HomeMy WebLinkAbout1014 E 4th St - Building North Peninsula Electric 928-9409 P.1
v ED
CrIY or PORT ANGELES PERwT APPucA-noN jUN 13 2013
Building DWilslowEllectdcal Inspections
321 East Fifth Street—P.O.Box 11501 Port Angeles Washington,98362
Ph;(360)417-4735 Fax: (360)4174711
Date: 1 12— 13 &2 Single Family Dwelling
Plan Review&by Be i'red, PIW Complete Electrical Plan Review Information Sheet
Job Address: �Q!
Building Square Footage:
Descxiptlm of above
Owner 0 4, Contractor Info on
�j"TV
Name: K)(
NtV —Ad�d�� IMballlr@A
City Stater lap: City:1 '�
Phone: Fax:
Phone: SW
Fax:
License#i Exp. l license#IElp.
Item Unit Charge Totals Mullflipliqd by Unit Charge)
Service/Feeder 200 Amp. $120,00
Se4vioeJFseder 201-400 Amp. $146,00
SeMcelFeeder 401-6X Amp $20500
ServicefFeeder 601-1000 Amp. $26ZOD
ServicelFeeder over 1000 Arnp. $373,00
Brand:Circuirl W/Service Feeder $ 5,00
Branch Citcuft WIO Service Feeder $ 63,GD in
Each Additional Branch Circuit 5 5-00
Sranclh Circuits 1.4 75,00
Temp-Seruicel Feeder 200 Amp, $ 93.00
Temp SeEvicelFeeder 201-400 Arnp. $110.00
Temp.ServiceiFeedeF 401-WO Arnp. $149,00 $
Temp,ServicefFeeder 601-1000 Amp $168,00 $
Portal lo Portal 1-budy $ 96.00
Signal Circuit!United Energy-I&2 Family Dwelling $ 64.00
Manufactured Home Connection $120.00
Renewable EJecbical Energy-51NA System or Lm $102.00
Thermostat $ 56.00
Note:$5.00 for each additional T-Glat
NEW CONSTRUOMON ONLY:
First 13011 Square Fl. $120.00
Each Additional 50D Square FL or Portion of S 40.00
Each Outbuilding or Detached Garage $ 74.00
Each Swimming Pcd or Hot Tub $110.00
Total
Owner as defined by RCK 19.28,261.,(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Omer is required
to hire an electrical contractor if above said property is for sale,rent or lease,Pen-rdt expires after six months of last inspection.
After reading the abova 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.,RCVV.Chapter 19.28,WAC,Chapter 2964613,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signatureof n er,electrical contractor or electrical administrator. ❑ Cash 1:1 Check
x DVOIMM
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . , , . . 13-00000649 Date 6/17/13
Application pin number . . . 060100
Property Address , . , . . . 1014 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7730-0000- REPORT SALES TAX
Application type description ELECTRICAL ONLY on your excise tax form
Suhdivisicn Name . . , , . .
Property use , . . . . . . . to the City of Port Angeles
Property Zoning . . . , .. RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation , . . . 0
Owner Contractor
BAKER, SHAWN L NORTH PENINSULA ELECTRIC
1014 E 4TH ST 761 FRESHWATER PARK RD
PORT ANGELES WA 98362 PORT ANGELES WA 96363
(360) 477-1764
Permit. ELECTRICAL ALTER RESIDENTIAL
Additional. desc NPE/ DUCTLESS ~�•
Permit Fee 63,00 Plan Check Fee 00 �"°q�
Issue Date 6/17/13 valuation 0 QJ
Expiration Date 12/14/13
Qty Unit Charge Per Extension
1100 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
Fee summary Charged Paid Credited Due
_--- ------------- ---------- ---------- ---------- ----------
Permit Fee Total 63.00 63100 .00 .00
Plan Check Total .00 .00 00 .00
Grand Total. 63.00 63.00 .00 00
7
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
71(b 1)3 4X19
COMMENTS:
PCRMU WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical.Contractor X Date:
G:IEXCIIANGEIBUILI]ING
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the BUild~il. PHONE 457-0411, EXT. 224. 1/ e--O .
----/..b. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ fF' $0 I
. ~ Eleelde,"n'peelo, Pe'm" Fee /l
~~I: ~~,:::,b::dd"SS PINK -Top En~ Bottom, C,stome' GREEN - Top Mele' Dept, Bottom~
~'
.
.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362. '"
(206) 457-0411
PERMIT NO.
SY..3S:-
*3/?0
,
DATE
ELECTRICAL PERMIT
Site Address:
Phone:
o READY FOR
INSPECTION
license Number:
o WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
~ FAN/WALL KW 9--
1%- RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
ft SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
AMPS
AMPS
o RISER . .
~ OVERHEAD SERVICEC:-/IS77d(
o UNDERGROUN SERVICE \
VOLTAGE: c;l ()
~1j1S 039\
SERVICE SIZE c2t9D
FEEDER SIZE
DetailslDescription: ~. 1:;4 t ( ZOfJ ~
PL hcJ ~&-uSF
.
~
.s~
UG
f~c
1'~t:
~
IA'~
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rcugh-in/cover O.K. L~f <9!:-
o 0. K. to connect service
o Final O.K.
c: A
permit/RespcJ-s
New Meters
Installer:
I
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N'!
16625
v-If ~r
Port Angeles. Washlngton_________....______._...__..___.___.___.............._______. 19..":'_,
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in. on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do elec~ work as listed below.
Address -....L~..nh-.fiL{.t:--.---.n---.h---.-----nm-h Occupancyh_"Aj;~_....?_'".L----..-mmn--...
Owner ~ - - -!'r.Z:! .. !.. .---""Le.U------- Tenant___m___m_.m_____...hh..._.m..___...._____...______...______
Wiring ~~~~::~~;.::::=~p.~:$::,,~-<_+~.~...=.J-.~n--- By._.___m._..._________.h.n....h:.._.:......._mm.___....
Light Outlets............____________________.._..... Service. volt, ../_r2_r?/-_dcf'd__ Type at Wiring:
R t I 0 tl t No. wir~ts ...:3._.............______.....____. Armored Cable .............___n_......_.._
ecep ac e u e s._.____...__.m.__............
Dryer, KW __mnm...m.n.____m.nn._________ Size wlre;:~'~/)-a:..Q...---
Range, KW ____h.__..________n___._ Main fuse .:.::....-..~..4.--.. . ....
Water Heater: Enclosure ....:S._____...m___m__.......
Non-Metallic ......._____..__.................
Knob & Tube_____.____________..._...__..._
RIgid Conduit ._____________.................
Metallic Tubing ________._____......._____
KW..____________________.________________________ .
if: r: V .. DD
Heat: KW......__..I........__m__!-~-.IJLJ
Motors: sIze, volts and phase:
Type of wiring:
Entrance Cable ......__....
Sec. No..__...........................................
Raceway ......................._....._.__._
Circuits, Light._______._____._....____........_....
Utlllty ___.............._...._.......____....____.
Heat _______................................_..__
Range ._..._._..........____..___.____............
Water Heater ..................___..........
Motor ..__........._......................_.......
Rigid Conduit _____._____.___.______.......__
Meta1Uc TUbing ...........................
Current transformers:
No. & Size...................._______............
Ser. No...............................................
Dryer ........................................__.._.__
Furnace ____.............._......._......_._... ...._.
Ser. No.....___..........................__..__..__...
Remark:~tal_.~~~=.:=.-.~.-.__~=:______..~..~:. ~~-(;::::.::::-.::~,4f).:..:-..._L_ ~~:..::::.::.:.::.::::::::..:__:.::::
,;'~'--'-" .~ -.~ .1-....., _~ I ~
;~.=.~~.:~::::::::::...:::::::--:------...::~.~.~:::~.~.~.~~.~.~.-.~........--------....:;...:!t...~ZQ~;;i~=~::Z~ .~.
, .." . ~.~ ~
NOTICE-Current must not be turned on until Certificate of 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.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
16625
Address.___________......................._..._._...._........_........................_.__.______......................___._._..._............Date____......____.._.._.........._......_......_.........
Owner........___..._...................._......_.._.._______....______..............................._.................._......Tenant.............._..___.______.........................................
WiringContractor........................___........_........._.___.___.._......._..__......................_..._.._..........n_.........By._._.__.........._........................__.___.._.._....__..
'\
\
NOTICE-Current must not be turned on until Certificate of 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.
Address:
1014 E 41" Street
PREPARED 7/31/13, 9:07:57 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/31/13
------------------ -------------------------- ------------- —
ADDRESS 1014 E 4TH ST SUBDIV:�°�
CONTRACTOR ANGELES HEATING INC. PHONE (360) 457-0111
OWNER BAKER, SHAWN L PHONE
PARCEL 06-30-00-0-1-7730-0000-
APPL NUMBER: 13-00000601 MECHANICAL APPL. PERMIT
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------ --- -- — - — ------------ — - —---- --------- -- --------- ----------- — -- -------- ---- ------
ME99 01 7/31/13J MECHANICAL FINAL
July 31, 2013 9:04:38 AM pbarthol.
Sean 457-6563
-------------------------------------- COMMENTS AND NOTES--------------------------------------
R' CITY OF PORT ANGELES
��i� DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
` 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . .
13-00000601 Date 6/04/13
Application pin number . . .
287423
Property Address . . . . . .
1014 E 4TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -0 -1 -7730 -0000 -
Application type description
MECHANICAL APPL. PERMIT
Subdivision Name . . . . . .
Property Use . . . . . . . .
WA 98362
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
4200
----------------------------------------------------------------------------
Application desc
heat split system
----------------------------------------------------------------------------
. MECHANICAL
Owner
Contractor
------------------------
BAKER, SHAWN L
------------------------
ANGELES HEATING INC.
1014 E 4TH ST
2114 W 8TH ST
PORT ANGELES
WA 98362
PORT ANGELES
WA 98363
----------------------------------------------------------------------------
(360) 457-0111
Permit . . . . .
. MECHANICAL
PERMIT
Additional desc .
. DUCTLESS HP
Permit Fee . . .
. 64.80
Plan Check Fee
.00
Issue Date . . .
. 6/04/13
Valuation . . . .
0
Expiration Date .
. 12/01/13
Qty Unit Charge
Per
Extension
BASE
FEE
50.00
1.00 14.8000
----------------------------------------------------------------------------
EA ME-FURN/HP/FAU
< OR = 5 TON
14.80
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
64.80
64.80 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
64.80
64.80 .00
.00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
F
Separate Permits are required forelectrical 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 has 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. ----)
rr --e—
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
r:Forms/Building Division/Building Permit
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 / Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
THE
0
CITY OP l
W A S H l
321 East St' Street
NGELES
N G T O N. U. S.
Port Angeles, WA 98362
P: 360-417-4817 F: 360-417-4711
permits@cityofpa.us
For City Use
Permit# 13 -- toot
Date Received: LQ a 113
Date Approved
Building Permit Application
Project Address:
�-� f _ �, t
Main Contact:
Phone # S60 — —,-?-31q
E -Mail: G1/J e.SI �l' U� �✓�
Property
Name
Phone
Owner
MailingAddress
fi
Email
C►
State
Zip
� I
Contractor
Na e r
Phone
1360 ,
Mailing Address
Email
city I
II
State Q
ZrP
7
Contractor License #
Expiration•
/1
0, .
Project Value
$
Zoning:
Tax Parcel #
Lot #
Type of
Residential Commercial ❑ Industrial ❑ Public ❑
Permit
Demolition ❑ Fire ❑ Repair ❑ Reroof (tear off/lay over) ❑
For the following, fill out both pages of permit application:
New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical Plumbing ❑ Other ❑
Existing Fire Sprinkler System?
Maximum height of structure
Proposed Bedrooms
Proposed Bathrooms
Yes ❑ No ❑
Project
Description
Gfi �� r t9- /;'
I have read and completed the application and know it to be true and correct. I am authorized to apply for this
permit. I understand that it is my responsibility to determine what permits are required and to obtain permits
prior to working on projects. I understand that the plan review fee is not refundable after plan review has
occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the
permit is issued. I understand that if the permit is not issued within 180 days of receipt, the application will be
considered abandoned and the fees forfeit.
Date/
Print Name
Signature
Residential Structures
Area Description (SQ FT)
Existing
Proposed
$$ value
For Office Use
Basement'
For Office Use
Existing Structure (s)
Heater (Suspended, Floor, Recessed wall)
#
First Floor
Vent piping
Proposed Addition
r
Heating/Cooling appliance
#
Second Floor
#
Tenant Improvement?
#
Fuel Gas Piping
Covered Deck/Porch/Entry
Ventilation Fan, single duct
Other work (describe)
Furnace/Heat Pump/
Forced Air Unit
Size:
Deck
Ventilation System
Area Totals
Garage
Carport
Other (describe)
Area Totals
Commercial
Structures
Lot Size:
Area Descriptions (SQ FT)
Existing
Proposed
$$ Value
For Office Use
Existing Structure (s)
Heater (Suspended, Floor, Recessed wall)
#
Boiler/CompressorSize:
:::Irepair/alteration
Vent piping
Proposed Addition
r
Heating/Cooling appliance
#
Evaporative Cooler (attached, not
portable)
#
Tenant Improvement?
#
Fuel Gas Piping
# of Outlets:
Ventilation Fan, single duct
Other work (describe)
Furnace/Heat Pump/
Forced Air Unit
Size:
#
Ventilation System
Area Totals
Lot/Site Coverage Calculations
Footprint (SQ FT) of all Structures:
Lot Size:
% Lot Coverage
SQ FT Site coverage (all impervious +
structures
Haz/Non-Haz Piping
0/6 -Site Coverage
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler
Size:
#
Haz/Non-Haz Piping
# of Outlets:
Appliance Vent
#
Heater (Suspended, Floor, Recessed wall)
#
Boiler/CompressorSize:
:::Irepair/alteration
Vent piping
#
Heating/Cooling appliance
#
Evaporative Cooler (attached, not
portable)
#
Pellet Stove/Wood-burning/Gas
Fireplace/Gas Stove Gas Cook Stove/Misc.
#
Fuel Gas Piping
# of Outlets:
Ventilation Fan, single duct
#
Furnace/Heat Pump/
Forced Air Unit
Size:
#
Ventilation System
#
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps
#
Fuel gas piping
# of Outlets:
Water Heater
#
Medical gas piping
# of Outlets:
Water Line
#
Vent piping
#
Sewer Line
#
Industrial waste pretreatment
interceptor
#
Other (describe):
T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX