HomeMy WebLinkAbout4305 Fairmount Ave - Building
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
ELECTRICAL PERMIT
Issued: 7/09/97
Permit No:
5980
oWNER/AppLICANT---------------------~--PROPERTY LOCATION------------------------
NAN QUACKENBUSH 4305 FAIRMOUNT
4305 FAIRMOUNT AVE. Lot:
Port Angeles, WA 98363 Block: Long Legal:
360/000-0000 Sub:
T: S: Parc No:
CONTRACTOR-----------------------------DESIGNER----~----------------------------
MARMOT ELECTRIC
554 PAIUSH RD.
SEQUIM, WA 98383
360/683-4816
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: RES. MISC. prj Value: $0.00
Occ Type: Cnstr Type: ADD CIRCUITS
Occ Grp: Occ Load: Land Use:
Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
o
o
o
o
Service Type
Riser
X Overhead Service
Underground Service
Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
120,240
X-I -3
200 AMPS
o AMPS
PROJECT NOTES-------------------------------------------------------------------
SMOKE DETECTORS AND CIRCUITS PER PA HOUSING REHAB
PROJECT FEES ASSESSMENT---------------------------------------------------------
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $41.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
$41.00
$41. 00
---------------------------------
---------------------------------
TOTAL FEE:
$41. 00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECfRICAL PERMIT I NSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL iNSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANI' WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMF...NTS
I YES I NO
lJITCH
~ -IN (COVER
.V1CE
/ /
FThT A T I /r/,;L//97 <I
GENERAL COMMENTS,
PW-II01.lj[~1
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FEE RECEIPT NUMBEA..4.
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
.APPLICATION AND ELECTRICAL PERMIT
.
0002()7
PERMIT NUMBER
A
~.
TOTAL FEE
.3 O. 0(> .
B
. ....,,--
..;10M ~
CONT. LIC. NO.
TIMETOCOMPLETE
NO. STORIES
LEGAL OCCUPANCY
Site Address
A
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
r=ltt /?M ~ 11 AI I
IS RESP NStBILlTY p~ APPLICANT PERMITS WITH WAONG ADDRESSES A~E CAN~ELLE~
C [/ Installation By Electn.c SerVlce Inc.
~ -I- Installers Address 1168 Ht. Pleasant Rd.
457-5010
Installers Phone
Owner
c:-
Day Phone .. 't:;- '2. - 0 I <; Lf'
"" I
Application Is hereby made for Permit to install Electrical Equipment as follows:
Wiring Method
.
NUMBER AMP 120V. 240V NUMBER AMP 120V 240V
use OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT' . 50 VOL IS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLlr\NCE MOTOR
DISHWASHER FIRE ALARMS
DiSPOSAL BURGLAR ALARM
RANG.E MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER . REINSTALLATION LIGHT FIXTURE #
FURN:ACE SUB TOTAL FEE .
GAS ~ OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT rtJ, Po
TOTAL FEE
ELEC:TRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C.lINIT '7r<J0 AMP I ~ PHASE
FEED:ER SIZE OF SERVICE ENTRANCE cmmUCTORS
SERV'ICE 3 oS-'- A.W.G.
I SUB. TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
." . .
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code."
.19&=;>,.... BY~ ~A A/l.1 ~
. CONTRACTO~ R OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
S - 6 ~ ( .J By n1 ~7;:JtlrY LI.GHT
PLAN~ED ~.
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158.
Date Application made
lr.....0
.
Date F'ermit Issued
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD . Inspector's Report
OlYMelC PRINTERS, INC;:.
, '1'
,..1.:\;,."': , ..-
- ~ \ ": ; ';'; .
J... t ~ . ,.r
DATE OF VISIT
MADE BY
57 (o-f~ ~"...--'" ?"d
t \ ~(
____. ....1,.
s- -~ - t 1" ,. ~.ry-,...f
{-? ~ rs-- " q;'~
REPORT OF INSPECTOR
REMARKS
.. 'I-:"~
,/V~l'O To' (tvtJe~ Nt'W SeRII',.cf' ..
, J <.:..
.
~ t.
.
O.K. FOR COVERING
:,. O.K. TO CONNECT SERVICE
..... '",
l -',i. .."
FINAL O.K. ,
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ELECTRICAL PERMIT
CITY OF PORT ANGEL
360-417-4735 1
Application Number . . .
15-00000968 Date 8/03/15
Application pin :number
544880
INSPECTOR:
Property Add:ress . .. .
4305 FAIRMOUNT AVE
ASSESSOR PARCEL NUMBER!
06 -30 -08 -5 -8 -1730 -0000 -
SERVICE
ROUGH -IN
Application type description
ELECTRICAL ONLY
Subdivision Name
FINAL
COMMENTS:
Property Use
Property Zoning
RS7 RESDNTL SINGLE FAMILY
Application vaivation
0
Application desc
Protect your Horne
Owner
Contractor
NINA SCHMEDDING/M QUACKENBUSH
PROTECT YOUR HOME
C/O 4305 FAIRMOUNT AVE
3750 PRIORITY WAY
SOUTH DRIVE
PORT ANGELES WA 98363
#200
INDINAPOLIS
IN 46240
(317) 81.0 4720
Pe:rmit ELECTRr.CAI,
ALTER RESIDENTIAL
Additional. desc
Permit Fee 64.00
Plan Check Fee
'00
Issue Date 8/03/15
Val i,a a t i on
0
Expiration Date 1/30/1.6
Qty Unit Charge Per
Extension
1.00 64.0000 ECH EL
SINGLE CIR LIMITED MULTI
64,00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 64.00
64.00 .00
Pian Check Total 00
.00 .00
'00
Grand Total. 64.00
64.00 .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
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Datc:- . ..... .. . ...... ...... -
GAEXCHANGEWILDING�IT
CITY OF PORT ANGELES PERMIT APPLICATIONf°�
Building Division/111carical Inspections li 0 �If fl f.l
321 Gast Fifth Street— P.O. Box 1150 / Port Angeles Washington, 98362 Vv'I l E("'f11th",'
Ph: (360) 417-4735 F'am (360) 417-4711
a Plan Rpvievo May Be Re.gi irod,, Please 007)"DI to Elulr cal Plan Review Inforlrlatbn Sheet
HbCO Adi *engrri ,. 4309 Fairmont Ave
11„ O.rVNd.ng Sp°I�drsPe p rbtr%c49'Y� _1044
Ce�sraipla n r}rPbivrr^ .... _ ................ .. .. , .._
....-....,,,,,..
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..._......�..��.� _. ...,,,.,,,...,, ..,_.._._.._..._........_......__,®....,
Owner Information
Contractor Information
Rlerne v 9havik Pearson
Namerated Yaur Homa
tm a �° P dr Fairmont
��
�1 If ular�d4Y�UV,ty Oa
01 Po rt AnBeles4305
P� f;,rvtg 983638329 W..`0"tlrnd
OSaU�th .,
ana Polsr _
t
r R' ru '4k&N46rA79ha" tax
G• konia 366 507 3559 Fax 317-564-2547
a.'rense d 0xith .............�.. ....,.m.._ .._-. m .
.....w...
- .�, ...
[J-en.�4Y� P I Exp>h,PRWi3'4k,r4993aR"�ewP 122/1012013 ......_
I elrru
t rt6C '99-
( Tf (fit h"Iu 1Yp1Ye , b+ ldnit h�
uervucer°eeder 200, Amp,
6 120,00
u
Senhce eeder 201400 Amnp,
S 146,00.�
..................._�... �.__-_.��.......�.�...._��...
Senricefrrcdp r 401-6COAmp
S2,05, 00
Soon icefFeeder 601-10W AMgr,
6 262.00
S reieel eeder ove9 1000 EYP 'r�5,
�0A 0a0.Q0
.......................a.m....... vr.
Branch Orcait VV Sm e Feeder
S 5 W_
�,. ,... ...
Branch Cw cuil y"4k0 Sonke Feeder"
S 63.G°
�_.....
f.Y,:.3,h AddilionN Bri3rM`Ji CYrc4dt't
6 5006
� _...,.
Branch Circui4.s 14
S 25 CO
Temp. nkef Feeder 2t,'O Arnpa
6 9100
...............................�. �.,..........,....�.,.,�..
TeUrip. Sw)e1ce1F'Egader201400 Ainp,
$110,00
........_.....
Temp. ServicefFeeder 401�W,, 0 Amp,
S 141900
a
6
"temp. ServiCedlF"eWQ r 601 �1000 Armp ,
S 108 ffl0
�...................... ...
Pi.'XIM to Porim licuriy
S9CUD
0._.
Signal CkfxiV Limited Energy . 1 6.2 Family D'wiaAng
6 64,00
...,�.. ,.
hianufwlurad dome afll%cliw
6 120.00
Renewat* Oeclridal Energy - 5KVA Syslem or Less
$'1102,00
�.�..................,.�..
Timirmosial
S 56,00
�..,�,_........ .
.............. S-
Now: 55,00 #or each add[ -"ons 1 -Stat
._ �_.......�.�.�..
t ".W ONSTRUCTl; r4 ONLY,,.,.
First 1300 Square PR_
S 120
Each AddtU)na[ 5Ck Sr are 1:1 o Portion co
S 40.013
.
Each C;Yaailwildmg a'>r rxladied Carwgr,,
5 74,00
�w .....
. . . ......
Each Simmining Pial of Hd Tub
S110,00
5_ ..... .....64.00...... Total
Owner as defined by RCK19.26.261: (1) Owner vAli occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said properly is for sale, rent or lease, Permit expVes after six months of last inspection.
Atter 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 inslagalbon or alteration in compliance with electrical laws, .E.C.,
RCW, Chapter 19.26, WAC. Chapter 29646B, The City of Port
Angeles Municipal Code, and Utility Specifications
and PAMC 14.05,050 regarding Bectrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator:
0 cash 0 Check
Cr 't Cam 9
,_°_8/3/2015
_ DIM112012