HomeMy WebLinkAbout1109 S Laurel St - Building CITY OF PORT ANGELES
n DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000470 Date 5/25/11
Application pin number 566040
Property Address
ASSESSOR PARCEL NUMBER: 06- 30 -00 -0- 3-4335 -0000- REPORT SALES TAX
Tenant nbr, name PENELOPE THORNTON on your state excise tax form
Application type description MECHANICAL APPL. PERMIT
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 2188
Application desc
STEFFES HEATER
Owner Contractor
PENELOPE THORNTON PENINSULA HEAT INC
1109 SO LAUREL 782 KITCHEN -DICK RD
PORT ANGELES WA 98362 SEQUIM WA 98382
(360) 452 -7157 (360) 681 -3333
Permit MECHANICAL PERMIT
Additional desc STEFFES HEATER
Permit pin number 185777
Permit Fee 64.80 Plan Check Fee .00
Issue Date 5/25/11 Valuation 0
Expiration Date 11/21/11
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME- HEATER(SUSP /WALL /FLOOR -MTD) 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
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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 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 specifies herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provision of any state or oc. lating construction or the performance of
construction.
5/25/// a
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 S.
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS C�
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 V
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts C
Rough -In
Gas Line
Wood Stove Pellet Chimney V
Commercial Hood Ducts FINAL Date CJ Accepted by
MANUFACTURED HOMES: /1
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE: rr11 nn
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
Building 417 -4815 t..
T:Forms /Building Division /Building Permit Lf
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PROJECT STATUS UPDATE
Permit 1 H l 0
Date: 5 -2i 11 P v
1 phoned the: Applicant at
Property Owner Hai Ll vl- e at J 2--' 7 t 57
Contractor at
left a phone message, r discussed):
The permit (has expired, or will expire soon). What is the status of this project?
Please call and schedule a final inspection.
Submit a "permit extension request" letter.
Or
Let me know if the project is abandoned.
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T:Fonns %Building Division/Project Status Update
May 12 11 12:24p PENINSULA HEAT 3606812086 p.3
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Lp
s CP J" f pURf BUILDING PERMIT APPLICATION Print in ink
O
ir■'∎∎ A CITY OF PORT ANGELES
�-'r� Attn: For City Usr :Only:
C 321 E. Fifth St Port Angeles, WA 98362 Date Received 5- i6 11
(360) 417 -4815 fax (360) 417-4711 Permit I it- 4,p
Q enn a, i-t Lin e Date Ap
Applicant �'1i wvl6i- C.,/e rs Del Phone -333
Property Owner 79g 6 0 r Phone 2 715'2 7/S 7
Property O er's Address q S 24 i,z S
Contractor f-PYi in /G1 <J ,i L ,,ir, rP Phone lS/ -3
Contractor's Address
,p 7 s :,2_, /2/,_k_. c 5-.6 am, c kA---, f
License /t/1/v /(2r Exp ires E -mail j fe2.- a 1 l
PROJECT ADDRESS //7). q 6, 2—& Ye J 5
Parcel Number Lot Zoning
Protect Tvpe 8 Brief Description: fi,.ROdential o Multl- famIIy o Commercial Industrial
Check ail that apply
o New Construction
o Addition
a Remodel
o Repair
a Demolition
o Re o House o garage b other o tear off re roof o lay over one layer
mat System o Heat pump o wood burning stove o gas fireplace a pellet stove other
.XOther S f2 /1-PS Ii.c:( Y
Floor Areas Exisflna (sq. ft) Proposed (sc. ft)
B asement per sq. ft.
1 Floor
2 Floor
3"' Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION 2 i 0-±--
Total footprint of structures sq. It Lot size sq. ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PANIC 17.94.135 for exemptions) Site coverage
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed Occupant load of full baths
Will a fire sprinkler system be installed? Construction type of half baths
/have read and completed this application and know it to be Eve and correct. I am authorized to ;pply for this permit and understand
that it is my responsibility to determine whatpermits are required,
Jr //2 nd to obtain permits prior t. g profe. s ilir
Date 1 Print Name (4 /SS j�iiSeYgignature S!— .tee!_
T: FonnsBuild' rig Division/Bldg Pemridoe
Clallam County Assessor Treasurer Property Details 59506 PENELOPE THORNT... Page 1 of 2
Clallam County Assessor Treasurer
Property Search Results 59506 PENELOPE THORNTON for Year 2011 2012
i Property
Account
Property ID: 59506 Legal Description: N 70 LOTS 88,9 BL
343 MAP M6
Geographic ID: 0630000343350000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi Family Redevelopment: N
Township: Section:
Range:
Location to
4 9_01A
Address: 1109 S LAUREL ST Mapsco:
PORT ANGELES, WA
Neighborhood: Cycle 5 Res Map ID: 2 i
Neighborhood CD: 10955130
Owner
Name: PENELOPE THORNTON Owner ID: 56155
Mailing Address: 1109 SO LAUREL Ownership: 100.0000000000%
PORT ANGELES, WA 98362
Exemptions:
Taxes and Assessment Details
Property Tax Information as of 05/16/2011
Amount Due if Paid on: E. NOTE: If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due.
First Second
i Half Half
;Base ;Base
Year; Statement ID Taxing Jurisdiction :Amt. :Amt Penalty Interest; Base Paid Amount Due
2011 154117 ST SCH STATE SCHOOL $169.21 $169.21 $0.00 $0.00 $169.21 $169.21
12011 154117 CC -GEN COUNTY CLALLAM $93.42 $93.40 $0.00 $0.00 $93.42 $93.40
`2011 154117 SD #121 SCHOOL DISTRICT #121 $221.19 $221.18 $0.00 $0.00 $221.19 $221.18
2011 154117 CITY PORT ANG CITY OF PORT ANGELES $215.65 $215.64 $0.00 $0.00 $215.65 $215.64
4 2011 154117 PORT PORT OF PORT ANGELES $13.15 $13.14 $0.00 $0.00 $13.15 $13.14
2011 154117 NTH OLY LIB NORTH OLYMPIC LIBRARY $39.18 $39.17 $0.00 $0.00 $39.18 $39.17
2011 154117 HOSP #2 HOSPITAL #2 $38.35 $38.34 $0.00 $0.00 $38.35 $38.34
2011 154117 WSMET PK DIST WILLIAM SHORE MET PARK DIST $11.66 $11.65 $0.00 $0.00 $11.66 $11.651
2011 154117 CITY_STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $36.00 $36.00
2011 154117 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $0.82 $0.81
2011 154117 TOTAL: $838.63 $838.54 $0.00 $0.00 $838.63 $838.54 t
2010 42402 ST SCH STATE SCHOOL $167.52 $167.51 $0,00 $0.00 $335.03 $0.00
2010 42402 CC -GEN COUNTY CLALLAM $89.15 $89.14 $0.00 $0.00 $178.29 $0.00
2010 42402 SD #121 SCHOOL DISTRICT #121 $216.98 $216.98 $0.00 $0.00 $433.96 $0.00
2010 42402 CITY PORT ANG CITY OF PORT ANGELES $206.40 $206.41 $0.00 $0.00 $412.81 $0.00
2010 42402 PORT PORT OF PORT ANGELES $12.53 $12.53 $0.00 $0.00 $25.06 $0.00
2010 42402 NTH OLY LIB NORTH OLYMPIC LIBRARY $25.90 $25.91 $0.00 $0.00 $51.81 $0.00
2010 42402 HOSP #2 HOSPITAL #2 $36.57 $36.57 $0.00 $0.00 $73.14 $0.00
2010 42402 WSMET PK DIST WILLIAM SHORE MET PARK DIST $11.64 $11.63 $0.00 $0.00 $23.27 $0.00'
;2010 42402 CITY STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $72.00 $0.00
2010 42402 WEED _CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.00
http: /websrv8.clallam. net/ propertyaccess /Property.aspx ?cid =0 &year 2011 &prop_id =59506 5/16/2011
May 12 11 12:24p PENINSULA HEAT 3606812086 p.1
IFAX
Date 5//2
1 A/umber of pages including cover sheet
TO: L j� FROM: .Charlotte Anderson
Office Manager
Peninsula Heat, Inc.
782 Kitchen -Dick Road
C OL:71 Q Sequim, WA 98382
Email penheoteo /ypen.com
Phone Phone 360- 681 -3333
Fax Fax 360- 681 -2086
REMARKS: Urgent For your review Reply ASAP Please Comment
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ELECTRICAL PERMIT
CITY OF PORT ANGELES 0
360 417 -4735 tirl
Application Number 11- 00000311 Date 4/12/11
Application pin number 295807 REPORT SALES TAX
Property Address 1109 S LAUREL ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3 -4335 -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 RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Demand heater 3 circuits
Owner Contractor
THORNTON PENELOPE OLYMPIC ELECTRIC CO. INC
1109 SO LAUREL 4230 TUMWATER
'PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 457 -5303 Q
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc ----S)
Permit pin number 183590
Permit Fee 78.70 Plan Check Fee .00
Issue Date 4/12/11 Valuation 0
Expiration Date 10/09/11 n
Qty Unit Charge Per Extension \V1
1.00 73.5000 ECH. EL- BRANCH CIRCUIT W0 /FEEDER 73.50
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
Plan Check Total .00 .00 .00 .00
Grand Total 78.70 78.70 .00 .00 Cr
P
r
\.c
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN OP ii l U` 4 FINAL i lU l
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
04/11/2011 14:47 FAX 360 452 3498 Olympic Electric Co. PA CITY INSPECT Z 003/004
Jo
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APR 12 2014 I+nitr.
City of Port Angeles Permit Application c: N� t 'r Y e J
Building DIvIalonIElectrlcal Inapectlons ELECTRICAL
321 East Fifth Street P.O. Box 115o INSPECTIONS Alr►Nremernim
Port Angeles Washington, 96362 w
ph: (360) 417.4735 Fax: (380) 4174711
Date; 11,1/1
/1 2 Single Family Dwelling
Multi- Femlly or Commercial'
Commercial Addition Alteration Remodel Repair'
Plan Review Mey Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: //09 S
Building Square Footage:
Description of above
Owner Info/ nation �y 2.4 124.77.09.4;.; Contractor Inlormat
Name4 «Ol1C 774 ,a Name I 1
Mailing Address: Mellln s:
City: State: Zip: City 2 A.,- State Zip: y'f4-r
Phone; YC 7 r 7 Fax: Phone; •.tre;t. Fax:
License Exp. License Exp. �,r G2 :V./..-
OM Cbaroo Total (ON Multlelled by Unit Charge)
119,90 S Service /Feeder 200 Amp.
145,50 S Service /Feeder 201 -400 Amp.
204.60 Service /Feeder 401.600 Amp.
262.20 Service /Feeder 601.1000 Amp.
372,50 Service /Feeder over 1000 Amp.
,S 2.60 5 Branch Circuit W/ Service Feeder
6 73.50 _L S 71. EX Branch Clrcull W/O Service Feeder
2,60 j le Each Additional Branch Circuit
92.70 Temp. Service/ Feeder 200 Amp
S 110.30 Temp. Service /Feeder 201 -400 Amp,
148.70 5 Temp. Service /Feeder 401 -600 Amp.
167.90 Temp. ServlcelFeeder 601 -1000 Amp.
95.90 S Portal to Portal Hourly
S 88.20 Sign /Outline Lighting
3 96.90 Signal Circuit/ Limited Energy Commercial, Additional 1500 $5.00
S 63.90 5 Signal Circuit/ Limited Energy -1 2 Family Dwelling
63,90 Signal Clrcult/ Limited Energy Muld•Femily Dwelling
119.90 Manufactured Home Connection
102.30 Renewable Electrical Energy SKVA System or Less
110.30 First 1300 Square Ft.
35.20 Each Additonal 500 Square Ft. or Portion of
S 73.60 Each 0ulbuliding or Detached Geroge
110.30 Each Swimming Pool or Hot Tub
5 56.00 S Thermostat
S 77 7 O Total
Owner as defined by RCW.19.29.261: (1) Owner will occupy the structure for two yeere after this electrical permit Is finalized, (2) Owner Is required to hire en electrical conlreclorIf
above sold property le for see, rent or lease. Permll 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 maklnp the electrical Inetaltetlon or
alteration In compllance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC, Chapter 290.489, The City of Port Angeles Municipal Code, and Utility Specifications,
Signature of owner, electrical contractor or electrical administrator Cash
Check
Date• Credit Card 0
321 EAST 5111 STREET PORT ANGELES, WA 98362
Application Number 06 00001353 Date 12/29/06
Application pin number 732295
Property Address 1109 S LAUREL ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 4335 0000
Tenant nbr name LINTERMAN
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 120
Owner Contractor
THORNTON PENELOPE
1109 SO LAUREL
PORT ANGELES
WA 98362
Permit MECHANICAL PERMIT
Additional desc EXCHANGE BOILER EXPAN TNK
Permit pin number 92627
Permit Fee 64 70 Plan Check Fee 00
Issue Date 12/29/06 Valuation 0
Expiration Date 6/27/07
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 14 7000 ECH ME INSTALL 100- FAU 14 70
Fee summary Charged Paid Credited Due
Permit Fee Total 64 70 64 70 00 00
Plan Check Total 00 00 00 00
Grand Total 64 70 64 70 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-1 -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.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T•\Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
NORTHWEST HEATING AIR CONDIT
P 0 BOX 2572
SEQUIM WA 98382
(360) 457 7672
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.
INSPECTION TYPE DATE ACCEPTED COMMENTS
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
FIRE
PLANNING DEPT
417 -4807
417 -4653 1
417 -4750
BUILDING 417 -4815
f• \Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
YES 1 NO
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
t
FINAL
FINAL
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION RW PW/ CONSTRUCTION RW
ENGINEERING
PW ENGINEERING
1 FIRE DEPT
1 PLANNING DEPT
1 BUILDING
DATE ACCEPTED BY.
DATE ACCEPTED BY.
1 1 1
1 1 1
1 1 1
J
PREPARED 1/03/07 9 21 42 INSPECTION TICKET PAGE 18
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/03/07
ADDRESS 1109 S LAUREL ST SUBDIV
TENANT NBR LINTERMAN
CONTRACTOR NORTHWEST HEATING AIR CONDIT PHONE (360) 457 7672
OWNER THORNTON PENELOPE PHONE
PARCEL 06 30 00 0 3 4335 0000
APPL NUMBER 06 00001353 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 1/03/07 MECHANICAL FINAL
q/ 12/29/2006 11 03 AM PBARTHOL
A JIM FELL 457 7672
CALL FIRST SO CONTRACTOR CAN MEET YOU
COMMENTS AND NOTES
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tee 4-14)k
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST STH STREET. PORT ANGELES. WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER.
Application type descr~ption
Subdivision Name
Property Use
Property Zoning
Application valuation
06-00001309 Date 12/11/06
236734
1109 S LAUREL ST
06-30-00-0-3-4335-0000-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
LINDERMAN, FRANKl PENNY
11 0 9 SO LAUREL
PORT ANGELES WA 98362
STRAITS ELECTRIC
PO BOX 2914
PORT ANGELES
(360) 452-9104
WA 98362
Perm~t
Additional desc
Permit p~n number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
STRAITS I PANEL CHANGE
92023
STRAITS ELECTRIC
66 90 Plan Check Fee
12/11106 Valuation
6109107
.00
o
~
\::).
'-0
, ,
Qty Unit Charge Per .,. ....,..'"'V.
1 00 66 9000 ECH EL-R OR RM 0-200 ALT SRV FDR
Extension
66.90
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 66 90 66.90 00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 66 90 66 90 00 00
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COMMENTS! ACTION NEEDED
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ELECfRICAL PERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEC110N TYPE DATE ACCEPTED COMMENTS
I YES I NO
liT. .H
IH11IlTH.IN7 CUVER
:ShK V ICE
I/..J..-A'- 06 ktJ J I
GENERAL COMMENTS:
PW.II02 IS 141961
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PREPARED 11/07/06, 16 48 49
PROGRAM BP520L
CITY OF PORT ANGELES
INSPECTOR ACTIVITY SUMMARY REPORT FOR AL OMAN
DEPARTMENT - BUILDING DIVISION
11/01/06 THRU 11/07/06
PAGE
INSP TYPE & DESCRIPTION
POINT VALUE RESULT CODE TOTALS
COUNT
ELI ELECTRICAL ROUGH- IN 1 AP APPROVED 1
EL2 ELECTRICAL TEMP 1 AP APPROVED 1
EL5 ELECTRICAL SERVICE 2 AP APPROVED 2
EL99 ELECTRICAL FINAL 4 AP APPROVED 4
TOTAL 8 AP APPROVED 8
p~
\()
-;r
'\.
<C:::>
~
2
~
....
'-
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15752
Port Angeles, wasbJngton_m______?:.__::2::f_________m_m____m_m__m, 19_?!f'
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-
:~;::s: i:_~~~~~-:~k-:z:1?~--::-I::~-~~--::IO:~cupancy----A~------__________________
Owner --n~-fti..'4.tkf2.e-T2T--mmn-m---------m TenanL__mm_______m___..n__m_m__________m_________m.___m____
Wiring Contractor _____1$C?.~.'..~n--n--m-m By.____mm._______mm..mnm__m_________mm__m.._m____
Light Outlet._..._________......._____....__h.._.___. Service, volts .../k.o/;!.:f!.'!...- Type 01 Wiring:
Receptacle Outlet......___.__............____.... No. wire. ......7.-.........Z;)"------. Armored Cable .......000000___...._........
Dryer, KW ____m.........___...__............______ Size Wire..-.#(.t2.'(&"--~~:____hn Non-Metallic ...........______.......00.._..._
7Ci.~tI J'f Knob & Tube.................---.___..........
Runge, KW....____._._____u__.__.___.__._____ Main fuse ......~~_____..n:..........___.n
"Tater Heater:
.:;
Enclosure ______.n...............__...___.......
Rigid Conduit ...._____.........___..........
Metaltlc Tubing ___............._..........
KW....n..___..________....___.__........ .....__
R.a" KW........;:lO...~.___
Type of wiring:
Entrance Cable .__...m_____________.......
Raceway .....____..............................._
Circuits, Light_______...........______...............
Utility ,__"",,,,,,__,"_"00"""'______""'''''
:r..: otors: sIze, volts and phase:
Rigid CondUIt ................
Metallic Tubing ..__...........
Current transformers:
No. & Size.......................................
Heat ......................................._......
Ser. No..............................................
Range .............n..............................
Water Heater ...............................
Motor .............................................
Ser. No. ..............................n.....n..,...
Dryer..................................................
Furnace ...........00............._.....00..00........
Ser. No. ..0000.................0000...00.............
Total IJOad....nnnnunnn......... Ser. No. .........000000.00.00........................ Total ........0000.................0000......
Remarks: __nm_____uu___,.d.U!.4..-t,._"____u_.4L4...___y.._~--- /J ~~----m---m---u.-------m
, ' ~.
Fermit Fee
Treas. Receipt
NO..____mm_....._..m__m
By--9Li2lf~Ldih~_
$ __..m_________m___mm_mm__
NOTICE-CuITent must not be turned on until Certificate of Inspection has been issued. It work is to be con.
et aled 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?
15752
A1dress...._...........__............................n__.......n......................................................_...........n.........Date..._.........._.._.._.........._......_.................
o wner ..................................._.........._......_......_.._........................................................... Tenant........................................................n..........
V 'iring Contractor .......................................................................................................................... By..............................................................
NOTICE--Current must not be turned on until Certificate of Inspection has been issued. If work is to be con.
c )aled due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.