:32 INSPECTION HISTORY REPORT PAGE 1
PROGRAM BP521L 0/00/00 THRU 0/00/00
CITY OF PORT ANGELES
------------------------ ----------------
APPLICATION PROPERTY ADDRESS ASSESSOR PARCEL NUMBER ALTERNATE ID
STRUCTR PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR
------------------------------------------------------------------------------------------------------------------------------------
12 00000248 828 E 4TH ST 06-30-00-0-1-7525-0000- 063000017525
000 000 BNOP 00 BUILDING PERMIT - NO PR FEE BL99 0001 BLDG FINAL 4/04/13 APPROVED JLL
REQ COMM: April 3, 2013 8:37:38 AM pbarthol.
REQ COMM: Kyle 206-255-0920
REQ COMM: Call so he can be there to get you on the roof
RES COMM: April 4, 2013 4:03:29 PM jlierly.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
200 amp service for elivator
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
10 00000091 Date 1/28/10
446621
828 E 4TH ST ELEC2
06 30 00 0 1 7525 0000
ELECTRICAL ONLY
UNKNOWN
0
Owner
Contractor
RESULTS
INSPECTOR.
DITCH
BOWPORT ESTATES
INC AN OR CRP
BOTERO & SON
ELECTRICAL
SERVICE
C/O COLDWELL BANKER
940 TAMARACK
WAY
ROUGH IN
PORT ANGELES
WA 983620256
PORT ANGELES
FINAL
WA 98362
7, lit lie)
Permit
ELECTRICAL ALTER
COMMERCIAL
Additional desc
Permit pin number
160150
Permit Fee
122 50
Plan Check
Fee
00
Issue Date
1/28/10
Valuation
0
Expiration Date
7/27/10
Qty Unit Charge
Per
Extension
1 00 2
6000 ECH EL BRANCH
CIRCUIT W/FEEDER
2
60
1 00 119
9000 ECH EL 0
200 SRV FEEDER
119
90
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
122 50
122 50
00
00
Plan Check Total
00
00
00
00
Grand Total
122 50
122 50
00
00
INSPECTION TYPE
DATE
RESULTS
INSPECTOR.
DITCH
SERVICE
ROUGH IN
FINAL
7, lit lie)
4?
COMMENTS
Signature of owner or Electrical Contractor X Date
IN
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P O Box 1150 / Port Angeles Washington, 98362
Ph (360) 417-4735 Fax. (360) 417-4711
Date:
1 & 2 Single Family Dwelling
JAN 2 " 2009
FIECTRICAL
INSPECTIONS
Multi -Family or Commercial* —Commercial Addition / Alteration / Remodel/ Repair*
* Plan Review May Bequire, Ple koryplete�lectrica'lan Review Informatign Sheet int "Z,!j
Job Address: C; e'/ e, S LVAy, 'Z w >^c/ C '
Building Square Footage: _
Description of above I ��( �,lr �t, / I $ C r, ev n r, t,/ - IC It ik wNZ�
Owner Information 13o0TO)ZIVf _r'
Name: E, %p L -09
Mailing Address: C42 G®r �Lv t 12i/�Y1LJ�t`ti
City State: Zip:
Phone: Fax:
License # / Exo.
Item
Unit Charge
Service/Feeder 200 Amp.
$119.90
Service/Feeder 201-400 Amp.
$145.50
Service/Feeder 401-600 Amp
$ 204.60
Service/Feeder 601 1000 Amp.
$ 262.20
Service/Feeder over 1000 Amp.
$ 372.50
Branch Circuit W/ Service Feeder
$ 2.60
Branch Circuit W/O Service Feeder
$ 73.50
Each Additional Branch Circuit
$ 2.60
Temp. Service/ Feeder 200 Amp.
$ 92.70
Temp. Service/Feeder 201-400 Amp.
$110.30
Temp. Service/Feeder 401-600 Amp.
$148.70
Temp Service/Feeder 601 1000 Amp
$167.90
Portal to Portal Hourly
$ 95.90
Sign/Outline Lighting
$ 88.20
Signal Circuit/ Limited Energy / First 1500 sf - Commercial
$ 95.90
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 & 2 Family Dwelling
$ 63.90
Signal Circuit/ Limited Energy Multi -Family Dwelling
$ 63.90
Manufactured Home Connection
$119.90
Renewable Electrical Energy 5KVA System or Less
$102.30
Thermostat
$ 56.00
NEW CONSTRUCTION ONLY.
First 1300 Square Ft.
$110.30
Each Additional 500 Square Ft. or Portion of
$ 35.20
Each Outbuilding or Detached Garage
$ 73.50
Each Swimming Pool or Hot Tub
$110.30
Contractor li4ormation
Name:
Mailing Address:
9qv �+ �+.r+� Z t
City i? ti _
State( kja Zip: qT1 &
Phone"
Fax: 36n y'5,7 (G
License I Exp.
r.. 2 5 P t
Total (Qtv Multiplied by Unit Char e
$�_
$ 62 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 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.0 RCW Chapter 19.28, WAC Chapter 296-46B The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14 05.050 regarding Electrical Permit Applications
Signature of owner electrical contractor or electrical administrator, ❑ Cash ❑ Check
—7 7_��V
CreditCard#Dated: "/r) 0 0112010
U
COMMENTS/ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 FAST 5TH STREET PORT ANGELES. WA 98362
Application Number
05 00000901 Date 9/26/05
Application pin number
127737
Property Address
828 E 4TH ST
ASSESSOR PARCEL NUMBER
06 30 00 0 1 7525 0000
Application type description
ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning
RS7 RESDNTL SINGLE FAMILY
Application valuation
0
Owner
Contractor
BOWPORT ESTATES INC AN OR CRP
OLYMPIC ELECTRIC
C/O COLDWELL BANKER
4230 TUMWATER
PORT ANGELES WA 983620256
PORT ANGELES WA 98363
(360) 457 5303
Permit ELECTRICAL
ALTER RESIDENTIAL
Additional desc OLYMPIC EL
/ 100A DISC
Permit pin number 60731
Sub Contractor OLYMPIC ELECTRIC
Permit Fee 66 90
Plan Check Fee 00
Issue Date 9/26/05
Valuation 0
Expiration Date 3/25/06
^ _
Qty Unit Charge Per
Extension
1 00 66 9000 ECH EL
R OR RM 0 200 ALT SRV FDR 66 90
Fee summary Charged
Paid Credited Due
Permit Fee Total 66 90
66 90 00 00
Plan Check Total 00
00 00 00
Grand Total 66 90
66 90 00 00
U
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
*CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MIINM4UM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
C' r -GENERAL COMMENTS:
--Z.
102.15 I4ft1
SERI CE
.� .r:� �id�Is�►�J�
C' r -GENERAL COMMENTS:
--Z.
102.15 I4ft1
09/19/2005 13 07 3604523498 OLYMPIC ELECTRIC PAGE 01
Job wired by ❑ Electrical Contractor O Owner
Electrical contractor name License number Date Expires
_ 2
Pu ser mailing ad cess
V-,
C, State 71P
Telephone numb*r FAX number
1
lremises owner's name
� Ja
4AN-A--, of InspectlOn
City
sf
phone number to scbcdule inspection
Owner as def ncd hr• RCW 19.28.141 (1) Owner/will OCCUPY the structure for two
years aJier WT electrical permit is finalised (2) ONmer is required JO hire an electrical
contractor tf above .raid property is fOr ,Talc, rent or lcoee.
After reading the above statement. t hercbY certify that 1 am the owner of the above
named property or a licensed electrical contractor_ 1 am making the electrical instal-
lation or alteration in compliance with the electrical laws. N.E.C. RCW Chaptcr
19,28, WAC. Chapter 296-46B The City of port Angeles Municipal Code, and
ELECTRTCALW0RKPERMrrAPP41CATI0N aO
Installation description
O Commercial VReMdential 1
O New Altered/Addition
ism �
/4iJO
O Cash ❑ Check #
Q16editCard Visa Mastercard Discover
Card # _ — —
Signature of owner, electrical contractor or electrical administrator ExpirationDate
X '
Date: of card
ct Local AddlflOns a or subLr8-ctlo0$
RIN-0 LOAD CHANGES
❑ Baseboard KW Ila' Overhead Service
O Furnace — KW
❑ Heat Pump Ton — LAR ❑ Temp Service
O Fen -Wall ^ KW O Underground Service
SAME ]DAY INSPECTION CALL BEFORE 7:00 AM 360417-4735
�e yr Jae into
=0om
Votlage
Phase ❑ 10 3
Service Size:
Feeder Size:
11
Cj
(0*
?ORT
m
"'I
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO.
DATE f
Site Address: n7
,^
-f'�
fyO/
❑ READY FOR ❑ WILL CALL FOR
C
�H-
INSPECTION INSPECTION
Installed By:
License Number:
Phone:
Owner/Business:
Phone:
rn
_ G /ver
Owner/Business Address:
�a
Sq. Ft.
she
v`.r
❑ Residential
Heat KW
❑ Baseboard ❑ Furnace/Boiler
❑ Heatpump ❑ Other
❑ Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
❑ New Construction
❑ Remodel
❑ Service update/alter/repair
XI Add/alter circuits
❑ Auxiliary power
(list below)
❑ Special equipment
(list below)
Details/Description: '3 a
W.S. No. Ser%
Capacity: ❑ O.K. ❑ Not O.K.
❑ Ditch inspection O.K.
r ,f° Rough-in/cover O.K.
tel'❑ O.K. to connect service
❑ Final O.K.
E1
❑ Overhead
❑ Underground
Voltage
❑ 10 ❑30
Service size
❑ Temporary
Amps
ice Size -Date -Hold for: ❑ Easement ❑ Letter
Comments
❑ Signed up for service/meter
❑ Meter Department notified for installation
❑ Fire Department notified of inspection
❑ Plan Review approved/pending
Site Address: Permit/Receipt No.
</ 7T 5/0/ '� s -s -a
Installer:New Meters Date:
A vu �s �. �/� _ N rf4LD7v e �� ��ic- /9a
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 Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT C1
c!/-' 0/ Q
Inspector Amount paid
WHITE — file by address YELLOW — file by number PINK —Top: Eng, Bottom: Customer GREEN — Top: Inspector, Bottom: City Hall
I\ OLYMPIC PRINTERS. INC.
El
CITY OF PORT ANGELES All00 (1r1 it
FEE RECEIPT NUM ER DEPARTMENT OF LIGHT _ vv-� RR IT UMBER
APPLICATION AND ELECTRICAL PERMIT
TOTALFEE�/\"mN7-]A
i y b
F.�T
120V
10
240V
1 0 OR
30
. '
CONT. LIC. NO.
TIMETOCOMPLETE
NO.STORIES
LEGALOCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address
i y b
F.�T
120V
10
240V
1 0 OR
30
FEE
A,DDRESS IS RESPONSIBI LITV OF APPLICANT
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
p
Owner !7 CAI
�C1ORRECT•
f/:E
240V
1 00R
30
Installation By
044IM i'IG ELI: CT -✓1 c.
Owner's Address
f`}6uy,/
Installers Address
dy- L - yr- -t-d
Day Phone
Installers Phone
'7t9/
1157- 503yz
Application is hereby
made for Permit to install Electrical Equipment as follows:
P Fl=1c05t-
�/HRLL 19-f7--
61V
41774 f= DO✓
50 VOLTS
OR LESS
Wiring Method (-70VOJ11-
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PER
CIR
120V
10
240V
1 0 OR
30
FEE
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PER1
CIR
120V
0
240V
1 00R
30
FEE
LIGHT
SIGN
LIGHT
50 VOLTS
OR LESS
CONVENIENCE
MOTOR
CONVENIENCE
MOTOR
APPLIANCE
L
MOTOR
DISHWASHER
FIRE ALARMS
DISPOSAL
BURGLAR ALARM
RANGE
/
MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER
REINSTALLATION LIGHT FIXTURE k
FURNACE
GAS - OIL
SUB TOTAL FEE
FURNACE
ELECTRIC
ENERGYFEE
BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
L AMP PHASE
SIZE OF SERVICE ENTRANCE CONDUCTORS
A.C. UNIT
FEEDER
SERVICE
17-S A AWG d!
SUB -TOTAL
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
Date Application made —/ �A/ , 19-1AL By LLA '%J 2K XV'
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
DIRECTOR OFCl 'LIGHT
Date Permit Issued By ,��'� '4141111 -
PLANS APPROVED
Notify Department of City Light by Street Address and Permit Number when ready for inspectioh. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER —
WHITE Original CANARY -Duplicate PINK Triplicate WHITE CARD- Inspector's Report
REPORT OF INSPECTOR
DATE OF VISIT
MADEBY
REMARKS
7/C7'S
/nl (7 e., 'Y- (34?P-/- Ale cP
-�1 : O a'TC A.i T 4AA
o Ind ese ree3t 5
Av-
O.K. FOR COVERING
/ 7
O.K. TO CONNECT SERVICE r. _.Jp
®ra-
FINAL O.K.
..
�Q
0
z
a
x
z_
W
11
1 n
CITY OF PORT ANGELES I). � o�
DEPARTMENT OF PUBLIC WORKS 0,C)
........... INSPECTION REPORT ...........
REQUEST: nn
Date q -a% Time �� �� 'zjkj Received by (phone,erso�
Location of Work to be inspected 80�� LITl-
Name of person requesting inspection �✓a f�� i% -Ll
Address of person requesting inspection o -7'S" i� sr Phone No. LJ/7'` 6Y`1_
Type of Inspection (circle appropriate one): Permit No. /
Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. the r
INSPECTION NOTES:
Inspected: Date _0 ❑ Time 3 !lU D✓I l -By :20
7
CcAe.-✓ej /"
f
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: ❑ Unimproved ❑ Gravel XAsphalt ❑ PCC ❑ Other _
❑ Repaired by City
❑ Repaired by Permittee
❑ No Damage Found
Work Order # C351E "a�Is
❑ COMPLETE
AINCOMPLETE
k�On[If1Ue on reverse sine IT necessary) eToccr m locemircninchm Inntc1
s
y'
v
�J
l 4 v✓� �— 19y`
SURFACE RESTORATION:
SURFACE TYPE: ❑ Unimproved ❑ Gravel XAsphalt ❑ PCC ❑ Other _
❑ Repaired by City
❑ Repaired by Permittee
❑ No Damage Found
Work Order # C351E "a�Is
❑ COMPLETE
AINCOMPLETE
k�On[If1Ue on reverse sine IT necessary) eToccr m locemircninchm Inntc1
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date � "C7.0i Time 11- dU e4M Received by 7 (phone, erson
Location of Work to be inspected 0� R ,� yr4-
Name of person requesting inspection w A, i er
Address of person requesting inspection v !? Sf Phone No. 1 ]" V641
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Otihen
INSPECTION NOTES:
Inspected: Date - -0 -7 Time 3 Crl) 0/7'1 By
Remarks:
RESTORATION REQUIRED ...... YES NO 1
SURFACE RESTORATION:
SURFACE TYPE: ❑ Unimproved ❑Gravel
❑ Repaired by City
❑ Repaired by Permittee
❑ No Damage Found
Asphalt ❑ PCC ❑ Other _
Work Order # 303,16 "as
(�
31yAet, COMPLETE WJ)61 P;k
AINCOMPLETE
(Continue on reverse side if necessary) ST.REET_SUPERiNTFNncncr innTcI
17
SURFACE RESTORATION:
SURFACE TYPE: ❑ Unimproved ❑Gravel
❑ Repaired by City
❑ Repaired by Permittee
❑ No Damage Found
Asphalt ❑ PCC ❑ Other _
Work Order # 303,16 "as
(�
31yAet, COMPLETE WJ)61 P;k
AINCOMPLETE
(Continue on reverse side if necessary) ST.REET_SUPERiNTFNncncr innTcI
�a
ELECTRICAL PERMIT
CITY OF PORT ANGELES
�--
360-474.735
Application Number . . 18-00000310 Date 3✓13✓18
Application pin number . . . 186780
Property Address . . . 828 E 4TH ST
REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -7525 -0000 -
on r excise tax form
Application type description ELECTRICAL ONLY
y
Subdivision Name . . . . .
to the City of Port Angeles
Property Use .
(Locaiion Cole 0502)
Property Zoning . . RS7 RESDNTL SINGLE FAMILY
Application valuation 0
----------------------------------------------------------------------------
Application desc
Meter repairs and emergency lighting
----------------------------------------------------------------------------
Owner Contractor
------------- - - -
------------------------
BOWPORT ESTATES, INC AN OR CRP APS ELECTRIC
C/O COLDWELL BANKER 546 BENSON RD.
PORT ANGELES WA 983620256 PORT ANGELES WA 98363
(360) 452-6753
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee . . . . 152.00 Plan Check Fee .00
Issue Date . . . . 3✓13/18 Valuation . . . . 0
Expiration Date 9/09✓1$
Qty Unit Charge Per Extension
4.00 5.0000 ECH EL -BRANCH CIRCUIT W✓FEEDER 20.00
1.00 132.0000 ECH EL -:COM 0-200 SRV FEEDER 132.00
--- - - - -
Fee summary Charged Paid Credited Due
Permit Fee Total 152.00 152.00 .00 .00
Plan Check Total -.00 .00 .00 .00
Grand Total 152..00 '152.00 .00 .00
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DPTCII
SERVICE
ROUGH -IN
FINAi,
AR
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
v Signature of owner or Elecfticit Contractor X ,
Date:
03/08/2018 01:03PM 3604526753
A. P. S. ELECTRICk-`e '; F _r PAGE 01/01
a%
Mama
Echo[
�E lam► x e ra curl
-hutch eeQar 200 Amp_
$13200
�_
S
Smica(Feeder 20I4W Amp-.
•$180.00
$
SwAceffibeder 401 -OW Atnp_
$225.00
3
ServFadFeeder 801-1 ptiQArhtp.
9 ee.t7o
$
SerViceJFEer over 1000 Amp.
$410Ao
$
Branch Circuit t/W Service Feeder
$5.00
Branch Circuit VWNO Service Feeder
$74.00
3
EachAddMW Bmm h Circuit
$6.00
$
Branch Chm is 1-4
$W-00_.;
$
Temp- ServloalFeedeir200A0V-
Sttt2A0
Temp, SerAaWFwdler201-400Amp_
$121.00
$ _
Temp. Seaviae!Fesder 40-soo Ar o
$184.00
$ -
Temp• Seevioeit'esmQer�i1�1000Amp.
$1,Oo
$
Portat to Portal' Hm y
1)imm
Signal 0irae't/Lim1isd ErwW - MA*wn y
588.00
Signal Cl mM khhed EnwgylFirat 1500 sf - Cmmerde{l
.$96.00
t ..
(Noir $5-00 for each addiwW 1500 sg
Rwmwsbk an. Energy: 5KVA SyafAm or Fetes $113.00 $
Thematat (Now: $5 for each ee 4ormQ I 6-60 $ g �J
Owrw ars dofned by RCW.19.28-251: (1) Owrw wM occupy the shucture fortwa years aftertthis 4�W *01ZOEL (� Owner
regtrered fD hire ane el oorhtractor 9 Above said property for sale, rh3rht or te98& PomSit a mortfll4 of W hhspertfarh.
Meer reading the above Maim, errt, l hem► oarOfy that F arm ore owner of rite aboy®nsrtled properfy or a F{oensed ehtec4ticei contractor. F
ani making the elecWmi ktrttftftn or alteration in cornplahce whir the Obctrioal fawn, N.E.C., RM Chapter 19.28, WAC. Chapiw 296-
488, Tt+e Oft of � � Code, and ns and AMCP� ct6 o6U t Appicatione.
� 1-« s
Mme NO signawre 0 owner l Contractor I Adm7nMmbx)
4;- e G h- maylal a f -
1'r eA -,I a (-,e f-
POWiCal Pem* AppHCdon9 may be submf ted to cry Hal or elscMca0rrnb@c4ofpa.us or faxed to 36OA17.47111
I`es
•Cpl
V
CITY QF`PT fiGELES
360-417-473
A$plcation Number 18-00000310 "Date 3/13/18
Rpplicatgn pin number 186780
Prggest Addreas ..` . . . . . eta E 4TH ST
REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7525-0000-
on your @XCISe tax form
Application type description ELECTRICAL ONLY
subdivision Name . ...4
the City of PO/f Angeles
Property Use
(LOGti%/OIi Code 0J�Q'
Property doming . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . 0
---------------------------------------------------------------
Application desc
-----------
Meter repairs and emergency lighting
-
owner Contractor
------------
--------- - ------------------------
BOWPORT-ESTATES, INC AN OR CRP APS ELECTRIC'
C/O COLDWLLL BANKER 546 BENSON RD.
PORT ANGELES WA 983620256 PORT ANGELES WA 98363
{360) 452-6753
- - - --- - --- - - ----- -------------------------------- -----
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
;
Additional dese .
Permit Fee 152.00 , Plan Check Fee .00
Issue Date . . . 3/13/18Valuation 0
Expiration Date 9/09/18
Qty Unit Charge Per Extension
4.00 5.0000 BCH EL -BRANCH CIRCUIT WIP EDER 20.00
1
1.00 132.0000 ECS EL -COM 0-200 SRV FEEDER 132.00
_?------------------------------------------------.-----------------------
Pee summary Charged Paid Credited Due
Permit Fee Total 152.00 152.00 .00 AO
Plan Check Total 00 .00 100 .00
Grand 'Total 152.00 152.00 .00 .00
i
1
i
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
AV
ROUGH -IN
FINAL
COIvZMENTSc
,
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
A
Signature -of owner "Electrical Contractor X
Date:
03/0812018 01:03PM 3604526753
A.P.S. ELECTRICN--i: `k _, j v -, PAGE 01/01
*rvFC�r 100 AQW.
S"Vk 2at.400 Amp_.
-*OV 401-600AMP.
Seavioe-eerier G0140WAmp.
SerAcefFooder over 1000 Amp.
Branch ClmuK W/ SerAce Feeder
Branch Circus ti+1►O Swim Feeder
EachAdd 9onal Bran W Ckodt
BraroO G6quss 1-4
Temp. ServioelFeeder 200 Afnp.
Temp, Servkwr%eder 2914M Amp_
Temp. Se AmTeeder 401.600 Ann.
Temp. SWI -1000 Asap.
Portat t4 ' Frotury
S%FW l imfted EnvW - Wj&l F4erNty
SWmW Crraiid knited EmUlFi[at 1500 sf - Coamrer�et
(Note: X00 for sects addi6mw 1500 so
$+x.00
-$180.00
$2225-00
3m.00
$410.00
$5 -OD
$74.00
$6.00
$66.00
S1moo
$121.00
$164.00
$986.00
696.00
M.00
.308.00
RWWWsbs Esc. Knew. 5KVA $ysbm or bas g9f3 00 $
Therrrx*W (Now: $5 for eadt aQdidomD ISS -00
Owner as defined by RCM 9.28-$+' (1) Owner wB occupy the sevcmre foruo years atterthb eleatri . (2) Owereris
Wired to hire an ebcW=I contracsor if Am said property is fnr sale, wd or tease. Pert k stokes alter motft of test isspecton.
Atter roadWq She ata" statement■ f fosby cgr>yfy that I an the owner of to abom named pmAedy or a fioemed eWoMcaf contractor. I
art► mmWt g ft eteczt mi insbAftn or alter dbn in wmv with V* etecfricaf bwo, N.E.C.. RCW. Chapter 19.25, WAC. Chapter 296-
468. The � of Percmvnpei Code, and ane CARAc 9 0&'*o Ere t Pe Rpp re,
S 1� �ioir A ('c S AcG
Cate Pm Narwj Si fire (❑ Owner I Contractor/AdnsinistMbN)
4;' r t e- MA"aI g C'
`"rr as 5 u t',e r
Pomicot Pemtit ^WudW9 m" be submlftd to City Hal or eIscbkA0mft@cftyof0d.us or faxed to 380.417-47141
do