HomeMy WebLinkAbout603 Georgiana St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Security system
Owner
Bennett Tatro
603 GEORGIANA ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983623323
142562
50 00
3/06/09
9/02/09
Charged
50 00
00
50 00
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
09 00000210
944080
603 GEORGIANA ST
06 30 00 5 1 3540 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
DATE
Contractor
HI TECH SECURITY INC
723 E FRONT ST
PORT ANGELES
(360) 452 2727
ELECTRICAL ALTER RESIDENTIAL
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 50 0000 ECH EL SINGLE CIR LIMITED RES
Paid Credited Due
50 00
00
50 00
00
00
00
1/1/2A9 cAP
itroz6t 2 31i3�q
Date 3/06/09
WA 98362
RESULTS
0 0
0
Extension
50 00
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
FROM HI —TECH ELECTRONICS
City of Port Angeles Permit Application
Building DivlsloNElectricaI InspectJon3
321 East fifth Street P.O. box 1150
Pori Angeles Washington. 99362
Ph: (360) 417.4135 Fax: (360) 417.4711
Date' 3 s 2 °O 9
4.1 2 Single Family Dwelling
T Multi- Family or Commercial'
Commercial Addition Alteration /Remodel Repair'
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: Go 3 G4.00. aeeb Pe
Building Square Footage;
Description of above
Owner Information
Name: Lt.3 exT "MM. 0
Mail'mg Address:. c 3 tt oadeto..a
City A•bttf 1 State: we Ztp: 9R 3o Z
Phone: 1
License 311 Exp,
Unit Charge
S 93.75
5115.75
5160.00
5205.00
5291.25
5 200
557.50
5 2.00
S 72.50
5 86.25
5115 79
5131.25
5 75.00
5 69.00
S 75.00
5 50.00
S 50.00
5 93.75
C3M/1
86.25
S 27.60
5 57.50
586.25
48.16
got
FAX NR
MAR 5 2009
LIGHT DEPT
StWt.%At S YS re.."
5
5
S
5
S
5
S
5
S
S
S
5
5
5
5
To (ON MutbWiee tit Unit C1=21
Sento/F e.der 200 Amp.
Serriee/Feeder 201-400 Amp.
Service/Feeder 401400 Amp.
Service/Feeder 601 -1000 Amp_
Servr- e/Feeder over 1000 hap.
Branch Circuit W/ Service Feeder
Brandt Circuit W10 Service Feeder
Each Additional iitrench Circuit
Temp. Service/ Feeder 200 Amp_
Temp. SefvicelFeeder 201-400 Amp.
Tim rjfe&Feeder 401 -600 Amp.
Temp. Service/Feeder 601 -1000 Amp.
Portal to Panel hourly
Sign&Otmine Lighting
Signal Circuit/ Limited Energy Commercial
So eao Signet metier Limited Energy 1 2 Family Dwelling
Sigma CirCuiU limited Energy Muhi•Family Dwelling
Mantteeelred Honor Connection
Reamtehle EIecvi ;U l nttS 5I WA System orlon
Fri 1300 Square Ft
£achAddiona1500 Squae Ft. or Portion of
Est%Outbidding or Detached Garage
Each Swimming Pool a Hot Tub
1 111. nti mar
top Total
D
Mar 05 2009 01 43PMM, P1
Contractor Information
Name: Ri Tech Security, Inc
m Address: 723 East Front. St
City' Port Mgeles State. WA Zrp: 9e362
Phone: 3A 0 -4 52 2727 '4$'z.- $S A�
I.icenseWil Exp. HITECTS9SSBS
a.. L .J L neW. f0.2A_et, t1) o wr..uatl eeeupp 1010 enutunte 1nr `ten parr afro Mit rlernfref WO fa f1Mlfie .121 r if /Cmew to We en
eineninnf mntmrmrif lhnvo foul nrnrnmr i11fr Salr rttfif of MI&
Afton reading the above statement, I hereby certify that I am the owner of the above named property or a licensed elecvlcdr wnuddv I ,..eking the olootdeet
installation or alteration In compliance waah the electrical taws, N.EC., RCW. Chapter 1928, WAC. Chapter 206.46e, The City of Port AngeIG Municipal Code, and
Utility Spectfications.
Signature of ownor, electrical contractor or electrical administrator
Data: 1 2 CO9
0* PORT
fif
't at W3
a v
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
INSTALL HEATPUMP
SANDRA TATRO
603 GEORGIANA ST
PORT ANGELES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
08 00000164
306120
603 GEORGIANA ST
06 30 00 5 1 3540 0000
SANDRA TATUM
MECHANICAL APPL PERMIT
RS7 RESDNTL SINGLE FAMILY
9704
Owner Contractor
WA 983623323
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452 9813
Permit MECHANICAL PERMIT
Additional desc INSTALL HEATPUMP
Permit pin number 120527
Permit Fee 64 80 Plan Check Fee 00
Issue Date 2/08/08 Valuation 0
Expiration Date 8/06/08
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 14 8000 ECH ME INSTALL 100- FAU 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 provisions of any state or local law regulating construction or the performance of
construction.
Date 'Print Name
a
T.Forms7Building Division/Building Permit (10 /01 /07).wpd
1.
Siftre of Contractor or
Date 2/08/08
razed Agent
)i tree:
l -R -b
Signature of Owner (if owner is builder)
0
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 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. ..-C
PLUMBING
AIR SEAL
WALLS
CEILING
FRAMING
INSPECTION TYPE
FOUNDATION•
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
SKIRTING
FIRE
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
CONSTRUCTION R.W PW(
ENGINEERING
417 -4807
417 -4653
PLANNING DEPT I 417 -4750 k
BUILDING 417 -4815
T Forms/Building Division /Building Permit (10 /01 /07).wpd
BUILDING PERMIT INSPECTION RECORD
DATE ACCEPTED
YES I NO
FINAL DATE ACCEPTED BY.
FINAL
PLANNING DEPT SEPARATE PERMIT g's SEPA.
PARKING /LIGHTING I ESA.
LANDSCAPING I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
PLANNING DEPT
BUILDING
COMMENTS
DATE ACCEPTED BY.
DATE
ACCEPTED
YES 1 NO
0
a
p y
3
Feb 05 08 10 41a
Applicant or Agent P11 \j2rA 1ev eat no COoiIr
Owner e 1,ciAtne
Owner's Address _cno; C i e f A r n,rn of <-t
Contractor /Engineer all fatAle, tkt f COni li1r-
Contractor /Engineer's Address
License ct ej('1,�
PROJECT ADDRESS C-7 f'nwl.?a t cAncA Ck
Lot
Parcel Number
Project Tvpe 8. Brief Description.
Check all that apply
0 New Construction
o Addition
o Remodel
o Repair
o Re -roof
o Demolition
o Sign
Meat System
o Other
Floor Areas
Basement
1 61 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
P.
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician !;21
321 F. Fifth St. Port Angeles, WAt 8
(360) 417 -4815 fax (360) 417 4TE� f �T`�
"Q Residential o Commercial
4/ p 11(1‹,t tt1crn o
For City Use Only'
Date Received 9 e 0 0f3
Permit r~0 93 N
Date Approved -Iv 06
Expires G— I-t
Phone
Phone
Phone
Zonin
o Multi- family o Industrial
o wall mounted o projecting o freestanding o awning o other
Total sign area sq. ft. Maximum allowed sign area so. ft.
rstleat pump c wood- burning stove o gas fireplace o pellet stove o other
Existing (sq. ft.) Posed (sgjt
Total footprint of structures sq. ft. Lot size
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Witt a fire sprinkler system be installed? Construction type
per sq. ft.
TOTAL VALUATION 7 n(-4 CPO
sq ft Lot coverage
of bedrooms
of full baths
of half baths
I have read and completed this application and know it to be true and correct. f am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required a t obtain permit •ri• orking on
projects. 1 Date z-Z-i- Qb Print Name a e. 1 Signature ii_
T Forms :Building Division /Bldg Permi; Appl. -2006 Code doc
...
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
08-00000817 Date
899180
603 GEORGIANA ST
06-30-00-5-1-3540-0000-
ELECTRICAL ONLY
7/10/08
RS7 RESDNTL SINGLE FAMILY
o
Application desc
Speaker Audio Video
Owner
Contractor
FERREL SHANON J
603 GEORGIANA ST
PORT ANGELES
WA 983623323
HI TECH SECURITY INC
723 E FRONT ST
PORT ANGELES WA 98362
(360) 452-2727
Permit ELECTRICAL NEW COMMERICAL (f'
Additional desc
Permit pin number 129791 0
Permit Fee 40.00 plan Check Fee .00
Issue Date 7/10/08 Valuation 0 vJ
Expiration Date 1/06/09
Qty Unit Charge Per Extension
1. 00 40.0000 EL-LOW VOLT SYS <=2500 SQFT 40.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 40.00 40.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 40.00 40.00 .00 .00
<P
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.--
1
1-
:D
SPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
DrTCH
SERVICE
OUGH - IN
FINAL
-; IJ DB
OMMENTS:
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00001225 Date
967375
603 GEORGIANA ST
06-30-00-5-1-3540-0000-
ELECTRICAL ONLY
7/10/08
o
~
RS7 RESDNTL SINGLE FAMILY
o
...-
Owner
Contractor
N
N
0\
TATRO, SANDRA
603 GEORGIANA ST
PORT ANGELES
OWNER
WA 983623323
Permit . . . . . .
Additional desc . .
permi t pin nuC .
Sub Contracto ..
Permlt Fee . . _
Issue Date
Expiration Date . .
ELECTRICAL ALTER RESIDENTIAL
ANGELES EL./ HOT TUB
llJ~ ~
ANGELES ELECTRIC .
46.00 _ Plan Check Fee
10/23/07 Valuation
4/20/08
.00
o
Qty
1. 00
Unit Charge Per
46.0000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
46.00
s
(j)
Fee summary Charged P.aid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.00 46.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 46.00 46.00 .00 .00
€'
8
J'V
G:'
...-.
~,
...
17
"l-
17
INSPECTION ELECTRlCAL
TYPE DA TE: RESULTS: INSPECTOR:
DITCH
SERVICE
-
... '-,-
ROUGH - IN
GJ/2~De- cAY ~
FINAL
.
..
cr!z5i f)f; - p;f'- ~.
,
~
.
COMMENTS:
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
08-00000164 Date
306120
603 GEORGIANA ST
06-30-00-5-1-3540-0000-
SANDRA TATUM
MECHANICAL APPL. PERMIT
2/08/08
RS7 RESDNTL SINGLE FAMILY
9704
Application desc
INSTALL HEATPUMP
Owner
Contractor
SANDRA TATRO
603 GEORGIANA ST
PORT ANGELES
WA 983623323
ALL WEATHER HTG & COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452-9813
~
G
(j'J
Permi t . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
ALL WEATHER/ T-STAT
120576
ALL WEATHER
35.00
2/08/08
8/06/08
HEATING & COOLING
plan Check Fee
Valuation
.00
o
~
{'t\
~
ct'
c::-
~
Z-
;p
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
~\
. ..
SPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR: .
DITCH
SERVICE
OUGH-IN .
FINAL
OMMENTS:
"lll 69
~
ELECTRICAL PERMIT A!\TJ) INSPECTION RECORD
CITY OF PORT ANGELES
360-417-4735
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00001225 Date 10/23/07
967375
603 GEORGIANA ST
06-30-00-5-1-3540-0000-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
TATRO, SANDRA
603 GEORGIANA ST
PORT ANGELES
OWNER
WA 983623323
permi t . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER
ANGELES EL./ HOT
113746
ANGELES ELECTRIC
46.00
10/23/07
4/20/08
RESIDENTIAL
TUB
Plan Check Fee
Valuation
.00
o
~
o
eN
Qty
1. 00
Unit Charge Per
46.0000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
46.00
~
o
r:.
)>
r
)7
Permit Fee Total
Plan Check Total
Grand Total
Charged Paid Credited Due
---------- ---------- ---------- ----------
46.00 46.00 .00 .00
.00 .00 .00 .00
46.00 46.00 .00 .00
Fee summary
EXPIRED
~
INSPECTION ELECTRlCAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH - IN
,
....... J ~__ .~, ..! ..... ~_ "._ .', oW
FINAL
tOMMENTS:
f ,"ORT ~
~ 8-4.0~~~
,.
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----
"l.oillC~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNlTY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000604 Date 6/20/03
603 GEORGIANA ST
06-30-00-5-1-3540-0000-
RE-ROOF
700
Owner
Contractor
FERREL SHANON J
603 GEORGIANA ST
PORT ANGELES
OWNER
WA 983623323
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR OFF, FELT, METAL, GARAGE
53.10 Plan Check Fee
Valuation
.00
700
12/17/03
Qty Unit Charge Per
--------------------------
Other Fees . . -~-~-~---- ~~~~~- ~~~~~~------ u_
4.50
~
~
0J
2.00
BASE FEEl
3.0500 HND BL-501-2K (3.05 PER C)
Extension
47.00
6.10
Fee summary Charged pa!id Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 53.10 53.10 .00 .00
Plan Check Total .00 I .00
.00 .00
Other Fee Total 4.50 I 4.50 .00 .00
Grand Total 57.60 57.60 .00 .00
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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 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
con,buct'on. -J.. ~ () l n
(~~ (,)2o)o'S
Signature of Contractor or Authorized Agent Date Signature of Owner (If owner IS builder) Date
T IPLANNlNGIFORMSII 102 15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
-
, -0 \ DATE ACCEPTED COMMENTS
INSPEC10N TY.!"E . ,
_ J YES NO
~- .'
FOUNDATION: w'"
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVISion) SEPARATE PERMIT #'s
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA
PARKING/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 / PW/ CONSTRUCTION - R W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 '7-J '7 -0"2., J.L. BUILDING
.".,....-...
. ,
T \PLANNING\FORMS\1102 15 [4/2002]
I
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . INSPECTION REPORT . . . . . .
/~Jj
tV
v
REQUEST:
Date (')7,/;.710 l
Time y: .,,-I)IIJ. Received by..S?PIcc..-..-..- 8Personl
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No. /f.s-;;-- - () S-IfY
Type of Inspection (circle appropriate one): Permit No. C-eJf
Sewer Foundation Framing Chimney Plumbing ~ewer Excav. Other
~T
~~: ~~"'(r~~
h..:;..--, ""l
INSPECTION NOT~~ ( ) J /1
Inspected: Date~.7 Time-fZM
Remarks:
~
~---
By,JG
RESTORATION REQUIRED . . . . .. YES
NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessarvl
CTDCCT CllDCDll\lTCl\lnCl\lT
tnATI:\
$~
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98~62
,
ELECTRICAL PERMIT
Issued: 1/30/98
6213
Permit No:
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
FARREL 603 GEORGIANA
603 GEORGIANA Lot: 1
Port Angeles, WA 98362 Block: 35 Long Legal:'.
360/452-8544 Sub: NR SMITH
T: S: Parc No:
CONTRACTOR-----------------------------DESIGNER---------------------------------
OWNER
VARIOUS
Port Angeles, WA 99360
206/000-0000
,
000/000-0000
PROJECT INFO--------------------------------------------------------------______
prj Type: RES.REMODEL prj Value: $1,000.00
Occ Type: Cnstr Type:
Occ Grp: Occ Load: Land Use:
Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
Service Type
Riser
Overhead Service
Underground Service
Temp Service
o
o
o
o
Voltage:
Diameter:
Service Size:
Feeder Size:
o
-1 -3
200 AMPS
o AMPS
PROJECT NOTES------------------------------------------------------------_______
REPLACE EXISTING WITH NEW 200AMP
PROJECT FEES ASSESSMENT--------------------------------------------_____________
Service: $67.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
---------------------------------
---------------------------------
TOTKL FEE:
$67.00
Balance Due:
COMMENTS/ACTION NEEDED
$67.00
$67.00
$0.00
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COlIER.
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPItCTION TYPE DAn ACC\lPTm) COMMllNTS
YIS I NO
fliTCH
R =INT
vY~n
SERVICE 3/t;/9,f'
FINAl I I I
GENERAL COMMENTS:
pW-IJ02.1SI.w6J
Feb 05 08 10:418
p.4
&~.'':'.'1
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[,~'-::,,":':,;~':1~
F,.l ,'.'': <;. /,~ ;""-':: ~ :~.
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ELECTRICAL WORK PERMIT APPLICA nON
Job wird by
~ ltlectrical Contractor 0 Owner
lnslallalio:'l description
:J Commercial ~ Residential
Electrical c(}ntrnctor name
License numhcr
DtIlc Expires
CJ New
:J AherediAdditiun
Purch:tser's mailing address
"SJ7, Ii.; VV1p g.
~,y
(lV'r ~I K
Telephone number
-01 \
Demises owp;'s nnme
{""'\he ei"lV\e.n-1 ~I\V1clvO\. Icttvn
Addreu of inspeclion .
-005 €7P~\C\V'lO\ ~*.
~ ~I'
Phon,e .:tumb!"r to schcd.ulc inspection:
Stale ZIP
l~\f\ OJl(;?L;L
FAX Dumher
2-
(A)\vi(lOj ( LV')
. on 11)1)
L
OW/h'" (,,'::,- dcfll:o!tl hy RCW./9.28.2fjj;(J) Ownc:r ~."m Oa'iif'Y Ih(' .~lI"uClllrl' for two
"n'(J/~\' :ificr ..hi::, electrical permi1 Lfjinl1/iud. (1) O~:'''er is 7eqw'recllf1 hire an electrical
cnr.fl"/u:lnr if a.;f)\'C .\'aid prl)perty is for salc. rem or lC!a.\f!.
Aitcr rC<lding lhe above itatement, I hereby ccrtify Ihat I am the ovmCf of lhe nbovc
named property or a licensed electrical contractor. [ am making the c1cctri~1 instal-
lalion 0: ;,!ltcration in complianc!: with. the eleclri~al Jaws. N.E.C.. ReW. Chllptcr
19.28, WAC. Cheplcr 296-468, Th!: Cily of Port Angeles Munitipal Code. and
Ulilily Specifications..
Si,::n;tturc of o""nu, electrical contractor or electrical administrator
o Cash 0 Check#
~ Credit Card
Card #
Visa
Mastercard
Discover
x
Date: Z..&j-O
Expiration Date
of card
Electrical Load Additions and or subtractions
Cl NO LOAD CHANGES
o Baseboard KW
o Fumace bKW 0 Overhead Service
o HeatPump _3Ton_LAR 0 TempService
o Fan-Wall KW 0 Underground Service
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
(~IJGH~ \, (lllERMOS1,n '1
Service Information
Voltage __
PhaseCl 10 3
Service Size:
Feeder Size:
l I i ~
041~ '\jlpro"~,j By " [)~IC ^j:~to\'~d (3) D~It,; "'p:pm'ed B~
F1NAL / DITG! FEEDER
7/It1rfb ~'"'
"- D:II: ApptDved By Dale ,~f'TltOv.:d B~'
Inspection , Area. Building or Equipment Inspected Action Taken Electrical
Date Inspector
Z-7-0 'b ;1/ ll.?
=='M ' R \\B re; iRl
\f1 ~~ :~. v__
FES 0 r 2008
UGH1)llEPT.
I
( SERVICE
10-22-207 6,ddAM
FROM ANGELES ELECTRIC INC 360 d52 9265
P.l
s
. I(
~..........
ELECTRICAL WORKPERMlT APPLICATION
Job wired by
Electrical Contractor DOwne,'
Installation de~ription ~
D Commercial ~idential
Electrical cqncractot name
Licen~ nunlbCT 00111:: Expires
ANGELES ELECTRIC, INC,
524 EAST FI RST
PORT ANGELES, WA 93362
IJ New IJ Allered/Addition
Purch1l.SCf'S mlli~ins address
lIP- J;h (} ~&u/-
Cit)'
Statl:' ZIP
'.
Telephone number
FAX nun)bcr
Prem;.., ~~bM ~ei)
Address o. f iD5~fion /
tdQ"3> f.91k>et9lA;&Ik
C;ty . 'IJ.o- A;;vhe:i ~r:;
"' ,
PhoDe humber to ,dlt:dal~ ill! t'C11.0l\:
l77Z-
a-,-mer aJ" defined by RCw'J9.28.26!:(I) Ow"('r.....iIl ocr.u.py Ihe structure/,u' twfJ
yean' aft" [hj~ electrical pemriI is finaljzed, (2) Owllll:r is required lQ hiNt an ~'ll!ct,.icol
co"tractor if ahove sa{d property is }a7' :cale. rent Qr lea~e,
After readillg the ahove stateme1lt, 1 hereby certify tbat I am the owner of the above
nanlcd pfopcny or a licensed electrical contrdctor. 1 am mskinS thc electrical iostal~
lat;on OT ulterati(\'n in compliance with the elc:ctricnl laws, N.E.C.. RCW. (;hapter
19.28, WAC. Chapter 296~4GB. Thc City of Port Angeles Municipal Code, and
Ulilit)' Specilic:Ui.<.ITls.
Signature of ow r, .e~ec'lrlc I 0 tractor or electrlca' administrator
X A/ . . ate: /~
o Cash 0 Check #
~~d Visa Mastercard Discover
Card# ____.-!~_-.fiu&--_---
Expiration Date
ofcllrd
('JGJ
!,;lectrical Load Add.Bions and or s
IJ NO LOAD CHANGES
Q Baseboa(d KW
D Fumace KW
o Heat Pu~p _ Ton _ LAA
o Fan~Wall .,,_ KW
tracti!~!!li
5{)A- ~
Cl Overhead $elVice
o Temp Service
a Underground Service
Service Information
Voltage I-7J ~
Phase ~ .
Service Size: ~tV
Feeder Size: ~"'Y;~
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN THERMO~TAT
SERVICE
Approved 8y
[latC"
AJ'II'WCVo:d ~y
Dllle.
"lJPI"tlvc:<1 My
FINAL
DITCH
FEEDER
Dale
AJlJlroved Oy
D.llle
A1"P"'<'''~('l Ky
f)IU~
^P1lrov..d By
I Mpcction
Dale
Area. Building or Equipment Inspected
Action T<:tken
Electrical
Inspector
FROM : HI-TECH ELECTRONICS
FRX NO.
360 452 8560
Jul. 09 2008 08:34RM Pi
06 -03l7
~i~,;e:.:~'v~
~~l
\0 . '}.
~:i!5f!"
~....~v
ELI,:CTlUC !\L WOitKl'EI{l\I.fl' Al'f'Ll CArlON
o Rcgucst ln~J)~~ti~~,I_
o Eh.~Cl'i.:;d Contr~ctor U Owu..:-r
CJ .~nr:l.1;.111.lc!nuit 0 AJ.an:n 0 Cl1foivul ~'oIllJlH~rd~\ C3 }tl:sic.lcutiil.l a It.''::iidcutbl"I\'laiur. U Si:;us 0 1'llcnnu:..tu{ O'I~lo.:\:v~u.
Inst;jllalion uc:>.'lipILtlll
!:::le.:lic..l ";,)I\I(~Ctcr nA,)\C
License uwnber
:t:"~l>~\\ ..~\~'fiO.'n"'~
,!WII)\O ~~~.~~('
@
Jub h.il'"J by
.a-t:leClrical ConlUc.tOr CJ Own~r
--.-,-----
..-.-.-'-"
---.. .---..
Sate
~
ZIP95S'b2-
~O
,
o
c:c
+-II ~ s.l!.e~""" 3I->C.
PUI':~~C'I:~ l\L:l.iJil\i Iddte~s
~3 ~T liie-o.3'r
Ciry
~'\-' ~loq
TelC'ci\OI'.e c.ull\ba
~O -'1S'J -t2':12,:/-
IJ'~~ T\. 1'ssBs"
~:AX numb~
~() - I/5":l -
~~
--...
Prc:1Disll.. IlWllc('$ ul\llle
g~~~ I -n\..,.p.O
.~13C1:'o:ss uf IlHpccllon
~03 6~~~t:L
Ci<\>~ ~a,.,.s.
<l7,-~"2-
JUL
9 2008
LIGHT DI:F''f.
I ~ccy ":-~!1l1Y that I Ml 1he owner of the above named pTOpeny or :1 licensed
dec;:-i.:::.l ':..:Jlltr:iCtOI" (or the i'irm's aumoriz.:d agent) and am mak1.ug the electrical
1n3ull:i<liJn JI' i\!tcnJ,uou. in CQtupllm~e with tn.:: electrical law, Ch$pret' 19.28 RCW.
o Cash 0 Clleck#
o erediI Card VIsa
Cardl!
&:l
~dz-
MaSlcl-cafd
Discov.::r
- - .
---~------------
x
Ex.piration. Date
of card
~
:ili;::IUHUl"~ ul' owner, electrie~l t'ontr:lctor or electrical .dminHtJ'~tor
WAllS / CElLlNG
i"'UI"'iO~ ~O( It; /6 ~"IY
l1~lC :'I.l'lolowcd ., O...e ,'l.pprD'I'N &j'
Cover Cover
-~ .-\jlpc.:.vcJBy Chu:: .'\pl"l,lo(edlJy
'-- ./ "- .I
( THERMOSTAT
I
r,m'~ A(\~_~II~
DlTQI
)
P~. "PI,<oval D~
SERVICE
O:loIC
Ap,.......c;ll1y
-FF.EOilll",p,,.,, " J
jJ~I"
E.lectric311 Clad Additions and or subtractions
o NO LOAD CHANGES
o BaSetlOSfd 'r\W
o rl.:tl18.ce KW
o riai:l.t P\,;m? _ Ton _ LAR
CI Fan-wan KW
S~(vicp. Inform"Yion
io::p=.:rivtl }l..rc:a. Building or Equipm~J\t Insp~ted AClioll Taken I::l<::l.:lrical
D~te ln~ptctor
, -;?m(OPr
I rrN~ ~ -W
. ~
\ I
I -t-
-- I
\ ---r-
o Overhead Service
o Temp Ser\lic~
o Underground S~rvioe
Volla.g!:l_
Phase 0 \ 0 3
Service Size:
Feeder SiIC: