HomeMy WebLinkAbout3618 Galaxy Pl - Building V fy
CITY of PORT A.NCEL ES.PERMIT APPLICATION OCT r r `—
3
Building Division/Electrical Inspections
321 East Fifft Street—P.O.Box 11501 Port Angeles Washiagton,98362 'dd d A
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Ph.(360)417-4735 Fax.(360)4174711 !ll l"� l"Tdi��l Ir►
Date: 9Z. / 90/ +r f&2 Single Farnlly Dwelling
Plan Review May Be Requlrerd,Please Complete EleAtrical Plan Review Information Shoat
Jat�Address: t � A
Building Square Footage:
Dess;riptinnofairnva_.,1��� � q, _�
Owner Information s Contractor E formation p
Name: _.�F try r{t s rr; r Name: P, t 4 E (
MailingAddrass: rat r.(c�c r Pfd mailing Address:- Y 8
City:,, Th State:•jALY-Z._'p: ..,.,_43r City:k Mate:
Phone:-72°f_d,7LL...Fax: phone:
It—M unit Change Ttrtaf$I Mu ftlied by iJnfif Chit 1ph Char e
ServlcelFaeder 200 Amp, $120.00
Service/Feeder 201- 00.Amp, $146.00 $
Service/Feeder40"00`Amp $205,00 $ _
ServicelFeeder 604.1000 Amp. $262.00 $
SerricalFeeder over 1000 Amp. $373.00 _ $
Branch Circuit W/Service Feeder $ 5.00
#Nneh Cireult W10 Service Feeder $ 63.{70
tch Additional Bramh Circuit $ 5.00
ranch Circuits 1-4 $ 75,00 _� $
Temp,Service/Feeder 200 Amp. $ 93.00 _
Temp.ServicelFeeder 201-400 Amp. $110.00 $
Temp.Sarvice/Feeder 401-600 Amp. $149.00 $
Temp.ServloslFeeder 601-1000 Amp. $168,00
Portal to Portal Hourly $ 96.00 $�
Signal CirculY Limited Energy-1&2 Famiiy Dwelling $ 64.00 � $
Manufactured Home Connection $120.04
Renewable Electrical Energy-SKVA System or Leas $102.00 $_
Thermostat $ 55.00 $
Note:$6.00 for each addilionat T-Slat
Np paNSTRkIC�LYY:,
First 1300 Square Ft. $120.00 $
Each Additional 600 Square Ft.or P6�nn of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 � 6
Each Swimming Pool or Hot Tub $110,00 � $
tom?.•:Total
Owner as defined by RCVsl.19,2S.2s1:(1)Owner will omupy the structure for two years after this electrical permit is finalized,(2)Owner is required
to hire an electrical contractor if above said property 1.9 for sale,rent or lease.Permit expires after six months of lest inspr�iIa11
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 ft electrical taws,N.E.C.,RCW.Chapter 19.26,yt1AC.Chapter 296-4613,The City of Fort
Angeles municipal Code,and Utility Speci€icafians and PAMC 105.050 regarding Elertricai Permit Applications.
Signature of ov�sraer,electrical cosdractororr electrical adrninisbrabor. 0 cash 0 ratty
C7 Crea��ard� _
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
Application Number , . . . 13-00001192 Date 10/15/13
Application pin number . , , 878.960
Property Address . . . . 3518 GALAXY PL
ASSESSOR PARCEL, NUM3'ERc 06-30-15-7-5-0480-0000- REPORT SALES TAX
Application type description ELECTRICAL ONLY on your excise tax form
Property Name . . . . . . to the City Of Port Angeles
Pro ert Use
Property Zoning , , . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 0
Application desc
Ductless heat pump
Owner Contractor
WILLIAMS JEFFREY L EXTRA MILE TECH & ELECT. , LLC
3616 GALAXY PLACE 416 N. RACE ST.
PORT ANGELES VA 98362 PORT ANGELES WA 98362
(360) 457-0196
----------------------------------------------------------------------------
Permit . , . ELECTRICAL ALTER RESTDENTIAT,
Additional desc .
Permit Fee 63.00 Plan Check Fee 0❑
Issue Date ].0/].5/13 Valuation , . . . 0
Expiration Date 4/13/14
v "
Qty Unit Charge Per Extension
- 1^00 6310000 ECH EL-R- BRANCH-CIR WC/ SER FEED 6.3.00
------------------------
Fee summary
Total Charged Paid Credited Due
- 00
63,00 .00 .00
Plan Check Total 04 .00 00 00
Grand Total 63,00 63.00 .00 .00
V
• J
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL b I
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G.TXCIiANGEIBUILDING
\ " \ \
Port Angeles, washlngton..m.,L~.......c.:'f.....m_......mmm.......m., 19!'::t:!.
\
In aceordance 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 gran~dO electrical w~s listed below.
Address ..?..~.C.L.!...:.~~.~.~:::::~........... OccupancymA-.L<'5Ld...m.....................
/
Owner ......m..m.......r:;jm.......m......m.m...........7V'J. 'F)~nt........mm......._.....m.._.............m........m.....m....
Wiring Contractor ~~rT"J?..R..~..m By.....:.m..m...........mmm.__........___..............m....
Light outlets..........~..c.::Ci......-..-..... Service, volts .4.J./..;f..~O".... Type of Wiring:
Receptacle outlets......t::..........___....... No. wires .....~........."".......... Armored Cable ...---.......................
Dryer KW .........___.~........______........... Size wlres...........;??~......._.. Non.Metalllc .................................
. /~ ~O >1
Rangt', KW....n_____..........__...__________ Main fuse ....._.._nnn........................
S
Enclosure ._.__00__.................____.........
<:/
, .
..,~::~... .~;::;:!...~.l.............-..-- ----'---"'.-- Furnace . .........................-.....--..... ......
_/ Ser. No....................................___....... :;; 6"'
Remark:o:tal..::.~.:..~:;~~..~~.....___Cf.:::;:~~r:~::.:::::::::.:::::::.....mmm........:~:::..:.:..:::~::::::.::::.:~.:~.::::
_&.. of PORT ANGELES
LIGHT DEPA.RTMENT
ELECTRICAL PERMIT
Water Heater: ,
KW........mt!....5.....................
HeaL Kw..:.Af../f./l....................
Type of wiring:
Entrance Cable ......___..m_h............
Mot~.~:../:t.;;..~..:~~:..:........
......Z..d!r...?:::'........................
,
Rigid Conduit ..__.___m....................
MetalUc Tubing ..............n...........
Current transtormers:
No. & Size.......................................
Ser. No..............................................
,
Scr. No..............................................
':(
Nl!
17435
Knob & Tube................................_
RIgid Condult ...............................
Metalllc Tubing ...........................
Raceway ...............................___._
Circuits, Llght....6m......................._..
Utlllty .....t;;:___..................................
Heat ./.0....................................
:2-
Range ........:-....................................
Water Heater :2.........................
Motor ..._........................................
Dryer....~....................................-
_______________.._.~_.._........_____________________n~_.__.....~.u____.________....__.~~...._____._____._~.._....----------------..--.~~.-.-------------..----..--..--......-
m.m........m......___....m.mm..m.m...........m..m..m...............m...m.......................?...m.~....... .............m..........m_......
Permit Fee Treas. Receipt ?i... ~ . d //
'3"Y.' I , ~~
$.__..m..m......................... NO................m....._... By.... .......mm.... ............m.m.m..................m..
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 betore concealment
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
\t..
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ELECTRICAL PERMIT
.,'
N?
17435
Address..................._...................................................................................................................Date..._......_.._......_.........._.._..-.......:.......---
...........
"
Owner..............._.................._......_.._......_......_.._...........................................................Tenant....................................................................
\
WiringContractor.................:................._......................_.............................................................By..............................................................
NOTICE-Current mu~t 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.
1..-./
1M Olympic Printers, Inc.
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST STH STREET, PORT ANGELES, WA 98362
~';L~'~-~-~ t",-~wl I ISSUED: 11/07/2002 PERMIT NO: 13841
OWNER/APPLICANT PROPERTY LOCATION
JEFF & COLLEEN WILLIAMS 3618 GALAXY PL
3618 GALAXY PLACE Lot: 8
Port Angeles, WA 98362 Block: [] Long Legal
360/452-3952 Subdivision: GALAXY ESTATES
T: S: Parcel No: 063015750080000
CONTRACTOR ARCHITECT
PELLET HEAT CO. N/A
230 "C" E. 1ST STREET
Port Angeles, WA 98362 , 98360-0000
360/457-1649 360/000-0000
PROJECT INFO
Project Value: $3,000.00 SFD Units: 0 Commercial: 0
Project Type: PROPANE INSERT SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
PROPANE
INSERT, LINES, TANK /,)~
RECEIPT~9902 .~
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $35.00
Plumbing: $35.00 AMOUNT PAID: $35.00
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
[or a pedod of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
o,t,/ B-l/__
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
~:\PLANNrNG~FORMS\I 102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITI$ 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
INSPECTION TYPE DATE [ ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PEP-MIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
O^SLINE i i. LSl--
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engin~rlng Division) SEPARATE PERMIT #'s:
WATEI~LINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL ~ LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION E-W. / PW/ CONSTRUCTION - R.W.
ENGINEEKING 417-4807 PW / ENGINEERING
FIKE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
T:\PLANNING\FOKMS\1102.15 [412002]
FROM ; SPA SHOP-PELLET HEAT CO FAF( NO. : 3604520503 Now. 06 2002 0:1.:32PM Pl
~ BUILDI~ PE~IT - APPLICATION ~.~
I ~ ~: V ~ ~ (
~~ , ~: ,.
~ O~ ~ ~UA~ON:
~ ~=~ o N~. o ~f o W~ ., , .~F.~$ /~_~$
No. o~8~ ....... ~ %~ ...... ' %
~ ~'O~Y: , "' ~OV~:
B~ ~ ~ION ~: Y~ ~ ~ s~ p~ (~ =~) ~d bu~ ~
llm~ ~ B~~ ~ ~ ~ ~.~ ~ ~e ~ ~ 1~ ~ ~ ~ ~u~ ~c ~ (~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date / / --/~-----~)~--~ Time Received by /~'~/ (phone, person)
-
Location of Work to be inspected ~_~1~ C'-~4~-I~/ "~L,
Name of person requesting inspection /~k -- -
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one/~~ ,~ Permit No. /~_ ~/ /
Sewer Foundation Framing Chimn~/~ .~bi~ina, '~SewerExcav. Other_..
Inspected: Date ' ;i ' ~? - ~ By '
Remarks:.
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel I-]Asphalt [~PCC ~]Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)