HomeMy WebLinkAbout1137 W 5th St - BuildingApplication Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
121 EAST 5TH STREET PORT ANGELES, WA 98362
05 00000250
333000
1137 W 5TH ST
06 30 00 0 1 1235 0000
PUBLIC WORKS UTILITES
RS7 RESDNTL SINGLE FAMILY
0
Owner Contractor
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 320 ALTER SVC /NELSON ELEC
Permit Fee 97 80 Plan Check Fee
Issue Date 4/08/05 Valuation
Expiration Date 10/05/05
Date 4/08/05
CAVANAUGH PATRICK /SUSAN DAN BLOOD S CREATIVE LNDSP INC
1702 DOE RUN P 0 BOX 3475
SEQUIM WA 983829526 SEQUIM WA 98382
(360) 683 5007
00
0
Qty Unit Charge Per Extension
1 00 97 8000 ECH EL R OR RM 201 600 ALT SRV FDR 97 80
Fee summary Charged Paid Credited Due
Permit Fee Total 97 80 97 80 00 00
Plan Check Total 00 00 00 00
Grand Total 97 80 97 80 00 00
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE
DITCH
ROUGH -IN/ COVER 1
SERVICE 1 /1/4_5'1 �1
FINAL WIRM1.{ 1
1 I
1 1 1
1 1 1
1 I I
ACCEPTED
YES I NO
COMMENTS
Pw41102.13 41961
'~
"-' r;""
CITY OF PORT ANGEI,.ES
PUBLIC WORKS - ELECTRICAL DIVISION
.l2\ EAST 5TH STREET. PORT ANGELES. W^ 9R~62
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000258 Date
.190612
1137 W 5TH ST
06-30-00-0-1-1235-0000-
ELECTRICAL ONLY
4/12/05
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
BLOOD, DAN
1137 W 5TH ST
PORT ANGELES
(360) 683-5007
.OWNER
WA 98363
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
PENINSULA HEAT/ LV STAT
PENINSULA HEAT
36.40 Plan Check Fee
4/12/05 valuation
10/09/05
.00
o
Qty Unit Charge Per
1.00 36.4000 EC EL-LOW VOLTAGE
Extension'
36.40
""-.
~
~
Fee summary Charged Paid Credi,ted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 36.40 36.40 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 36.40 36.40 .00 .00
t
~
\A.
:'i
COMMENTS/ACT10N NEEDED
ELECfRICAL PERMIT INSPEQ'.ION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
. COMMENTS
NO
GENERAL COMMENTS:
PW-lI02.U (4196)
.
7' t(~!'I
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. _':S (:;1 ~ t
DATE 3 - ::l q - q I
o READY FOR ~ILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
Detai IslDescription:
o Residential/O
Heat KW _
o Baseboard ~ Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load 0 Add/alter circuits
Total Connected load 0 Auxiliary power
(attach breakdown) (list below)
Total Motor load 0 Special equipment
(attach breakdown) (list below)
_~~J tll:1'A-d~
- ~ ~ .;1..~~ A~/ ~
_c.-(' ~I --~.;'
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
010' 03.0'
Service size /,00
.
o Temporary
Amps
~ . /
(~ 911, ~I
/~~~d/
.
~
W.S. No. 7't/lfS Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough.in/cover O.K.
o O.K. to connect service
~ ~ Final O.K.
Size
Comments
. Date /J. Hold for: 0 Easement
CIA*",,,p .i~) ~
,~
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
o Letter
Installer:
New Meters
Permit/Receipt No.
30~
Date:
--.)'1-9
-
Site Address:
~
.
Notify the Dep ment 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.
~ / it:" NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT -#> .3 CJ, 00
Inspe or Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
~
OLYMPIC PRINTERS. INC.
..
....-
,
~
,,-
~ r=.:r...
"_f
DOwner 't''I\:iOi;i.....;t>
CJ Carnival 0 Commercial
ELECTRICAL WORK PERMIT APPLICATION
o Request Inspection
l.)<JD I TGr/
o Residential 0 Residential Maiot. 0 Signs 0 Thermostat 0 Telecom.
?lectrical Contractor
CJ Annual Permit 0 Alarm
Job wired by
~ Electrical Contractor 0 Owner
Electncal contractor name License number
.4i'9'~uu~, --JEFFA/lJ Qt412..P
~~2~ng;;~ ffiClr-
Cny, dlfr ZI~nS-L
l~h~
'/, 9/
Premises owner's
name
RtUM'i
~7h
~/r
I hereby certify that I am the owner of the above named property or a licensed
electrical contractor (or the firm's authorized agent) and am making the electrical
installation or alteration in compliance with the clectricallaw, Chapter 19.28 RCW.
Signature of owner, electrical contractor or electrical administrator
X ~
/ WALLS "\
Insulation Only
Dat!: Approved By
Cover
Datc Approvcd By
'-
".- CEILING
Insulation Only
Dale Approved By
Cover
Dale Approvcd By
Electrical Load Additions and or subtractions
D NO LOAD CHANGES
o Baseboard KW
D Furnace I tJ KW
D Heat Pump ,L Ton _ LAR
D Fan-Wall KW
Installation description
32() -A M!3
2f}()A- a~)O/Iid ~~
~h A-- ;::-adu, [;~
<?c.J.1.\/~v-t O~..... h.~C>..d t-o
0- ~.Q... -t- :j .r-o L.l. '^-A
o
Ul
o Cash 0 Check #
N
U1
\J
o Credit Card
Card #.
Discover
Visa
Mastercard
Expiration Date
of card
Inspection fee
$
TIfERMOSTAT
SERVICE
Datc
Approved By
.y,; ~ ps'
"
~
Approvcd By
DITCH
FEEDER
AU)
Approved By
Date
Approved By
.,..,
Service Information
Voltage .z. '1 P
Phase).Q'1 D 3
Service Size: f'2t1 A--
Feeder Size: 'I~ <~ %
, , ,
o Overhead Service
o Temp Service
.~ Underground Service
Inspection
Datc
Area, Building or Equipment Inspected
.....
.~
dOl) A
,<'/U L
~
+-
Action Taken
Electrical
Inspector
;:74;--LJ,);>
V'
.-H'
If" ~o(/,-
. A-'<-
".,,,"'-
FOR OFFICIAL USE &lL Y:
Date Rec.: 4 - 11- C:lt.5L
Permit #:
Date Approved:
Date Issued:
BUILDING PERMIT. APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. Uyou have any questions, call
(360) 417-4815
Applicant Or Agent: "
Owner: Ul1n. B (Of) d
Address: 1137 'vI!. 5B:1.
.s6Yl
Phone:
Lff) 7-d. 77S:-
t ?f 3-L)nt? 7
Zip: Ci <63 6 ?'>
s+
Phone:
City: ?O(.~ Anj.f' Ip 5-
Phone:
State License a:tu J JVH-t lJliS1~p:
City: ?tJf.i-k 3&lPs-
.Sf.
Phone:4S7-~7)S
Zip: q~2-
ZONING:
ArchitectJE~ineer:
Contractor Ve VI. L.Vl SU/La.. t-ka1-
Address:50Z iA) "&-!:!:L
PROJECT ADDRESSJ \"37 W . 6--Hl
LEGAL DESCRIPTION: Lot:
Block:
Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA
'TYPE OF WORK:
~idential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair. ,.0 .Sign
BRIEF DESCRIPTION OF THE PROJECT:
-1fx h~{)I'~_~bkvn
COMMER~IDENTIAL: Occupancy Group:
City:
Exp. Date:
MC
#
" SIZENALUATION:
o : Stove SF. @$ /SF. ~ $
0, Garage SF. @$ /SF. = $
O'Deck . . . SF. @$ /SF. = $" .
L6~U;r__vctf;tJP ~~~~ I ~~~'1
Occupant Load:
& Proposed Sq. Ft.
% = Total lot coverage
No. of Stories: _ Lot Size: Existing Sq. Ft.
Existing lot coverage % & Proposed lot coverage
Construction Type:
= TOTAL Sq.Ft.
%
- -
APPROVALS:
PLANNING USE ONLY: PLAN:
BLDG:
DPWU: I
SEP A Checklist required? 0 Yes 0 No Other: I FIRE:
ESAlWetland(s): 0 Yes 0 No OTHER:
-
BUILDING PERMIT APPLICA nON SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you lia ve questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This 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 peimit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno perynit 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 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certify that f have read and examined this application and know the same to be true and correct. f am authorized to apply for this permit and
understand that ft is my responsibility to determine what permfts are rey'jre ,not the Cfty's, frJ t at f must obtain such permits prior to work.
T:IFORMS\APPSlBuildingpermit.wpd Apphc t/, Date: ~/ g' h s--
/
CITE' car, PORT ANGELES I'f. =.Rmix A Pi'1.aiCATION
fit►llding Division /Mectrlcal Tnspectiown
321 East Fifth Street —110. Box 1150 / Vorl Angeles Washington, 98362
Ph: (360) 417 - 4733 Fax; (360) 417 -4711
t meU 2/24/1014
— I & 2 Single Family Dwelling
RECEIVED,.
FEB 2
ELECT RI CA r�,�,utj
" Plan Review May Be Required, Pipase Complete Elactrical Dien Review Information Sheat
Ad�kaSS; 1157 w 5TH sT
BItMing Squam t=Rbwe 1191 .. u
tlesaripltats of above r.
Ovinor Information
Nam a, aanielm Blood
Maft Addiess: 1337 W 5TH ST
?sjV. PUTANGELES
T'f'itrlii; 346p6B35007�,�{�g
item
1(r31tt�
rvimfeedor 2,01 AaV,
rvf�eester 201.400 Amp,
UMWFeeder 401-OW Amp
S2 9
rviWF%dor £01 -1000 Amp,
S 262M
Sir :1ceJF dertwul100
$373.01
Bantu Crrcuil, W1 Ste Feedar
5.00
aranctr Cucuit VW Service Feeder
SS,
Emb Addillond f rW CIrcW[
10D
aratch Ckmslts 14
75M
°temp, &ryicel Fa oder 200 Amp,
93.00
Tomp, Service/Foeder 201-00 Amp.
£ 110,00
Tarots, ServiWRd eder 401.600 Amp,
$ 149,00
Temps S rvicalFeeder601,10 Amp,
$168,00
podal to Portal !`tardy
$ WOO
Sig atC l talztitedEnr rcdy -.f 2Family inch
S 64.98
Kinufaclured i4r ma Conne(,A ion
$120,00
Rea rat Cfec*al Energy • SKVA yreiein ar Ls`-sa
$ 1020
Timoslal
$ 50,00
i fcfe. $5.00 W each ads51bm T-Mal
CONSTRUCT1 19 Y:
Fiat 1309 Square Ft.
$ 120,00
Each Adrktional.500 Sqvwe Ft. u Portion of
5 40
Each t itasr tt f taalrcdCame
3 M
E80 SyAmmlng ill ot Hot Tula
311 00
Contractor information
14<rfl(,_ .Protect-Your Hpme
Ms1 " Address., 3750 Priority Way South Gr
CRY, Indiana olis 8(att3, IN S: 46240
ftnr3- 866 - 502 -35 X59 ra(,. 317 -554 -2547
r- erne 01 C#p, PROTEYH934Rs ex 112/10/2013
Total Itl Il d rti Cb r e
S�
S 54.00 Total
Owner as dellned by RCW,19,28.261: (1) Owner urrll occupy the sttttctute for two years after this electrloat permit is finalized. (2) Owes Is rewired
to hire are eleotdCal coolractor if above said property Is for Sale, rent or rasa. Permit expirei ,alter Aix nionttss of last iras ection.
After reading the above slateme, I hereby cerilty that I am the ovrner of the above. named property or a licensed electrical wntractor, I wo making
the elects al In0aflation or altemltrsn In oompilanco with the ejecirkW lea , KEG., RCS. a apter 19.78, VVAC. Uapter 206468, The City of Port
Arles Munidpal Code, wd iltdity Specifications and PAP C 14.05.050 regarding 8edrkal PenrR Application s.
Signature of owner, electrical contractor or electrical administrator: 0 task 0 check
� �rtt�aas8�'
Oda '4 &h nr 2/24/2014 LL 1IT74ZQ1
U
ELECTRICAL PERMIT
CITY OF PORT ANGELES
. 360- 417 -4735
Application Number , , , , ,
14- 00000206 Date 2/25/14
Application pin number . . .
771902
INSPECTOR:
Property Address . . . .
1137 W 5TH ST
ASSESSOR PARCEL NUMBER:
06 3p- 00 -0 -1- 1235
SERVICE
Application type type description
ELECTRICAL ONLY
Subdivision Name . . . . , .
ROUGH -IN
Property Use
Property Zoning , . . , , . ,
R97 RESDNTL SINGLE FAMILY
Application valuation , , , .
0
COMMENTS:
Application desc
Security system
Owner
Contractor
BLOOD, DANIEL, M
PROTECT YOUR HOME
1137 W 5TH ST
3750 PRIORITY WAY
SOUTH DRIVE
PORT ANGELES WA 98363
#200
INDINAPOLIS
IN 46240
(317) 810 -4720
------------------------------------------------------------------------------
Permit , , , . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc ,
Permit Fee . , , . 64.00
Plan Checic Fee
00
Issue Date 2/25/14
Valuation , , .
, 0
Expiration Date 8/24/1.4
Qty Unit Charge Per
Extension
1,00 64,0000 ECH EL-
SINGLE CIR LIMITED RES
64,00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 64 ,0.0
64100 .00
,00
Plan Checl� Total 00
00 .00
.00
Grand Total 64.00
64,00 .00
00
REPORT SALES TAX
.on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL,
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAIEXCHANGEWILDING
L
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d
W.