HomeMy WebLinkAbout906 Milwaukee Dr - BuildingApplication Number 08 00000321 Date 3/10/08
Application pin number 346566
Property Address 906 MILWAUKEE DR
ASSESSOR PARCEL NUMBER 06 30 00 9 7 0079 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Owner Contractor
MILLER TTE GLENN F /DORIS L RW BECKER ELECTRIC
906 MILWAUKIEE DRIVE 1532 TAYLOR CUTOFF RD
PORT ANGELES WA 98363 SEQUIM WA 98382
(360) 683 5839
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc SEPTIC
Permit pin number 122713
Permit Fee 46 00 Plan Check Fee 00
Issue Date 3/10/08 Valuation 0
Expiration Date 9/06/08
Qty Unit Charge Per
1 00 46 0000 ECH EL R OR RM 1 4 ALT CIRCUITS
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
Charged Paid Credited
46 00 46 00 00
00 00 00
46 00 46 00 00
Due
Extension
46 00
00
00
00
INSPECTION
TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMME\TS:
5// /01 AtF 7AP
ELECTRICAL
RESULTS INSPECTOR
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Connect to sewer
Owner
MILLER TTE GLENN F /DORIS L
906 MILWAUKIEE DRIVE
PORT ANGELES WA 98363
Permit RIGHT OF WAY
Additional desc• CONNECT TO SEWER
Permit pin number 114421
Permit Fee 50 00
Issue Date 2/13/08
Expiration Date 8/11/08
Qty Unit Charge Per
1 00 50 0000 ECH
Permit
Additional. desc
Permit pin number 114447
Permit Fee 400 00
Issue Date 2/13/08
Expiration Date 8/11/08
Qty Unit Charge Per
Other Fees
Fee summary Charged
Signature of Contractor
ontractor or Authorized Agent
T•\Policies \1102.15R [1/051
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
07 00001267
299939
906 MILWAUKEE DR
06 30 00 9 7 0079 0000
PUBLIC WORKS UTILITES
RS9 RESDNTL SINGLE FAMILY
0
Contractor
STREET ALLEY RESTORATION
BASE FEE
C &J EXCAVATING
PO BOX 430
CARLSBORG
(360) 683 7741
Plan Check Fee
Valuation
RIGHT OF WAY PERMIT
Paid Credited Due
Date 2/13/08
WA 98324
00
0
Extension
50 00
Plan Check Fee 00
Valuation 0
Extension
400 00
Permit SANITARY SEWER HOOK UP
Additional desc
Permit pin number 114439
Permit Fee 120 00 Plan Check Fee 00
Issue Date 2/13/08 Valuation 0
Expiration Date 8/11/08
Qty Unit Charge Per Extension
1 00 120 0000 EA SAN SEWER HOOKUP 120 00
SEWER SYSTEM DELV CHARGE 1000 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 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
constructio
2 -oB
Date Signature of Owner (if owner is builder) Date
CALL 417 -4807 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
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
T\Policies \1102.15R [1/05]
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
PERMIT INSPECTION RECORD
YES 1 NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
BUILDING
Page 2
Application Number 07 00001267 Date 2/13/08
Application pin number 299939
Permit Fee Total 570 00 570 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 1000 00 1000 00 00 00
Grand Total 1570 00 1570 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 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 \1102.15R [1/05]
CITY OF PORT ANGELES.
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T•\Policies \l 102.15R 1/05]
PERMIT INSPECTION RECORD
CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, .r
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONS'.PICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES 1 NO
COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
I
I I
I I
I
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
PREPARED 10/06/06 12 22 38 INSPECTION TICKET PAGE 17
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/06/06
ADDRESS 906 MILWAUKEE DR SUBDIV
TENANT NBR GLENN MILLER
CONTRACTOR FERRELLGAS LP PHONE (360) 683 9029
OWNER MILLER TTE GLENN F /DORIS L PHONE
PARCEL 06 30 00 9 7 0079 0000
APPL NUMBER 06 00001101 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
MTS 01 10/06/06
Li
MECHANICAL TANK SET
GLENN 452 6333
10/05/2006 03 42 PM PERMITS
COMMENTS AND NOTES
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
MILLER TTE GLENN F /DORIS L
906 MILWAUKIEE DRIVE
PORT ANGELES WA 98363
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNTTY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
10 6500 ECH
Signature of Contractor or Authorized Agent
MECHANICAL PERMIT
88427
60 65
10/05/06
4/03/07
Per
Charged
60 65
00
60 65
TAPolicies11 102_15 building permit inspection record05 wpd 1/4/2005]
06 00001101
376806
906 MILWAUKEE DR
06 30 00 9 7 0079 0000
GLENN MILLER
MECHANICAL APPL PERMIT
RS9 RESDNTL SINGLE FAMILY
2300
Contractor
BASE FEE
ME -GAS PIPE 1 TO 5
FERRELLGAS LP
ONE LIBERTY PLAZA
LIBERTY
(360) 683 9029
Paid Credited
60 65
00
60 65
Plan Check Fee
Valuation
00
00
00
Date 10/05/06
MO 64068
00
00
00
0 0
0
Extension
50 00
10 65
Due
,/Z
Date Signature of Owner (if ovfner is builder)
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
construction.
Date
BUILDING PERMIT INSPECTION RECORD
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
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)
SHOWER PAN
MEDICAL GAS LINE
1 AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL /HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
I INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL 7"0- p (!`r
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
ELECTRICAL LIGHT DEPT 417 -4735
DATE ACCEPTED
YES
/O /k►/o va
NO
COMMENTS
I I
FINAL
FINAL
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING /LIGHTING ESA.
LANDSCAPING I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 I PW ENGINEERING
FIRE 417 -4653 I 1 I FIRE DEPT
PLANNING DEPT 417- 4750
PLANNING DEPT
M BUILDING 417 -4815 I t 1 W� l I BUILDING
T \Policies \1 102_15 building permit inspection record05.wpd [1/4/2005]
DATE ACCEPTED BY.
DATE
DATE
ACCEPTED BY.
ACCEPTED
YES NO I
N
Applicant or Agent:
Owner as c a:I✓iv
Address:
^Qf A ,'i i 4vlGv City PA
Architect/Engineer
Contractor_/ Z2G 5
Address:
X PROJECT ADDRESS
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK.
Residential New Constr
Multi- family Addition
Commercial Remodel
Repair Sign
X BRIEF DESCRIPTION OF THE PROJECT
PLANNING USE ONLY
BUILDING PERMIT v APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
State License
City
9" i 4-w.FV
LEGAL DESCRIPTION Lot: Block:
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
Phone 1 5Z 4 33-3
Phone: ht 2-G 733
Zip
Subdivision.
Phone:
Exp
Phone:
Zip
ZONING 0-€-5_
SIZE/VALUATION
Re -roof Stove SF /SF
Move Garage SF /SF
Demolition Deck SF /SF
Other TOTAL yALUATION A. 2_ '30i)
Liu OErtGlodA✓P lle.op f A.s 1 A/K I
FOR OFFICIAL USE 2oNLY
Date Rec. 1 e/ /o
Permit 110
Date Approved: 7.6
D
Date Issued:
COMMERCIAL/RESIDENTIAL. Occupancy Group: Occup ad. ��ConstrucType:
No/ Stones.—L-51--; cis q. Ft. Proposed Sq Ft. TOTAL Sq. Ft.
Tot, I lot coverage
APPROVALS.
PLAN
BLDG.
DPWU
FIRE.
OTHER
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the apphcant (see Section
R105.3.2 of the Intemational Building/Residential Code, 2003) No application can be extended more than once.
1 hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that I
must obtain such permits prior to work.
PC T•�FORMS\B1dgPermitform.wpd Apphcant: ..-4 A( Date: Z y 2c
- 632 \
~""'.
s.-.'C......~"_,.
'\', "'=--:"'1
~~....~
/;W~
<J
" ..r
ELECTRICAL WORK PERMIT APPLICA~~l
p.1
Mar 08 08 06:45a
......
Job wired by
)5lElectrical Contractor 0 Owner
Installation description
o Commercial ~_ Residell1ial
License number Date Expires
{L....)bl~6YE a.ge""?
~n'rr 1'UJ
S~IP 9-f53 g--7-
FAX numbeh--
h63~/"6
Cl New
o AlteredJ Addition
EleclricaJ cOIl.~e[Qr name
12-L.J CrJ/.!7C
Purchaser's maillng address
/ ':;-3 z.. 77f -/ Wl.f
City
< ,~ (-ct-~~
Teleph<ll'n: number
cf77/
prc6e~_ owner's flame
L. r.N/v
A.ddres~ of inspection
C; (J r-
eit})
rCT11-r
/ /r( 5I71--L-L-
PkPMP
S thO/lC-
/14/ (_ r r-=A"
.i-,J
AN~
1441 '- i-<-A4--iC- A~
iJJL
Gvo
t:.$3
Phone number- 10 schedule inspeclion:
Owner as defined by RCW/9.28.26/:(1) OW1Ie,.. will occupy the struc/ure!Qr two
years after this electrical permit is finahzed. (2) Owner is requi.red to hire aI, electrical
comrac/(Jr if above said properly is for sale. renl or leQ!.'c.
After reading tne above statement, I hereby certify thaI I am the owner of the above
named property or a licensed electrical contractor. J am making the electrical instal.
lalion or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296.46B, The City of Port An,gelc5 Municipal Code, and
Uti lily Specifications.
Signalur
o Cash 0 Che~
~redit Card ~ Mastercard Discover
Card# tllY:_ft C--cS'-____-____
x
electrical contractor or electrical administralor
Date:3-if --o?f
Expiration Date
of card
IDsj'7~n f~
$ 7"..L--.
~ Service Information
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
a Baseboard KW
a Furnace KW
a Heat Pump Ton
o Fan-Wall KW
LAR
o Overhead Service
o Temp SeNiee
D Underground Service
Voltage
Phase 1:1 1 1:13
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
,; ROUGH-IN TIlERMOSTAT SERVICE
3"D!'Ofi'> ~
O..t" Al'provclllJy Dale Al"InCNcd By Dale "....roved B)
,;- FINAL DITCH FEEDER
'5/{I 1tJ'B ~~8Y "- Ollie Al'pro""dBy../ Du, Apprll'ClJ B)
oalC
Inspection Area, Building or Equipment Inspected Action Takell Electrical
Date InspectoT
~rL%~~lnI
U '" r ,fA ~~O ,-,0-
Vp IV ~
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15876
port Angeles, washlngtonmnE.'.:m{.~.......n.......m.mm..m....., 19.2~
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 do electrical work as listed below.
Address n...:r~~--1/(j;$;rr4;..,!?-nl2~.--------... Occupancy...,~~Ln___.n._____.._____.__
Owner m~:.c.__.nqz:nn'r-..nnnnr.(.,.".tf'___'genanL__m___.._________._____m__m___m...__...n..n__m...__.mn
Wiring Contractor .m.-r__n~~___&m.n~~...__m By..____...m.nnm.__nn__n_____..__nm...___.m...__..n....n
Light .outlet..........!.<f<.~..........-..-...., Service, volts ;-/ffl:..qL.4?.f.!.~....... Type ot Wiring;
Receptacle Outlets....S?'5__................ No. wires ____;;l__m.__.....m____.__..... Armored Cable .._m.......................
- ft'A
Dryer; KW mm....$..m............__n.__._.____ Size wlres.:;-..:'LI!.................__.
Range, KW..../.2......................... ,Main tu.e ....::!?~A...........
Water Heater: Enclosure n._.~_I_~mn__.....
Kw......fi,1.'.....;::;................
Heat: KW.....r?:..~........!!r.tY..'1:c.e.....
Type of wIring:
Entrance Cable .._mmn.__m_____.
Motors: size, volts and phase:
Rigid Conduit ...........................
Metallic Tubing ..___00...__.......__
Current transformers:
No. & SIzem_.__..___mm__m_....
Ser. NO....n..___..__.._..___.....____.______..___...
Ser. No._____.............._.........................
SeT. No._______.__....____.___..........._.__..____..
Non-MetallIc ........____.....................
Knob & Tube.__.__..............._........._
Rigid Conduit ...............................
Metallic Tubing .............__............
Raceway __.......~........._....._....._
Circuit., Llght..rJ...............................
Utllity .....?;'....._____........................
Ii eat ..........:...._..._._................._.._..
.tZ
Range ._...__.._._._....................._...____..
Water Heater ...~......_...m_..........
:r:::~._.~~;?._~~~~..~~-_~~~~~~~..~....~~~~~~~~~~~~..~~~~
Ftlrnace .................._......._..._..__.00_......
Total Load............................. Total .....;J......Y.......................
Ser. No. ...___........._..____.......................
Remarks: n._n___n.n;-~~!...1.._4:,:..~_r=:.._._....__..c~:':?-':_::~.u.:__..n___u.n..nnnnnnnnn..u.nnnnnn_n__n..n__.u.._n..
Permit Fee
$:____3.Q.Qnnm___.m.m
Treas. Receipt
NO..n___m.._____m...______
By .fli!!Jf~4~__E:~.~__mn
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work fs to be COD.
cealed 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?
15876
Address.........._........_........._............_......._...............................................__.__._._.__.__............_.........Date..._......__._.._.._.........._._...._....________....
Owner___..........................__....___...._.__.__._.__._..._______...._.........__.._00___......___________....._..____._.TenanL_____.._...............__.............____...............__....._..
Wiring Contractor..........................._.__......___....._________._..._..............__....._..._._______.._........___._____..____. By ._...............__.............____................____._._..
)
NOTICE-Current must not be turned on untU eertItlcate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be lIlspected before concealment. .
1M Olym"pic ~inter8, Inc.
Application Number . . I .
15-00001359 Date
10/27/15
Application pin number
205611
DITCH
Property Address . ..�
906 MILWAUKEE DR
ASSESSOR PARCEL NUMBER:
06 -30 -00 -9 -7 -0079 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name
FINAL
Property Use
COMMENTS:
Property Zoning . . . .
RS9 RESDNTL SINGLE FAMILY
Application valuation
0
Application desc
Garage :feeder and circuits
Owner
Contractor
RANDELL E AND RITA M BAUMAN
OWNER
906 MlLWAUKIEE DRIVE
PORT ANGELES WA 98363
(360) 461-3246
Permit . . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc
Permit Fee 160100
Plan Check Fee
'00
Issue Date 10/27/15
Valuation
0
Expiration Date 4/24/1.6
Qty Unit Charge Per.
Extension
8.00 5.0000 ECH 'EL -BRANCH
CIRCUIT W/FEEDE'R
40.00
1.00 120.0000 ECH EL -0-200
SRV FEEDER.
120,00
Fee summary Charged
Paid Czedited
Due
Permit Fee Total 160.00
160.00 00
00
Plan Check Total. .00
.00 00
00
Grand Total 160.00
160.00 .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:,
GAEXCHANGE\BUfLDING
N
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: "° _ 1 & 2 Single Family Dwelling
* Plan Revie M y Be quire , lea e_�om�I�te-EleGtrri al Plan Review Information Sheet
Job Address: `Q y 'k �" ooh) wv
Building Square Footage:
Description of above
Owner I formatjon Contractor Information
Name: W a" w w +w�P' M 4 Name:
Mailing Address: mx\( W Mailing Address:
ehte State: �� Zip: Ci State: Zip
:
t Fax: Phone: Fax:
kV
License # / Exp. License # I Exp,
Item Unit Charge Total (c�,tv Multiplied by Unit Chargee
Service/Feeder 200 Amp. $120.00 $.
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp $ 205.00 $
Service/Feeder 601-1000 Amp. $ 262.00 $,
Service/Feeder over 1000 Amp. $ 373.00 $
Branch Circuit W/ Service Feeder $ 5.00 $
Branch Circuit W/O Service Feeder $ 63.00 $,
Each Additional Branch Circuit $ 5.00
Branch Circuits 1-4 $ 75.00
Temp. Service/ Feeder 200 Amp. $ 93.00
Temp. Service/Feeder 201-400 Amp. $110.00
Temp. Service/Feeder 401-600 Amp. $149.00
Temp. Service/Feeder 601-1000 Amp. $168.00
Portal to Portal Hourly $ 96.00 $
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00
Renewable Electrical Energy - 5KVA System or Less $102.00 $_
Thermostat $ 56.00
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.00 ............. $
Each Additional 500 Square Ft. or Portion of $ 40.00 $�.
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $110.00 $
$, 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 296-466, 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
❑ Credit Card #
,�.� .. ,. ,�,,, Dated: '7 �.....__ a 0110112012
ELECTRICAL PERMIT'
CITY OF PORT ANGELES
360-417-4735
Application Number 15-00001265 Date 10/13/15
Application pin number 656630
Property Address . . 906 MILWAUKEE DR
ASSESSOR PARCEL NUMBER: 06 -30 -00 -9 -7 -0079 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning . . . RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Instahot system
Owner Contractor
RANDI.;11J.., E AND RT.:'A M BAC7IvIU.\` STRAITS ELECTRIC
906 M:I:I:,WAUK: EE DI1".:C\/E PO BOX 2914
PORT A.NGE[.,ES WA 9€336 3 PORT ANGELES WA 98362
(360) 461-3246 (360) 452-9104
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee 68.00 Plan. Check Fee 00
Issue Date 10/13/15 Valuation 0
Expiration Date ., 4/10/16
Qty Unit Charge PerExtension
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00
1.00 6:3.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00
Fee summary Claar.,g:d Paid Credited Due
Permit Fee Total. 68.00 68.00 ,00 .00
Plan Check Total 00 .00 QO Oa
Grand Total 68.00 68.00 .00 .00
13
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
GAEXCHANGE\BUILDING
Date:
Oct 12 1508:36a Straits Electric
Crrr of PoRT ANGELEs PERKa ArrucAnm
Building DhisionMectrieal Inspections
321 East Fifth Street — P.O. Box 1150 ! Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Oate: )D(Al�
X t & 2 Single Family Dwelling
3604520741
0 PORT
=Plan RevieJlay lie Pa ter Pl ase R1pie Elec#rical Plan Review information Sheaf
Job Address: r
Building Square Footage:
Description of above
Owner a'Oo0
t � t hk U, f72GL ��
Contractarl�� � � do
� � G�l't
Name:
_
C -
Mailing Address: r'
gaping rens:
City State: Zip
Ciiy
State.
State: p:
Phone: Fair
-
F
License it t Earp.
License itl E:Ip.
-
Item
Ung ghgTq9
Total 10tv ll"iuiti fled by Unit Charge)
ServicelFeeder200Amp.
$120.00
$
Service/Feeder 201400 Amp.
$146.00
$
Service/Feeder401-600 Amp
$ 205.00
$
Service/Feeder 601-1000 Amp.
$ 262.00
g
Service/Feeder over 00 Amp.
$ 373.00
$
Branch Circuit W/ Service Feeder
$ 5.00
$
Branch Circuit WIO Service Feeder
$ 63.130
Each Additional 8randl Circuit
g 5.00
Branch Circuits 1-4
S 75.00
5
Temp. Service/ Feeder 200 Amp.
5 93.00
$
Temp. ServicelFeeder201400 Amp.
5110.00
$
Temp. ServlcelPeadar401.608Amp.. ,.
$149.00
Temp. ServicelFeeder601-1000 Amp.
$168.00
Portal to Portal Hourly
$ 96.00
$
Signal Ci'rcuitt Umited anergy -1 & 2 Family Dwelling
$ 64.00
5�
Manulaclured 14=9 Connection
$120.00
Renewable Etemical Energy - 5KVA System or Less
$102.00
Thermostat
$ 56.00
$
Note: $5.00for ea�ryrych�yy9addiillonal T-Stat
"�ltC`J��1+,1 tt�YV LLdA1L'fb
First 1900 Square Ft.
$120.00
5
Each Add'Nonal 500 Square Ft. or Portion of
5 40.00
S
Each Ourbuflding or Derached Garage
$ 74.00
Each SOmming Pool or Hot Tub
$110.00
$
$10 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 ele - Contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection..
A>ier readin a bfm statement, "Ore"
certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the er c ins l tion or elteretion incompliance with the tha cal laws, N.E.C., named
Chapter 19.28, WAC. Chapter 296-46B, The City of Port
A rt las M lci alp "a a and Utility SpeciScai?ons and PAMC 94.05.050 regarding Electrical Permit Applications.
electrical contractor or electrical administrator: ❑ Cash ❑ Check
re,Wt Card e
irarrrd: ~---- 01101@012