HomeMy WebLinkAbout1810 E 4th St - Building
N? 16177
3._./j/ :>~
Port Angeles. Washlngton...................._.~_.<................................... 19........
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
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 electrical work as listed below.
Address ../....r/.rJ.....l!i!...t!..?.?f:................................. Occupancy...-"'t....g",-::?'...........................
~:~:~~.~~~~~~:::i~~~::::::::::::::....~~:~~~;=:::::::::::...:.....~::::::::::=:::::::::::::::::::::::::::::::::::::::
C/
Light Outlets....__...............hh......_.._..... Service, volts ............___........................ T;ype of Wiring:
Receptacle Outletsu___m.......................
No. wires ........._..._.__......................
Dryer, KW.....n.............____...._.__.__.______
Size wlresm.......__nmn.m....u......_n
Range, KWm.mmmmuuuu_h.UUU..
:l\lain fuse .............................._........
Water Heater:
Enclosure ____mnmmnnun.__
HeaIK:~..::::;::.T?(;;;;::;l;;;. ;
!
Motors: size, volts and phase:
Type of Wiring:
Entrance Cable noon.....
Rigid Conduit ____mm_....__
MetalUc Tubing .mm.......n.m.......
Current trans!ormers:
No. & Size.......................................
Ser. No............................_..................
Ser. No. .................._..........................
"
Ser. No..............................................
Armored Cable mm..........m......._...
Non-Metallic ___..._..........................
Knob & Tube...................._.............
RIgid Conduit ...............................
MetalUc Tubing ....m......m...........
Raceway ..............................._._..._
Circuits, Light............_..........................
Utility .................._...._.....n.............
I-J eat _......................_.............._......
Range .............................................
Water Heater ...............................
Motor ......_......................................
Dryer ....................................__.........__
Furnace ..........................~...................
Total Load................_............ Ser. NO.........n............n..................... Total.......................................
~~::~:~:...::::::::::~~~~=~=~~::::~:~::~=~::~~=~~:::::::::::::::::::::::::::::::::::::::::::
Permit Fee
Treas. Receipt
No.............................
By .1:z~;~~!1~0.~~~.
f.........................m.........
NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. It work is to be con-
cealed due notice must be given the Inspector so that work may be inspected betore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
.------------
-.---
N? 16177 --
Address.................................................._......................................__.............................................Date..._......_.._.._.._.........._......_......_.........
Owner ..........................n....._.___.......__.............__.._.......................n........n........................ Tenant.............n...........n........................................
Wiring Contractor.....n...................................................._.............................................................. By............................................_.................
NOTICE-Current must not be turned on until CertifIcate at Inspection has been issued. It work Is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment. '
1M ~ Olvmoic PrInters, Inc.
~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
. . . . .
REQUEST:
Date I(~/~-Ob
Time II;;; 0 iJWL Received by JJe>1..-1. ,'s E. (phone. person)
Location of Work to be inspected (~ (0 C .
Name of person requesting inspection AI/LVI. /f>
Address of person requesting inspection c.. v ()
Type of Inspection (circle appropriate one): I
Sewer Foundation Framing Chimney Plumbing
'f~ S~
C.
'Ie... rj2 17'!f-B. Phone No. <I (7 -'f'i?<l:'T
Permit No
Final Sewer Excav, Ot~ W<L+e2:;
INSPECTION NOTES:
Inspected: Date II ~ ('"3 .-ex;,
'1) j &-_ 5/ (,
Remarks: K e f4.~ reo. ~ r'f
~ ( De c p .
Time r; '50 I'M.
~'--,.'l'c-e I e.....k
By f).e.v\-tA,'S C,
2- I ~r ~........ IM.<<--+e.r hll)(
RESTORATION REQUiRED...... YES
NO X
S!,D
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~~.!:;.,
E,
l{* $+
fr," Ac...
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
D,Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # 3D'3 'f' - {<fa
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
IDATEI
INSPECTION TYPE
DATE: RESULTS:
INSPECTOR::. I
DITCH
SERVICE
ELECTRICAL PERMIT
ROUGH-IN%�
I
IFINAL
CITY" OF PORT ANGELES
b
-.
360.4I7-4735
'
4
" Application Number . . . . .
17 009-Cl$76 Date 11/30/17
Application pin number
k l j
Property Address 4TH ST
REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER:
06,10-11-5-3-0115-0000-
630-11-5-3-0115-0000-
Application
Application type description
ELECTRICAL ONLY
on yow-,&Xqse tax form
Subdivision Name . . . .
to the City 4ftrt"Angeles
Property Use
Property Zoning . . . . .
RS7 RESDNTL SINGLE FAMILY
(Location Oodo-OW2)
Application valuation
0
----------------------------------------------------------------------------
Application desc
Heat pump and air handler
Owner
Contractor
------------------------
HANSEN KEVIW R
------------------------
AIR FLO HEATING_ CO INC
1810 E 4TH ST
221 W CEDAR ST
PORT ANGELES WA 983624916
SEQUIM WA 98382
(360) 681-3901
----------------------------------------------------------------------------
Permit . . . . , . ELECTRICAL
ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 56.00
Plan Check Fee .00
Issue Date . . . . 11/30/17
valuation . . . . 0
Expiration Date 5/29/18
Qty Unit Charge Per
Extension
1.00 56.0000 BCH EL-LVT-THERMOSTAT
56.00
----------------------------------------------------------------------------
Fee summary Charged
----------------- ---
Paid Credited Due
------
Permit Fee Total 56.00
---------- ---------- ----------
56.00 .00 .00
Plan Check Total .00
DO .00 .00
Grand Total 56.00
56.00 .00 .00
INSPECTION TYPE
DATE: RESULTS:
INSPECTOR::. I
DITCH
SERVICE
ROUGH-IN%�
I
IFINAL
b
-.
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
11/13/2017 MON 8:10 FAX 360 683 3971 Airflo Heating copier
CITY OF PORT ANGELES PERMIT APPLICATION
Building Divisiou/Electrical.Iuspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: 4-1 t ' —— 1 & 2 Single Family Dwelling
*Plan Review M y B R aired P m sect' P Ivie intimation -Sheet
Job Address: iYSi� 7 g r Ir W , p2w
Building Square Footage:�'i?
Description of above z Y i't . l[ me rull- j-)jM!? CL_CX P (I 1C" � Ylrrtvfff
Owner formatio
],l.
Mail' cess: fi_iC? E ��
City. Sbte:Wlip: VIh W7
Phone:` ax -
license #! Exp
Rem
Service/Feeder 200 Amp.
Senrioe/Feeder 201-400 Amp.
ServicelFeeder 401-600 Amp
Service/Feecler 601-1000 Amp.
ServicelFeedw over 1000 Amp.
Branch Circuit Wl Servioe Feeder
Branch Circuit W10 Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service! Feeder 200 Amp.
Temp. ServicelFeeder 201400 Amp.
Temp. Servic&T*eder 401-6W Amp.
Temp. Service/Feeder 601-1000 Amp.
Porta6to Portal Hourly
Signal Circuit! limited Energy -1 & 2 Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy - 5KVA System or less
Thermostat
Note: $5.00 for each additional T-Stat
NEW CONSTRUVION ONLY:
First 1300 Square Ft.
Each Additional 500 Square Ft or Portion of
Each Outbuilding or Detached Garage
Each Swimming. Pool or Hot Tub
Unit Chame
$120.00
$146.00
$ 205.00
$ 262.00
$ 373.00
$ 5.00
$ 63.00
$ 5.00
$ 75.00
$ 93.00
$110.00
$149.00
$168.00
$ 96.00
$ 64.00
$120.00
$102.00
$ 56.00
0002/003
NNaamne: o� q nit ;o
h�C n,�
Mani AddressF•-'
t" 71*
City f(Y
Shote: Zip:[f�s : r
Phone:
Fax.
license #! Exp.
fit
Total Qtv Multiplied by Unit Charael
$
$
$
$
uL�
$120.00
$
$ 40.00
$
$ 74.00
$
$110.00
$
$ "-rot:at
Owner as defined by RCW.19.2&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, M.E.C., RCK Chapter 19.28, WAC. Chapter 296-466, The City of Part
Angeles Municipal Code, and My Specifications and PAMC 14.05.050 regarding Electrical Permit Applicatiori5.
Signature of owner, electrical contractor or electrical administrator: ❑ cash yp check -
0 CWKCurl#
x Vl(t .1 sated: �. lul
01(0112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 17-00001716 Date 11/27/17
Application pin number . . . 289428
Property Address . . . . . . 1810 E 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -11 -5 -3 -0115 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Owner Contractor
HANSEN KEVIN R CASCADE ELECTRIC & VAC INC
1810 E 4TH ST PO BOX 369
PORT ANGELES WA 983624916 PORT HADLOCK WA 98339
(360) 379-5347
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . HEAT PUMP 1-4 CIR
Permit Fee . _ . . 75.00 Plan Check Fee .00
Issue Date . . . . 11/22/17 Valuation . . . . 0
Expiration Date . . 5/21/18
Qty Unit Charge Per Extension
BASE FEE 75.00
------------------------------------ ----------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
DATE: RESULTS:
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0542)
INSPECTOR:
Date:
1
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Boz 1150 I Port Angeles Washington, 98362 ,
Ph: (360) 417-4735 Fax: (360) 4174711
Date: 1 _ 1 & 2 Single Family Dwelling
* Plan Review May Be Re� ir/ed, Pleise_Compigo Electrical Plan Review Information Sheet
Job Address: ! iiSS y1rh 5+ -
Building Square Footage:
Description of above {^f't 7Fl �Y
G `l flli f` l$�f'�t"
L
l l{� l
1 k r,
�l�
/
30 ✓ `/
Owner Info r�tio J
TV1 h 17 q mem
Contractor Information
Name:
Name:
Mailing Address: /gib k— 1/ 44.1 5
Mailing Address:
City: State: Zip:
City:
State: Tip:
Phone: Fax:
Phone:
Fax:
License # I Exp.
License # I Exp.
Item
Unit Charge
Total (Qtv Multiplied by Unit Charge)
Service/Feeder 200 Amp.
$120.00
$
Service/Feeder 201-400 Amp.
$146.00
$
Service/Feeder 401-600 Amp
$ 205.00
$
Service/Feeder 601-1000 Amp.
$ 262.00
$
Service/Feeder over 1000 Amp.
$ 373.00
$
Branch Circuit W/ Service Feeder
$ 5.00
$
Branch Circuit W/0 Service Feeder
$ 63.00
$
Each Additional Branch Circuit
Branch Circuits 1-4
$ 5.00
$ 75.00
$
$ 7 S- G
Temp. Service/ Feeder 200 Amp.
$ 93.00
$
Temp. Service/Feeder 201-400 Amp.
$110.00
$
Temp. Service/Feeder 401-600 Amp.
$149.00
$
Temp. Service/Feeder 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
$ 56.00
$
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
$120.00
$
Each Additional 500 Square Ft. or Portion of
$ 40.00
$
Each Outbuilding or Detached Garage
$ 74.00
$
Each Swimming Pool or Hot Tub
$110.00
$
$ µ7S = 00 Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent 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 29646B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
)r electrical administrator: ❑ cash tK check
❑ Credit cam t
t � ,6li 7 01101012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 17-00001670 Date 11/30/17
Application pin number . . . 040480
Property Address . . . . . . 1810 E 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -11 -5 -3 -0115 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump and air handler
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HANSEN KEVIN R AIR FLO HEATING CO INC
1810 E 4TH ST 221 W CEDAR ST
PORT ANGELES WA 983624916 SEQUIM WA 98382
(360) 681-3901
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 56.00 Plan Check Fee .00
Issue Date . . . . 11/30/17 Valuation . . . . 0
Expiration Date . . 5/29/18
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---7 ------ ----------
Permit Fee Total 56.00 56.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 56.00 56.00 .00 .00
INSPECTION TYPE DATE:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
RESULTS:
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
d
INSPECTOR:
Signature of owner or Electrical Contractor X Date: