HomeMy WebLinkAbout1417 W 7th St - Building Electical Permit
1417 W 7 th St
12 - 1018
ELECTRICAL PERMIT { N
CITY OF PORT ANGELES
360-417-4735 Q
Application Number . . . . . 12-00001018 Date 8/06/12
Application pin number . . . 155562
Property Address . . . . . . 1417 W 7TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-5277-0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Demand response hot water tank no fee
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Owner Contractor
------------------------ ------------------------
NOTAR CORRINE OLYMPIC ELECTRIC CO INC
1417 W 7TH ST 4230 TUMWATER
PORT ANGELES WA 983635401 PORT ANGELES WA 98363 _
(360) 457-5303
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . DEMAND RESPONSE HOT WATER TANK
Permit Fee . . . . .00 Plan Check Fee .00 _ [
Issue Date . . . . 8/06/12 valuation . . . . 0
Expiration Date . . 2/02/13
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Fee summary - Charged Paid Credited Due
Permit Fee Total 00 .00 .00 .00 }V
Plan Check Total .00 .00 .00 .00
Grand Total .00 .00 .00 .00 \
V
V
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN 'Z
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDING
08/03/20120C 08:47 FAX 360 452 3498 Olympic Electric Co. PA CITY INSPECT 1&015/026
AUG 6 2h
CITY OF'PORT ANGELES PERMIT APPLICATION OLYMPI l''." '110
Egl7 A
Building Division/Electrical Inspections PORT ANGt�i UNwA
321 East Fifth Street—P.O.Boar 1150/Port Angeles'Washington,98362
Ph- (360)417-4735 Fax: (360)417-4711
Date: Q✓ 1 &2 Single Family Dwelling
*Plan Review May Be R 'i�d, Please CI mp�ete Electrical Plan Review Informatlon Sheet
Job Address: �n w+ ITN ! ^iAI
Building Square Footage:
Deserlpllon of above 02MAN0 ReaPONaI UNIT POR WATER HEATEn ^�
Owner Informatlon Contractor Information
Name: JOHNNOTA. O h Name: 0LymPo eUicTfpic
Mailing Address: 1417 W in I&1 —1'41- Mailing Address. 4230 TUMWATER TRUCK ROUTE
Chy: PCATANoalra Slate: WA Zip: 0303 City: Pon?ANOCkaH State: WA Zip: -0303
Phone,.432.92y, Fax: Phone:300.40-lnu3 Fax: aeo.a5:•aaeo
License#/Exp, License#I Exp,O`TMPEc29a0,
Item Unit Charge ON Total Multiplied by Unit Charge)
Servlce/Feeder 200 Amp, $120.00 $
Service/Feeder 201-400 Amp. $146,00 $
$ervlce/Feeder401.600 Amp $205,00 $
Service/Feeder 601-1000 Amp, $262,00 $
Servlce/Feeder over 1000 Amp, $373,00 $
Branch Circuit W/Service Feeder $ 5.00 $
Branch Circuit W10 Service Feeder $ 63.00 $a.as
Each Additional Branch Circuit $ 500 $
Branch Clrculls 1.4 $ 75.00 $
Temp.Service/Feeder 200 Amp, $ 93.00 $
Temp,Servlce/Feeder 201.400 Amp. $110,00 $
Temp,Sarvlce/Feeder 401-600 Amp. $149.00 $
Temp.ServicelFeeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $ 96.00 $
Signal Circuli/Limited Energy-1&2 Family Dwelling $ 64,00 $
Menufectured Home Connection $120.00 $
Renewable Electrical Energy-5KVA System or Less $102.00 $
Thermostal $ 56.00 $
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
Flrst 1300 Square Ft. $120.00 $
Each Additional 500 Square Ft.or Portion of $ 40.00 $
Each Outbullding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $110.00 $
$000 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.
Alter 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.,FICK 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.
Signature of owner,electrical contractor or electrical administrator: ❑ cash ❑ cheek
_ 8 Credlt CardB _
r✓ 01/012012 W
RECEIVED
vA.r�lt� ELECTRIC CO ..�,.
1 11 F,r4GEt_ES,XNA ��
CITY OF PORT.ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
S ,
Application Number . . . . . 12-00001045 Date 8/10/12
Application pin number . . . 231565
y' Property Address . . . . . . 1417 W 7TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-5277-0000-
Application type description MECHANICAL APPL. PERMIT REPORT SALES TAX
r Subdivision Name . . . . . .
Property Use on your state excise tax form
"
-•' Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles
•,i PP A lication valuation 200 (Location Code 0502)
�
------------------------------------
Application desc
INSTALLATION PICK A WATT HEATERS IN 1996 ADDITION
� . ------------------------------------------------------------
Owner Contractor o
---------- ------------------------ Wim'
NOTAR CORRINE OWNER
1417 W 7TH ST 0�
$- 1
PORT ANGELES WA 983635401 1 l
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Permit . . . . . . MECHANICAL PERMIT
Additional desc HEATING IN 1996 ADDITION
Permit Fee . . . . 79.60 Plan Check Fee .00
Issue Date . . . . 8/10/12 Valuation . . . . 0
Expiration Date 2/06/13
Qty Unit Charge Per Extension
BASE FEE 50.00
2.00 14.8000 EA ME-HEATER(SUSP/WALL/FLOOR-MTD) 29.60
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 79.60 79.60 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 79.60 79.60 .00 .00
gate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements, This permit becomes
end void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
ipection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
hand ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
)fume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
tion.
l V v JvuY /w /Y�0<-/
1 Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
ig Division/Building Permit
1
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
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. \
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. \
Inspection Type Date Accepted By Comments
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 FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
DrMall Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pump/Furnace/FAU/Ducts
Rough-tri
Gas Line
Wood Stove/Peilet/Chimney
Commercial Hood f Ducts FINAL Date —1e-/C ccepted b
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lightin ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction:R.W. PW /Engineering 417-4831
Fire 417-4653
Piannin 417-4750
E9uilding 417-4815
PREPARED 8/10/12, 10:22:37 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/10/12
------------------------------------------------------------------------------------------------
ADDRESS . : 1417 W 7TH ST SUBDIV:
CONTRACTOR : PHONE
OWNER NOTAR CORRINE PHONE
PARCEL : 06-30-00-0-1-5277-0000-
APPL NUMBER: 12-00001045 MECHANICAL APPL. PERMIT
------------------------------------------------------------------------------------------------
PERMIT= ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
---------------------------
ME99 01 8/10/12 L MECHANICAL FINAL
c� August 10, 2012 10:22:53 AM permits.
JOHN 461-2703
----—---------—-------- ------- COMMENTS AND NOTES---------------------------------------
THIS ORT NGELE A For City Use Q
CITY OF
Wo n M
Permit # �� ��45 0
0
WASH I N G T O N , U . S . i 20
Date Received: 85 10 l(a'
321 East S" Street o m o
Port Angeles, WA 98362 Date Approved:?I to/I a- z M N M
P: 360-417-4817 F: 360-417-4711
hcatuzo@cityofpa.us
Building Permit Application
Project Address: ( I � � , .�✓ � ��� �NL�E�s.
Main Contact: Phone #
J64-0d I\f
Property Name ( J, O
� J nr� Phone
Owner Mailing Address (� -rsQ / V Email
V ' I'G�tS�1}R @ Vr�eW(E, CEJ
City � State J'1!G "� j�
Contractor Name l�v r C� Phone
Mailing Address njU Email
ill r f5
City0�M State Zip 7 Z)
Contractor License # Expiration:
Project V��ue� Zoning: Tax Parcel # Lot#
Type of Residential Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
-For the following,fill out both pages of permit application:
New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical PPlumbing ❑ Other ❑
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes ❑ No ❑
Project y-\ WA+ . e.�r-� �1 e�i lCm
Description
I have read and completed the application and know it to be true and correct.I"ahi'authorized to apply for this
permit and understand that it is my responsibility to determine what permits are required,and to obtain
permits prior to working on projects.I understand the plan review fee is not refundable after review has
occurred.I understand that I will forfeit 20%of the review fee if I cancel or withdraw the application before
plan review has occurred.I understand that if the permit is not issued within 180 days of receipt,the
application will be considered abandoned,and the fees forfeit.
Date Print N me Signa e
ELECTRICAL PERMIT
CITY OF PORT ANGELES '
360-417-4735
Application Number . . . . . 12-00000162 Date 3/20/12
Application pin number . . . 069162
Property Address . . . . . . 1417 W 7TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-5277-0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Demand response no fee per Larry Dunbar
----------------------------------------------------------------------------
Owner Contractor
NOTAR CORRINE OLYMPIC ELECTRIC CO INC
1417 W 7TH ST 4230 TUMWATER
PORT ANGELES WA 983635401 PORT ANGELES WA 98,363
(360) 457-5303
-- -----------------------------------
Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc DEMAND RESPONSE NO FEE PER LAR
Permit Fee . . . . .00 Plan Check Fee .00
Issue Date 2/14/12 Valuation . . . . 0
Expiration Date . 8/12/12
---------------------------- -------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total .00 .00 .00 .00
V
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL d
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDING
02/13/2012 14:57 FAX 360 452 3498 Olympic Electric Co. PA CITY INSPECT 16001/001
� r
yCv p(IRTA&54r, f
C`J
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections ELECTRICAL
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 INSPECTIONS
Ph; (360)417-4735 Fax: (360)417-4711
i
Date: 021+312012 ✓j 1 8r 2 Single Family Dwelling
Plan Review May Be Required,Please Complete Electrical Plan Review Information Sheet
Job Address: +"+r W TTN
Building Square Footage:
Description of above OaMANO RESPONSE UNIT FOH WATER HEAYPR
Owner Information Contractor Information
Name: JOHN NOTAR Name: OLYN,PIC ELECTRIC
Mailing Address: WT W 7TH Mailing Address: '-n YUMWATCR TRUCK ROUYL"
Slate; WA Zlp; ae393 City: PORT ANGELES State: WA .Zip. BB�BJ
City: PORT ANGELES �p0-ae2-.�A00
Phone:M046T-093 Fox;
Phone:ae2.o2r+ Fax: License#/Exp.OLYMPEC2RS01
License#I Exp.
Item Unit Charge C1xt Total Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201.400 Amp. $146.00 $
Service/Feedor 401.600 Amp $205.00 $
Service/Feeder 601-1000 Amp, $262.00 $
ServicdFeader over 1000 Amp. S373.00 $
Branch Circuit W/Service Feeder $ 5.00 $
Branch Circuit WIO Service Feeder S 63.00 + $Loo
Each Additional Branch Circuit $ 5,00 $
Branch Circuits 1-4 $ 75.00 $
Temp.Service/Feeder 200 Amp, S 93.00 $
Temp.Service/Feeder 201-000 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 Clrcuitl limited Energy-1 g 2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy-5KVA System or Less $102,00 $
Thermostat $ 56.00 $
Nora;$5,00 for each additional T-Stat
i NEW CONSTRUCTION ON_1 Y
First 1300 Square Ft. $120.00 $
Each Additional 500 Square Ft.or Portion of S 40.00 $
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $110.00 $
$0,00 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 2961168,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: Oi cash O Check
= CradltCard#
x sled:
02/1312012 0110112012
I
PREPARED 6/08/09 8 42 10 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/08/09
ADDRESS 1417 W 7TH ST SUBDIV
TENANT NBR CORRINE NOTAR
CONTRACTOR TODD S HANDYMAN SERVICE PHONE (360) 461 0779
OWNER CORRINE NOTAR PHONE (360) 457 9271
PARCEL 06 30 00 0 1 5277 0000
APPL NUMBER 09 00000466 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01 9/09 JLL _ BLDG FRAMING TIME 01 00
May 29 2009 8 21 12 AM 1pangrle
MIKE 461 0779
FRAMING
AFTERNOON
BL99 01 6/08 09 JJLLLL BLDG FINAL
June 8 2009 8 30 46 AM 1pangrle
MIKE 46 0779
FINAL FRAMED IN THE OPEN SPACE OVER THE FRONT ENTRY
THE PERMIT IS ON THE FRONT PORCH
-- -- COMMEENNT7S AND NOTES
PREPARED 5/29/09 8 23 16 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/29/09
ADDRESS 1417 W 7TH ST SUBDIV
TENANT NBR CORRINE NOTAR
CONTRACTOR TODD S HANDYMAN SERVICE PHONE (360) 461 0779
OWNER CORRINE NOTAR PHONE (360) 457 9271
PARCEL 06 30 00 0 1 5277 0000
APPL NUMBER 09 00000466 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01 5/29/09L BLDG FRAMING TIME O1 00
41 May 29 2009 8 21 12 AM 1pangrle
MIKE 461 0779
FRAMING
AFTERNOON
COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
` 321 EAST 5TH STREET PORT ANGELES,WA 98362
Application Number 09 00000466 Date 5/19/09
Application pin number 448764
Property Address 1417 W 7TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 5277 0000
Tenant nbr name CORRINE NOTAR
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 2480
Application desc
FRAME IN THE OPEN SPACE OVER THE FRONT ENTRY
Owner Contractor
CORRINE NOTAR TODD S HANDYMAN SERVICE
1417 W 7TH ST 222 S VINE
PORT ANGELES WA 983635401 PORT ANGELES WA 98362
(360) 457 9271 (360) 461 0779
Structure Information 000 000 FRAME IN OPEN SPACE OVER FRONT ENTRY
Permit BUILDING PERMIT RESIDENTIAL
Additional desc FRAME OVER FRONT ENTRY
Permit pin number 146415
Permit Fee 109 75 Plan Check Fee 71 34
Issue Date 5/19/09 Valuation 2480
Expiration Date 11/15/09
Qty Unit Charge Per Extension
BASE FEE 95 75
1 00 14 0000 THOU BL-2001 25K (14 PER K) 14 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 109 75 109 75 00 00
Plan Check Total 71 34 71 34 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 185 59 185 59 00 00
6 _
� a9
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 g —Dg 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 perfor ance f c truction. ,(r,�� &--
5�-y4 ^-0 z /v`r
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
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
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
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 FINAL Date Accepted b
AIR SEAL.
Walls
Ceiling
FRAMING
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall(Interior Braced Panel Only)
T-Bar
r
INSULATION
Slab l
Wall/Floor/Ceiling v
MECHANICAL.
Heat Pum /Furnace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT Separate Permit#s SEPA.
Parkin /Lighting ESA.
Landscaping SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction R.W PW I Engineering 417-4831
Fire 417-4653 �p
Planning 417-4750
Building 417-4815 ��Q
T.Forms/Building Division/Building Permit
\T /
�Qj..QORrq,V BUILDING PERMIT APPLICATION Print In ink
C� SFr
CITY OF PORT ANGELES For City Use Only-
Attn Building Permit Technician Date Received
321 E. Fifth.St. Port Angeles WA 98362 Permit#. (1Q-U(n(n
(360)417-4815 fax (360)417-4711 Date Approved
x Applicant �.,,, 1 j&j'? A;jjA ' �t Phone W1
Property weer N b Phone. lief.1F- V2;71
Property Owner's Address
ti
Contractor 5 �� �( t!/ Phone r L 'j'lq
Contractor's Address 1/rll.l'x
License # "`"'o.CW j;#fjPQ 03 AfB Expires b E-mail
PROJECT ADDRESS 14/ 7 r'-'* Peter Tete)<,15-
Parcel
Number Lot Zoning
Project Type & Brief Description. XR(esidential ❑ Multi-family ❑ Commercial a Industrial
Check all that apply
❑ New Construction vI4 S ,�Ct
❑Addition #"y
Remodel
❑ Repair
❑ Demolition
WRe-roof ❑ House ❑ garage ❑ other ❑ tear off& re-roof ❑ lay over one layer
❑ Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other
❑ Other
Floor Areas Existing(sq. ft.) Proposed(sq. ft.)
Basement _ @ $ per sq ft. _ $
1 s' Floor _
2ndFloor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
L2YLL
TOTAL VALUATION $
Total footprint of structures: sq ft. T Lot size sq. ft. = of coverage %
Site Coverage = the.amKinstIled?
surface on a parcel including struct es paved veways sidewalks patios
and other impervious AMC 17 94 135 for exemptions) Site coverage %
Max. height of proposeft. Occupancy group #of bedrooms
Will a lawn sprinkler sysOccupant load #of full.baths
Will a fire sprinkler systConstruction type #of half baths
I have read and completed this application and know it to be true and correct. /am authorized to apply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prior
rttoo wworkin y o p sects.
�(
Date °'` - Print Name M r kc/ G �Q�p Signature _,t /,
T Forms/Building Division/Bldg Permit.doc
FILE
CITY OF PORT ANGELES—Construction Plena
..� The Issuance of this permit based upon these plans,specifi-
cations and other data shall not prevent the building official
from thereafter requiring the correction of errors in said
Plains, specifications and other data, or from preventing
building operations being carried on thereunder when in
violation of all codes and ordinances of this jurisdiction.
y-�, �o lei
Approval DateY
Es
a
it 1
1 �
0* ,ORT A,yC
=FN CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
s Port Angeles, WA 98362
", (206) 457-0411 PERMIT NO. S 3.3 �
DATE Z L.3 4
ELECTRICAL PERMIT
I Site Address: J ,/y ❑ READY FOR ❑ WILL CALL FOR
'W /%% INSPECTION INSPECTION
Installed By: S License Number: Phone:
Owner/Business: ^t—D�N J / IVK Phone:D
Owner/Business Address: Sq. Ft.
ELECTRIC HEAT RESIDENTIAL ❑ RISER
❑ BASEBOARD KW ❑ COMMERCIAL 9 OVERHEAD SERVICE
❑ FURNACE KW ❑ NEW CONSTRUCTION ❑ UNDERGROUND S RVICE
❑ HEAT PUMP KW ❑ REMODEL VOLTAGE:�I gzzl
❑ FAN/WALL KW ❑ ADD/ALTER CIRCUITS 1 El 3
SERVICE UPGRADE/REPAIR
ERVICE SIZE 4,6V AMPS
❑ TEMPORARY SERVICE FEEDER SIZE AMPS
Details/Description: 0//4
W.S. No. SERVICE SIZE DATE ENGR.
CAPACITY:
❑ O.K. ❑ NOT O.K. ❑ OVERHEAD SERVICE APPROVED
ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE
❑ INSTALL SERVICE POLE ❑ OTHER
�❑L, Ditch Inspection O.K.
f� Rough-in/cover O.K.
6 O.K. to connect service
❑ Final O.K.
Site Address: P�rmVRipt No.
1q17 GU `f3 �
Installer: ^� New Meters Date:
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection.Work must not be covered
before inspection and O.K.for covering has been given by the electrical inspector in writing on either the Wiring Report
® or on the Building PerJrr it-_PHONE 457-0411, EXT. 224.
/ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT O
Electrical Inspector Permit Fee
WHITE—File by address PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall
I'L OLYMPIC PRINTERS INC.
Zoe CITY OF PORT ANGELES _ZS8
FEE RECEIPT NUMBER DEPARTMENT OF LIGHT
PERMIT NUMBER
APPLICATION AND.ELECTRICAL PERMIT.
Tkre `
TOTAL FEE 3d 00 IVII
8
CONT.LIC.NO. TIMETOCOMPLETE NO.STORIES LEGALOCCUPANCY
L PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address 8
CORRECT RES IS SPONSIBILITY OF APP (CANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner C Installation By ✓/Q.�Bf IQ� �../�lL1Y/�JG
Owner's Address Installers Address P !9 ,sde GG ,TDycc W451J
Day Phone Installers Phone IF.? <3
Application is hereby made for Permit to install Electrical Equipment as follows: _1111E41
Wiring MethodlYN1'-U
AMP 2 AMP 240V
USE OF CIRCUIT NUMBER - PER 120V 00 FEE USE OF CIRCUIT NUMBER 'PER 1 1 00R FEE
CIRCUITS CIR 0 CIRCUITS CIR 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE - MOTOR
CONVENIENCE -- MOTOR
APPLIANC rlO9O MOTOR
DISHWASHER FIREALARMS
DISPOSAL BURGLAR ALARM
® RANGE {r?Q MISC.
OVEN 40 r,&
WATER HEATER 3 0
LAUNDRY �0
DRYER - 3O L/' REINSTALLATION LIGHT FIXTURE»
FURNACE SUB TOTAL FEE
GAS-OIL
FURNACE ENERGYFEE
ELECTRIC
BASIC FEE
ELECTRIC HEAT 9O
A TOTAL FEE
ELECTRIC HEAT 3O (/� SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C.UNIT Oo AMP /o— PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE :` O //0 2/ A.W.G. p
SUB-TOTAL SIZE OF GROUN '/SIZE OF ENTRANCE SWITCH :20,V40
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. EI ctrical Code.
Date Application made s�P/i �� ,19 06 B*hreon
ACTOR OR OWNER(OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work;accordingtotheconditio To'
Permission to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
DIRECTOR OF CITY LIGHT
Date Permit Issued - Bye �
PLANS APPROVED
Notify Department of City Light by Street Address and Permit Number,when ready for inspection.Work must not
be covered or current turned on before inspection'andl O.K.for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone:457-0411 Ext. 158.
WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER—
WHITE-Original CANARY-Duplicate PINK-Triplicate WHITE CARD-Inspector's Report
n,VUDic PRINTPRS.INC. _
REPORT OF INSPECTOR
DATE OF VISIT MADEBY REMARKS
Z
Q
to
Z
F
2
W
F
F
O
2
O
D
StQutcAquk,
O.K.FOR COVERING
` OXTO CONNECT SERVICE
FINAL O.K.
V