HomeMy WebLinkAbout1029 W 5th St - Building CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 /East Fifth Street—P.O.Box 11501 Port Angeles Washington,98362 V
Ph: (360)417-4735 Fax: (360)417-4711 45PiU�� �r
Date: f"� _1 &2 Single f=amily Dwelling
"Plan Review May Be Req u�red, P ease Complete E n Revi w Inform n Sheet
Job Address:
, �74
Building Square Footage:
Description of above
Owner Information Contractor Infor Lion
Name: r.. 1/ Name:
Mailing dr s' Mailing Address,
City: State: Zip:
Phone; City: State: Zip:
Z ' Fr Phone: Fax:
License# Exp. License#/Exp,
Item Unit Charge Qt
Qt Total Qt Multiplied b Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146,00 $
Service/Feeder 401-600 Amp $205.00 $
Service/Feeder 60 1-1000 Amp, $262.00 $
Service/Feeder over 1000 Amp. $37100 $
Branch Circuit VVI Service Feeder $ 5,00 $
Branch Circuit WIO Service Feeder $ 63,00 $
Each Additional Branch Circuit $ 5,00 $
Branch Circuits 1-4 $ 75.00 $
Temp,Service/Feeder 200 Amp. $ 93,00 $
Temp,Service/Feeder 201-100 Amp. $110.00 $
Temp,Service/Feeder 401-600 Amp $149.00 $
Tomp,ServicelFeoder 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 Electrlcaf E=nergy-5KVA System or Less $10200 $
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 $
Total
Owner as defined by RCW.19,28.261:(1) Owner will occupy the structure far two years after this electrical permit is finalized.(2)Owner is required
to hire an electrical contractor if above said property is for safe,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 296-463,The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14-,05.050 regarding Electrical Permit Applications.
Signature o ,electrical contractor or 1 ctrical administrator: ❑ Cash ❑ Che
k redlt Card#
x Dated;
71- f 72-
V�
ELECTRICAL PERMIT 1
CITY OF PORT ANGELES V
360-417-4735
Application Number 13-00000892 Date 8%07/13
Application pin number 189524
Property Address 1029 W 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-OQ-0-1-0949-0000- REPORT SALES TAX
Application type description ELECTRICAL ONLY
Subdivision Name
on your excise tax form
,
Property Use . , . . , , , . to the City of Port Angeles
Property Zoning , . . , . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . , 0
-----------------------------------
Application desc
200 amp service
Owner Contractor
-----------------
STEVEN S AND LYNNDA B EAGLE OWNER
1029, W 5TH ST
PORT ANGELES WA 983632114
----- ------------------------------------`-----------------------____---
Permit , . . I ELECTRICAL ALTER RESIDENTIAL
Additional desc . ,
Permit Fee . . . 120.00 Plan Check Fee 00
Issue Date 8/07/13 Valuation 0 �(1
Expiration Date 2/03/14
Extension
1,00 Unit 120Charge x
000 ECH ' EL-0-200 SRV FEEDER 120.00`
Fee summary Charged Paid Credited Due
- ----------
Permit Fee Total 120.00 120.00 .00 QO
Plan Check Total _ .00 ,00 00 .00
Grand Total 120.00 120,00 .00 .00
V
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPURM SLX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
CrAEXCHANGEWILDING
of °R CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 06 00000378
Application pin number 008852
Property Address 1029 W 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 0949 0000
Tenant nbr name BOB NIXON
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 4008
Owner
NIXON SHIRLEY ANN
1029 W 5TH ST
PORT ANGELES
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
WA 983632114
Charged
T• \Policies \1102_15 building permit inspection record05.wpd (1/4/2005)
Contractor
Date 4/24/06
TOPNOTCH ROOFING GUTTER
1235 W 9TH
PORT ANGELES WA 98362
(360) 457 0066
Permit BUILDING PERMIT NO PR FEE
Additional desc
Permit pin number 75242
Permit Fee 137 75 Plan Check Fee 00
Issue Date Valuation 4008
Expiration Date 10/21/06
Qty Unit Charge Per
BASE FEE
3 00 14 0000 THOU BL 2001 25K (14 PER K)
Other Fees STATE SURCHARGE
Paid Credited Due
Extension
95 75
42 00
4 50
137 75 137 75 00 00
00 00 00 00
4 50 4 50 00 00
142 25 142 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 as 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 Contractor or Auth6rized Agent Date Signature of Owner (if owner is builder) Date
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 UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I 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
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
BUILDING PERMIT INSPECTION RECORD
I I
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FINAL
FINAL
SEPA.
ESA.
SHORELINE:
DATE ACCEPTED BY.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION RW PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I I FIRE DEPT 1
PLANNING DEPT 417 -4750 I N I PLANNING DEPT 1
BUILDING 417 -4815 a$pi I p.{A 17-20 I BUILDING I
T•\Policies \l 102_15 building permit inspection record05.wpd [1 /4/2005]
PLANNING USE ONLY
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
Applicant or Agent:
Owner if3cA /1J` C X, eP
Address: I Ld
LEGAL DESCRIPTION Lot: Block: Subdivision.
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK.
Residential New Constr
Multi family Addition
Commercial Remodel
Repair Sign
BRIEF DESCRIPTION OF THE PROJECT
grRe -roof Stove
Move Garage
Demolition Deck
Other
COMMERCIAL/RESIDENTIAL. Occupancy Group
No of Stones: Lot Size: Existing Sq Ft.
Total lot coverage
City r 4-
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
Phone:
Occupant Load.
Proposed Sq Ft.
FOR OFFICIAL NLY
Date Rec. 4 2-f 10G
Permit #:OG 3
Date Spproved: 1 J °Co
�'r"
Date Issued: Ce.,0
Phone: t?z -03Zi
Zip
Architect/Engmeer Phone:
Contractor_/ B ./I/a, 7" h' go PAj y id_ State License p`o ,Iim r 6 `}P xp 1 -4, 6 Phone: /S7- -o D6e6
Address: l 3 5 (A 4' City 4 P 4 Zip '9 L 3
PROJECT ADDRESS c729 w ZONING
SIZE/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION 4-b
Construction Type
TOTAL Sq Ft.
APPROVALS
PLAN
BLDG
DPWU
FIRE.
OTHER.
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant.
Tins figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
RI05.3.2 of the International Building/Residential Code, 2003) No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. l am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that I
must obtain such permits prior to work. r 9 T•\FORMS\B1dgPermitform.wpd Applicant: TA 9 A
Date:
V
1/18/06
Company signatu Q (fl
topnotchroofinga @gwest. n et
TOPNORG994DA EXPIRATION DATE: 5/18/06
Date I ®6
Bid prices are subject to reasonable increa due to any necessary alterations, additions, increases in material and /or labor
to complete work. Homeowner will be notified of any necessary changes, which may affect cost.
Prooerty owners are responsible for obtaining any Hermits required for work and materials described herein. TOPNOTCH is happy to Provide
permit. but will add the cost to the final bill.
Bid prices are applicable for 30 days* from date below, unless otherwise stated or agreed to Please feel welcome to call if you
have questions concerning this estimate /bid If bid is accepted, please sign one copy and return it to TOPNOTCH ROOFING GUTTER, at the
address above Work is scheduled upon receipt of sinned bid. Verbal aareements will not guarantee scheduled work.
References are available!
Tear off existing roofing Clean up and disposal included. Roof with 30 -year laminated, architectural
composition over 30# felt
Install 100' of drip edge metal 4 -roof vents 1 -bath vent 100' of W valley 1 -1" neo 1 -2" neo 1 -4" neo
75' of ridge cap
Step flash starter course composition.
Estimated cost of tear off and re -roof using the materials specified herein, labor to complete work,as
described and sales
Tax
$4008 00
332.66
$4340 66 Four thousand three hundred forty and 66/100
ESTIMATE AND BID PROPOSAL CONTRACT
TO Bob Nixon 1029 West 5 St Port Angeles WA 98363 417 0850 or 206 632 0353
FOR Re -roof same address Two layers of composition roofing to be torn off prior to re -roof Estimate
follows'
64;L c"w )7 fe))4A-/ $-6f) de 14/4
Authorized party to accept bid
sCl'ififrs Date, 36 0 4,
MATERIAL WARRANTY BY MANUFACTURER, WORKMANSHIP GUARANTEED BY LICENSED, BONDED, INSURED CONTRACTOR
PAYMENT TERMS: ONE HALF TO START WORK. BALANCE DUE IN FIILL WHEN WORK IS COMPLETED ALTERNATIVE PAYMENT ARRANGEMENTS
MUST BE DISCUSSED AND AGREED TO PRIOR TO THE START OF THE JOB
16905
i .
port,Ahgeles, washlngto11-..7:::..~...:::.--..-.....-.-....-......-..-....._..., 19.7..9
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt?
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.
Ad'~M lfL.,".."....J~J*~;;::............. OOO.,.oo,........d=-............
~:::~:~~~~m.::m:__.:....::::::.:~~::~~;:......:..:..:....::'.'~~~.~:::::::::~::::~::::::::::~=:::::::::::::::::::
LIght Outlets..........................................
ServIce, volts ...L?:..'?..:::'.:::X..'::.....
No. wires ..__........~.........__........._h
Size wires........:'1,/l:.j:f~....
Main tuse ..t:::;;Z:",.~....&.....
Receptacle Outlets....___........................
Dryer, KW __n.....____...._................._____..
Range, KW n..._._.__......._.___.______
Water Heater:
Enclosure h.....n..........____......_.__
KW..............m........m.m...
Heat' KW..)"...Q.....!t..0.J.....k~.
Type of wiring:
Entrance Cable _......__m........_........
Motors: size. volts and phase:
Rigid Conduit .......mm.....mm.......
Metallic Tubing ..._._m.......____....._.
Current transformers:
No. & Size........._.........__.____h....._.....
Ser. No.................--........-.....-.........-...
Ser. No..........................................-...
Ser. No. .............................................
Total Load.............................
Sec. No..................-..........................
Remarks: .moooo..,6,,~:~~~..-..m..-oom.__.oo.m..-..m..m.mmoo..mm...oo.m--..mm...m....m_mm..._....____...
Type 01 Wlrtng:
Armored Cable ............................-
Non.Metallic .................................
Knob & Tube................................-
RIgid Conduit ...............................
Metallic TubIng ...........................
Raceway .......................-.....---.-
CIrcuits. Light.......................................
Utlllty .......m............,......................
Ileat .....-...................-.............-..--
Range .....-........-.............................
Water Heater ...............................
Motor .___........................;.~...._.._....
Dryer .......--............-.......................--
Furnace ..............-.........'~......_.._.......
Total.......................................
_____n_._______._.._.___________.__________._._.__.___.--------...---------..-----.--..--------..---..-----...--.---..-.---....-------...------...-------...-.-.---...-------
Permit Fee
$:.._____.000__.000000...00._.000.000..
Treas. Receipt
.uun......._nn._.u_uun.uun.n.._uuu_n..un_nnn_._n_n_.___nn.n_nn.__.nnn_n.un.n.__nnn_n_n_..__nnnnn___.n____nu.n___n._u__h..n
"
NO.....___m.....___.....__..
By ____.000....000..000....___000.00...000000...._00000.000000......000._
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?
16905
Address..................._............................._............................................_.......................................Date..._.........._.._.._._........_......-...-..-.......-
Owner...................................-......-..-......_......_.._.............._...........................................Tenant....................................................................
WlrlngContractor..................................._......_.............._.............................................................By..............................................................
NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. If work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected betore concealment.
\
1M Olympic Printers, Inc.