HomeMy WebLinkAbout2103 Driftwood Pl - Building `R CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000016 Date 1/10/12
Application pin number 830960
Property Address 2103 DRIFTWOOD PL REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-01-6-0- 1600 -0000-
Application type description MECHANICAL APPL. PERMIT on your state excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 8768
Application desc
HEAT PUMP
Owner Contractor
OVERVOLD 0 DARREL ALL WEATHER HTG COOLING INC
2103 DRIFTWOOD CIR 302 KEMP ST
PORT ANGELES WA 983635117 PORT ANGELES WA 98362
(360) 452 -9813
Permit MECHANICAL PERMIT
Additional desc HEAT PUMP
Permit Fee 64.80 Plan Check Fee .00
Issue Date 1/10/12 Valuation 0
Expiration Date 7/08/12 'rl 1 I t/,/► U9 2 fr I�
Qty Unit Charge Per Extension l O
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 1 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 l Di i d, c ren M litw o f G
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
NJ
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 -4815 Electrical Inspections 417 -4735
Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type r 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
Commercial Hood Ducts FINAL Date (9z3' la bal/
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Perrnit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750 c
Building 417 -4815
T:Forms /Building Division /Building Permit
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PROJECT STATUS UPDATE
Permit IP 03 1 d PL
Date: U •')-L 1'
phoned the: Applicant at
Property Owner Ilan 41 I'" at
Contractor at
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.
1A21
T:Forms /Building Division/Project Status Update
';01/09/2012 11:20 13604525177 ALL WEATHER HEATING PAGE 04105
BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FQRMVI
(7'o be used for protects that do not rnqulre plan review,)
Date Received
City of Port Angeles Permit
Attn; Building Permit Technician Please print In ink. Date Approved /-1-7-2._
321 E, S St., Port Angeles, WA J8362 Approved b y l
360 -417 -4815 fax: 360417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no Americ Ok ress
I fours; Mon through Fri 8 5 pm Cash chocks are accepted Mon -Thurs 8 :30 -4 pm Fri 8;30 -12:30 pm
Contact person: w
Property o l U' �k l a- Coat( Phone; Cj
ner; n
M Vtt q- 4.4- v1/4-0QCf‘lOt Phone, 111 `703'2a
Property owner's mailing address;
ark
Contractor's business name:A11 weather, Heating Cool.l,ng Phone:
or .roperty owner's name If he /she is doing/overseeing the work) 1 452
Contractor's mailing address;
302 Kemp Street
Contractor's L &I license number;
ALLwEHC150tCU Expiration date:
/01/12
Project Address:
[ct■0 Pcw—
ProjectTyp: Residential .0 Commercial ID Industrial Multi- tat�lily
Project Business Name: (for commercial, commercial, industrial, or multl- 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,
I�e�roa e house garage other
tear off re -roof o lay over one layer
Licensed contract9r; Submit a copy of your re -roof bid.
Project Valuation (labor materials, not including sales tax)
Re -side: ca house garage n other
Project Valuation labbor materials, not including sales tax)
Repair:, (explain the project)
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 yglue the repair adds to your property,
Cost of materials x 2 Project Valuation
T :Forms/Buliding Division /Building /PlumbingiMechanicel Permit Application Short Form (Revised 2011)
Page 1 of 2
.01!09/2012 11:20 13604525177 ALL WEATHER HEATING PAGE 05105
Swimlmin Pool or Spa ((24" deep) P'or rat's ric ed s rnm o o ors o j cts at
do Rot r ire clan, rm
Obtain the City of PA handout entitled 'Pools Spas" follow the requirements.
Project Valuation
Demolition: A demolition permit is needed when an entire building gets demolished,
What will be demolished? house rr garage n other
Note: some demolition permit applications need to be reviewed by various City departments, and may take
approximately two weeks to obtain.
V) Agree to ensure that ail utilities are /will 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 Air Agency ORCAA)
Demolition Permit Application,
Contact ORCAA at 360 4171456 to discuss whether or not an ORCAA Demolition Permit will also
be needed,
tz yes cl no Will the debris be going to the Regional Transfer Station in Port Angeles?
Q yes n 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: (expia n the rofect1 ~w
Project Valuation
Mechanical Permit: jexolaln the_proiect)
Installation of Heat Pump
Project Valuation' w►
I have reed and completed this application and know It to be true And correct. l em authorized to apply tor this permit
and understand that it Is my responsibility to determine what permits ere required, and to obtain permits prior to
working on projects,
Date_ IA Signature
Print Name Karen McKeown
Page 2 of 2
CITY OF PORT ANGELES
i D EPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
car
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001037 Date 9/20/11
Application pin number 655946
Property Address 2115 DRIFTWOOD PL REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-01-6-0- 1200 -0000-
Tenant nbr, name DIANE L CHARRON on your state excise tax form
Application type description MECHANICAL APPL. PERMIT to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 5450
Application desc
INSTALL A MINI -SPLIT HEAT PUMP
Owner Contractor
DIANE L CHARRON PENINSULA HEAT INC
2115 DRIFTWOOD CIR 782 KITCHEN -DICK RD
PORT ANGELES WA 98363 SEQUIM WA 98382
(360) 477 -9637 (360) 681 -3333
Permit MECHANICAL PERMIT
Additional desc MINI -SPLIT HEAT PUMP
Permit pin number 192955
Permit Fee 64.80 Plan Check Fee .00
Issue Date 9/20/11 .Valuation 0
Expiration Date 3/18/12
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 pci\ Plan Check Total 00 .00 .00 Grand Total 64.80 64.80 .00 .00
1 Of
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 cified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisi of an state o oc. la egulating construction or the performance of
const uctio OP/
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 p
LP
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS J
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 1 Wood Stove Pellet Chimney o
Commercial Hood Ducts FINAL Date Accepted by
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
Construction R.W. PW Engineering 417 -4831 —p
Fire 417 -4653
Planning 417 -4750 —77)
Building 417 -4815
T:Forms /Building Division /Building Permit
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Sep 20 11 08:30a PENINSULA HEAT 3606812086 p.1
BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require plan review.)
Date Received
Permit 11— lb
City of Port Angeles Please print in ink. Date Approved
Attn: Building Permit Technician Approved by
321 E. 5th St., Port Angeles, WA 98362
360- 417 -4815 fax: 350 -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 Phone:
C l 1 -to 7 -4761-erSel v -3333
Property owner:
1 L.41 rrG-Yl Phone: 1- 07 q'c, 7
Property owner's mailing a dress:
,9-1/ 5 ,00 t /aad j"/&
Contractor's business name: pen, 7 s L Z Ct., Phone:
(or property owner's name if he/she is doing/overseeing the work) &S 3 33 -2
Contractor's mailing address:
7i ie n e.-k_ /2c/ StVie art 179 i s
Contractor'h L &I license numbe Expiration date: �l.`'/i 4- t l JO/ gi/ Z
Project Address:
Project Type: esidential to 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 garage a other
o tear off re -roof in lay over one layer
(1) Licensed contractor: Submit a copy of your re -roof bid.
Project 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 project)
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 Project Valuation
T;Forms /Building Division /Building /Plumbing/Mechanical Permit Application Short Form (Revised 2011)
Page 1 of 2
746144 yffvz
y
Sep 20 11 08:30a PENINSULA HEAT 3606812086 p.2
Swimming Pool or Spa (a 24" deep): For prefabricated swimming pool or spa projects that
do not require plan review:
Obtain the City of PA handout entitled "Pools Spas" follow the requirements.
Project Valuation 6
Demolition: A demolition permit is needed when an entire building gets demolished.
What will be demolished? o house o garage o other
Note: some demolition, permit applications need to be reviewed by various City departments, and may take
approximately two weeks to obtain.
1 Agree to ensure that alt utilities are /will 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 Air 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 no Will the debris be going to the Regional Transfer Station in Port Angeles?
o 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: jexplain the project
Project Valuation
Mechanical Permit: (explain the project)
1-fl si 2 e p
Project Valuation 5
S%)
I 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 responsibi t. determine w• p: rmits are required, and to obtain permits prior to
working on projects.
4j
Date 9/2e, Signature
Print Name (`I6cy4)
Page2of 2
ELECTRICAL PERMIT f
CITY OF PORT ANGELES C9
360-417-4735 J ,4)
Application Number 11- 00000985 Date 9/12/11
Application pin number 676200 REPORT SALES TAX
Property Address 2115 DRIFTWOOD PL on your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-01-6-0- 1200 -0000
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name (Location Code 0502)
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
1 circuit ductless heat pump
Owner Contractor
DIANE L CHARRON OWNER
2115 DRIFTWOOD CIR v
PORT ANGELES WA 98363
(360) 461 -9843
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc DUCTLESS HEAT \1
Permit pin number 192369
Permit Fee 73.50 Plan Check Fee .00
Issue Date 9/12/11 Valuation 0
Expiration Date 3/10/12
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
P 9 zO) t) vH q 1 2L
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN uffilaimmo
FINAL f() T
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:AEXCHANGE \BUILDING
RECEIVED tii c�
4
CITY OF PORT ANGELES PERMIT APPLICATION s�D '"s°
Building Division/Electrical Inspections
0
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 ELECTRICAL
Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECTIONS dQ
_..ii (K
Date:
2 Single .mily Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair*
Plan Review May Bejtequired, Please Complete Electrical Plan Review lqformapon Sheet
Job Address: 5 f i 1 W oJ•`J l° 1 r t r s
Building Square Footage: 7 S
Description of a ov
1 S n i r c 4 mo -e- V� Cr-) .•f-t f't° s 5' C'' 1) v� I v—
fiL .psi
Owner I fo rmation Contractor Information
Name: .t4.L J l i.g v t e. -94 Name:
Mailing ,Addr ss 1 -5 OP( Wo-d PL_ Mailing Address:
City: Va r f 4-, s ...L. s State: LJ 4 Zip: Ec3 C 3 City: State: Zip:
Phone: Tf v _6, f-?£ fax: Phone: Fax:
License Exp. License Exp.
Item .Unit Charge Qty Total (Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp. 119.90
Service /Feeder 201 -400 Amp. 145.50
Service /Feeder 401 -600 Amp 204.60
Service /Feeder 601 -1000 Amp. 262.20
Service /Feeder over 1000 Amp. 372.50
Branch Circuit W/ Service Feeder 2.60
Branch Circuit W/O Service Feeder 73.50
Each Additional Branch Circuit 2.60
Temp. Service/ Feeder 200 Amp. 92.70
Temp. Service /Feeder 201 -400 Amp. 110.30
Temp. Service /Feeder 401 -600 Amp. 148.70
Temp. Service /Feeder 601 -1000 Amp 167.90
Portal to Portal Hourly 95.90
Sign /Outline Lighting 88.20
Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90
Signal Circuit/ Limited Energy Multi Family Dwelling 63.90
Manufactured Home Connection 119.90
Renewable Electrical Energy 5KVA System or Less 102.30
Thermostat 56.00
NEW.CONSTRUCTION.ONLY:
First 1300 Square Ft. 110.30
Each Additional 500•Square Ft. or Portion of 35.20
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub 110.30
,3 ,7 Total
Owner as defined byRCW.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 readin• above statement, I hereby certify that I am the owner of the above named property.or a licensed electrical contractor. I am making
the electric ;I in-tallation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port
Angeles •unici.al Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signatu e o: ner, electrical contractor or electrical administrator: Cash Check
-...011V/It allaj•dit Card
41��
x Ar Dated: u 01101/2010
ELECTRICAL PERMIT
CITY OF PORT ANGELES 0
360 417 -4735
Application Number 12- 00000017 Date 1/10/12 ^V
Application pin number 388033
Property Address 2103 DRIFTWOOD PL REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 01 -6 -0- 1600 -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 RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
T -stat
Owner Contractor
OVERVOLD 0 DARREL ALL WEATHER HTG COOLING INC
2103 DRIFTWOOD CIR 302 KEMP ST
PORT ANGELES WA 983635117 PORT ANGELES WA 98362 1
(360) 452 -9813 v
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 56.00 Plan Check Fee .00
Issue Date 1/10/12 Valuation 0
Expiration Date 7/08/12
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL- LVT- THERMOSTAT 56.00
Special Notes and Comments
January 9, 2012 4:16:18 PM banders. OK
Fee summary Charged Paid Credited Due
Permit Fee Total 56.00 56.00 .00 .00 1
Plan Check Total .00 .00 .00 .00
Grand Total 56.00 56.00 .00 .00
0
ti
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN kii 7- 47
FINAL 2 1 i ii �15�7 '"°V n
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
I.
01/09/2012 11:20 13604525177 ALL WEATHER HEATINGnE PAGE 03!05
10 1 1 /ED I.
9 401 rs��r��
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CITY 8 I
CITY OF PORT ANGELES PERMIT APPLICATION E
Building Division/Electrical Inspections Gr/O
321 East Fifth Street P.Q. Box 1150 Port Angeles Washington, 98362 i :Z._:y,,., J
Ph: (360) 417 -4735 Fax: (360) 417-4711
Date: 119 f l a.
'1 2 Single Family Dwelling Mufti Family or Commercial* Commercial Addition Alteration Remodel Repair"
Plan Review (v1a Be "eq red, Please Electrical Plan Review Information Sheet
Jab Address: A 10 v.
Building Square Footage: '1
Description of above i 1 I 111 A. u 4
Owner Inform tion Contractor information
Name; II t •1 I i b 11 O•
Man Add ss; alb p f p
Name; GI Gt)D )R.
City. State: xi Malllm Addrea:
Phone; a Fax; a,� t0 City; slate}g Zip: os
Phone;
License /Exp. sl x: a
License Exp, L >L le l4 L� {S
t n
Usl 119.9 a Total Nib/ Multiplied bli Unit Chars
Service/Feeder 200 Amp.
Service /Feeder 201100 Amp. $145.50
Service/Feeder 401 -600 Amp 204 60
Service /Feeder 801.1000 Amp- 262.20
Service /Feeder over 1000 Amp. 372,50
Branch Circuit W/ Service Feeder 2,60
Branch Circuit W/0 Service Feeder 73.50
Each Additional Branch Circuit 2
Temp, Service/ Feeder 200 Amp. 92.70
Temp. Service/Feeder 201.400 Amp. $110.30
Temp. Service /Feeder 401.800 Amp• $148.70
Temp, Service /Feeder 601 -1000 Amp 167.90
Portal to Portal Hourly 95.90
Sign /Outline Lighting 88.20
Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90
Signal Circuit/ Limited Energy Multi Family Dwelling 63.90
Manufactured Home Connection $119.90
Renewable Electrical Energy 5KVA System ar Less $102.30
Thermostat
f!t CONSTRUCTION QNJ.S 56,00 �Iaw DO
First 1300 Square Ft. $110.30
Each Additional 500 Square Ft. or Portion of 35,20
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub $110.30
6(0100 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 -465, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications•
Signature of owner, electrical contractor or electrical administrator: Cash Check
1 S r ,�F (/v I, 1 1 ID credEt Card p
L oated: l Ql 0110112010
N
ELECTRICAL PERMIT
CITY OF PORT ANGELES C
360 417 -4735
Application Number 12- 00000103 Date 1/31/12
Application pin number 272960
Property Address 2103 DRIFTWOOD PL REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-01-6-0-1600-0000- on your excise tax form
Application type description ELECTRICAL ONLY y
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 0
Application desc
1 circuit furnace
Owner Contractor
OVERVOLD 0 DARREL BLACK DIAMOND ELECTRICAL CONTR
2103 DRIFTWOOD CIR 502 BLACK DIAMOND RD
PORT ANGELES WA 983635117 PORT ANGELES WA 98363 l
(360) 565 -1035
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 75.00 Plan Check Fee .00 V�
Issue Date 1/31/12 Valuation 0
Expiration Date 7/29/12
Qty Unit Charge Per Extension 1/1
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
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN 51111 .0
FINAL 311 44iF °),19p
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
/•S r e c!T? y
``...k.0 cakr.l,�Cy.
u r
CITY OF PORT ANGELES PERMIT APPLICATION 0 Building Division /Electrical Inspections i I
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 0
Ph: (360) 417 -4735 Fax: (360) 417 -4711 JAN 1 20 y
O
Date: I P' )l (3 rt z- t1 2 Single Family Dwelling ELECTRICAL
INSPECTIONS
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 2 1 03 D OAF TwooD
Building Square Footage:
Description of above
2 ir- 1+2:0 Lt-- F /L-NPcc-E -f- 44
Owner Information Contracto� nf Inforrmation
Name: OV C/L 1/011/01--r• O1- Name: E.
Mailing Address: 2 I o 3 1) W P'u000 Mailing Address: $bl- ToNc.i< <D e N^^°
City: State: Zip: City: 1' State: t--/A- Zip:'3 ?4
Phone: 45 ffo 6r Fax: Phone; Y6/-39s'7 Fax:
License Exp. License Exp. 1 P\ct_c...0 SW D'L
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
Each Additional Branch Circuit 5.00
Branch Circuits 1-4 75.00 I 7 5
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
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.
Signature of owner, el +r I contractor or electrical administrator: Cash check
1 Credit Card
X Dated: 1 2 1 Z 01/0112012
40
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
Sile Address:
{)3
d.36' /
ELECTRICAL PERMIT
PERMIT NO. 1IS// (,
/p<-~ /93
. I
DATE
In' tailed By:
READY FOR
INSPECfION
License Number:
D WILL CALL FOR
INSPECfION
Phone:
o ner/Business:
Phone:
o ner/Business Address:
Sq. Ft.
~ flESIDENTIAL
D COMMERCIAL
D BASEBOARD KW _
~FURNACE KW ~
D FAN/WALL KW ---i7-
~ rEAT PUMP KW--'F--
D SIGN
DetlilslDescriPtion:
I Kt:..o'.",U9 V;:
D TEMPORARY SERVICE
D PERMANENT SERVICE
D NEW CONSTRUCTION
D REMODEL
;g ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
D SPECIAL EQUIPMENT
(LIST BELOW)
D OVERHEAD SERVICE
D UNDERGROU~ERVl5E
\{QLTAGE: /-<0. Q~
,2f SINGLE PHASE
D THREE PHASE
SERVICE SIZE C:;1&.O AMPS
~O'&u k.e.uACt:
.
~
W.S. No. SERVICE SIZE
I
CAF?ACITY:
D O.K. NOT O.K.
A ION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
D CHANGE SERVICE WIRE
D OTHER
D itch Inspection O.K.
D,:F ough-in/cover O.K.
D .K. to connect service
.-iPa,rp... inal O.K.
.
Ins lIer: G New Meters Date:
~ E- ~ .-- I~ I J
Noti~ Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
bef9re inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or 0 the Building Permit. PHONE 457-0411, EXT. 224. ,6;;. ~
.~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PEAMIT $ po ;;;? {) ~-
Electrical Inspector
Permit Fee
WHITE - File by address
OLYMPO~ PR,"m, ,"c
YElLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
t:
CITY OF PORT ANGELES
LIG,\-r DEPARTMENT ELECTRICAL PERMIT N I!
I 3-) 171~8o
I Port Angeles, Washlngton.m.n'-".nm......._..._mn.__m_m_mmnm__._.' 19m_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 e~ectrical work as ~d below.
Address _<f::y/!.m__?mm,J2-:l.c!.L:..~d_t!j__L_m_n OccupancYmn,."L.e.d:t:.~_________mmmn__
Owner ,,?/ . '#r ~_:.!.?~ne-_~d:"'__m__., Tenant_mnnm__mmn__.mn_____nn..____nm_nmmn_m....n
Wiring ~-~:~~:~~~.::::::::~::t:,,~~~r.~l:J!:k:<&X._n By_nnm____n_.m_n___n_______mnmn_m____._____m_m__.
Llglit OutletB---.$r?......:...:_______. Service, volts .n,/~:'?/..P.::X~ Type of Wiring:
y () -'? /.
::::~;:~...~~~~.~:::-:::::::-::::---:::-::..::.- ~I:'e w~:::s::::::Y2?!;;E!::~:: ~:-:::al~:bl.~n:::::::::::::::::::::::::::::
/;) ~d A-
Range, KW ____.1:._____________________ Main fuse .-----...-5...-----~.......h-....
Wa~er Heater:./ Enclosure ._.......___...____.....mm.__
KW__.__n._~~-);nnmnn_nnn
Heat: KW-...ii...nt-1t'-."""..~.
Motbrs: size, volts and phase:
,....l.&~nmn..mmmn___n
, ,...---
...d(,,_~mm_..._..._____..._.....n.
.. ,
Knob & Tube................................_
RIgid Conduit .._.._......_........nm"
Metallic TubIng .............___m_____...
Type of wIring;
Entrance Cable ............__m__........_.
Metallic Tubing _____mun___________n..
Raceway ......................._.....___._
C
CirCUits, LlghL.....hnh...........n......_....
C
UtiUty ....._......n......m................_.....
~/
Heat ................................._....___
.;I_
Range ..........d.................................
~
Water Heater .n..........nn..............
Rigid Conduit nmmmnmnm_mnm.
CUrrent transformers:
No. & Size...........m......mn..............
Ser. NO............nn....nn.....nn....n.....n,
Motor _._............................_....._....
Dryer .n........,d.........n......_.......h..__
Ser. No. n_nnn.n..n..nn....nn_....n.
Ser. NO..n....nn...nn...nn...n._.n..n.
Furnace ...............n........._......_.._.......
#.;:2..
Total Loadnn_.nn....nn....__.n.. Ser. No. .........00......_.........._.............. Total ....................h...nn.....n...
Re.,"llarks: .n.m_.4c..e~..._..C~~~__L....mum..m_mu...m____uuu..._____um___.mnu..mn.........m
u.n~.__n.n__..__n_n_nn_n_n_nn___n___nnn..__n.______u..u.n..._..nn...nnnnnnnnn.nnn____n_n.nn_n__..n.......n...nnnn.nnnn.n_nn
-;~.~~:~n_~-_..._-.-_..~-_~-_-n_-n--un::~_~_~:_-_~.~.~.~~~.~...:.~~.--...---------m:~.::W5'::::f;~~=~:::i~::-_
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 PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
17188
Ad4ress \. Date..._..:....i.._.._.._.........._......_......_...__....
............_.__................~:...:=...-.....................................h............_..............................._ ,\,
O~er ................u..n.._n........_._.u....._.~~.~:::~.~.:.._.._............n...nn..n.................................. Tenant.....n._n......\-...;,.:.{...........nn....n...nn..nnn._...
WlringContractor................__.................____._._::~..........._............................h.._............................By..............................................................
, ,
"
NOTICE-Current must not be turned on 'untn Cert1f1cate ot Inspection has been issued. If work 1s to be con.
c~led due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.