HomeMy WebLinkAbout710 Milwaukee Dr - Building ELECTRICAL PERMIT r
CITY OF PORT ANGELES N
360 417 -4735 1
Application Number 12- 00001040 Date 8/09/12
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Application pin number 870880
Property Address 710 MILWAUKEE DR REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 01 -7 -1- 9020 -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
Application valuation 0
Application desc
Revise permit 11 -1408 HP, Furnace
Owner Contractor
WOODRUFF GEORGE R /MARCY ALL WEATHER HTG COOLING INC
710 MILWAUKEE DR 302 KEMP ST
PORT ANGELES WA 983631421 PORT ANGELES WA 98362
(360) 452 -9813
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 56.00 Plan Check Fee .00
Issue Date 8/09/12 Valuation 0
0
Expiration Date 2/05/13
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL- LVT- THERMOSTAT 56.00
Fee summary Charged Paid Credited Due
Permit Fee Total 56.00 56.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 56.00 56.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN gl y 2---
FINAL 8 9ii
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X r Date:
G: \EXCHANGE \BUILDING
oF P w0 F. ELECTRICAL INSPECTION
WIRING REPORT
w o R ws i"` 417 -4735
DATE: PERMIT INSPECTO
8 /16 12 -"ibq
OWNER
CONTRACTOR
w lid f C c) L
ADDRESS
71 b tL-Oih
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED: IA Psi CL RC-0 KS-D-
1 -1 0 A rAv
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
6
321 East Fifth Street P.O. Box 1150 Port Angeles `Washington, 98362 5..... Fit
Ph: (360) 417 -4735 Fax; (360) 417 -4711
Da rallq) I 1
1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair"
Plan Revl w MadA_R d. Plpaca t o Cnm lectrical Plan Review Information Sheet
Job Adres: r i 0 a,t,(,kke f
Building Square Footage: l
Description of above
'►'y'Si/_ini.M.a WW1 S. i.tiME GUIM X
Owner Cont •rl'f.rV inn
�r Name: id URI t 1. 1 i 1
Mailing dress:, t aiLka c: c Mailing Add -s: it_ =Min Y
City: Cit 2 State: (�Y: 2i r o
Phone: l� s State: Zip: q lut?f hex: Phone: l�t/ %i.1(er F.
License I Exp, License 1 Exp. gIII E' rrl3Cif'inSV On la
Item Unit Charge Qty Total (Qtv Multiplied by Unit Charge)
Service/Feeder 200 Amp. $119.90
Service /Feeder 201-400 Amp. 145.50
Service/Feeder 401 -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
Each Additional Branch Circuit 2.60
Temp, Service/ Feeder 200 Amp. 92.70
Temp. Service/Feeder 201.400 Amp. 110.30
Temp. Service /Feeder 401 -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: 56.00 for each additional 1500 sf
Signal Circula/ Limited Energy 18 2 Family Dwelling 63.90
Signal Circuit/ Limited Energy Multi Family Dwelling 63.90
Manufactured Home Connection 119.90
Renewable Electrical Energy 5KVA System or Less 102.30
Thermostat 56.00 l $Q
NEW CONSTRUCTION ONLY;
Filet 1300 Square Ft. 110.30
Each Additional 500 Square Ft. or Portion of 35.20
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub 110.30
iigW
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. Permit 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 making
the electrical installation or alteration in compliance with the electrical laws, NEC., RCW. Chapter 19.28, WAC. Chapter 296 46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: Cash Check
I 0 Credit Card tl
x Dated; i l
0110112010
b0 /Z0 39Vd 9NIlv3H c13H1V3M 71v !�T5Z5b09£T EE :VT ZI0Z /60 /80
m
n m
Electrical Information Form
�b Public Works Utilities Department (360) 417 -4700
-4. e City Electrical Inspector (360) 417 -4735 I
Please complete and return to Public Works Utilities Department
Applicant Information N
Permanent service: Name. M 1 l 1 1111A lit 1' A OD 1 1
Name and address of party CM_ x ¶(i Ii L d
responsible for permanent I i�li ige ^C
service billing? Daytime Phone: a i alor Home Phone:
Contact Information of othorthan above)
Site contact: Name: ilartl n, Title:
Da time Phone: o_o
Name:
Contractor: '�17 1 I �:I'lLri ICII �.o 0
Daytime Phone: /mr Ip}
Electrician: Name: Company:
Daytime Phone:
Excavator: Name: Company:
Daytime Phone:
Project Type CXExistin• ONew
Single- family residence ❑Multi- family residence; of units
Commercial Subdivision; of lots
Overhead service ❑General service
Underground service ❑Other
Project Information Descri.tion of w•
rk:. 1 rl I�ein�.i"!Il��yl,�"�"i7 ►i�l,�
Street address lot number: i lingi i I I trik
Nearest cross street: t 1 a ,1 I"
Desired connection date: I 1 r 1 '1•
Electrical transformer serving property is: on a pole on the ground
Electrical Load
Total square footage: sq. ft. Main disconnect size: amps
Voltage: IJ120/240 1 ph 0120/208 3ph 277/480 3ph
0120/240 3ph 0480 3W 3ph Other
0 Stan, residential loads (Lighting, refrigerator, dishwasher, washer)
Check all that apply: �,A/C �4 ion) Range /Oven Hot Tub
Clothes Dryer Heating Pumps Hp)
No Load Change Water Heater Elevator Hp) Other
Supporting Documentation Please provide a copy of the following:
'Detailed plot plan (.dwg or .dxf format mandatory for subdivisions).
'Electrical one -line drawing showing the service entrance panel and location.
'Connected toad data.
*Size and locked rotor a •:.f all motors over 50h•.
A..licant's Si. nature: ��L 4 Date: a 1 4 0
MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362
FAX TO: 360- 417 -4711
WS
Information form.xls
WF
N: \PWKS\LIGI ITIENGR\ #Originals \InformatIon lorrn Revised •I.15 -09
b0 /T0 39Vd 9NIlV3H a3H1t13M 11v LLTSZSb09ET EE :bT ZTOZ/60/80
CITY OF PORT ANGELES
�r DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
o-.
Application Number 12- 00001041 Date 8/09/12
Application pin number 841115
Property Address 710 MILWAUKEE DR q
ASSESSOR PARCEL NUMBER: 06- 30- 01 -7 -1- 9020 -0000 REPORT SALES Application type description INSPECTION ONLY
Subdivision Name on your state excise tax form
Property Zoning Use
Pro g to the City of Port Angeles
f Application valuation 0 (Location Code 0502)
1"1 Application desc
FINAL INSPECTION FOR PERMIT #11 -1411
Owner Contractor
WOODRUFF GEORGE R /MARCY OWNER
710 MILWAUKEE DR n pt I O y,
PORT T ANGELES WA 983631421 B1 Io W Y
Permit BUILDING PERMIT NO PR FEE
Additional desc FINAL INSPECTION
Permit Fee 50.00 Plan Check Fee .00
Issue Date 8/09/12 Valuation 0
Expiration Date 2/05/13
Qty Unit Charge Per Extension
BASE FEE 50.00
Fee summary Charged Paid Credited Due
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 50.00 50.00 .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 has commenced, or if required inspections have not been requested within 180 days from the
7 last'inspection. I hereby certify that t have read and examined this application and know the same to be true and correct. All provisions
r 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
r.. construction,
Date Print Name Signature of Contractor or Authorized Agent Signature •f Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD 3
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
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
Rou. h -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
D all (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
7
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE
Inspection Type Date Accepted By J
N
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831 57L Fire 417 -4653
Planning 417 -4750
Building 417 -4815
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number 11- 00001408 Date 12/16/11 Cl
Application pin number 791744 REPORT SALES TAX
Property Address 710 MILWAUKEE DR
ASSESSOR PARCEL NUMBER: 06- 30- 01 -7 -1- 9020 -0000- on your excise tax form
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning
Application valuation 0
Application desc
T -stat
Owner Contractor
WOODRUFF GEORGE R /MARCY ALL WEATHER HTG COOLING INC
710 MILWAUKEE DR 302 KEMP ST
PORT ANGELES WA 983631421 PORT ANGELES WA 98362
(360) 452 -9813 L5 z 5A-7
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 56.00 Plan Check Fee .00
Issue Date 12/16/11 Valuation 0
Expiration Date 6/13/12
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL- LVT- THERMOSTAT 56.00
Fee summary Charged Paid Credited Due
Permit Fee Total 56.00 56.00 .00 .00 1
Plan Check Total .00 .00 .00 .00
Grand Total 56.00 56.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS: z_
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
4
(yi 70.Itr t ryy. 1
2 rg 1 i!i( :F_
L1 I
�tl V �r�
CITY OF PORT ANGELES PERMIT APPLICATION l L' L� f i
Building Division /Electrical Inspections er ',r g
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 DEC 1 0 01 I;
Ph: (360) 417 -4735 Fax: (360) 417 -4711 'MOW
ELECTRICAL.
Da ��li) d INSPECTIONS
1 2 Single Family Dwelling Multi Family or Commercial' Commercial Addition Alteration Remodel Repair'
Plan Revl %N ma Rp_R L d. MAMA Cnmyolli;,to, lectrical Plan Review Information Sheet
Job Address: s 1 Q..0 kL.Qt Vr 1
Building Square Footage:
Description of above
Owner M o Rio Contr s r l h i• n
Name: `l Name: al i. VIA t .i:" 11.1 ■1
Mailing �4�dress: f D ti L Melling Add s: =IS. I
City: tL-F'S�y�-,�Slate: Zip. y City; T ‘r. State: ►rT: ZIP. rr..
en c� -,Fax: .f•ax; J Phone: t. (w F; 121 a
L '/''�'1,�'�'/1LI
License Ex p, p- WOW 0
I2111 Unit Charge tit Total 1Qty Multlplled by Unit Charge)
ServicelFeeder 200 Amp. 119.90
ServicelFeeder 201.400 Amp. 145.50
Service/Feeder 401 -600 Amp 204.60
ServicelFeeder 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
Each Additional Branch Circuit 2.60
Temp. Service/ Feeder 200 Amp. 92.70
Temp. Service /Feeder 201-400 Amp. 110.30
Temp. Service /Feeder 401 -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 ClrcuiU Limited Energy Multi- Family Dwelling 63.90
Manufactured Home Connection 119.90
Renewable Electrical Energy 5KVA System or Less 102,30
Thermostat 56.00 1
NEW CONSTRUCTION ONLY
First 1300 Square Ft. 110.30
Each Additional 500 Square Ft. or Portion of 35.20
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub 110.30
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. Permit 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 making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: El Cash Check
0 Dated:
Li I 1 Crodlt Card B
X I 01/0112010
60/%0 3E d EENI1t3H a3H1v311 11, !Lt 91799ET 6E:91 ttGG /St /t
CITY OF PORT ANGELES
RP DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001411 Date 12/19/11
Application pin number 448887
Property Address 710 MILWAUKEE DR REPORT SALES TA):
ASSESSOR PARCEL NUMBER: 06-30-01-7-1- 9020 -0000-
Application type description MECHANICAL APPL. PERMIT On your state excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning (Location Code 0502)
Application valuation 0
Application desc
HVAC heat pump
Owner Contractor
WOODRUFF GEORGE R /MARCY ALL WEATHER HTG COOLING INC
710 MILWAUKEE DR 302 KEMP ST
PORT ANGELES WA 983631421 PORT ANGELES WA 98362 s
(360) 452 -9813
11\1
Permit MECHANICAL PERMIT
Additional desc HVAC HEAT PUMP
Permit Fee 64.80 Plan Check Fee .00
Issue Date 12/19/11 Valuation 0
Expiration Date 6/16/12
Qty Unit Charge Per Extension
BASE FEE 50.00
1,00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 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.
7./) �kAe` M mss' 7 #I
1
Date Print Name Signature VContractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
f
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 4174815 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 Btdgs.)
C F
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
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
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
T
Planning 417 -4750
Building 417 -4815
CITY OF OR.T 4N GELES
W A S H I N G T O N U. S. A
COMMUNITY ECONOMIC DEVELOPMENT
June 18, 2012
Marcy Woodruff
710 Milwaukee
Port Angeles, WA 98362
RE: Expired Building Permit #11-1411
Dear Ms. Woodruff:
I am writing this letter to inform you of the status of the above permit. The permit expired on June
16, 2012. If the work has been finished, please call to have the work inspected. If we haven't
performed the inspection by July 6, 2012, we will close the permit entirely. After that time, you
may request an inspection and pay a one -time inspection fee. If you have any questions, do not
hesitate to contact us.
Sincerely,
0-elA
Heather Catuzo
Building Permit Technician
321 E 5` Street
Port Angeles, WA 98362
hcatuzo@cityofpa.us
360- 417 -4817
PROJECT STATUS UPDATE
Permit# ('I m< wau Dr
Date: r
I phoned the: Applicant All ',HAW at 462 -x7
Property Owner at
Contractor at
(left a phone message, or discussed):
The permit (has expired, or wil expire soo What is the status of this project?
Please call and schedule a final inspect.
Submit a "permit extension request" letter.
Or
Let me know if the project is abandoned.
1.0 I l le l �Y
T:Forms /Building Division/Project Status Update
'BUILDING PLUMBING ME'CHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require plan review.)
Date Received 47--- bw
Permit b4ti l
City of Port Angeles Please print in ink. Date Approved (2.--4(4)-14
Attn: Building Permit Technician Approved by
321 E. 5 11i St., Port Angeles, WA 98362
360- 417 -4816 fax: 360 -417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express)
Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12 :30 pm
aivrraher.waiin0) 0001 l �l 01 o r 3
Pr
ramrtAticyjinl4, Phone v L
?fir Ng( Contractor's busln'r ss name:A11 Weather Heat.in& Cooling P hone: 452 981 3
(ojropert r owner's name If he /she Is doing /overseeing the work)
Contractor's mailing address: 302 Kemp Street
c
Contractor's L &I license number: 9LLWEI•IC15oKU Expiration date:
9/01/12
Project Address: I Ia 0\1\
re,
Project Type: 1 Residential o Commercial o Industrial o Multi- family
Project Business Name:
(for commercial, industrial, or multi-family projects)
The following permits are usually Issued over- the counter immediately, without the need for plan review.
Complete only the portions of this permit that are relevant to your project.
Re -roof: r7 house garage o other
o tear off re -roof lay over one layer
(1) Licensed contractor: Submit a copy of your re -roof bid.
Project Valuation (labor materials, not including sales tax)
Re- side:. a house a garage other
Project Valuation (labor materials, not including sales tax)
Repair: (explain the project)
1 t. l•'— r i
Project Valuation
'Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the
cost of materials, to reflect the value the repair adds to your property,
Cost of materials x 2 Project Valuation
T:Forms /Buflding Division /Building /Plumbing /Mechanical Permit Appllcallon Short Form (Revised 2011)
Page 1 of 2
60/80 39 d SNIB 3H a31-11v3M 17V LLTSZgb09ET 6E :9T TTOZ;ST /ZT
"Swimming Pool or Spa 24" deep): For prefabricated swimming pool or spa protects that
1 do not reauire Plan review.
Obtain the City of PA handout entitled "Pools Spas" follow the requirements.
Project Valuation
Demolition: A demolition permit Is needed when an entire building gets•demollshed.
What will be demolished? c house a garage c: other
Note: some demolition permit applications need to be reviewed by various City departments, and may take
approximately two weeks. to obtain.
Agree to ensure that all utilities are /will be properly turned off (and capped off if needed)
prior to demolition.
Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to
be demolished. Submit the map with this application.
Obtain (from the City of PA) a copy of the Olympic Region Clean Alr Agency (ORCAA)
Demolition Permit Application.
Contact ORCAA at 360 -417 -1466 to discuss whether or not an ORCAA Demolition Permit will also
be needed,
yes r: no Will the debris be going to the Regional Transfer Station in Port Angeles?
u yes No if yes, will a licensed contractor be taking It there?
If yes, obtain (from the City of PA) a copy of the Waste Disposal Application,
Complete and submit the waste disposal application to the Building Permit Technician, now
(or later If asbestos testing Is needed),
1
Plumbing Permit: (explain the protect)
Project Valuation S'
Mechanical Permit: jexplatn the project)
Installation of Heat Pump ty
Project Valuation An C,
I have read.and completed this application and know it to be true and correct. I am authorized to apply for this permit
and understand that It Ls my responslbllity to determine whet permits are required, and to obtain permits prior to
working o projects.
DateLc2 J I I) Signature.,._. o tiL. l.-,
Print Name rq 11
Page 2 of 2
60/60 39Ud 9NIIC3H 83Hlv3M 11V LLISZS1709ET 6E:91 ITO-6/ST /72T
'--
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO, Ol o.s I
6}.'/k'l
DATE
Sit~ Address:
o READY FOR ~ WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
OWner/Business:
Phone:
Owner/Business Address:
Sq, FL
Ii] Residential
Heat KW
tJ Baseboard 0 Furnace/Boiler
~J Heatpump D ,Other
~J Commercial/Industrial ioad
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
D New Construction
D Remodel
o Service update/alter/repair
o Overhead
D Underground
Voltage
01003.0
Service size
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
Detai Is/Description:
W/eL /I; /-' ki'
cP ..f'U/
~
.
-+
-+
-+
~
~
~
W.S. No. Service
Capacity: D OX D Not OX
o Pitch inspection O.K,
o Rough.in/cover O.K,
o O.K. to connect service
o Final OX
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of Inspection
D Plan Review approved/pendi ng
Site Address: /
7/0 /J1/ 'tU~f:cL
Inslaller:
C ~/ht
Permit/Receipt No.
;2o.s-1
New Meters
o
.
,
Not'lfy the Department of City Light by.Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by tre Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
: ~7. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT # 10' ~ .
I .-9-nL c:><
Inspector Amount paid
WHITE - file by address VELLOW - file by number PINK - Top: Eng. Bottom: Customer GREEN - Top: Inspector. Bottom: City Hall
OLYM~IC PRINTERS. INC.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
16855
Port Angeles, wap,h1ngton______:~._=._____L2..______________________.________, 19.P..'T'
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-
mission is hereby granted to <}J electrical work as listed below.
Address ..--lj.(!.---..---:?!lkk.~k.--.~,4j---- Occupancy______~-ft~_._::._h__________________
Owner -------,.~L<?,~~--h.----------?2--- ~ant..---------------.---m------.---------.----.--------.-----.-------.--
Wiring Contractor .~.O~~:"5l----e~,,(!,,;l.------ By_________________.__._____________________________h__.______.________
Light outlets---.---3...0-0m-..----- Service, volts ;~.~:P.::r.:.q Type 01 Wiring:
Receptacle Outlets....~........m........... No. wires ........m._....:..........__........__L Armored Cable ................--............
D KW ~ 81 I '7// r.J /:, Non.Metallic ........__..m................._
rye<. .__m__m"'''___.___.__,,____._________ ze w resh.___.:~..___"_hh"___.L(_"
Range, KWh__"h./.~_________....n________. Main luse h:'.'~hP4h""""
Enclosure .....C..::'..u.~.m.........
Type of wiring:
Entrance Cable ..m_________._______
Rigid Conduit
Metallic Tubing ..___m...................
Current transtormers:
No. & Size.......................................
Ser. N 0.__......_........__..__....__.____............
Ser. No................___..........................
Ser. No.._____........................................
Knob & Tube______.........................._
Rigid Conduit h_._m___"______...."___h.
Metallic Tubing .............___m.m_...
RacewaY~_________ .."d.__"__..._
Circuits. Light__....' .........m............_..
Dtlllty ..,,__ ";""n.."."",,__,,...___.
Heat ..... ..............................._..._
Range ....~....................._.__...._....
Water Heater ..~.':"m....m.mm....
Motor .............................................
Dryer ......~~__...._...____....................
Furnace .........................'_......_...........
Total Load....h...__....____.......... Ser. No. ................._.......................... Total ......3..f?.............h...__....
Remarks: ------m7~-~~=---.---C~~~---.--.".----.--------------------------------...---------.--.......--m________
__________________________.mh_..____.___m____m______________________..____________________h__________"--.m--m-m---2-m--mmm--------------------------
:~.,~Z~._.__,..."......... ::~.~_~:_.~.~_~_~~~_~_______ B~tt:..-..!/I~k9.411~~~__
NOTICE-Current must not be turned on untn Certificate ot Inspection has been issued. It work Is to be COD-
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
"
'.
"
.--.-.
.,,-_ ."'"ELECTRICAL PERMIT
",t"".
,,,._~.....,.,..
N?
")
16855
Address............_._...._....................._......__......___...................................................................__._.....Date..._......_.._......_.........._......_......_.........
Owner..............................................._......_......_.._...........................................................Tenant....................................................................
WIring Contractor.......................................... ................._......................................................._.....By............................................_....__....__._...
NOTICE--Current must not be turned on until Certificate ot Inspection has been issued. If 'Work Is to be con-
r -cealed due notice must be given the Inspector so that wor~ may be inspected betore concealment. .
....... "
~ 1M Olymplo P"nt.", Ino. \ ~, ;' \
Page I of I
RECEIVED
Crry wiTm-FANGELE'S Pi'11,N11'rA.111'L1(,A'r10N JUN 9
Huncting Mvisinn/Ellectdcall Inspections
321 East Fifth Stvvet — I'M, 1 o / llovt An gellus Washingtofi, 98362 ELECTRICAL
Ni: (3 60) 417 -47 51, dax: r360) 417-4711
Date: WWI -I,— I & 2 Single Family Dwelling
' Plan Review May Be Required. Please Gornoete Electrical Plan Review I nformation Sheel
JooAddfpa5c Milwaukep Dr-
Bjl�hrq ftore
Owner I nfor Mat on
Contfactor Information
M_-f taq Addra,_�: 1 h13lwouk: o
State: L 083:62_,..
CAY: ft.jAnqplps Slate: _WA Zp: A
- ---------
bw:u 4 EXp,___HjT'ECT'�9'q'5MS.
Item
Unit Charge
a T2!qLjgty Multiplied by Unit har��j
_j
Se rkAlFoedqr 230 Amp
1:20.00
Service!F&eder 201-400 Amp,
$146.00
S
ServWiF"dar401400 Arnp
205.00
S1._'___.___,
Amp.
22.00
$_......,....._r.
SorvicafFaedar oval 1000 hiip6
37 IN
S._
Stand Qfcuil, 'A"I SaNice Feedet
500
l3fanch DreuVA110 Service F8adfjr
630f3
Each ,Udigortal D:ranch CtttuA
H a
Pruch Circud,% 1-4
75N
T,mflip. Serviwi FewJw 2(Q Arnp,
S 93.00
Timip, SeMAiTaW ef 201-400 Ainp,
$110.00
Temp. SArviw!FeoJw401-&00 Amp.
$149.00
Temp. SerYka!Fead& 601 - 1000 Ainp
$168.00
po" b Forwi lturbj
qutl
Sw n a I C i tai i Y Un 1 led E t io_ pj y • 18, 2 Fan D w 9 ��i t Yj
$ 64.0
64.00
MaI1111361fed HOMO COIMC5011
$120.00
Nmiew&e Eleoftal Epefgy-5](VASYSWfflorLMS
$ 102.00
Tfiisn,no8tal
$ 50,00
..... . ...... ........... .
t+b[8:$5.041 for each addhorkil T•SL4
JEW QQN T!111(1710N ONLY.
First 1300 Sqirweft
$120 a0
... . ....... ...
EwJiAdMonal 50.0 Square Ff. or PoTW of
$ 40.00
Eadi Otilbuidflg of Nlathed Wrap,
$ 74,00
---------
Ea4,li Swl mNi *j Pod oi H61 Ttfb
0,00
Total
Owner as defirled by 110AI � IR 29-261: (1) Owne r will I otz upy, the strutt ure fo r Wo
yea rs after t M e lectriza I permit is fir il ized. (2j Ownigr is requi red
to hire an ele ct 0 cal oo ntrac tor if a bove �a id p rope rty is fbr a al e, re rit o r ioese, Permit ex pire s after s ix mon ft of last i ps povt! on,
After reading the atone sta tement, I he ret;oj certify tl-ot I am the ow aou of th e abow? n amed property or a I icansed electrical coill. ractor, I am mak i ng
Chia electrical iRAWlat bri or a lie ra lb n i n com pliance
with tho e 6c Irical lawE, N. E, C, RC W. Chapter 19.28, VIAL. Chapter r 296-46 B, Re City at Port
ARples MuNdpal Code, and Wily Sp�cificaliors aM PAMC'14.05,050 r6 gars nq
Electriml Permit ApplicaWm,
Signature of owner,. electrical contractor or electriGal. adminlatraton
C-4sh 0 chod
on-file_
X Milton Shirley
6Y5,11 5
f 2
https://www.pdfescape.com/open/RadPdf.axd?rt=c&dk=046923501-17AknJQktH8E-TidECwB12... 6/5/2015
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . , . . .
15- 00000654
Date 6/09/15
Application pin number . , .
305544
DITCH
Property Address . . . .
710 MILWAUKEE DR
ASSESSOR PARCEL NUMBER:
06-30-01-7-7.- 9020 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name . , . .
Property Use
FINAL
Property Zoning ,
Application valuation . . , ,
0
Application desc
Security / fire alarm
Owner
Contractor
------------------ - -- - --
RAYMOND FRANK AND BARBARA KENN
------------------
HI TECH SECURITY
- - - - --
INC
71D MILWAUKEE DR
723 E FRONT ST
PORT ANGELES WA 983631421
PORT ANGELES
WA 98362
(360) 452 -2727
----------------------------------------------------------------------------
Permit . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc , .
Permit Fee 64,00
Plan Check Fes
00
Issue Late 6/09/15
valuation
0
Expiration pate 12/06/15
Qty Unit Charge Per
Extension
1.00 64.0000 ECH 'EL- SINGLE CIR LIMITED RES
64.00
----------------------------------------------------------------------------
Fee summary Charged
------------------ - -- -
Paid ,Credit.ed
- --- -- ---- -
Due
---- --
Permit Fee Total 64.00
- --- - - - --
64.00 ,00
---- - -- - --
,00
Plan Check Total. .00
,00 00
,00
Grand Total 64100
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 Date:
G:IEXCI- IANGEIB UII,D ING
i