HomeMy WebLinkAbout1411 Golf Course Rd - Building wF F CITY OF PORT ANGELES
'I PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
"etc wiP"
Application Number 11- 00000596 Date 6/24/11
Application pin number 821496
Property Address 1411 GOLF COURSE RD REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-13-3-2-0110-0000- your state excise tax form
Application type description PUBLIC WORKS UTILITES on Y
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning UNKNOWN (Location Code 0502)
Application valuation 0
Application desc
Connect to sewer out side City limits
Owner Contractor
JAMES D HALLETT FAMILY TRUST HORIZON EXCAVATING INC
1411 SO. GOLF COURSE RD PO BOX 3248
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452 -9976
Permit SANITARY SEWER HOOK UP
Additional desc
Permit pin number 187500
Permit Fee 150.00 Plan Check Fee .00
Issue Date 6/24/11 Valuation 0
'Expiration Date 12/21/11
Qty Unit Charge Per Extension
1.00 150.0000 EA SAN SEWER HOOKUP 150.00 --C:
Special Notes and Comments
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required. c71
Other Fees SEWER SYSTEM DELV CHARGE 2260.00 V
Fee summary Charged Paid Credited Due
Permit Fee Total 150.00 150.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2260.00 2260.00 .00 .00
Grand Total 2410.00 2410.00 .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 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 v'• ate or cancel the provisions of any state or local law regulating construction or the performance of
constr tion.
Ai Ji v
Si• ure of Contractor or Authorized Agent Date' Signature of Owner (if owner is builder) Date
T: \Policies \1102.15 [10/08]
PERMIT 'INSPECTION RECORD
CALL 417 -4831 FOR UTILITY INSPECTIONS. 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
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. PW/ CONSTRUCTION R.W.
ENGINEERING 417 -4831 PW ENGINEERING
FIRE 417 -4653 FIRE DEPT.
PLANNING DEPT. 417 -4750 PLANNING DEPT.
BUILDING 417 -4815 BUILDING
T: \Policies \1102.15 [10/08]
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number 11- 00001322 Date 11/22/11
Application pin number 031588 REPORT SALES TAX
Property Address 1411 GOLF COURSE RD on your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-13-3-2- 0110 -0000-
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name (Location Code 0502)
Property Use
Property Zoning UNKNOWN
Application valuation 0
Application desc
3 circuits lighting remodel
Owner Contractor
JAMES D HALLETT FAMILY TRUST APS ELECTRIC
1411 SO. GOLF COURSE RD 546 BENSON RD.
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 452 -6753,
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 78.70 Plan Check Fee .00
Issue Date 11/22/11 Valuation 0
Expiration Date 5/20/12
Qty Unit Charge Per Extension
1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 I\
2.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 5.20
Fee summary Charged Paid Credited Due
Permit Fee Total 78.70 78.70 .00 .00 C
Plan Check Total .00 .00 .00 .00
Grand Total 78.70 78.70 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS: 3 S Z -vo k 6➢
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION 6-AN z
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
FROM A. P. S. ELECTR I CAL CONTRACTOR FAX NO. 360 452 6753 Nov 21 _2011 07: 29PM P1
NOV 2.2 2011
ELECTRICAL.
CITY OF PORT ANGELES PERMIT A PPL1CAT1ON iINSPECTIO lv
Building Division /Electric :It Inspections
321 East .Fifth Street —1' -O. Box 11>0 /Port. Angela Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: it —.a /'o2 7 i
oC 1 2 Single Family Dwelling Multi Family or Commercial" Commercial Addition Alteration Remodel Repair*
*Plan Review May Be Rgguire4, Plea se Comelate EI trical glen Review Information Sheet
Building Square Footage:
Description of above �s. rn, o n S i o VI erF a ei t tAI I in 1 j
Owner Information Contractor information 1 a .1
Name: e r4 Pelf' Name: A 6•S g i�Ec r j c a t.
Mailin ddressa 1 :ME of S e Mailing Addrew:.,_
City State:. L,..4
—Zip: Coy: S1a
Phone 45.2 i ya f Fax' �p
Phone: Pax:
License Exp. 4 4 License Exp.
Item Unit Charge Total t tQ LMuft plied by Unit Charge)
San/ice/Feeder 200 Amp, 119.90
Service/Feeder 201400 Amp. 145.50 't�
Service/Feeder -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 i 7$ O
Each Additional Branch Circuit 2.60 1.2o
Temp. Service/ Feeder 200 Amp, 92.70
Temp. Service/Feeder 201 -400 Amp. 110.30
Temp. Service/Feeder401 -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 Mufti- Family Dwelling 63.90
Manufactured Home Connection 3119.90
Renewable Electrical Energy- 5KVA System or Less 8102.30
Thermostat 56.00
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. 110.30
Each Additional 500 Square Ft, or Portion of 8 35.20
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub 110.30
$7 :70 Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Pemit expires after six months of fast inspection.
After reeding the above statement, I hereby certify that I am the owner of the above named property or e licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N-E.C., RCW. Chapter 19.28, WAC. Chapter 296 -468, The City of Port
Angeles Municipal Code, and Utility Specifications and RAMC 14.05.050 regarding Electrical Permit Applications.
Signatu of owner, electrical contractor or electrical administrator, cash Check
t Credit card R fi A.-IP.
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. , <}/Or'
~h3/9.s
.
DATE
Si e Address:
12J.
o READY FOR
I NSPECfION
License Number:
o WI LL CALL FOR
INSPECfION
Phone:
Installed By:
I
I
Owner/Business:
I
Owner/Business Address:
Phone:
Sq. Ft.
ELECTRIC HEAT
o [BASEBOARD KW _
~ FURNACE KW d?tEL
HEAT PUMP KW ~
FAN/WALL KW _
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
a- ADD/ALTER CIRCUITS
If:J SERVICE UPGRADE/REPAIR
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
0191 0391
SERVICE SIZE
FEEDER SIZE
(
t
AMPS
AMPS
DelailslDescription:
---<
.
-,
W$,. No.
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
SERVICE SIZE
DATE
ENGR.
I
I
I
o lDitch Inspection O.K.
I
o ~ough-in/cover O.K.
o <D.K. to connect service
I
o iinai O.K.
Sit~ Address:
I /
Installer:
I
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
perm:sec;o?
New Meters
.
I
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
befqre inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or Of1 the Building Permit. PHONE 457-0411, EXT. 224. J:
~ NO OCCUPANCY OR USE ESTABUSHED UNDER THIS PERMIT rr
Electrical fnsp~::'1 $ ..::.:~ Fee
WHITk - File by address PINK - Top: Eng, Bottom, Customer GREEN _ Top: Meter Dept., Boltom: City Hall
OLYMPJ~ PRINTERS INC