HomeMy WebLinkAbout1236 W 18th St - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES Q
360-417-4735 O�
09
Cgo
Application Number 11- 00000888 Date 8/18/11
Application pin number 230576 REPORT SALES TAX
Property Address 1236 W 18TH ST our excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-5340-0000- on y
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property y Use (Location Code 055' 02)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Demand heater 1 circuit
Owner Contractor
V GEORGE ROZETTA GEDELMAN ALL WEATHER HTG COOLING INC
PO BOX 186 302 KEMP ST
SEKIU WA 98381 PORT ANGELES WA 98362
(360) 565 -0431 (360) 452 -9813
Permit ELECTRICAL ALTER RESIDENTIAL VA
Additional desc
Permit pin number 191221
Permit Fee 73.50 Plan Check Fee .00
Issue Date 8/18/11 Valuation 0
Expiration Date 2/14/12
Qty Unit Charge Per Extension
1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50
Fee summary Charged Paid Credited Due
Permit Fee Total 73.50 73.50 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 73.50 73.50 .00 .00
X6 1 -1{ Iy
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS: R i 1 '"L
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION y l
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGEIBUILDING
08/17/2011 07:57 13604525177 ALL WEATHER HEATING PAGE 03/03
9917 1'
City of Port Angeles Permit Application 5 �Building Division/Electrical Inspections d 321 East Fifth Street P.O. Box 1150 Ol
Port Angeles Washington, 98362 A t 7 2 a Ph: (360) 417.4735 Fax: (360) 417.4711 fi 1 00
Date: $J 17/ 11 ELECTRICAL.
INSPECTIONS
$.1 2 Single Family Dwelling
Multi- Family or Commercial*
Commercial Addition Alteration Remodel Repay"
Plan Review May Be Required, Please Co 1 m ate Electrical Plan Review Information Sheet
Job Address: 123 t.. V
Building Square Footage:
Descriptio of above an A 40 6 kr a er
Owner Intla:;1, on Contracto I fm Ion jj,, Name: e -c YY1C►� Name: MI or WE gam' \L
Mailing Address: n f- -1 Mailing Address:
Cit �Sc-V- State: P AWL_ I City A State: Zip: 9 0 3 06
y' J F ax: Phone: L. g ,6 •u.$1 o5d ,1 77
License Exp. Phone: 3 -a License Exp. .1$15_1a..._22:43...-
W 1.1: W I t c{ KU
Unit Chortle qty Total (Qty Multiplied by Unit Charnel
93.75 ServicelFeeder 200 Amp.
$113.75 ServlcelFeeder 201-400 Amp,
$160.00 ServlcelFeeder401 -600 Amp.
$205.00 Service /Feeder 60.1 -1000 Amp.
$291.25 ServicelFeeder over 1000 Amp.
2.00 Branch Circuit WI Service Feeder �3�
57.50 Branch Circuit W/O Service Feeder
2.00 Each Additional Branch Circuit
72.50 Temp. Service/ Feeder 200 Amp,
86.25 Temp. Service/Feeder 201 -400 Amp,
$116.25 Temp. Service /Feeder 401 -600 Amp.
$131.25 Temp. Service/Feeder 601 -1000 Amp.
75.00 Portal to Portal Hourly
69.00 Sign /Outline Lighting
75.00 Signal Circuit/ Limited Energy Commerclel
50.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling
50.00 Signal Circuill Limited Energy Multi- Family Dwelling
93.75 Manufactured Home Connection
80,00 Renewable Electrical Energy 5KVA System or Less
66.25 First 1300 Square Ft.
5 27.50 Each Additional 500 Square Ft. or Portion of
57,50 Each Outbuilding or Detached Garage
86.25 Each Swimming Pool or Hot Tub
43,75 Thermostat OD
ar 12_ Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two year 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 owner of the abovo named property or a licensed electrical contractor. I am making tho electrical
Installation or alteration in compliance with the electrical laws, N.E.C., RCW, Chapter 19.28, WAC. Chapter 296.465, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator I] Cash
Check
X Date: Credit Card
CITY OF PORT ANGELES
1 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000739 Date 7/20/11
Application pin number 125587
Property Address 1236 W 18TH ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -4- 5340 -0000- REPORT SALES TAX
Tenant nbr, name GEORGE ROZETTA GEDELMAN on your state excise tax form
Application type description MECHANICAL APPL. PERMIT
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 1800
Application desc
STEFFES HEATER
Owner Contractor
V GEORGE ROZETTA GEDELMAN ALL WEATHER HTG COOLING INC
PO BOX 186 302 KEMP ST
SEKIU WA 98381 PORT ANGELES WA 98362
(360) 565 -0431 (360) 452 -9813
Permit MECHANICAL PERMIT
Additional desc STEFFES HEATER
Permit pin number 189357
Permit Fee 64.80 Plan Check Fee .00
Issue Date 7/20/11 Valuation 0
Expiration Date 1/16/12
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
fi V1M 3 1
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] 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.
.1/ 0 \i/11 l� i cxS n muuieown 4
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 INSPECT IONS
t 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 IN CONSPICUOUS 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 Bidgs.)
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
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 FINAL Date i4.3 la br5w
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
-4 1
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
,1 Planning 417 -4750
.r.� Building 417 -4815
T:Forms /Building Division /Building Permit
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PROJECT STATUS UPDATE
Permit t
Date:
1 phoned the: Applicant at
Property Owner at
Contractor AU vv teurke,r at 145
I (left a phone message, or discussed):
The permit (has expired, or will expire soon). What is the status of this project?
Please call and schedule a final inspection.
Or
Submit a "permit extension request" letter.
Or
Let me know if the project is abandoned.
To 4 Jeri f cyp red Por-rta.e Oced n5p&
filiPd, 115112
T:Fonns/Building Division/Project Status Update
0 VOX r BUILDING PERMIT' APPLICATION Print in ink
a ✓40 r w ar
-0- CITY OF PORT ANGELES
g
l s�tc For City US
Attn: Building Permit Technician Date Received t'ZO'([
321 E. Fifth St., Port Angeles, WA 98362 Permit 11-a'I ?ici
(360) 417 -4615 fax (360) 417 -4711 Date Approved
Applicant El 'i' A InCi Phone lasumins
Property Owner 11. W= Mii,a t Phone 1�i's
Propert Owner's Address 04 1.,, .w1°"ki►�1it• G
Contractor t 3 k rala r :o j 6 ti Phone -�I 3
Contractor's Address !�I'�,�' �a j� �V,�,
License #-110 CeSCA t A Expires t, V‘v E -mail $\I VA r\
PROJECT ADDRESS O ,0425A-
IM. S s�
Parcel Number Lot Zoning
Project Type 8, Brief Description: )(Residential o Multi family Commercial o Industrial
Chock all that apply
o New Construction
,o Addition
a Remodel
a Repair
o Demolition
a Re -roof o House a garage o other o tear off re -roof o lay over one layer
Heat System Heat pump o ■ood -bur ing stov; o gas fireplace pellet stove other
Other n rliellitigittc %s 10 ITZi i a
Floor Areas Existing (sq. ft) Proposed (sg, ft)
Basement per sq. ft.
1 cl Floor
2 Floor
3 Floor
Garage o
Carport \k W'
Covered Porch cP-
beck hn0Q
Shed
Other 7Cir 1 n
44,SOO.
TOTAL VALUATION an -i 0 A C,`l i
Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage 7
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 of bedrooms
Will a lawn sprinkler system be installed? Occupant load of full baths
Will a. fire sprinkler system be installed? Construction type 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 y responslbillty to determine wet permits are required, .and to obtain permits prior to ng on proje ts.
1 �L i.
Date �i I 1 Print Name Signature
7:Forms/Building Division /Bldg Permit.doc
P0/30 39Cd 9NIi H d3H1C3M 11C LLt9i;Sb096T 6C :80 TTOi; /Oi; /L0
Clallam County Assessor Treasurer Property Details 60739 V GEORGE AND ROZ... Page 1 of 1
Clallam County Assessor Treasurer
Property Search Results 60739 V GEORGE AND ROZETTA GEDELMAN for Year 2011 2012
Property
Account
Property ID: 60739 Legal Description: LT9 10 BL 453
Geographic ID: 0630000453400000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi Family Redevelopment: N
Township: Section:
Range:
Location
Address: 1236 W EIGHTEENTH ST Mapsco: r
PORT ANGELES, WA 98363 V
Neighborhood: Cycle 5 Res Map ID: 3
Neighborhood CD: 10955130
Mailing GEORGE AND ROZETTA
Address: PO BOX GEDELMAN O ner ID:
A 206613
g hip: 100.0000000000%
SEKIU, WA 98381
Exemptions:
Taxes and Assessment Details
Property Tax Information as of 07/20/2011
Amount Due if Paid on: 3. NOTE: If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due.
Click on "Statement Details" to expand or collapse a tax statement.
First Half Second Half 7
Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due
R Statement Details ..r... ...�.__..M......._..
2011 155302 $1203.40 $1203.35 $0.00 $0.00 $2406.75 $0.00
Statement Details
2010 43583 $1152.31 $1152.31 $0.00 $0.00 $2304.62 $0.00
Values
Taxing Jurisdiction
Improvement Building
Sketch
Property Image
Land
I Roll Value History
Deed and Sales History
Payout Agreement
This year is not certified and ALL values will be represented with "N /A
Website version: 9.0.32.2200 Database last updated on: 7/20/2011 3:50 AM 2011 True Automation, Inc. All Rights
Reserved. Privacy Notice
http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year 2011 &prop id =60739 7/20/2011
PREPARED 9/14/07 9 41 12 INSPECTION TICKET
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY
ADDRESS 1236 W 18TH ST SUBDIV
CONTRACTOR SEKIU CHIMNEY SWEEPS PHONE (360) 963 2864
OWNER THOMAS RICHARD A PHONE
PARCEL 06 30 00 0 4 5340 0000
APPL NUMBER 07 00000947 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME6 01 9/14/07 MECHANICAL GAS LINE
r 09/14/2007 08 20 AM LPANGRLE
BOB 460 2213
GAS LINE
COMMENTS AND NOTES
PAGE 6
DATE 9/14/07
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 07 00000947
Application pin number 316881
Property Address 1236 W 18TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 4 5340 0000
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Owne Contractor
THOMAS RICHARD A
1236 W 18TH ST
PORT ANGELES
Qty Unit Charge Per
Fee summary Charged
WA 983637014
Permit MECHANICAL PERMIT
Additional desc LPG FIRE PLACE INSERT
Permit pin number 109025
Permit Fee 50 00 Plan Check Fee 00
Issue Date 8/15/07 Valuation 0
Expiration Date 2/11/08
BASE FEE
Paid Credited
Permit Fee Total 50 00 50 00 00 00
Plan Check Total 00 00 00 00
Grand Total 50 00 50 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 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.
aFe..1 Ua�o& s.
SEKIU CHIMNEY SWEEPS
P 0 BOX 573
CLALLAM BAY
(360) 963 2864
Date 8/15/07
WA 98326
Due
Extension
50 00
°3- N-oe
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T' \Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK DEFORE
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W I PW/
ENGINEERING
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE
417 -4807
YES NO
I I
I I
ACCEPTED
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL
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
ROUGH -IN
HEAT PUMP /FURNACE /DUCTS
GAS LINE I 14 -(y LL I FINAL
WOOD STOVE PELLET CHIMNEY
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #t's SEPA.
PARKING /LIGHTING ESA.
LANDSCAPING I SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL
FIRE 417 -4653 I
I PLANNING DEPT 417 -4750 I I R 1 1 I I
I
BUILDING 417 -4815 I g XI 1 1 g1&I ,j 1(,J 1 PIA
T \Policies\l 102 15 building permit inspection record05 wpd [I/4/2005]
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
COMMENTS
DATE ACCEPTED BY.
DATE
DATE
ACCEPTED BY.
I 0
ACCEPTED I
YES I NO 1
Q
I IR'
Applicant or Agent 4014/l
Owner l ,vl. l i, it �P Cc S
Owner's Address 6-2 1., L k
Existing Structure(s) basement
1St floor
2' floor
3` floor
Accessory Structures
Existing Structure(s) TOTAL
LOT COVERAGE
Lot size Sq Ft.
Existing Structure(s) Sq. Ft. Footprint
Proposed Structure(s) Sq. Ft. Footprint
TOTAL Structure(s) Sq. Ft. Footprint
Total Lot Coverage
Date
1 t)?
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application, prescriptive energy
form, plans, specs, and a 8 x 11" site plan MUST BE COMPLETE to be
accepted for review (360) 417 -4815 FAX (360) 417 -4711
T\FORMS\BUILDING DIVISION \BldgPermitAppl: 2006 CODE backup.wpd 4
Residential projects: submit two sets of plans
Commercial projects: submit three sets of plans
Applicant
Phone
Phone
Contractor/Engineer■%ek'W &I—AA vi 07 .Sk le State License i'Ki i /(Sc'R$ 'iD Expires Z.6.
Contractor/Engineer's Address Ian a z 7- ,r47 A Li/A- Phone.-- 9�.'� ?f f l
PROJECT ADDRESS 3( t )Jg `t ZONING
LEGAL DESCRIPTION Lot: Block: Subdivision.
CLALLAM COUNTY PARCEL NUMBER.
TYPEOF WORK SIZE/VALUATION
x Residential New Constr Re -roof Stove SF /SF
o Multi family Addition Move Garage SF /SF
Commercial Remodel Demolition Deck SF /SF
Repair Sign Other nlaro TOTAL VALUATION
BRIEF DESCRIPTION OF THE PROJECT'
t l fi pG,
Iita I tea, N 1' if ue I 4-ovii ,C.c a
COMMEReIAL/RESIDENTIAL. Occupancy Group:
c..
o a
Occupant Load. Construction Type:
Sq. Ft. Proposed Structure(s) basement
Sq. Ft. 1" floor
Sq. Ft. 2n floor
Sq. Ft. 3' floor
Sq. Ft. Accessory Structures
Sq. Ft. Proposed Structure(s) TOTAL
TOTAL of existing proposed structures
Maximum Height of Proposed Structure(s)
Are you planning to install a lawn sprinkler system?
(Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.)
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. The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are
due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW An application for a permit for any proposed work shall be deemed to have been abandoned 180
days after the date of filing unless such application has been pursued in good faith or a permit has been issued; except that the building
official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial
projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006 105.3.2)
I hereby certify that I have read and examined this application and know the same 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 that I must obtain
such perm/ prior to work.
FOR OFFICIAL SE LY
Date Rec. 0
Permit 6 g r_f7
Date Approved:
Date Issued:
Sq. Ft.
Sq. Ft.
Sq. Ft.
Sq. Ft.
Sq. Ft.
Sq. Ft.
Sq Ft.
Ft.
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15299
/ ~ '.
Port Angeles, Washlngtonn____________________n__:___nm__mmm____________nn, 19_::::2_
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.
~....I
~::::sn::~1~~;:.::i22::::::::::::::::::::::nn;~=~:~:::_n~~~~:~_~:_~:::~:::~:::::::::::::::::::::::::::::::::::
Wiring Contracror _.':?lI'2n_,ff~"'-~~_~g,.,n(J;]_~C[:__ Bynn_____nn___n_nnnn_n_n_________________n__n_nn_______n
Light Outlets...._mm____m__..........._____..__.
- /70/..../ (
ServIce, volts _m.-...U__...mhn_mn._nmn
No. wires .....1.__..............__..__..__...
9'
Size wires~.._____..u.._....._.h_...__h.
/r) cJ ,d
Main fuse mn.......___m......._.._...........
s:
Enclosure m........mnnmnm_______._....
Receptacle Outlets.....__________.............._.
Dryer, K\V] ._.__h.____.___nn..__nn_____n.__._._
Range, KW.h.UU___..__.__._______
Water Heater:
KW.______nn____nnn_n
Type of wiring:
Entrance Cable h_.._m....n.._...._.___..
Heat: RW._n.....___h.......___uum.nnm....
Rigid Conduit ___m.___......_____.______...
Metallic Tubing hnmmmmh_________
Current transformers:
No. & Size.__...m.....__.....__...__...........
Motors: sIze, volts and phase:
Ser. No..._......_..........____._..........._.......
Ser. NO..._......n________._____n____.___._______...
Ser. NO.._...._.__nn____.._________..______.___.._
Total wad.............................
Ser. NO.__n__.__..___..________..__._______..___...
Type or Wiring:
Armored Cable ..mm..mm.........____
Non.Metallic .__m......................___._
Knob & Tube
Rigid Conduit _on__...m.....___.m.___m
Metallic Tubing m.m.m__..............
Raceway ...m......................________......
Circuits, LtghLm....____..............--..........
Utillty __n.__nn______.___n__________.n__nn_n
Heat
Range _____.....__.................._...._..n_____
\-Vater Heater .........._...mm...m___..
l\lotor ____.___..._._........................_____..
Dryer.._.._____.............................._.........
Furnace __..._n...____________._'_....__....__n..
Total ._..___nn..__......__.....______.._..
Remarks: _________m_CL.!!__""_":_~_____:__!~~_~m_m_(!I_:-!.__:_4._m__n___n_m__nmnn___n_n_______________________________m_nmn
i~_~~~_~~~~-_~-_~-_~~-_-_~-__~-_-_-_n--------ni~~_~_~;___~~_~:~i~______~_-_-_--------n---n---:~-~;2~:~::::;t:~~~-:2:::::~~:z::::::::~~
NOTICE-Current must not be turned on until Certificate or Inspection has been issued. If work is to be COD-
cealed due noUce 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?
15299
Date called for inspection....__..._..................__......n.........._.._n..__..___.--.--.......__________......_..............______n_......___.__......................n_......__..____._....
Prelimlnaryinspectlondates.__......................_..___.___..__.__.._____._.___._....................___....___._......._..._______.........._......_________........._...__.....o._......_
Total Load n_..___................._n..__________n..____.__._..__..__.............____.......o.._ .__...______.____...............
InspectioncO'Illpleted.o.__....._.._.......____..__.._...._.........................---.-._....._..........__._____...___.._.___.....................___.___...._..........._......_........__________..
1M 3.72 Olympic Printers, Inc.
r
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 16467
Port Angeles, WashlngtOn__m.,/~..=..(..~.oooooo.ooo__.......ooo.ooo., 19.~:'~~
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 elec~l,*l work as listed below.
/ ;;. J ~ ..I ,) / f [l( /t-eA? --
Address ._____n.__m_______mm~__________m__ooo.__ooo.ooom.______.__.____oooooo.____ooo Occupancy_m___.n_________.mm____..._n________.__
,.. // 71/
~::~~.:~~~::~~;~:~~::;:::::::::::::::::::nn~~:~~~;:::::::::::::...:.....~::::::::::=::::::::::::::::=:::::::::::::::::::::
Light Out1ets.....___~___h...........-..-..... Service. volts ....................................... Type ot Wiring:
Receptacle Outlets. .../(2..........._____. No. wires .._n_..___.. ._mnn m_...... un Armored Cable ..._...._.._.___h...__......
,
Dryer, KW..........__.__.....................__....
Size wires....__.__.....__.....__...hh....._..
Range, KW........._nh......_...__......__..
Main fuse ....._..._......__.__.______.._____....
Water Heater:
Enclosure __.___mOoh.n..mn......__........
KW.---.-----....-..~-.-7.......--.--.-
Heat: KWm..r:e.r...::!.md.?.U_::.8..!l
Type of wiring:
Entrance Cable ........m.....n...........
Motors: size, volts and phase:
Rigid Conduit m..nmnmn
Metallic Tubing .....m.._..m...........
Current transtormers:
No. & Size.......................................
Ser. No..............................................
Ser. No. .............................................
Set. NO.............d...............................
Total Load..____m___mmnm..___.
Set. No. ............................._.............
Remarks: __nnmnnmoooooonnm____..______.__.__.__hn'n___.hn_n__.noooooo..__n__.nnooo__mooo__nnnm______m__ooonnnoooooomnnmooom
Total.......................................
Non-Metallic .................................
Knob & Tube........n......................_
Rlgld Conduit _________n_mn___..mn____
Metalllc Tubing .___n_.___n_nnn___m.
Raceway ..............................._.._._
Circuits, Light..................................__...
Utility...mn_n_____n____nnn___.n__n_____n
J-Ieat ..........................................._..
Range .............................................
Water Heater .....d........................
Motor .............................................
Dryer ................................................_
Furnace .....................d..'~n.................
-;::;~.;~:______________..__..m_ooo__;~:~:.n~:~:;~~nn___.ooo_mooonooo.___h---n]li?ld.:.""d.m.----2m--..hn....--
$.n__ooo______________...__.ooo.ooo... NO..mooo______.__m__m____ By .!!.:_~Lm-'-.:__(_:::m!_~~.r.:?:f__'~~?.':yooo.n__
NOTICE-Current must not be turned on untn Certificate ot Inspection has been issued. It work is to be con.
cealed due notice must be given the Inspector so that work may be Inspected berore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
16467
Address........................................................................................................................................Date..._......_.........._.....................................
Owner ..................................._.........._.............._.._........................................................... Tenant....................................................................
Wiring Contractor....................................................................................d.................................... By..............................................d..............
NOTICE-Current must not be turned on until Cert1rtcate ot Inspection has been issued. It work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected betore concealment.
,",l"_~'n 'Cri.,f"'rR. Inc.
CITY OF PORT ANGELES
UGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15290
.: '? . ">y
Port Angeles, Washlngtonh..h.,..chh"h.....,h.........m.....___..n.....n_m, 19...m..
{/
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.
~:::s n::::~:?~~__d~i.:~:~;.~~ii::::::::::::::::::::nn;~=:=~::___~::~:~.~:.~::::~::~~::::~::)~:~~~::~~~:::
Wiring Contractor ___?!<!.m~~"""~.,,..,---!:..(;!4.,:l:. By.nn___nn.n.___n.n..n___n.h.n....mh..___.__nh........__
LIght Outlets____.______.........______.___.____.......
j- / ;/
Service, volts .~--.;:".--!~;.!.---::-.-....;'.........
~
No. wires ___.-:!..._________._____.m............
~
Size Wires.,1'02-.....-.........----------
Main fuse h.._...__.......______.___._______.___
Receptacle Outlets......________.____...__.......
Dryer, K\VI__._._h___...______n____n_____________.
Range, KW ___mh__m____mmum_
Water Heater:
Enclosure __________,__________.______________m
KW...________________
Type of wIring:
Entrance Cable _.___________._____________n
Heat: RW.._..__n___n_________.._________.____.__________.
Rigid Conduit __..........__m._...__.....__
MetalUc Tubing __________...___._._....._.
Current transformers:
No. & Size.__...n_...n______...................
Motors: sIze, volts and phase:
y~'---A-l:!..~-~::!~~{?::-r.--...;i..-----...
l!(c,--,----L,-----""'.7,'-o-L--g,!.":;!~t.
Ser. NO...____.___._._________d__.___..u______n...
Ser. No...___________________._____.___.___.____._....
Ser. NO.._____.________________.____n..____..___.....
Type of Wiring:
Armored Cable u__n___.______________...._.
Non.Metallic ..____..__...._.__._.___________.
Knob & Tube___
RIgid Conduit ____________________________h_
Metallic Tubing um__nu_______md....
Raceway _.___n..________,__n________d...__m...
Circuits, LlghL___...______m.m______....d......
Utility ...__u____________u__...__................_
Heat
Range .._________.._________..___.____.....__....._
Water Heater ________...______m_______.___
Motor ____d_......d..........._.....__._.____...
Dryer__n..___________._____________....____...........
F urnaee ......................... _______m
Total Load........___..._.............. Ser. No..__...____.__.___.._.._..___..............._. Total .___....____..__.00______._________..__
Remarks: .___...&.~;:k~~(!.~....~:......::.-:...~.~.~:..~/...-~~..............__....__.____..________._____............................._.............._
(J
Permit Fee
$..._m...____...._____..h.m_m_
Treas. Receipt
NO..m...mm.mm...__..
By .n....~.::m.>.:m.jL::~_./.:.:..f:,QL;,",.,..,_
NOTICE-Current must not be turned on until Certificate of Inspection has been "'issued. It 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?
15290
Date called for inspection.........._._________________..____._______..____...________._..............._____._____........._____.._..__....._____........____:.___,~--:--...---..-............___.__...
Preliminarylnspectlondates.__.........._.......................___....._...._......._._..____........._...____.__.._........_.....___._.......____...__..._.........__..._.__.__.____..._..
Total Load .........__.....___.______n______n_____________...____.._____________u.__nu______u_ ...._._____
lnspectioncompleted..._..____..___...._............_._........................._.._..._....._..._....__________..___......_...___..___.._........_._..______..__.......___......._..__...._....__...
'<
1M 3-72 Olympic Printers, In~.
"
RECEiVL-'--'D
CITY OF PORT.A►.NGELES PERMIT APPLICATION 'C
Building DivisionlElectrical Inspections
321 East Fifth Street —P,O. Boy 11501 fort Angeles Washington, 98362 ELECTRICAL
Ph: (360) 417-4735 Far: (360) 4X7-4711 INSPECTIONS
Date:
A 2 Single Family Dwelling
Plan lew May � Required, P[eas Complete Elwtkal Plan Review jnfoml�tion Shgk
Sulldl �z
ng Square F
Oewoon iA ahov 1
Owner Information
Name ar fa - 0'i htia. cOnttylCtOr l-
Meilinq Address; lz. Name:
City
P -2,21
a c
LtcerW # ! Exp
Rem
Ser WFeeder 290 Amp. -' $120.90 �4L
ervi l
SoelFeeder 20144 Amp. $
$146.00
SOWMder 401 -600 Amp
ervi
$ 205.00
Serwcefeedor601 -1000 Amp.
SeMce/Feederover 9000 Amp. $ 262.00 $----
sranch cir�vit wi Service Feeder $ $ 5 5.00 00 1 �— -.
Branch Cirwit W!0 Service Feerter s ----�—
Each Add'rtPonal Swch Circdt $ &3.00 Circuits 1 ----
S-1 $ 5.00
ranctr $ ._
$ 75.00
Temp• Service) Feeder 200 Amp. $ U00 `�`" $ 6
TAP• Seeder 2014M Amp. $119.00 $
Temp, SOVhFoeder4011-0hmp.
Temp. SwvicelFeeder 801 -1 Amp . $168,90 = $
Pnrlal to Poifal Houtty $98.00 $- -
Sigria! Circa* Limited Energy -1 &2 Fampy Dwding $ 64.00 $— ---
ManuNcturr d Houle Co M6W $120.90
Renewable iffiecbical Ye y - 5WA System or Less $102.00 $----
Tharmoslat 1 $ 56.00 - $
N*- $5.00 for each addltid W TOM
OM MUCTM ML
First 13W Square FL $120.00 $
Each Addltlona6500 Square Ft orAoft of $ 40.00 $
Each Oulbruldirg or DetsdW Garage $ 74.00
Each Swimming Pcd or Hot Tub $110.00 $
i -- --
$-2—'560 real
Owner as defined by ftCW,19.28261: (1) Qwner wi11 o0cupy the s�trctuna for t% years after lh eiedrW pemit is finalized. (2) Owner % n®gaired
to hire an ebdrical contractor 9 above said property is fin swe, mnt or lease. Permit Wires &ter six rnorlwt>s of last inert.
Aiier reading the above statement~ I hereby certify Out I an the owner of the above named property or a ii ed deohical contractor. I an making
the elecblcal InSULWon or alteradon In compifanoe writ, the ete*W Wk w.E•C., may. Chapter 19,28, WAC• Chapter2g6 46B, The City of Port
Angeles Municipal Code, and tnldty Spee ficalions and PANIC 14.05.050 regarding Fiectrical Permit Appllca$ons,
5ignatows ol`own , el i eofttnctor or a meWcal adminlsh2tor:
nacre:
l7 coo ❑
❑ ovdt cast a
— - -- 04lg11=
5
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number , . . . , 14- 00001520 Date 12/19/14
Application pin number 406640
Property Address 1236 W 18TH ST
ASSESSOR PARCEL NUMBER; 06-30-00-0-4- 5340 0000 -
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Application desc
Ductless heat pump
------------------------------------------------------------ --- .__.__.__.___
Owner Contractor
David V and Me.cedes J Gedelman ELECTRIC SERVICE
1236 W, 78th 82 DRAPER RD
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 452 -6424
Permit , . . . . , ELECTRICAL ALTER RESIDENTIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 75.00 Plan Check Fee 00
Issue Date 12/19/14 valuation . , . , 0
Expiration Date 6/17/15
Qty Unit Charge Per Extension
BASE FEE 75.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75,00 .00 .00
Plan Check Total ,00 ,00 ,00 .00
Grand Total 75.00 75,00 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
.� t
FINAL
i
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEIBUILDING