HomeMy WebLinkAbout1313 E 4th St - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
3 circuits demand heater water heater
Owner
DALE V HOLIDAY
1313 E 4TH ST
PORT ANGELES
(360) 457 1331
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 98362
183434
78 70
4/11/11
10/08/11
Signature of owner or Electrical Contractor X
G \EXCHANGE',BUILDING
11 00000300
362700
1313 E 4TH ST
06 30 00 9 1 01 0 0000
ELECTRICAL ONLY
Contractor
ELECTRICAL ALTER RESIDENTIAL
OLYMPIC ELECTRIC CO INC
4230 TUMWATER
PORT ANGELES
(360) 457 5303
Qty Unit Charge Per
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
2 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT
Charged Paid Credited
78 70 78 70 00
00 00 00
78 70 78 70 00
DATE.
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Date 6/06/11
RESULTS
WA 98363
Plan Check Fee 00
Valuation 0
Extension
73 50
5 20
Due
00
00
00
INSPECTOR.
Date
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
PREPARED 6/03/11 9 44 24 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/03/11
ADDRESS 1313 E 4TH ST SUBDIV
TENANT NBR DALE V HOLIDAY
CONTRACTOR PENINSULA HEAT INC PHONE (360) 681 3333
OWNER DALE V HOLIDAY PHONE (360) 457 1331
PARCEL 06 30 00 9 1 0130 0000
APPL NUMBER 11 00000472 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 6/03/11 JLL
MECHANICAL FINAL
June 2 2011 10 25 11 AM pbarthol
Dale /Max 457 1331
afternoon 1 4 pm
COMMENTS AND NOTES
C
Permit 1 1■
Date
5-2= 7Y
I phoned the Applicant
Property Owner Dex,l,e, R6
T Forms /Building Division/Project Status Update
PROJECT STATUS UPDATE
Contractor at
at
a i m 4.51— (33 l
I (left a phone message, r discussed)
The permit (has expired or will expire soon) What is the status of this project?
Please call and schedule a final inspection
Submit a "permit extension request" letter
Or
Let me know if the project is abandoned
5 --2 5 l\ j PJY S i j-c
,A2 �,,4 Q_Q 44-1 Av\z2-l'71 .Pry
5-2 K am, p�-w
U
5 2:7-fI r 4
Application Number 11 00000472
Application pin number 772704
Property Address 1313 E 4TH ST
ASSESSOR PARCEL NUMBER 06 30 00 9 1 0130 0000
Tenant nbr name DALE V HOLIDAY
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
STEFFES HEATER
Owner
DALE V HOLIDAY
1313 E 4TH ST
PORT ANGELES
(360) 457 1331
Permit MECHANICAL PERMIT
Additional desc STEFFES HEATER
Permit pin number 185793
Permit Fee 64 80
Issue Date 5/25/11
Expiration Date 11/21/11
Qty Unit Charge
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
14 8000 EA
T Forms /Building Division /Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 98362
Per
Charged
64 80
00
64 80
RS7 RESDNTL SINGLE FAMILY
2566
Contractor
PENINSULA HEAT INC
782 KITCHEN DICK RD
SEQUIM
(360) 681 3333
BASE FEE
ME HEATER(SUSP /WALL /FLOOR MTD)
Paid Credited
64 80
00
64 80
00
00
00
Date 5/25/11
WA 98382
Plan Check Fee 00
Valuation 0
Extension
50 00
14 80
Due
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
rioa led
-3 1I
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 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 resting construction or the performance of
construction
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
Inspection Type
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
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 Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION.
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS
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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Date Accepted By
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
Comments
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
FINAL Date J Accepted by
Date Accepted By
May 12 11 12 24p
PENINSULA HEAT
v Q(3.1e V Roll J-6-)J
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St, Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
3606812086
Applicant '/4 a-v/ 6 He _A rs DYt Phone
Property Owner?, g a,-7 Phone
Property O er's Address i 3/ 3 4-/-b S ,o t
Co ntractor -Pn'r14‘,, i�P'a 2 Phone
Contractor's Address `7 S�.�Z j ,L C her; ,9 ,fie/ ,5-6 t
License JJ /v/ c/j Imo' ires E-mail
PROJECT ADDRESS /3/3 47 i ,5S,
Parcel Number Lot
Floor Areas Existing (sa. ft.) P_o losed (sq. fLi
Basement al 5 per sq. ft.
l Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
ft Occupancy group
Occupant load
Construction type
I have read and completed this application and know in be true and correct. I am authorized to
that it is my. responsibility to determine whaatpermits are requiredd. nd to obtain permits prior to
Date •5//U 1/ Print Name �I Gt t'/67`k lhiSr1Y$ignature
T:Forms4BuUdkr6 DivLsioNBidc Permitdoc
p
For City Use Only
Date Received S-\(0-1 1
Permit It [1 412
.Date Approved
4
L15 3 3
14."'n
),4., A e 74?.? Olv4eky
Zoning
Protect Tvoe Brief Description. pRTdentlal o Multi- tamily o Commercial o Industrial
Check all that apply
o New C onstruction
o Addition
o Remodel
o Repair
a Demolition
o Re -roof a House a garage o other o tear off re -roof o lay over one layer
bae-Heat System o Heat pump o wood burning stove a gas fireplace o pellet stoveAsither
)'Other S 7 c 7f I- 5 M.Pd (s
TOTAL VALUATION Z' 5 3z
Total footprint of structures sq. ft T Lot size sq. ft. Lot coverage a/,
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios
and other impervious surfaces. (see PAMC 17.94 135 for exemptions) Site coverage
it of bedrooms
of full baths
of half baths
pply for this permit and understand
gco p_ml4
1
04/07 /.2011 07 14 :FAX 360 452 3498
City of Port Angeles Permit Application
Building DlvielonlEieclricel Inspections
321 Emit Fifth Street— P.O. Box 1150
Port Angeles Washington, 98362
Ph: (360) 417.4735 Fax: (380) 4174711
Date'
2 Single Family Dwelling
Muhl-Family or Commercial*
Commercial Addition 1 Alteration Remodel I Repair"
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: /34,/ Jf St
Building Square Footage;
Description of above /.n
Owner information 4 l r 'd
Name: /TO/4. /y
Mailing Address: /1/ f --Pa 1,6
City' ..4—fi4 ,.fir State: Zip.
Phone: Yr 7 ,'i Fax:
License 0/ Exp.
:Signature of owner; elecMcel contractor or electrical adminiutrator
:0 :Check
nat 4//7�// credit card u
r
Olympic 'Electric Co PA CITY 'INSPECT nn a 001 /002
RECEIVED
APR 2011 pOR1' .1
ELECTRICAL
INSPECTIONS
Contractor Informs r}
Name: .(.dr 4fl /G� /7/�
Malling Ad s:
Clty:4•77A4,%-• 4r State: r' Zip: 7t)' a
Phone: a, fix Fax: Yet
License Exp. P,,,g,.//a'.<
Unit Chergg gy Total (ON Multiplied by Unit Choral
$119.90 S Service/Feeder 200 Amp.
145.50 5 Service /Feeder 201.400 Amp.
204.60 S Service/Feeder 401 -600 Amp.
Si 262,20 Service/Feeder 601 -1000 Amp.
372.50 S Service/Feeder over 1000 Amp
S 2.60 S Branch Circuit W/ Service Feeder
5 73.50 --1..,_ 5 7J. r,° Branch Clrcult WIO Service Feeder
2.60 Z. S. --.e' Each Addllonal Branch Circuit
5 92.70 Temp. Service/ Feeder 200 Amp.
$110.90 Temp. Service /Feeder 201.400 Amp.
148.70 S Temp. Service/Feeder 401 -600 Amp.
S 167.90 S Temp. Service/Feeder 601.1000 Amp.
3 95.90 S Portal to Portal Hourly
88.20 Slgn/Oudlne Lighting
S 95.90 Signal Clrcult/ Limited Energy— Commercial. Additional 1500 $5.00
S 63.90 S Signal Clrcult/ Limited Energy 1 2 Family Dwelling
83.90 Signal Clrcult/ Limited Energy Multi- Family Dwelling
$119.90 '5 Manufactured Home Connection
$102.30. Renewable Electrical Energy 5KVA System or Less
$110.30 S First 1300 Square Ft.
S 35.20 Each Additional 500 Square FL or Portion of
9 73:50 Each Outbuilding or Detached Geroge
110.30 Each Swimming Pool or Hot Tub
5 56.00 .3 Thermostat
7•. Total
IMO
Owner as defined by RCW.19.28.261 (1) Owner will occupy the structure for two years after thie electrical permit is finalized. (2) Owner is required to hire en electrical contractor if
above said property le /or sale, rent or loess. Permit expire, after six months of lean Impaction.
After reading the above statement, I hereby certify that I am the owner of the above named properly or a Ilceneed electrical contractor. I em making the electrical inetalletion or
alteration In compliance with the electrical laws, N.E.C. RCW. Chaplet 19.29, WAC, Chapter 296.46B, The City of Part Angeles Municipal Code, and Utility Specllleatlona.
:o cash
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Vent fan attic
Owner
DALE V HOLIDAY
1313 E 4TH ST
PORT ANGELES
(360) 457 1331
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
t-. 248/ IC)
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 98362
160218
73 50
2/01/10
7/31/10
v�1
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
10 00000097
343773
1313 E 4TH ST
06 30 00 9 1 0130 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
ELECTRICAL ALTER RESIDENTIAL
/1 1h 1 81
DATE.
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
Charged Paid Credited
73 50 73 50 00
00 00 00
73 50 73 50 00
Date 2/01/10
WA 98363
Due
RESULTS
00
0
Extension
73 50
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
FEB 1 2009
CITY OF PORT ANGELES PERMIT APPLICATION ELECTRICAL
Building Division/Electrical Inspections INSPECTIONS
321. East Fifth Street P.O. Rox 1150 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: c2
X_ 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair*
Plan Review Ma Be Required, Pie se Complete Electrical Plan Review Information Sheet
Job Address: L-
Building Square Footage:
Description of above {d E 4-n -y- 1 by .t4-14 tC Uea 11s'`�+'c �Q �t
Owner Information
Name: finale f Q .At,,
Mailing Address'
city' rr- 1 State:L 9& ZIP: 91 h.:C
Phone: 45'7-133 Fax:
Ucense Exp.
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service /Feeder 401 -600 Amp
Service/Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201 -400 Amp.
Temp. Service/Feeder 401.600 Amp.
Temp. Service/Feeder 601.1000 Amp
Portal to Portal Hourly
Sign/Outline Lighting
Signal Circuit/ Limited Energy First 1500 sf Commercial
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi-Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy SKVA System or Less
Thermostat
NEW CONSTRUCTION ONI,i
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Unit Charge
$119.90
$145.50
204.80
262.20
372.50
2.60
73.50
2.60
92.70
$110.30
$148.70
$167.90
95.90
88.20
95.90
63.90
63.90
$119.90
$102,30
56.00
$110.30
35.20
73.50
$110.30
SIgna re of owner electricontractor or electrical administrator
Doted .2-1-lb
b
RECEIV.E0
Cosh Chock
p Credit Cord a tl^
0110112010
Contractor Information
Name; 5'r rrr r' t ciart L L r✓
Mailing Address:
City: _ES State: Zip:
Phone: 7 -17 o Fax
License 't 7 5 k' C.J
9t/ Total f�l Multiplied by Unit Charnel
15.50
13So 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.C. 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.
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00001426 Date 12/05/07
059172
1313 E 4TH ST
06-30-00-9-1-0130-0000-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
JOHANNES KAREN REBECCA
1313 E 4TH ST
PORT ANGELES WA 983624705
ALL WEATHER HEATING & COOLING
302 KEMP RD
PORT ANGELES WA 98362
(360) 9813
Pe rmi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
116962
35.00
12/05/07
6/02/08
Plan Check Fee
Valuation
.00
o
Qty
1. 00
Unit Charge Per
35.0000 EC EL-LOW VOLTAGE
Extension
35.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35.00 35.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 35.00 35.00 .00 .00
.---
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INSPECTION ELECTRlCAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
R-OUGH - IN
0..1 ~I c"1 A~ ~
FINAL
COMMENTS:
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00001425 Date 12/05/07
721750
1313 E 4TH ST
06-30-00-9-1-0130-0000-
DALE HOLIDAY
MECHANICAL APPL. PERMIT
RS7 RESDNTL SINGLE FAMILY
4372
Owner
Contractor
DALE V HOLIDAY
1313 E 4TH ST
PORT ANGELES
(360) 457-1331
WA 983624705
ALL WEATHER HTG & COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452-9813
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
ELECTRIC FURNACE
116954
64.80 Plan Check Fee
12/05/07 Valuation
6/02/08
.00
4372
Qty Unit Charge Per
Extension
50.00
14.80
BASE FEE
1.00 14.8000 ECH ME- INSTALL 100- FAU
Fee summary Charged Paid Credited
----------------- ---------- ---------- ----------
Permit Fee Total 64.80 64.80 .00
Plan Check Total .00 .00 .00
Grand Total 64.80 64.80 .00
Due
.00
.00
.00
~qi,
e eel
-Z
1'0;
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 orwork 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.
Signature of Owner (if owner is builder)
T:Forms/Building DivisionIBuilding Permit (1O/01/07).wpd
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 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.
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INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
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 FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
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 417-4653 FIRE DEPT.
PLANNING DEPT. 4 I 7-4750 PLANNING DEPT.
BUILDING 417-4815 \(.-2.1-01 ~H BUILDING
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BUILDING PERMIT APPLICA TJON Print in ink
CITY OF PORT ANGELES
Altn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
For City Use Only:
Date Received \) ..-l-\....u 1
Permit # 0,- 1/4 v?
Date Approved
Phone
Phone
'-tf7)7~1 ~'2,1
LfS-Z - Q8/'3
~- , - dg
Phone
Expires
PROJECT ADDRESS
. 11'1
Parcel Number
Lot
Zoning
Pro;ect Tvpe & Brief Description: p<!?esidential 0 Commercial
Check all thaI apply
o New Construction
o Addition
o Remodel
c Repair
oRe-roof
c Demolition
o Sign .:J waJl-mounted 0 projecting
o MuU;~famiJy
o Industrial
.,(Heat System
o Other
o Heat pump
o other
Floor Areas ExistinQ (sq. ft.) Proposed (Sq. ft.)
Basement @$ per sq. ft. = $
111 Floor
2nd Floor
3td Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $ LI. Z, 7 7 co
Total footprint of structures
sq. ft. . Lot size
Max. height of proposed structures
Will a lawn sprinkler system be ;nstalled?
Will a fjre sprinkler system be installed?
ft.
Occupancy group
Occupant load
Construction type
sq. ft. = Lot coverage
# of bedrooms
# of full baths
# of half baths
%
I have read and completed t.''Jis application and knoVl it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to obtain permits rior to working on
projects.. '. _
DateJ 1.- Y - u1 Print Name CUm en () e Booid-e () Signature
T:FormsfBuilding Division/Slcg Permit Appl.-2D06 Code.doc
I
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
07-00001416 Date 12/03/07
059512
1313 E 4TH ST
06-30-00-9-1-0130-0000-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
JOHANNES KAREN REBECCA
1313 E 4TH ST
PORT ANGELES WA 983624705
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457-9270
WA 98363
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
116830
46.00
12/03/07
5/31/08
Plan Check Fee
Valuation
.00
o
Qty
1. 00
Unit Charge Per
46.0000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
46.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.00 46.00 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 46.00 46.00 .00 .00
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INSPECTION ELECTRlCAL
TYPE DA TE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH - IN
12/5/07- A-? . ~.
FINAL
COMMENTS:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt! 16086
/1 -pr.. ;"
Port Angeles, Washlngton.m._-.::m..m.:-_::__.....__m...m...mn___.... 19moom
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 d6 electrical work as listed below.
....... . ...
Address .m.!1?,i "3....:.:::...}~~:;{;.C....__oooooo......oommm.moo.m. Occupancyoo::.m:.m.~...hmm......._moo__..oooo
~::~~~<:~~~~~:~.:~:if~~:::~~:~:;:::~~m~~...::::::::::.~~~.~~:::::::::=::::=::::::::::::=:::::::::::::::::::
I /."'f')/.,u
Light Outlets.........._............_...._n_.._..... Service, volts .....~.~.._~~~;.:..:::.-...?:..._.....d
-(
,
.. I ' ~
l~O. W res ..m>@....;~.._?)..._..
Size wires...._..._:;_=_..____.............._..
. I Il
Main tuse _.n.....-r::c:-.:::...:..:...n.m...
;Z
Enclosure n__......_-:.............._m__
Receptacle Outlets.____.._.___.............._...
Type of Wiring:
Armored Cable ..........._..................
Dryer, KW....._______..___....._......___...._...._
Non-Metallic ................__............._
Knob & Tuben...............__....nn....._
Range, KW _n.mm_m___________m__
Water Heater:
RIgid Condult ............_........00...._..
Metalllc Tubing .................___.......
KW.______....___....______....______n.___.n___
Type of wiring:
Entrance Cable _..........
Motors: size, volts and phase:
Rigid Conduit ..____...._.muo__m........
Raceway ............._.................__...._
CIrcuits, Llght....n...............__.._...n........
Utillty ......n.....oo__...._............oo......
Heat; KW.._..............n_.n...._n__..nn_.__n
Metalllc Tubing .......
Current transformers:
Heat ____.__.............._.....~...........-......
Ser. No._......___.....__._..........................
Range __.................._................___.____
Water Heater ............___................
Motor _._....00__...0000.........................
Dryer _._._........____...____......._......_________
Furnace __.._.__.................'_........_._........
;
No. & Size..n..._.n_.__n.n_..................
Ser. NO......._n.nnn_..._.__.....................
Ser. NO........n........_......n_.__.._.....nn___
Total wad........................._... Ser. No. ................._.......00__._.00...00__. Total ...................-.---...............
Remarks: oo..<!..!?oo:(:.f?-?...S;.!!___oo.oo__m..,:::C__:,__::.h.~__,:{).__Q....,..__....~~L.___..._____....m.__m...__....__
______.___..___._____:___.___..:-I.mm.___mm_________....oo.____...._________..m___..mmm.m.mm.m___.......mool/..___..mm___.________.mm......__..
$:m.....___....___....__oo____.......
Treas. Receipt
No....__............_____......
By .qst!.A{:.:.l~~.:,;f,lL,.,.,------
v .. --
. Permit Fee
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?
16086
Address..................._.__......_...._._......____......_.n........................__........._.._......................................Date..._......_.._.._.._........___...._._......_.........
Owner n__nn_.nn_.nn__n._n......._......_.._......_......____............_._.................00.....__00.......0000.... Tenant..___n......n._..._n_u.......h.n__.n.........................
Wiring Contractor ..................................._.....................__._........................................................... By.................................__........_._......__...___._
NOTICE-Current must not be turned on until Cert1Clcate 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. '
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ELECTRICAL WORK PERMIT APPLICATION
Job wired b.v
,( Electrical Contractor 0 Owoer
Electrical contractor name
License number
Installation description
D Commercial )( Residential
t
DNew
D Altered/Addifion
Purchaser's mailing address
~ 7 (f.ff'Ylp CJt.
~y
(lIlt- AvlOj e \ {'~
ele hone number
State ZIP
IAJA qf7~(nL
FAX number .,
o 'I
LV T-<st(At ~
Pt:riSCS. ow-here Harre d
cu f 1Cli CH4
Addn~ss of inspection
~f. L-j TI'l
j}QV\- A1/l C1-=d -f' 'i
Phone nurpb to schedule inspectiou:
Owner as defined by RCW J9.28.161:(1) Owner ....i/l occupy the structure for two
year.~ after Ihi.f electrical pami! iJ finalized. (2) Owner is required 10 hire em electrical
contractor if above soid property is for ~'a'e, rent or lease.
After reading the above stalement. I hereby ccrti~v that r .am the owner of the above
named property or a licensed eleclrical contractor. J urn milking the el~ctricaJ inSlaI_
lation or all~ration in compliance with the ~lecHicnl laws, N.E.C., RCW. Chapter
19.28, WAC Chapter 296.468, The Cit~ of Part Angeles Municipal Code, and
Utility Spccifications.
Sign.ature of owner, clectric:aJ contractor or electrical administrator
o Cash 0 Check #
~redit Card
Card #
VISa
Mastercard
Discover
----------------
x
/,
Date: IZ -L{. 01
Expiration Date
of card
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace 15. KW
o Hea! Pump _ Ton _ LAR
o Fan-Wall KW
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage
Phase 0 1 :J 3
Service Size:
Feeder Size:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN ~OSTAT ,,- SERVICE
J
O"le "';lPn:-~ed By / '- D~IC App;ovdlly D~IC Appl"D"'~By /
~~~f{ ~L /' /' FErnER "
DITat
"p;>ro~-cd By ) '-- [)-.:.11: API'.o\Cd By.../ Dale A.pp~ved.I:Jy.../
Inspection Area. Building or Equipment Inspected Action Taken Electrical
Dale Insp~ctor
F'ORIANGELES
W A 5 H I N G TON, U. 5. A.
FAX TRANSMITTAL
Departme'!'lt of Public Works/Utilities
321 East Fifth Street, Port Angeles, Washington
Phone: (360) 417-4735 FAX: (360) 417-4711
TO:
COMPANY: ALL WEM1
FAX#: 2. - '5"1 77
NUMBER OF PAGES INCLUDING
COVER: 2-
FROM:
EORTANGELES
WAS H I N G TON, U S. A
Public Works & Utilities Department
Trent Peppard
Senior Electrical Inspector I Traffic Signal Technician
Phone: 360-417-4735
Email: tpeppard@cityofpa.us
Website: www.cityotpa.us
j '321 East Fifth Street- P.O. Box 1150
L~"__.
Fax; 360-417-4711
Port Angeles, WA 98362-0217
12/02/2007 07:38
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4579270
.
Job ..wd bp )if ElectrtCIIl COIlerodor a o..;'VII /.2~
~.,lcel contractat' ..me Lk:eme number 0a!Il expires
;)jrnf}fzcn ;;Je.d?v.~ SIInPSki 9711<..9-
.....hu.h mlU!."tI odd~1 .. I
.:l'f~a3 (p I-JWli.' f)) t-<..J
Cily.l? _ 1 V1 ._ SIal< ZIP
rOfl..;r tifl.Cjf! ~ Wit 983(03-
Telephone "ul1Ihflr PAX numba' ~
-1':2.. 70 dE:-
1'I'ellnlel!II fJ"nrf1a ~1P;'IIlf _ \' _I
Da....f' ~ \ U\..~ 1...d
Addr... .,Ioop__d..,- ./-;1 J ~ (
l~j.3 c;.. <f~~-t--.
CUy .PO~+- ~-e..J-e.B
,.ioap, ........er ta '~71~la~inn:
"""'tel' fl.' d~..e" hy RCfJ'.19.18,26J:(,J OwfN!r ",m OCC'lpy ,,,~ ''''',~lllm/o'' l'W()
)'fJtJTI ~ flUs .trlc:al pemtlJ iA ftM112tL (2) Owrm- IJ M!!t/1Ib'ed to hlrr! arI chc~
MflltyJ~,. if dove 1iI1J fHV'PtfI1y Is for' .rtlle, nm or- leo!/!.
After teIlding Ihc Dve ~~ I heteb1 certify Oil'" 1 am the awncr or the abo'Y~
"&mild PJOIX!"Y or n IICtNCd fllOl;ll'ia.l conmar.lDl'. , 1m mulnll the cteetntal IhltRI~
I_,DC' or alterat'OtI in (lC'lmpliMce with the clec:ttle.llllllWt, N.E-C.. RCW. ChApter
19.28. WAC. Chapter 29~(jD. nac . of PON Anplea MUbicir-' Code, ftnd.
Utility Sped 'on..
5tt..a'a . of r.ctDr ar IIlar:trlc.1 ....tftl.tr.t.,.
Dute: /,,2 '03-tJ7
F;ItlctrIcAIJJlll
o NO LOAD CHANGES
[J BO..boOm KW
Q'Fum&lGtl 1.5.. I'm
o Heal Pump _ Ton _ LAA
[J Fon-Won _ KW
SIMPSON ELECTRIC
PAGE 02,
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ELECTlUCALWORKPERMlT APPLICATION
3
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Fu...,.no..c-e...../~ iP-
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I:J Cosh a Check #
Credit Card 6J ~",",otd Diocover
Card# ___iY1=l_~____-__.__
El<pinIIion Datz:
of CHrd
'''"':,,''' f~
$ -rfc"--
SelVlcelnlorm&Ulln
a OItO""'od S...Io.
o romp Service
o Under1lround Servtco
Voll8ge
_Ola3
SorvlC<l Size: _
Fe8de1' Slze:
SAME DAY INSPECTION, CAU. BEFORE 7:00 AM 360-417-4735
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