HomeMy WebLinkAbout1022 S Cherry St - Building N
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735 6�
Application Number 12- 00000611 Date 5/17/12
Application pin number 156162
Property Address 1022 S CHERRY ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3- 2585 -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
Application desc
Furnace Heat 'Pump
Owner Contractor
ESTBERG GERALD N /DIANAL BLACK DIAMOND ELECTRICAL CONTR
1022 S CHERRY ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983627615 PORT ANGELES WA 98363
(360) 565 -1035
Permit ELECTRICAL ALTER RESIDENTIAL 0
Additional desc
Permit Fee 68.00 Plan Check Fee .00
Issue Date 5/17/12 Valuation 0
Expiration Date 11/13/12
Qty Unit Charge Per Extension
1.00 5.0000 ECH EL -ECH ADDNT BRANCH CIRCUIT 5.00
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER.FEED 63.00
Fee summary Charged Paid Credited Due
Permit Fee Total 68.00 68.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 68.00 68.00 .00 .00
c
1
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH IN /.Z7—)'
FINAL L f2... l
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
t
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
�i� c���N ELECT 0CAL ONCPECTBON itme
m�, 56v 41T-4735
ARKS
DATE PERMIT INSPE
6 S 112- iz OC> 1 t
OWN R
CONTRACTOR �n
1; LY CA �V t PAD I4 )7 1 Z' (.ILGS t CA L_
ADDRESS
/0 7:7- Gi,rjz 2
APPROVED NOT APPROVED
DITCH p
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED: V,1Lx- NrAT1F+ t511 L.S LE.C.
C_4317Z tsS60 Ir.. YV e,tt.1Ace_ FE.N.E IP_eo1Z c�>
.4 ►l C 1
NOTIFY ONSPIECTOR WHEN CORRECTIONS
RE COMPLETE" WITHIN 15 DAYS
14 MOT REM: *VI
A
L t r'tL) u r.1
CITY OF PORT ANGELES PERMIT APPLICATION `l i' 1, 0
Building Division /Electrical Inspections fL,tef f, P._,_ C
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 ELECTRICAL
Ph: (360) 417 -4735 Fax: (360) 417 -4711
INSPECTIONS
Date: 7 1 2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 6 L?_ 5, G(,t�g -r_
Building Square Footage:
Description of above
f2- L (p )N 2 c.-t Fe- ).a.u..% -I-- p,
Owner Information Contractor Information
Name: .n,kL. -D —1' bt r`k,. ,A 5 --/LC-- Name: f
Mailing Address: 102-7— S. 'rk z2 a- Mailing Address: `i?}:i_ 13 C "ter,- A.:•
City: P A- State: Wes- Zip: '713,11- City: PA- State: WA Zip:
Phone: q5 7i Fax: Phone: Fax: v
License Exp. License Exp. 3 L/t�K f A
C `/O2.
Item Unit Charge Qty Total (Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp. 120.00
Service /Feeder 201 -400 Amp. 146.00
Service /Feeder 401 -600 Amp 205.00
Service /Feeder 601 -1000 Amp. 262.00
Service /Feeder over 1000 Amp. 373.00
Branch Circuit W/ Service Feeder 5.00
Branch Circuit W/O Service Feeder 63.00 I
Each Additional Branch Circuit 5.00 1
Branch Circuits 1-4 75.00
Temp. Service/ Feeder 200 Amp. 93.00
Temp. Service /Feeder 201 -400 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 Circuit/ Limited Energy -1 2 Family Dwelling 64.00
Manufactured Home Connection 120.00
Renewable Electrical Energy 5KVA System or Less 102.00
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
o 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 296 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. G 1
Signature of ow er, el, ctrical contractor or electrical administrator: Cash dl
Credit Card
X Dated: 0110112012
N
ELECTRICAL PERMIT c
CITY OF PORT ANGELES
360 -417 -4735
Application Number 12- 00000565 Date 5/10/12
Application pin number 277255
Property Address 1022 S CHERRY ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3- 2585 -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
Application desc
Heat pump T -stat
Owner Contractor
ESTBERG GERALD N /DIANAL ALL WEATHER HTG COOLING INC
1022 S CHERRY ST 302 KEMP ST
PORT ANGELES WA 983627615 PORT ANGELES WA 98362
3 6 0 452 -9813 5 C7 7 v t 1
Permit ELECTRICAL ALTER RESIDENTIAL \v
Additional desc
Permit Fee 56.00 Plan Check Fee .00
Issue Date 5/08/12 Valuation 0
Expiration Date 11/04/12
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL- LVT- THERMOSTAT 56.00
Special Notes and Comments `S
May 10, 2012 8:12:45 AM banders.
OK...load check of 50 kVA transformer 16,100 kwh
Fee summary Charged Paid Credited Due
Permit Fee Total 56.00 56.00 .00 .00 !3
Plan Check Total .00 .00 .00 .00
Grand Total 56.00 56.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN (7/17-
FINAL II
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
05/08/2012 09:09 13604525177 ALL WEATHER HEATING PAGE 03/05
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /ElectricalInspections ELECTRIC,.. )10' r
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 INSPECTIOf Wr
Ph: (360) 417 -4735 Fax: (360) 417 -4711 V
Date: s /e /1 x 1 2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 1022 South Cherry street
Building Square Footage: 2 67 0
Descdptlonot Tnat ?1.1, 2 on C arr er Heat Pump
Owner Information Contractor Information
Name: Gerald Diana Entberg NUN: All Weather Heating cooling
Mailing Address: _1022 South Cherry St; Mailing Address: 30 ,2 p s eet
City:, K nn State: NA_ Zip: a s 1 Clty:,PA Mgwletn State; wn .Zip; e1,4
Phone: 457 -9479 Fax: Phone:452 Fax: 457 5177
License 1 Exp, License Exp._aLWEMC1 S °Kn 9 17.
Item Unit Charge gl Total (Qty Multiplied by Unit Charge1
Service /Feeder 200 Amp. 120.00
Service/Feeder 201-400 Amp. 146.00
Service Feeder 401.600 Amp 205.00
Service /Feeder 601 -1000 Amp. 262,00
Service /Feeder over 1000 Amp. 373.00
Branch Circuit W/ Service Feeder 5.00
Branch Circuit W/O 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 -400 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 Circuit/ Limited Energy -1 2 Family Dwelling 64.00
Manufactured Home Connection 120.00
Renewable Electrical Energy 5KVA System or Less 102.00
Thermostat 56.00 3. 6. u u
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
56. 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 slx 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 -468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications,
Signature of wner, el. ctrical co actor or electrical administrator: Cash check
Credit Card q
5
X Dated: 0110112012
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000559 Date 5/08/12
Application,pin number 985831
Property Address 1022 S CHERRY ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3- 2585 -0000- REPORT SALES TAX
Application type description MECHANICAL APPL. PERMIT on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 18101
Application desc
HEAT PUMP
Owner Contractor
ESTBERG GERALD N /DIANAL ALL WEATHER HTG COOLING INC
1022 S CHERRY ST 302 KEMP ST
PORT ANGELES WA 983627615 PORT ANGELES WA 98362
(360) 452 -9813
Permit MECHANICAL PERMIT
Additional desc HEAT PUMP
Permit Fee 64.80 Plan Check Fee .00
Issue Date 5/08/12 Valuation 0
Expiration Date 11/04/12
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
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 granting of a permit does
not presume to give authority to violate or cancel the •revisions of any state or local law regulating construction or the performance of
construction.
2
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 Cfm
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 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
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 rr
Commercial Hood I Ducts FINAL Date (9'b t I Accepted by(3!/
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit: #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735 p
Construction R.W. PW Engineering 417 4831
Fire 417-4653
Planning 417 -4750 v
Building 417 -4815
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05/08/2012 09:09 13604525177 ALL WEATHER HEATING PAGE 04/05
BUILDING PLUMBING /MECHANICAL PERMIT A PPLICA TION SHORT FORM
(To be used for projects that do not require plan review.)
Date Received 5-V
Permit 62— 5,
City of Port Angeles Please print in ink, Date Approved r1 2-
Attn: Building Permit Technician Approved by 141
321 E. 5 St, Port Angeles, WA 98362
360- 417 -4815 fax: 360-417-4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express)
Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8 :30-4 pm Fri 8:30 -12:30 pm
Contact person: All Phone:
Vv Q 0. n N ,4-19 4- Coop ySa
Property owner. Waa- CL i ties Phone: 57 q'-17'
Property owner's mailing address:
o &a 5 St
Contractor's business name: lk11 tlglleq, tirui et- C.00tri Phone:
(or property owner's name if he /she is doing overseeing the work 1 15 a -IRS 3
Contractor's mailing address:.�h� K-why St
Contractor's L &I license number: �LL poc,1SO14.0 Expiration date: 9
Project Address:
loaa 5 (.h22A N S
Project Type: $.Residential o Commercial o Industrial o Multi family
Project Business Name:
(for commercial, industrial, or multi family projects)
The following permits are usually issued over the counter immediately, without the need for plan review,
Complete only the portions of this permit that are relevant to your project.
Re -roof: o house o garage o other
o tear off re -roof lay over one layer
Licensed contractor: Submit a copy of your re -roof bid.
Protect Valuation (labor materials, not including sales tax)
Re -side: o house o garage o other
Project Valuation (labor materials, not including sales tax)
Repair: (explain the proLectl
Project Valuation
*Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the
cost of materials, to reflect the value the repair adds to your property.
Cost of materials x 2 74 Project Valuation
T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011)R ECE1VED
Page 1 of 2 I MAY 8 2012
CITY OF PORT ANGELES
BUILDING DIVISION
05/08/2012 09:45 13604525177 ALL WEATHER HEATING PAGE 01101
Swimming Pool or Spa (a 24" doeel; For ,orefebricatQd swlmmin_q pool or spa projects that
do not require p/aplayiew
Obtain the City of PA handout entitled 'Pools Spas" follow the requirements.
Project Valuation
Demolltlon: A demolition permit Is needed when an entire building gets demolished.
What will be demolished? 0 house o garage a other
Note; some demolition permit applications need to be reviewed by various City departments, end may take
approximately two weeks to obtain.
Agree to ensure that all utilities areiwIll be properly turned off (and capped off If needed)
prior to demolition.
Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to
be demolished. Submit the map with this application.
Obtain (from the City of PA) a copy of the Olympic Region Clean Alr Agency (ORCAA)
Demolition Permit Application.
Contact ORCAA at 360- 417 -1466 to discuss whether or not an ORCAA Demolition Permit will also
be needed.
yes to no Will the debris be going to the Regional Transfer Station In Pori Angeles?
yes No If yes, will a licensed contractor be taking It there?
If yes, obtain (from the City of PA) a copy of the Waste Disposal Application.
Complete and submit the waste disposal application to the Building Permit Technician, now
(or later if asbestos testing Is needed).
Plumbing Permit: jexplainiie project/
Protect Valuation
Mechanical Permit: (explain the project)
Installation of Meat Pump
Project Valuation SJ4 4QL 7(
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 my responsibility to determine what permits are required, and to obtain permits prior to
working on projects.
Date 55I'JJ L Signature
Print Name Karen McKeown
Page 2 of 2
""
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. . ". . CITY OF PORT ANGELES
DEPARTMENT OFC01\.11yIUNITY DEVELOPMANT - BUILDING DIVISION'
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Owner
. .1IpJ,>Ucation Nuinber
"'pin n\lmbex: : '" . . . .
Propert:y,Address
'.. . ASS,ESSOR.. PARCEL.' NUMBER:
lIpplicationdescription
SUbdivision Name
Property Use .. . .
Property Zoning . . .
lIpplicationvaluation
6/18/04
. ". 04.00000519 Date
.187141-
'1022 S ~y ST
P6-30-00-0-~72585-0000-
RES FOUNDATION REPAIR
RS7 RESDNTL SINGLE FAMILY
2500
Contractor
~-----------------------
,ESTBER<rGERALD N/DIANAL
1022SCHERRY ST
PORT ANGELES WA983627615
CAN7DO,CONSTRUCTION INC
74 HUlUUCANEVIEWLANE
PORT ANGELES WA 98362
(360) 452-3155
_....- -... -- -,- - - ,- - - - - -... - - - -'....- ~ - - --~- - -- - - - -- -- -..... - - - - -:.- -........ -'. - - - --'.- - ':'" - - - ~ --..... - - - --
perm,it . . . .
Addi.tional deso
Permit Fee
Issue Date
Exp~:ratio~Date
BUILDING PERMIT -RESIDENTIAL
FOUNDATION REPAIR ONLY, ..........
106.75 Plan ChecItFee
6/18/04 Valuation
12/15/04 .
42.70
2500
Qty Unit Charge Per
Other Fees
Fee s~ry
permit Fee Total
PIClf,19heckTotal
Othe;r Fee, ,Total
Grand Total
BASE FEE
1.00 14.0000 THOU BL-2001.25K (1.4PlmR:)
- - - - - ..-'~ - -.. ~-,--""" - - - - .,-!,,-"" ~ - - - - - - - - - - - - - -,- - - - - -.- - -,- - - - - - - - -;.. - - - -..; - - - - -.. .,- - -',-''';
STATE SURCHARGE
Charged
Paid Credited
106.75
42.70
4.50
153.95
106.75 :00
42.70 .00
4.50 .00
153.95 ;00
,00
.00
.00
.00
. - - - -' - - .' - ';. -' :'- '-:. -- .,' ,-, !-' - ,'- - -~:...>: - . ,;. - -" - ' , " ,- ',:, '
Separate Permits are required for electrical work, SEPA; ~h9!:e.Jloe,':6.~A~ utilities; Ilrivate and public improvements;Th!s ~
null and void ifworl< or construction authorized is not commen~ceCl wiffiirj1 SO.days, if construction orwork is:s.uspe ~. oned
.for a period of 180'days after the work as commenced, or If;requ1rpd ~ospections have not been requested within'1 .. ," , ..."e last
inspection. Jhere&ycertlfY'iliat Ihave r~ad:andexam'ined;tlilif?pp~icati(iii and know the saiTfe toblHf'\JEfaiia c~rrece'AIl'prt;yjsi6riS of
laws and ordinances governing this type of work will be .complied"wffl1\vneffie'r speCified herein or not. . The' grahtingot<<p~flJiW do,e~ not
presume to give authority to violate or cancel the provisions ofariy state or local law regulating construction or' theperfonTiahce of
c~ctiA,nnn' '. -.. '
bL ~ ~l..~ C!t/l-0'1-
Signature of contr:~rized Agent
.,
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HO-qR 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.
INSPECfION TYPE DATE ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGElDOWN SPOUTS
ELECTRICAL (LIGHT OEPT) SEPARATE PERMIT: #
ROUGH-IN I I I
PLUMBING
UNDER FLOOR/ SLAB
O' .. -.._ .. ....._... '" _,_, ,_ .H' .. ".." ,.~..
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW I WATER
AIR SEAL .
WALLS
CEILING I I I
FRAMING
JOISTS / GIRDERS
SHEAR WALLlHOLD DOWNS
WALLS/ROOF/CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T.BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE I PELLET I CHIMNEY
HOOD / DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATEPERMIT#'s SEPA:
P ARKlNGlLIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECfIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL I. DATE _, ACCEPTED
_.c._.,......,. .... ..
YES NO
ELECTRICAL. LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT;
BUILDING 417-4815 ~,.!l/-~'" J J..._ BUILDING
T:\PLANNING\FORMS\1102.15 [11/1412003]
PREPARED 6/21/04, 12:51:27
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
8
6/21/04
------------------------------------------------------------------------------------------------
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1022 S CHERRY ST
CAN-DO CONSTRUCTION INC
ESTBERG GERALD N/DIANAL
06-30-00-0-3-2585-0000-
04-00000519 RES FOUNDATION REPAIR
SUBDIV:
PHONE
PHONE :
(360) 452-3155
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 ~21 04 ~ BUILDING FINAL
~ bill foley 452-3155
------------- ---- ------------------- COMMENTS AND NOTES --------------------------------------
CCru6 1 'l51, LU
L
..~
Fill out COMPLETELY and in INK. Your application and site plan MUST
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
FOR OFFICIAL USE ONLY:
Date Rec.: J..j - ? -0 J.j ,
Permit #: 04 ~~ ~
Date Approved: '. 1>,/
Date Issued:
co..:",
BUILDING PERMIT - APPLICATION
Applicant orAgent: ~ - Do
Owner: &el/'G \ J d- D; ~.
Address:JO').l S c> U'Wtvt::)
Cv~s+ 1 V\ c:
Cst b ~\I~
City: PDvt-
Phone:
Phone:
~~fl.5
3Ci::J .. ~S)"2>~
~)- 9\f19
Zip: q r~1o 2.
'i toO (2:lo/O - C
Phone: YS).3~-0
Zip: q t.1 Co 1.
,--
Architect/Engineer: - Phone:
Contractor CIrr.. - ~ Cc L.)~ State License #~~DOa9n~x~: 7 - 0 'f
Address: Il1 H'-lvvi'<. chc. L?~ ~ City: PDvt"
A~~
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
ZONING:
Block:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA Me #
TYPE OF WORK:
o Residential 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:
et\l'~ (Sl.....& Ic.c. re:fvo>> t
City:
Exp. Date:
o Stove
o Garage
o Deck
o Other X
SIZEN ALUATION:
SF. @ $ /SF. =$
SF. @ $ /SF. = $
SF. @ $ /SF. = $'
TOTAL VALUATION' $ ;}..{JJ:)~
<"''h~.tU.f21 w ~
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: Lot Size: Existing Sq. Ft.
Total lot coverage
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
%
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have 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 pemlit 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 107.4 of
the Uniform Building Code, cunent edition). 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. I am authorized to apply for this permit and
understand that it is my responsibi/fty to detennine what permfts are requil!5ON~ Ciiy's'g I must obtain such permits:rior to :ork.
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June 03, 2004
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Page 1
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17596
..-:- ~
y.- ..:< (, C' /
POrt Angeles. Washlngtonnmm..nn...............m;?___......._._.__...m__m. 19moo._.
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 herebygranted~lectrical work as listed below_
~:: ~;~~~:~m:i~~:~~~~~':_~:~=-;=:=:=:=:==-
1.:7 0 /.j ~d"
Service. volts -................7....._..._..........
No_ wires ......y7d.;;J/~
Size wlres...._.._..n__..................,..__.
//9tJ6 fi
Maln fuse 00.._...._00..........__......'00......
Enclosure ....~.b-.?___..__m....
LIght Outlets..............................._.._.....
Receptacle Outlets......___n...._..........__...
Dryer, KW n..nn......n......_n___._n____n____
Range, KW hnhn_nnn_.n.n_...nnnnn_n__.
Water Heater:
KW..............................................
Heat: KW.............n__.n........n....._.......n
Mot~2_f1i:_~_.Z~Z~
~fL...~~..............'._
, I'
...~...~n7/17~..Z;"
'/..../Ik..nj!(.a',r.,~
Type of wiring:
Entrance Cable ..............______...
Rigid Conduit ...............00
Metallic Tubing .._____.___m.._
Type of Wiring:
Armored Cable ..............................
Non.Metalllc .............n__........._....._
Knob & Tube._................................
Rigid Conduit .............._............_...
Metslllc Tubing '''''''''''''''00''''''''''
Raceway ............._........................._
Circuits, Light........___...n..___n..._.n.........
Utllity 000000....0000.........00....................
J.Ieat ._______....._.__........_............._......
Range ......................................__._.._
Water Heater _............_......._.........
Motor .00._.....00_..._.......00...................
Dryer _000000000000.....__._...000000_.......__....__
Furnace ....00......00...........'__........__00......
Total :Load...__.nn..........nn.._.. Ser. ~'o....................nnn__.n_._.........._. Total _.....0000_............................
Remarks: m.moooomdL~".:!~,:;>-m;;;?oo..-oo.oo--...moommoo-oo..moomoooooo.....mm.moooo_oo____._mmoom.mmoo....__
Current transformers:
No. & Sizenn..._._..n...........n....
Ser. NO..n..............._...n..__n................
Ser. No. ......00_...........................00....._.
Ser. No. ..._00.___00.._.__..........._.._00__00......
nn~.nuh__n.nu..__...~_hU.____.__n__...u..__....nnu....~~n...__h.nn__u...__hnnn.._...u.._.n_________.~h_n......_...._..n___n..__n_____......__n_
-;::=.~~._~~:...oo~._oo-oo-oo-oo.~.~_.oo..moo::~.~.~:oo~~.~.~~~.~~..~..~~~.oom_.-------.m:~..~12)~~~Z~
'/,
NOTICE-Current must not be turned on until Certificate of Inspection has been Issued. It work is to be COD-
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
Address
\
....------........._.__....._--.....-.-.....................).----...-...............................---........----.............-.---
'.
N~ 1 7 59 6
Date..._...__.__._.._.._.........._......_......_.nn....
Owner n........nn_..n___nnu....__.___...._.._......_......_.._...................._00......_____...00.._........__.0000_. Tenant............._......nn..__nnnnn___n.........n___n_.n.....
\ .'\ \
\ Wiring Contractor ..............._.....00............._......'.............................................00...........__..__.00........___. . ,.BY......_...n.._.....\:............__......_..............._~........
n . \ '. ,"----- '
I J NOTIC~urrent must not be turneo\ on until Certificate of In8pec.~!on has been issued. It work 1~ to be con- -......."
cetiJ,od due noUce must be given the Inspector 80 that work may be inspected betore concealment.
1M Olympic Printers, Inc.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
N~
17582
! \
ELECTRICAL PERMIT
( l-/~" V
Port AngeleS,.rashlngtOnm...n......mm.......__m__....m.mm......__n.__., 19m..n.
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 0 ~ .2. ;-& C%"e.-vt-u
Address ..m...m__mm____m.Cm__mmm__mmm.Vn__nmm...m__n__......n.. Occupancy....m.____nn.__m.m____nn__nm.mm
o~~er.m..)t2g...{;~5~Q.P--EfJ__"'Y{_1L.--mn..mn.---.---n--n-...--..--........__.m__n..__.m.m
WIrIng Contractor ______m__m__.m.____'mm.n__..__nmm.n........n.... By.nn.__.m.__nm________mm__n..__m.n__________m.._______
LIght Outlets..............................._.._..... ServIce, volts ..;(,)c:::."'--.c2.i~t2..m Type of Wiring:
"3/
No wires . A Armored Cable ..__........................_
'. . .....i;~7{T::.77:.......
Size w1res..//..........~..n........ Non.Metslllc .......mnm...........n.....
/~(O o/f Knob & Tube..................n.............
Main fuse __......____...................h.......
cT;<j
Enclosure .................:..........__.........
,.
Receptacle Outlets...............................
Dryer, KW.........n..........................
Range, KW m......_._........
Water Heater:
KW...............:..h...../.7.....,..... ."J'-
Heat: KW...'f:..f!;..r::..~gCP.:'.~..!;~~t,i<(
"t. . - ,
MotO.TSj size, volts! and pha~e:
/ Ii'/ // (;,1 :tr:'
5.....lw::.K~<<.]..4...L-?-i..
Type of wiring:
Entrance Cable .......................
RigId Conduit "mnnnmnmn
Metal11c Tubing ....h.........
Current transformers: ~ ~
. ~:
No. & Slze.......h.__..............;..
Ser. No............................______....____....
Ser. No. ......h........__.......__..................
Ser. No.......................__...__.................
Total Load.............................
Ser. No. ....__h..._______....................h....
RIgldC"ndult ...............................
Metallic Tubing ....__..............____...
"'.
Raceway __...................:................._
Circuits, ~ght..............__.......................
Utility...................................J.........
lIeat ......................................._......
Range .............................................
Water Heater .........__....__.....__.......
Motor ..........................__.........__......
Dryer .........n...........__..........................
Furnace .........................._...................
Remarks: ...m.--m-d..f..d."'L~=::f."'-___......nn..............nm......m...mm......mmm.........mmm....mmm....m.........
/
Total.......................................
_._..__...._.._......._____._.__.d__................___.__._.__._........._____..._.____.__.__...._..........._......._______._____......_........___:::::=-....:;_.____.._________.
.~~~;~.;~~....---m....mm......--.;~:~~...~:::;~~..n..------....--mm..---.....C]1!7::$.2..~:...
$.....mmmmm.m......m.m. NO.................m....,..m . By .7f:'m..'m..:....(:.mm:..~.:::::?::"?.:m.'....~"^."'c-'-_
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. 1
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~ 1 7 5 8 2
".
Address.............................................................................................:~........................................Date..._........:._.._.._.........._......_......_.........
Owner ..................................._......_.._......_......_.._.............._..............h........................... Tenant....h..............................................................
Wiring Contractor....................................... ...................._.............................................................By..............................................................
NOTICE-Current must not be turned on until CertifIcate of Inspection has been issued. If work Is to be COD-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M
I
Olympic Printers, rnc.
,
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