HomeMy WebLinkAbout1735 W 13th St - Building -,s CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000741 Date 7/20/11
Application pin number 099691 REPORT SALES TAX
Property Address 1735 W 13TH ST
ASSESSOR PARCEL NUMBER: 06- 30- 99 -0 -3- 6310 -0000- on your state excise tax form
Application type description PUBLIC WORKS UTILITES
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Connect to sewer RCP #11 -26
Owner Contractor
DONALD L /JUDITH M PERRY MORRISON EXCAVATING INC
1735 W 13TH ST P. O. BOX 3051
PORT ANGELES WA 983636805 PORT ANGELES WA 98362
(360) 452 -7179
Permit RIGHT OF WAY
Additional desc CONNECT TO SEWER
Permit pin number 189381
Permit Fee 150.00 Plan Check Fee .00
Issue Date 7/20/11 Valuation 0 s
Expiration Date 1/16/12
Qty Unit Charge Per Extension V
1.00 150.0000 ECH RIGHT OF WAY PERMIT 150.00
Special Notes and Comments
Applicant responsible for temp. erosion control and surface
restoration. Traffic control per attached. Trench safety per
State Law.
Fee summary Charged Paid Credited Due
Permit Fee Total, 150.00 150.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 150.00 150.00 .00 .00 Cry
V'
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
co s uction.
0— 7 ,,,c), /7
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:Forms /Building Division /Public Works Permit
PERMIT INSPECTION RECORD
CALL 417 -4831 FOR UTILITY INSPECTIONS. 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 NO
PW UTILITIES •`(Engineering Division)
WATERLINE,/ METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING.
SIDEWALK R 3a,
CURB &GUTTER
DRIVEWAY APPROACH,
:BACK FLOW:. DEVICE:'
iP
i
FINAL INSPECTIONS. REQUIRED PRIOR'TO OCCUPANCI /USE y''
RESIDENTIAL DATE S ES NO COMMERCIAL; DATE'' ACCEPTED
CONSTRUCTION CONSTRUCTION R'.W
ENGINEERING, 417 -4801 PW ENGINEERING
FIRE 417 -4653 FIRE DEPT.
PLANNING DEPT. -417 -4750 PLANNING. DEPT.
BUILDING, Qb7 BUILDING..,
4815
T Forms /Bwldm Dtvrsron/Publrc Works'Permii
CITY OF PORT ANGELES
U T FN
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000742 Date 7/21/11
Application pin number 195642'
Property Address 1735 W 13TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 99 -0 -3- 6310 -0000- on our state excise tax form
Application type description PUBLIC WORKS UTILITES Y
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Connect to sewer
Owner Contractor
DONALD L /JUDITH M PERRY OWNER
1735 W 13TH ST
PORT ANGELES WA 983636805
Permit SANITARY SEWER HOOK UP
Additional desc
Permit pin number 189399
Permit Fee 150.00 Plan Check Fee .00
Issue Date 7/21/11 Valuation 0
Expiration Date 1/17/12 v
Qty Unit Charge Per Extension
1.00 150.0000 EA SAN SEWER HOOKUP 150.00
Special Notes and Comments
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Other Fees SEWER SYSTEM DELV CHARGE 2260.00
Fee summary Charged Paid Credited Due
Permit Fee Total 150.00 150.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2260.00 2260.00 .00 .00
Grand Total 2410.00 2410.00 .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-- krrow1lre be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein Of .t. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any ,state or local law regulating onstruction or the performance of
construction.
-22 -1(
Signature of Contractor or Authorized Agent Date -Wu of Owil owner is bui 5 e r) Date
T:Forms /Building Division /Public Works Permit
PERMIT INSPECTION RECORD
CALL 417 -4831 FOR UTILITY INSPECTIONS. 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 NO
PW UTILITIES '(Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
DRIVEWAY APPROACH.
BACK FLOW DEVICE
a
q =0 0 Z
FINAL`INSPECTIONS PRIOR TO OCCUPANCY /USE t
DATE YES 'NO�� COMMERCIAL _PATE ACCEPTED
RESIDENTIAL'
g:, :..YES NO
CONSTRUCTION R W PW CONSTRUCTION.;'R W
ENGINEERING 417 -480i' PW ENGINEERING
FIRE 417 -4653 FIRE DEPT..
PLANNING DEPT. -417 -4750 PLANNING DEPT.
BUILDING, 417 2 'BUILDING
'4815
T Forms /Bwldir p(v(s on /Pubile Work Perrrut i
ELECTRICAL PERMIT
CITY OF PORT ANGELES 4
360-417-4735 a
Application Number 11- 00000754 Date 7/22/11 V
Application pin number 239880 REPORT SALES TAX
Property Address 1735 W 13TH ST on our excise tax form
ASSESSOR PARCEL NUMBER: 06-30-99-0-3-6310-0000- y
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
2 circuits septic system
Owner Contractor
DONALD L /JUDITH M PERRY EXTRA MILE TECH ELECT., LLC
1735 W 13TH ST 418 N. RACE ST.
PORT ANGELES WA 983636805 PORT ANGELES WA 98362
(360) 457 -0198
Permit ELECTRICAL ALTER RESIDENTIAL
(,r
Additional desc
Permit pin number 189530
Permit Fee 76.10 Plan Check Fee .00
Issue Date 7/22/11 Valuation 0
Expiration Date 1/18/12
Qty Unit Charge Per Extension Ef
1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50
1.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 2.60
Fee summary Charged Paid Credited Due
Permit Fee Total 76.10 76.10 .00 .00 k.)4i
Plan Check Total .00 .00 .00 .00
Grand Total 76.10 76.10 .00 .00
4
c 2 i i5 1 rz--
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH U l 7-- L� .4b? '',b
SERVICE U
ROUGH -IN 117.-Z l z
FINAL 11,/,
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
It.
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
p °R'"N F
ELECTRICAL INSPECTION
WIRING REPORT
w ks o s's 417 -4735
DATE: 2.7 I PERMIT INSPECTOR
OWNER
7 o r 4 0orcii
CONTRACTOR
ADDRESS
5 1 sT
APPROVED NOT APPROVED
DITCH
T,. ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
6�r Ce3.1.t. 300 c
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
JLJL-21- .2•11 09.:57 AM E. JANSSEN 360 452 2982 P,_ 01
�p N r1Urtrgq.
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CITY OF •PORT.A.NGFL,.ES :PFR.M1CI' APPLI CATICON E1 E --J
Building:Division /Electrical I u.� Sii 11
321 East Fifth Street- P.O. Box 'I ISO /.Port Angeles Washington, 98362 2 1 2011 --C
Ph: (360).417- 4735Fax: (360) 417_4711 JUL
Date: 1 1. 1 ELECTRICAL
1 R 2 Single Family Dwelling Multi Family or Commercial' Commerci�;l 'i �i0� f Remodel Repair'
'Plan Review May Be Required, Please Complete Electrical Plan Review Information She
lab Address: 3 i
Building Square Fr�otega: h 1...
Description of above
Z ,r.L_�.L' i, c f
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Owner information Contractor information
Name O r.., 17i r' i Name: k:r tv1; 4 e4t 4. c re r col- L_
Mailing Address: _,_.CD.•14. Melling Address 7e ��las4-k ..,._Sr
cy rE` State: ti is• _LL?c
City: t� /�h.i r r �s Stat e; Or i:Ip�, �4 ',go
Phone: 'IS"7 5'. gd Fax: .4 7 10'5GS
Liuense Exp. License Exp. c: >c: 7 "A' 4.41 T .7 'P.C.
RIM Unit C_ n 4hc ilia t .1.nh c NB] ?I
Service/Feeder 200 Amp, 119.90
Service/Feede• 201 400 Amp. 115.50
Service/Feeder401.600 Amp $.204.60
Service /Fender 601 -1000 Amp. 262.20 s-
Service /Feeder over 1000 Amp. 372.50
Branch Circuit W/ Service Feeder 2.60
Branch Circuit W/0 Service Feeder 73.50 s 7 S"
Each Additional Branch Circuit 2 60 4 0
Temp. Service/ Feeder 200 Amp. 92.70
Tamp. Service/Feeder 201 Arnp. 110.30
Temp. Service/Feeder 401 Amp. 1146 70
Temp. Servioe/Feeder 601.1000 Amp 167.90
Portal to Portal Hourly 95.90
Sign/Outline Lighting 88.20 Signal ClrculU Limited Energy First 1500 s' Commercial 95.60
Notes .$5.00 for each additional 1500 s`
Signal Circuit/ Limited Energy -18 '2 Family Dwelling 5 63.90
Signal ClrcuIV Limited Energy Multi•Farnily Dwelling 63.90
Manufactured Home Connection $119.90
Renewable Electrical Energy SKVA System or ers 102.30 a..,.,•.:..,.
Thermostat 56.00
First 1300 Square R. S 110.30
Each Additional 500 Square Ft. or Portion c l s :35.20
Each Outbuilding or Detached Garage S 73 50
Each Swimming Pool or Hot Tub 110 30
7� _r Vic' -Totalv
I
Owner as defined by RCW.19 ?_0.261: (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, l 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 ir compliance with the electrical laws, N.E.C., RCW. Chapter 19.2.8, 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:• C:7 Cash i '.rack
7 Credit coat
Nevi: °nu-name
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
NI!
16576
\ /~ - . ~
Port Angeles. Washlngton.{,(.?.==.u.CR....~....m...mm.........m.. 19.u2~
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 ~.~..5.-=.m~~..u__.u___.u.u.____.u OccupancY..u.m.~.~':"'.._mu..__:.u
Owner u~A,f.~~'::-'.__.~mumum"__h}:.um Tenant..n..__....m.m.._.__...__..n__m...__.mmmm,m...mu.m..
Wiring c';-ntractor .11t~~.-'i.J...J~....... By...n...mmm..muum..mmm__..u....u.umum.....u .)
'. ,
Light outlet.........o:l...<I..................... ServIce. volts L!?:..~.~...~..':!.....9... Type of Wiring:
UD . .0,!,..IJ ,A::::>""..~../CJ
Receptacle Outlets...:.!.....................m.. :r-.; o. wires 1::~f.~........:I:f..~...~... Armored Cable ..........._..00............_
tJ, ill vJ Sl I 2./ A ~a Non-Metallic ........00____...................
Dry'er. KW ..u.....___..(:~..u.................... ze w ;e~.;.,.."~....::-:... ..... .
~ vJ .( rl ;4.-
Range, KW ..-L.~-..(..\.-..--.----_..-..----... Main fuse .~.~............_n......n...
Knob & Tube.......m.......................
Water Heater: ./
KW.......q....J....m.....___....
"l ~- t(fAJ
Heat KW..;),.""'..:...............v.:~.....
Enclosure ._.._m_m.m_n__n__.__.__..._
RIgid Conduit .......m.....................
Metallic TubIng ..........................
Motors: size. volts and phase:
Type of wiring:
Entrance Cable .......n_..__m..._____..:_
./
Rigid ConduIt _.....m__.___;,_.__::':'_______.
Metallic Tubing m__m_.__n.....n......
Current transformers:
No. & Size__._._n....mm___m....
Ser. NO.........._.n..nn_____...n___..............
Raceway _............................_.___._
Circuits. Llght.......Jf:......m...................
Utlllty..........Gz............................
6
Heat .._____................_..._...._....__
"2-
Range ..................~..____._.____.............
Water Heater ....._~............__..
Motor ..._....................___.._........_.....
Dryer..............._.....~_..............__
Furnace _____:___................____.__._..__......
Ser. No. .._00__...._..____..........................
Total .......:k..~.........
'-::J f)~. 'J.
Remarks: .__m.m~.n.__....__..~.~__.~uu__..__.mu__.muuu.mmuumm.mmmmum.mmmm__.____
\
Total Load__.__n__..__.n__.._..___...
Ser. No........_..______.._...._.______.._______.__...
See. No..........._......_..._...._._..............
___~_._..~n._n.___n.__nnn_n...n__.._nn.nnnuunuu.uu.u..n.nnununuu_.nnnnu_nu.nunn_nn_.n..._____nnnnnnnnnnuunnnn.hn..
~ .
Permit Fee .0
$.....:;lmL__'Kmmm.m.
Treas. Receipt
((j P. jI
BYm&.,.___",.<1~__..m
NO'm.mm__mmm__.m.
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 &fERMIT NUMBER WHEN READY FOR INSPECTION
f .
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. ..
ELECTRICAL PERMIT
N?
16576
Address....._................_......__....___._....__._..............................._.....___.._.._.........._......._....................__.Date..._......__._.._.._.........._......_......_.........
, ,
Owner.___..............................._.....__..__..._._.__...__.___..................._........__.___.._...__.___......__...Tenant..._.._......................__........................._..._..._..
WiringContractor....._......_.._............._....._....__..______.__..._..__..._..._..__..__._..___._.__._............_..........__..__.By...................................__.._____..__..._.___.._..
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.
1M Olympic Printers. Inc.
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