HomeMy WebLinkAbout2206 S Cherry St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000005 Date
464235
2206 S CHERRY ST
06-30-09-5-2-4150-0000-
MIKE DANISIEWICZ
MECHANICAL APPL. PERMIT
1/03/07
RS7 RESDNTL SINGLE FAMILY
11600
Owner
Contractor
MICHAEL J/PATRICIA DANISIEWICZ
2206 S CHERRY ST
PORT ANGELES WA 983622418
PENINSULA HEAT
782 KITCHEN DICK RD
SEQUIM WA 98382
(360) 681-3333
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
HEAT PUMP INSTALLATION
92791
64.70 plan Check Fee
1/03/07 valuation
7/02/07
.00
o
~
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~
~
Qty Unit Charge Per
Extension
50.00
14.70
BASE FEE
1.00 14.7000 ECH ME- INSTALL 100- FAU
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.70 64.70 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.70 64.70 .00 .00
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Separate Permits are required for electrical wor1<, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if wor1< 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 wor1< as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certi at I have read and examined this application and know the same to be true and correct. All provisions of
laws a . anc in i~Of wor1< will be complied with whether specified herein or not. The granting of a permit does not
pr me to give au to io te or ancel the provisions of any state or local law regulating construction or the performance of
on ction.
( -If-b l
Date
Signature of Owner (if owner is builder)
Date
T:IPoliciesIII02_15 building pennit inspection record05.wpd [1/4/2005]
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BUll,DING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND A CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
I
YES NO
FOUNDA nON:
FOOTINGS I
SHEAR WALLS 1 WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.l
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-lN
,
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILlNG I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALIJHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR .
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
ROUGH-IN -
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE 1 PELLET 1 CIDMNEY
.
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT#'s SEPA:
P ARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 I/"i .\ FIRE DEPT.
PLANNING DEPT. 417-4750 I r PLANNING DEPT.
t
417-4815 1//, .1._ \. i' J BUILDING
BUILDlNG 'IVIO-'
T:\Policies\1102 15 building permit inspection record05.wpd [1/4/2605] I l/
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Peninsula Heat
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BUILD'ING ,PERMIT. APP.LICATION
.'
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FiU out COMPLETELY ':Bd 'in INK. Your appUcatiolllDd rite.pbm MUST liE
COMPLEn to be acclllpted tor revIew. Uyou have any questloJlSj eaD
. (360) 417-4815
'Phone: . ('~/~3.3a3
'q5a~l-/7cJ S/
Addr~s:~t) 6' S. (' J., tpr 'Y ~ 1-:. Ci~; ,r t ~p: 9~ 6 ..:J.-
Arobitect/Engme~ ',Phone: "
Contra~101: !~'m:~ ~~~taty Li~c#:~!J)H1~ ~:. ($/ -3~33
Address' ~~~~_-:-~~ty: ,_~q~'tV1 , ZlP.1..~t8_~
FRO~ci"~DRESS: ~;;;"/)fo ~.s ~, C~erYJ,:..,~-e,e-r," Z~NING:,~.."
LEeAl!;~ESqRIP~ON; t,ot: ,: " B~ock: " , -., ' ' ' ~~~~~i9~:. " ,."
~.CollNTii>Aitcin.NDMB!lR: : . ... .. .. p . ., I
Credit' Card Holder Name:' .
Billh1i Address: City:
:=redlt CardType VISA _ Me .,.
E OF,W6RK: ,~f "
~i~,: c. NFCOm~ Cl Rc~roof ,",~ Satv~, . 'i-
.- MUlti.family-. c: AdW1ion, ." - 0 Move O' Gange
. ..f' I
--eo$DcI:CjaL C:)~~"del ,t1 D~litioJl'f~ '..0, D$k: .-.'
.:." .... J;l~BIcP~~,~....O,..si~',:,", ,t:o.a
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qMMERCtA:I.mESlD~: Occupancy Group:' , Oc:cupant LOad:
, .
o. ofStorics::"- Lot~: , Existing Sq. Pt. & ~roposed Sq. Pt
. ling lot coverage _' % k Prop~s~d lot coverage ~y. - T~ta1 lot coverage"
Expo'Date:. ,
" 1."
. ,
Comttuctian Type:.
... TOTAL Sq.Ft.
%
BSAlWel:1aDd(,): 0 y~C No SEPA C1ecldistrequired? c Ye.s C No Ok
. . :.. .-. :t... ....,..:
APPROV.A.LS:
PLAN:
BLDG: . .
'hV-WA.,
.:U~~..~
F.IRE: .
OTHER:-:........;.
PLA.NNING USE ONLY:
ING PERMIT AfPLICATION SUBMITTAL: 'n1c Building DIvision C8.D proyjdc you. \Yith iDfonmtioI1 on the applicatioI11lJ1d
an sulnirltml requiIeInems if you have quostiom. '
UATION OF CONSTRUCTION: In aD eases, a valuation amo1lJ1t must bunteted bythc applicant. This figureWili be reviewed
maybclcvised by the BuildingDinsiOJl:to c~mply with c'um:ntfecsch,edules. .Contacttho Pemit Coordinafor at417-4~lS for q~tance.
AN CBE~F.EE: IF,a piau check fee is due it mqstb~ submitted at the time the built1ing,p~ applicatio~ aul! construction pl..an9 are
lunitte4, .All C1thc;tpezJ;1it f~ arc due at th~ ~ ~fpcmdt issuance. .' . ' , '. . .
IRAnON OYPL4NImVIEw, 'If'11O pemlit:ls issued within 180 ~ays of the. date ofapplicatioD, the applICAtion w.ilI expire. The
ding Oflidal can.extewfthc time for action by tho applicanr up to 180 days upon written request by the applicant (se~ Section! 07.4 of
UnifomBuilding CO~I ~CI1t editicin). No application can ~e ~ded lnDIe thaD once.
correct. I am authorized to apply (or IhJ~ permit Bnd
t I ust In such P8m1l7$ rior 10 worlc.
ate: '~ 3#.7
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00001071 Date 10/31/05
065621
2206 S CHERRY ST
06-30-09-5-2-4150-0000-
MECHANICAL APPL. PERMIT
(::5( ~1eG-1t~ ~.
4/?/1 (Oc
250
Owner
Contractor
MICHAEL J/PATRICIA DANISIEWICZ
2206 S CHERRY ST
PORT ANGELES WA 983622418
FERRELLGAS LP
ONE LIBERTY PLAZA
LIBERTY
(360) 683-9029
MO 64068
64394
57.65 Plan Check Fee
10/31/05 valuation
4/29/06
.00
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Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
Qty Unit Charge Per
Extension
47.00
10.65
BASE FEE
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5
Other Fees
STATE SURCHARGE
4.50
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.65 57.65 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 62.15 62.15 .00 .00
Separate Permits are required for electncal 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. /
Signature of Contractor or Authorized Agent Date
T;\PohCles\1102_15 bUlldmg pennlt mspectlOn record05.wpd [1/4/2005]
\
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BUILDING PERMIT INSPECTION RECORD (5)6'-' 10 7/
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL 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.
.
~ J
I INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE ,J- ~-O..s- ~J L1.
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY'
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA
PARKINGILIGHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T:\Pohcles\1 102_15 bUlldmg pennlt mspectlOn record05.wpd [1/4/2005]
#
, BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
C01\1PLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Apphcant or Agent:~ \ c.Vla rl J\. ~~r\ UN
Owner: ~yY'\.L7
Address: 2-20.\.0 "5> 0hvrV~ 'S'""\" City:
Arclntect/Engineer:
Contractor5~vv<--lL b-s
W \c. 2..
0CtY)i'S-\~ Phone: 452- Y76'f
Phone:
Zip:
Phone:
State License #:
Exp:
Phone:
Address:
City:
Zip:
ZONING:
PROJECT ADDRESS:
LEGAL DESCRlPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
s~
Block:
SubdIvision:
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:
~ove
o Garage
o Deck
o Other
lNS"TAU~
SIZENALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $?0o -
&tA'7 UNe-
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:
ESNWetland(s): 0 Yes 0 No SEPA Checklistrequrred? 0 Yes 0 No Other:
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 permit 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 wntten request by the applicant (see Section RI05.3.2
of the Intemational Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this applicati n nd 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 p rmi 8fi requiredonot the City's, and that I must O~h permits prior to work.
T:\Pohcles\BL-l102_13.wpd Applicant: Date: \ 'D l"'"2.> \ \ D'::>
PREPARED 11/03/05, 12 25:46
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
12
11/03/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
2206 S CHERRY ST
FERRELLGAS LP
MICHAEL J/PATRICIA DANISIEWICZ
06-30-09-5-2-4150-0000-
05-00001071 MECHANICAL APPL. PERMIT
SUBDIV'
PHONE (360) 683-9029
PHONE
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME6
11/03/05 JLL MECHANICAL GAS LINE
-rr}f! 11/03/2005 08-21 AM
I 'j or ~ MICHAEL 452-4704
------------- ------------------------ COMMENTS AND NOTES --------------------------------------
PBARTHOL ---------------------------
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
]21 EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zonlng .
Application valuatlon
07-00000005 Date
464235
2206 S CHERRY ST
06-30-09-5-2-4150-0000-
MIKE DANISIEWICZ
MECHANICAL APPL PERMIT
1/24/07
RS7 RESDNTL SINGLE FAMILY
11600
Owner
Contractor
MICHAEL J/PATRICIA DANISIEWICZ
2206 S CHERRY ST
PORT ANGELES WA 983622418
PENINSULA HEAT ,,_,~, ' '~
782 KITCHEN DICK RD
SEQUIM WA 98382
(360) 681-3333
Permlt
Additional desc
Permlt pln number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
OLY EL / FURN-HP
92981
OLYMPIC ELECTRIC
46.00 Plan Check Fee
1/24/07 Valuatlon
7/23/07
00
o
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o
\f'
Qty Unit Charge Per
1 00 46.0000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
46.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permlt Fee Total 46 00 46 00 00 00
Plan Check Total 00 .00 00 .00
Grand Total 46 00 46.00 00 .00
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COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS I
YES NO
I III :H I
1l1l! IITI-I_IN I COVER I
~hK V lCh
CTlIo.T AT /-..z.~-o'71 h.Jt) I
,
GENERAL COMMENTS:
PW-llll2.JS (4'961
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
UI EAST 5TH STREET. PORT ANGELES. WA 98;\62
Application Number
Application p~n number
Property Address
ASSESSOR PARCEL NUMBER'
Tenant nbr, name
Applicat~on type descr~ption
Subd~v~sion Name
Property Use
Property Zoning
Appl~cation valuation
07-00000005 Date
464235
2206 S CHERRY ST
06-30-09-5-2-4150-0000-
MIKE DANISIEWICZ
MECHANICAL APPL PERMIT
1/24/07
RS7 RESDNTL SINGLE FAMILY
11600
Owner
Contractor
MICHAEL J/PATRICI~ DANISIEWICZ
2206 S CHERRY ST
PORT ANGELES WA 983622418
PENINSULA HEAT
782 KITCHEN DICK RD
SEQUIM WA 98382
(360) 681-3333
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Exp~ration Date
ELECTRICAL ALTER RESIDENTIA~
PEN HEAT/ T-STAT
92999
PENINSULA HEAT
35 00
1/24/07
7/23/07
Plan Check Fee
Valuation
00
o
N
N
o
6""'
Qty
1 00
Unit Charge Per
35 0000 ECH EL-LVT-FIRST THERMOSTAT
Extension
35 00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 00 35 00 .00 .00
Plan Check Total 00 00 .00 .00
Grand Total 35.00 35 00 .00 00
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COMMENTS/ACTION NEEDED
ELECfRICAL PERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW-I 102.15 14'9lSJ
,
J~:
- I
~r...~
I
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
.121 EAST 5TH STREET. PORT ANGELES. WA 9H~62
1
ELECTRICAL PERMIT
I
Issued: 9/20/99
Permit No:
6752
,
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
MICHAE~ DANISIEWICZ 2206 CHERRY S
2206 S ,CHERRY Lot: 1,2,3,4 TX # 3420
Port Angeles, WA 98362 Block: Long Legal:
360/4571-4704 Sub: 18 1/2 FOGARTY DOLAN
T: I S: Parc No: 0630095241500'00
CONTRACTOR-----------------------------DESIGNER---------------------------------
I
I
, I
000/000-0000
I
PROJECT ]NFO--------------~-----------------------------------------------------
prj Type: prj Value: $0.00
Occ Type: Cnstr Type:
Occ Grp: Occ Load: Land Use: RS7
I
Electrical Heat
. I
Baseboard KW:
Furnace KW:
I
Heat Pump KW:
I
Fan/Wall KW:
,
I
PROJECT NOTES-------------------------------------------------------------------
per tok sperline-no instructions
,
000/000-0000
o
o
o
o
Service Type
Riser
Overhead Service
Underground Service
Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
-1
o
-3
o AMPS
o AMPS
PROJECT FEES ASSESSMENT---------------------------------------------------------
I . Service: $0.00
Additional Feeders: $0.00
I Circuit Wiring: $0.00
Temp Service: $0.00
Mise $42.50
I .
=================================
TOTAL FEE:
Amount Paid:
$42.50
$42.50
TOTAL FEE:
$42.50
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
I
,
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEl'TEll COMMENTS
I YES I NO
"
lU)TTr.U_IN I CUVhK
~VTl.E
1<Th1 Al I .I""hl"--~ I .
,
GENERAL COMMENTS,
PW-IJ0'2.1514'96]
, -
.
.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. 7/ss-,p
-J /Z9/?j/
DATE
Site Address:
:2. 2 () (,
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
~I. C
('> /7 .,,- ~
cx.G~'-
::;-~LV
Inst lied By:
Owner/Business:
I
owter/BUSiness Address:
ELECTRIC HEAT
o BASEBOARD KW _
o 1URNACE KW _
o 'iiEAT PUMP KW
~ ['"'WAlt KW>3-
Det~ils/Description:
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
~ ADD/ALTER CIRCUITS
H SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
cp~
~""~{J
c:-u-t--1. /J
-I
I
i
I
I
I
W.S. No.
I
CApACITY:
J 0 O.K. 0 NOT O.K.
A ION REQUIRED: 0 CHANGE TRANSFORMER
I 0 INSTALL SERVICE POLE
I
-I
o Ditch Inspection O.K.
I
o Rough-in/cover O.K.
).I^f.J p.K. to connect service
o Final O.K.
Phone:
Sq. Ft.
o RISER
~. OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE: /CO/ZSlO
~116 D3~
SERVICE SIZE ,;;1&CJ AMPS
FEEDER SIZE AMPS
~~
SERVICE SIZE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
Si' e Address:
.Q,;lo(, 5.l),
~L
Permit/Receipt No.
?I.>-s-g
New Meters
Instalter:
I
I
Nolily Port Angel City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
belore inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224. 19-O
I NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ $0 :..
II Etectricallnspector Permit Fee
WH TE - File by address PINK - Top: Eng, BOllom, Customer GREEN _ Top: Meter Dept., Bottom: City Hall
OLjPIC R"NTERS INC
01/03/07 09:26
FAX 3606812086
Pen1nsula Beat:
I4J 02
.
'--,,-,~.,,'~.".''''''-'' -..-. .
--'~ - -.--
Job wired by
(1-.
t
~ 'i
~_...,-
~rlcal Contractur
ELECTRICAL WORK PERMIT APPLICATION
Q Owner
Inst~JlO\tion description I ~
a Commercial c:tRe5ideJltial
Liecns
ar
-!JI
wvf!- ~g..J.--
F n~_.:?o 6
rre~!}':' r:,nr:r'l "me "'. ,
ill K~ U4 n f<:j Ie tt/ Jt" 7
Ad~IO?:"IS' . ('&rrJd 81
Cit'/1 ~ t--t1r7. &.5 J
Phooe .umber to ~I I ~ :-'-170
OWfH'" os dlifined by RCW:J9.2S.26/:(1) Owuer will OCCllpy 11t~ ul'ucruro: jorrwo
yeD"~ qftu this electrical permir is finalizl'd. (2) OWner i.. required 10 hin; GI'I eli~crric.aJ
ccmrraclur if rrbove .taid property 6' for srlle, rem or lease.
Ancr reading the: above Sf31cment, I hereby c:~r[ify Ihat 1 am the owner of the above
mImed property or 3 licensed dec:;tri.:al contractor. I ,am making the d~ctrical insul-
lillion or 3.ltc1'lltion in c:ompli3nce with rho:: electrical laws, N.E.C-, RCW. Chapter
19.28. WAC, Chaptcr 196-46B, The Cit)' of Pon Angeles Municip"J Codc, Bnd
Utility Specifications.
Slgntlture of OWbrl", clt:cldcol conrraetor 01'" dtdl"iu.1 odminlnratol'"
o New 0 Allered/Addltlon
Low V,1 / !-t:?1~ --I/tvrmd_
5hvr :"
Q Cash Cl Check II
~;t Card VIsa Mastercard
Card # _...fJ ;J.1!_/-c -_ _ __ _ _ __
Discov~r
x
Expiration Date
of card
Date:
CTD
~":6b~ -
ServIce Information
Electrieal Load Additions and or subtractions
o NO LOAD CHANGES
a Baseboard KW
o Furnace tCN
lHieal Pump .;;;3Ton _ LAR
o Fan-Wall _ tCN
D Overhead SeIVice
o Temp Service
CI Underground Service
Voltage
Phase 0 1 0 3
Service Size:
Feeder Size:
SAME DAY TNSPECTION. CALL lIEFORE 7:00 AM 360-417-4735
/' ROUGH.IN THERMOSTAT SERVICE
'- [IOI.~~ Appn.wc<lfl) D~,~ AI"....."eo'IlJ}' nile ~l'V,oJay
FINAL DITCH .EillER
h:1</-07 ;AcQ
Ollie :'\PlIl'VvcdBy/ Il.l~ ^iJlIl'V"ctI8y D"'lc AflProved Dy
fn::;pc:clion Arc..'l, Building Or Equipmem Inspected Action Taken Elecuical
Dale: InspccLor
...
ACfj j- t,- O.
7
01/03/2007 08:52
3504523498
OLYMPIC ELECTRIC
PAGE 01
i I~
1[1[1
......
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ELECTRICAL WORKPERM1T APPLICATION
,j,'
Job wind by
Q Electrical Contraclor Q Owner
Insla~lalion desQription
1:1 ~olDm.r"a1 risldentl.'
EI~.trieo.l conUlletor nlmo
OLympic Electric Co.
Pwd\lScr'S JDDilin. IIdc1rels
4230 Tumwater Truck Route
Sla.\e ,tP
License !lumber D'3Ul BltptTe1
OLYMPEC2BSDl
o New
o Alter<dlAddltloo
rC///J;:;r~ ~ //Yd'r- fl-/?r?
Cilr
Port Angeles,
Telephone number
(360) 452-5303
VlA
98363
FAX nl.lmbcr
8
Premlsu owner" aame
/1711(,-- !?;7/7" U;'" W//Z.7-
:~~?~~~7 5/
PbODt 1l~l'Dber to u::bedul'll la.peelloa; ~
A."" tIS deflntd by R.CW.J9.28.26J:(1J Owner w(l/ occupy ,h~ ~'rt.letu1'f lor two
yetV1 ql2u lhLs e:ltc,rlctd ~","J' tI flttaltnd. (2) Owltcr is r,qulnJ to 111fT an "<<trieDl
"'ftU'OCto' If Qbrow SlJid properry U for sole:, flit' or lrase.
Af\er read;nl the above Si8tcmenr" 1 hcl"llby e~rtt ry that I am \he owner or!.t\e above
DlD1ed ptope.t1)' or , llCCNecl electrical conlrll.clOt. 1 l17\ makinS ,be elcctrt~lllns1",l-
lalion or .t1eratiofl in COmpllARce wlUl the electrical laws, N.S.C.. RCW. Chapter
29.28. WAC. Chapter 296-46B. The City of PO'l't Aftgelc~ Municipal Code. and
Utili!)' Specln,ati'os.
Slaallure ot o.De" eleetrlc_1 COtl!r&ctor or elcttrlcll Idmlnlstrator
a Cash a Check #
iI.l'C';'dit Can! VISa Mostercard Discover
Card # - - -
-------------.----:-
Date: I
Expiration Dale
of card
;}
.'
1:1 NO LOAD CHANGES
o BasebOanl _ KW
lOt'Fumace .!i- KW
!jJ1feal Pump ~Ton _ LAR
o Fan-Wall _ KW
SAME DAY INSPECTION
1:1 Dv"head Service
1:1 Temp Surv!c.
o Und.rground Service
CALL BEFORE 7'00 AM 360-417-4735
VOltage .7ft7
Ph.... [)1 1:1 3
Servlc<> Sl2o:.z:e:t:;?
F98der Size:
,
( ROUCH-IN , THERMOSTAT ~ SERVICE
.
D.' ...ppNYed'DJ -.J Dill 1\.~1iIy/ > 0.. APPnI'fId By
FINAL DrI'CH FEEDER
/-.l-'l./-D? /:1;&/ Dati
D." ......,... Oa'l N1pl'O'"CCI ~)'
Insp~tioll . Area, Building or EquipmcnlJnspecl.d Action TU.co Elccnical
Date I n$pcctoT
(j(;, / 0--' /.J. ~o'GrO g-/7
.
, -
7J?:k/ 1/-/.,-07
f I