HomeMy WebLinkAbout925 E 5th St - BuildingCITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 09 00001225 Date 11/24/09
Application pin number 804925
Property Address 925 E 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 7680 0000
Tenant nbr name ENID PELLOW
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 7997
Application desc
TEAR OFF RE ROOF THE HOUSE
Owner Contractor
ENID PELLOW AFFORDABLE SERVICES
925 E 5TH ST 258663 HWY 101 WEST
PORT ANGELES WA 983624112 SEQUIM WA 98382
(925) 588 9124 (360) 683 9619
Structure Information 000 000 TEAR OFF RE ROOF THE HOUSE
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF RE ROOF THE HOUSE
Permit pin number 157123
Permit Fee 179 75 Plan Check Fee 00
Issue Date 11/24/09 Valuation 7997
Expiration Date 5/23/10
Qty Unit Charge Per Extension
BASE FEE 95 75
6 00 14 0000 THOU BL -2001 25K (14 PER K) 84 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 179 75 179 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 184 25 184 25 00 00
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 nd ordinances governing this type of work will
be complied with whether specified herein or not, The granting of a perinit does not presume to authority to violate or cancel the provisions of any
state or local law regulating construction or the performance of construction.___
1 4'r) C in0_�e L
Date Print Name Signature kContrac or Authorized Agent
T:FormsBuilding Division/Building Permit
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
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping I SHORELINE.
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.
T: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
Inspection Type
Date Accepted By
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Comments
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
0
I
(b
E)Qit P 12- -22 -40
M
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
BUILDING PERMIT
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360).417 -4711
Applicant C
Property Owner E C( .e I new owner
Property Owner's Address R 5 E Si- ,S4-
Contractor 4-) d.) (Q a.::=,vr S
Contractor's Address 2, v/t flo
License A4FORS* Expires
PROJECT ADDRESS q5 E 6
Parcel Number i3(, 2,60:20 t r
Proiect Type Brief Description. .Residential Multi family
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
PRe -roof \i House garage other j;e4ear off re -roof lay over one layer
Heat System f❑N-leat pump wood burning stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (g. ft.)
TOTAL VALUATION Ga I r..l
Total footprint of structures sq ft. Lot size sq ft. Lot coverage
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
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
APPLICATION Print in ink
Phone
Phone
Phone
0 8 a f
E -mail
per sq ft.
For City Use Only
Date Received 11
Permit* 09 —12-7.--5
Date Approved
Lot l4 Zoning
Commercial Industrial
of bedrooms
of full baths
of half baths
1 have read and completed this application and know 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 prigg to working on projects.
Date L[ Print Name JQ Signatur
T Forms/ uilding Division /Bldg Permit.doc
AFFORDABLE ROORNG
258663 Hwy 103 West
Sequin, WA
(360) 683-%19 (360)3V-2724
FM" 611 fa
Name Phone #1 367/1 5 1- 0t-ta5_0 0 Ea—.
dthrs. 1/44.z-s E:i ,s. ciirn_eL-- Phone #2 ry? Litgi, 39) 5 i aid
1:)..-tr.i....
.c State LAJR Zip Code c t9f.zict 7,_
/1".., art: house penniete to proter..t lanctscaptng
'Remove old roofing and hAlli TO landfill
rtsta.,
nsta
Plywood
Roofing Felt
Prpe Flashing
Exhaust le ents
instal Ridge ‘'ents
instal Atflc Vents
nstai Sun "rube
Skvlighm
rstai
nsm;
LnSta,
'cur —ocate Septic area) Field imca on
yfi ncrudes Building Permit (7'
Zus to Secure Building Permit
01 t
Cut In
Instal
instal
Instal
tai
IristaJ
i nsta i
n \3t
upon complction of protect.
arrangeraCtitS accepteci
nroDos l. hereby to furnish material and labor
acxordarl---e with the above specCattc. s
U. maw-tit o aszniszawo to b on wocdiod. ACV alteration as devurace from tbe
inyorvw =at co= will be owtned oak* upon writ= untlaa *x wti
az =In czazFaz arm sax: abcrrc tbc esurniu. upon
ccrkaaa &taw ow =trot ;Nyco- W cam fire mcntiob too caws
L
Ox thavc pricca. stpctctilic) rand cond
±act,s arse arc tverttry aceeptea Y ot) art autborizad co cto the
a:
srce. Ftvmcnt wilt be made 63 OtrtjrnCd abevt
4 cr-tsotancr
Wayrayr state
(360) 4524)840,
D111. Edge Mettle_
meta; W Valleys
Roof to Wal rlastung
Roof te Via Step Fiasturi____
Chimney Counter Flashing
ChunneN Stec Flashing
Skytight Flashing,
.e_
8 rndO C
Lolof
0 Year Warraru
A L •fetrrne Warrarrry
sate
PROPOSAI
S P89'nT
SALE TAX 3
Now tzus proposzo way be witholnyr by
accepwa wathiA 30 atm
W ortrna.risr
1"
la/49k
__14:71 p 9
PREPARED 12/10/09 8 30 00 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/10/09
ADDRESS 925 E 5TH ST SUBDIV
TENANT NBR ENID PELLOW
CONTRACTOR DAVE S HTG COOLING SRVC INC PHONE (360) 452 0939
OWNER ENID PELLOW PHONE (360) 982 0276
PARCEL 06 30 00 0 1 7680 0000
APPL NUMBER 09 00001240 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01
12/10/09
MECHANICAL FINAL TIME 01 00
December 9 2009 8 21 03 AM 1pangrle
JEANNIE 452 0939
MECHANICAL FINAL HEAT PUMP
AFTERNOON
COMMENTS AND NOTES
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 change Furnace and heat pump
Owner
Stevenson Andy
683 Seal Rock Road
PORT ANGELES
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
COM MENTS
WA 98363
157511
97 75
12/03/09
6/01/10
Charged
97 75
00
97 75
ELECTRICAL PERMIT
CITh OF PORT ANGELES
360 -417 -4735
09 00001251
541458
925 E 5TH ST
06 30 00 0 1 7680 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
ELECTRICAL ALTER RESIDENTIAL
NORTH PENINSULA ELECTRIC
761 FRESHWATER PARK RD
PORT ANGELES WA 98363
(360) 477 1764
Plan Check Fee
Valuation
Qty Unit Charge Per
2 00 2 0000 ECH EL BRANCH CIRCUIT W /FEEDER
1 00 93 7500 ECH EL 0 200 SRV FEEDER
Paid Credited
97 75
00
97 75
00
00
00
Date 12/03/09
DATE RESULTS
0 0
0
Extension
4 00
93 75
Due
00
00
00
121► ac
2- 7ag
Mt/ /09 q
0eW*.. -VL.+S CR, r'G,b
Sitnature of owner or Electrical Contractor X Date
INSPECTOR.
iPtVf
2009 -12 -02 13:01
City of Port Angeka Permit Application
Building D1vislonIEledrical Inspections
321 Eat Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph: (380) 417.1735 Fax: (360) 417.4711
Date: 74 V
1 2 Single Family Dwelling
Mull-Family or Commensal'
Commercial Addition Alteration !Remodel Repair
Plan Review May May BelteguirestPlease Complete Ele ical Plpn Review Info tion Sheet
Job Address: .3"r r'"
Building Square Footage:
Description of above
CSC
Owner Informal• n
Name: ��\1c� cl 1,a n S L 1
Mailing Address: VCL 0-
Cr it f P State: ILA Zip: Z L,"
Phone: Fax:
License 1 Fes.
Unit Charge
93.75
$113.75
$160.00
$205.00
$291.25
3 200
57.50
2.00
72.50
86.25
$116.25
$131.25
75.00
69.00
75.00
50.00
50.00
93,75
$.80.00
86.25
27.50
57.50
86.25
43.75
NORTH PENINSULA ELEC 3609289409 3604174711
Signature of owner, electrical contractor or electrical administrator
.61/),) L-
\(L.
J
C �L-
ogur
Contractor Information
Name: `I \JC,= \ti.
Mailing Ad press: .r ��rr'
Cityl State: Zrp:
Phone: \11 C Fax 1
License Exp. r -01 r' I
c
T I Multi lied bv Unit Charnel
s Service/Feeder 200 Amp.
Service/Feeder 201 400 Amp,
Service/Feeder 401.600 Amp.
ServiceiFeeder 601 -1000 Amp.
Service/Feeder over 1000 Amp,
Branch Circuit W/ Service Feeder
Branch Circuit WIO Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201 Amp.
Temp. Servior'JFeeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal lo Portal Hourly
Sign/Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 18 2 Family Dwelling
Signal Circuit) Limited Energy Multi- Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5INA System or Less
First 1300 Square Ft.
Each Additional 500 Square Ft or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub rm
theostat
RC
Owner as refired by W.19.28.261: (1) Charter will occupy the structure for two yews afta this electrical penny is finalized. (2) Owner Is required to hie an
elactscal contractor above said property Is 1brsae, raid orleast
Alter reading the stave statement, I hereby certify Ikal 1 am the owner of the above named property err a licensed electrical contractor. l am making the electrical
installation or alteration in compliance with the electrical laws, N.E.C. RCW. Chapter 19.28, WAC. Chapter 296168, The City of Port Angeles MunlcIpal Code, and
Utility Specifications.
12 Cash
Check
Credit Card 11 C
co pDRJ
sr USN
0
N
a
3
LILAC m
P 1/1
Application Number 09 00001240 Date 12/01/09
Application pin number 250960
Property Address 925 E 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 7680 0000
Tenant nbr name ENID PELLOW
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 8305
Application desc
HEAT PUMP INSTALLATION
Owner Contractor
ENID PELLOW
925 E 5TH ST
PORT ANGELES
(360) 982 0276
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 983624112
DAVE S HTG COOLING SRVC INC
PO BOX 413
PORT ANGELES WA 98362
(360) 452 0939
Permit MECHANICAL PERMIT
Additional desc HEAT PUMP INSTALLATION
Permit pin number 157347
Permit Fee 64 80 Plan Check Fee 00
Issue Date 12/01/09 Valuation 0
Expiration Date 5/30/10
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
6 1q,
z
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 regulating construction or the performance of construction.
ar421:6 1 dicie 1 Y
e Print Name Signature of Contractor or Authorized Kgent Signature of Owner (if owner is builder)
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.
Inspection Type Date Accepted By
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING
Under Floor Stab
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
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
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
Inspection Type
FINAL Date Accepted by
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
Comments
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
0
r)
3
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Furnace 10 Heat Pump 2 ton
Owner
Pellow Enid
925 E 5TH ST
PORT ANGELES
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 983624112
ELECTRICAL ALTER RESIDENTIAL
157339
43 75
12/01/09
5/30/10
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
09 00001239
202663
925 E 5TH ST
06 30 00 0 1 7680 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
Qty Unit Charge Per
1 00 43 7500 ECH EL LVT THERMOSTAT
Plan Check Fee
Valuation
Charged Paid Credited
DAVE S HTG COOLING SRVC INC
PO BOX 413
PORT ANGELES WA 98362
(360) 452 0939
43 75 43 75 00
00 00 00
43 75 43 75 00
DATE RESULTS
1 9 9 9 friD
l7 /v/
Date 12/01/09
00
0
Extension
43 75
Due
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
TAO
I7
Nov 30 09 02 37p
Applicant I c tt-e's (4-e. c v. 1 Phone
Property Owner El-, d. p.�t (o w Phone
Property Owner's Address /as Ea s+ 5A S1'
Contractor Dave t s 4'( -ems, r. ca Phone
Contractor's Address P o. Box 4(a, 4- ,4,,r4 p(a_s
License 14, AV E s N c...19 t K c_ Expires .S /ao ft a E -mail
PROJECT ADDRESS
IIJOTE
Parcel Number
Dave s Heating Cooling
BUILDING PERMIT APPLICATION Print in ink
CITY OE•PORT ANGELES
Attn Building Permit Technician
321 E Fifth St Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
Ms
as
Gl P 5 £c 5 5.
-e-e_
f?Q 1104...3 j s in 4ji.. p rc+ce e-r
Gk�R.st. l�t.a.. so L e S h ou.Ad
adix
3604520939 p1
Lot
Zoning
Project Tule Brief Description. ir o Multi- family p Comm ercial
Check all that apply
o New Construction
o Addition
o Remodel
o Repair
o Demolition
o Re -roof
Heat System a?'Heat pump o wood- burning stove o gas fireplace o pellet stove o other
o Other
Floor Areas
Basement
1 g Floor
2 Floor
3' Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
T:For nsiBuilting Division/Bldg Permit.doc
Existing (sa. ft) Proaosed (sa. ft)
Max. height of proposed structures ft. Occupancy group
Will a lawn spnnkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
For City Use Only
Date Received_ 1 I 30 0`i'
Pent it.# O 40
Date Approved
`15.2-013"1
L f 5a -o °�.9
o House o garage o other o tear off re-roof to lay over one layer
per sq. ft.
of bedrooms
of full baths
of half baths
o Industrial
TOTAL VALUATION V, z �5�
Total footprint of structures sq. ft. T Lot size sq. ft Lot coverage
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
I have read and completed this application and know 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 poor to orrking on projects.
Date 1 1 Print Name OLD eNKA Signature v r
IJ
Nov 30 09 02 51 p Dave s Heating Cooling
City of Port Angeles Permit Application
Building Division/Electrical Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph: (360) 417-735 Fax: (360) 417 -4711
Dale: I/30(07
>C 1 2 Single Family Dwelling
Multi- Family or Commercial*
Commen ial Addition Alteration Remodel Repair*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: f 5 Ea S`h7"e
Building Square Footage: GnDVD% 1 `f50
Description of above lo c w i co 1 G15 d U o c.7
c 4m. y v. A 2 6 4.4. r v o a K►J i t (2.1.) AC F r 2 Thiel ti 1
Owner Information
Name: Ch r d P-e (o w
Mailingg,,Address: 1,25 E t 5+ 5�
City Ianrrf tate: Zip: 36
Phone: `'W S C 7c. Fax:
License #1 Exp.
Unit Charoe
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
86.25
$116.25
$131.25
75.00
69.00
75.00
50.00
50.00
S 93.75
S 80.00
S 86.25
S 27.50
S 57.50
S 86.25
43.75
Total (Qtv Multiplied by Unit Charoej
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 WI0 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 b Portal Hourly
Sign/Outiine Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi-Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft.
Each Additional 500 Square Ft, or Portionrof
Each 0utbudding or Detached Garage
Each Swimming Pool or Hot Tub
i 4 -(3 '75 Thermostat
$3 75 Total
No ,--f'k Pe na s Oe �-Fvt er Irv►. �1-4- co l w ;r•k-
Owneras defined by RC W.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.
Signature of owner, electrical contractor or electrical administrator
Date: 3 0 f
RECE VED
DEC 12009
ELECTRICAL
INSPECTIONS
Cash
Check
Credit Card f
3604520939
p1
Contactor Information
Name: Da: e.ts Kc q
Mailing Address: Y. 4
City 01--4- lu, (-QM Zip: .'JR:.4
Phone: Fax
License Exp. A t/ S H C. t l C.
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.
Application Number 08 00000727 Date 6/19/08
Application pin number 172932
Property Address 925 E 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 7680 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Meter repair
Owner Contractor
WILLS KEITH R
925 E 5TH ST
PORT ANGELES
WA 983624112
ANGELES ELECTRIC
524 E 1ST ST
PORT ANGELES
(360) 452 9264
WA 98362
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 128454
Permit Fee 34 00 Plan Check Fee 00
Issue Date 6/19/08 Valuation 0
Expiration Date 12/16/08
Qty Unit Charge Per Extension
1 00 34 0000 ECH EL R OR RM REPAIR METER /MAST 34 00
Fee summary Charged Paid Credited Due
Permit Fee Total 34 00 34 00 00 00
Plan Check Total 00 00 00 00
Grand Total 34 00 34 00 00 00
N
TI
INSPECTION
TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMEN
TS:
ELECTRICAL
RESULTS INSPECTOR
72o/oe
6/20jog PiT \rip
./.
.
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. .;;s Df' .:3
DATE _s- -z.O-fl/
ELECTRICAL PERMIT
o READY FOR )<ONILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Site Address:
cr ,;2 S- c:
Cd
I nstalled By:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
,)! Residential
Heat KW
D Baseboard D Furnace/Boiler
D Heatpump D Other
D Commercial/Industrial load
Totai Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
D Overhead
D Underground
Voltage
D 10 D 30
Service size
D Temporary
D New Construction
~Remodel
D Service update/alter/repair
~Add/aiter circuits
D Auxiliary power
(list below)
D Special equipment
(list below)
Amps
Detai IslDescription:
(R~-.Q ~ ;"'1;
-- JJj~, ~ 4,
~
W.S. No. Service Size
Capacity: D O.K. D Not O.K. Comments
Ditch inspection O.K.
Rough-in/cover O.K.
. O.K. to connect service
. Final O.K.
Date
Hold for: D Easement D Letter
D Signed up for service/meter
D Meter Department notified for installation
D Fire Department notified of inspection
D Plan Review approved/pending
Site Address:
Permit/Receipt No.
;;s& f 3.
Installer:
f.
Date:
.s-dJt9-<f/
New Meters
-
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 I~n the Wiring Report or the Building Permit. PHONE 457.0~r EXT. 224.
, . NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
.
ELECTRICAL PERMIT
CITY OF PORT ANGELES
LIGHT DEPARTMENT
Site Address:
( )~
t l(fNIC
'( D kLL
Owner/Business Address:
~esidential 0 New Construction
r Heat KW 0 Remodel
o Baseboard 0 Furnace/Boiler 0 Service update/alter/repair
o Heatpump 0 Other .?:
o Commercial/Industrial load /:=:- Add/alter circuits
Total Connected load 0 Auxiiiary power
(attach breakdown) (list below)
Total Motor load 0 Special equipment
(attach breakdown) (list below)
Details/Description:
PERMIT NO. /61 z.--.
s-- tffrj'?
DATE
EADY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
Phone:
Phone:
Sq. Ft.
o Overhead
o Underground
Voltage
o 10 030
Service size
o Temporary
Amps
~~
TW-o CUI. .
C ~4- uP
~ LJ ~(l'VL Avu.. A-
v-nJ '" lj .\tl (; L
.
~
s- /1 t -r<
~U'l1 ~,~O ,~-.'Lz. (' CtA-v
0'0/ !:.r<-J b /. t 1 () tb {
up
,
(l-Fu""- l::
k-_A_
W.S. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
o Ditch inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
~inal O.K.
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
if ' f- ( rFfl-
€ L6C~ l L
Site Address:
New Meters
Notify the Dep rlment 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.
fLLA.-- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT I b c>-i)
, Inspector Amount paid .
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
,
.
06/18/2008 09:09 FAX 360 452 9265
Angeles Electric
~ 0001/0001
a2 -6'l2.'
~
~
_...
ELECTRICAL WORK PERMIT APPLICATION
Job wired by
DOwner
Installation description ./'"
[J Commercial ~sideDtial
CI New ~AddiIiOD
Electrical co~tractot name
License number Date Expires
ANGELES ELECTRIC. INC.
524 EI\~I rlt(~1
PORT ANGELES. WA 98362
State ZIP
Telephone number
-Zbl?
pp.~
~Sr
~~
;~~~
r.2Ul- 7r--r-.-H./TJ ~/.
, r
~
(
3
j
Purchaser's mailing address
City
Premises owner's name
LA,a;,,iI,.4ffIl.}L
Address of inspectioll
fz) Jfr
City
cPA-
o
R IE C ETVEl>
Phone Dumber to Jli:bedule inspection:
JUN 1 8 2008
OwfUlr as defined by RCWJ9.28.26J:(J) 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.
After reading the above statement, I hereby certify that I am the OW.z:l.CT of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
t 9.28, WAC. Chapter 296-46B. The City of Port Angeles Municipal Code, and
Utility Specifications.
SieDature of 0
o Cash 0 Check # LIGHT DEPT.
~~d Visa Mastercard
Card# ____-_~_-A~_-____
Discover
x
Date:
Expiration Date
of card
Service Infarmatlan
Vollage /2J/....d1
Phase ~
Service Size: ~
Feeder Size:
NO LOAD CHANGES
CI Baseboard KW /'
I:J Furnace KW I:iI"'15vQrh~ad Service
D Heat Pump Ton LAR a Temp Service
CI Fan.Wall _ 'r':N CI Underground Service
SAME DAY INSPECTION. CAT.L BEFORE 7:00 AM 360-417~
I' ROUGH-IN lHERMOSTAT SERVICE
bZO~ W
"- nale Approved By "- Date Approved By D;ate Approved 8y
/' FINAL /' DJI'CH FErnER
6-~ ~
"- ".k Approved By/ "- Date Appw1ICd By ./ D.., Approved By
Inspeclion Area., Building or Equipment Inspected Action Taken Electrical
Date Inspector
I
;