HomeMy WebLinkAbout4205 Old Mill Rd - BuildingPREPARED 12/01/09 8 04 05 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/01/09
ADDRESS 4205 OLD MILL RD SUBDIV
TENANT NBR GEORGE L WOOD
CONTRACTOR PENINSULA HEAT INC PHONE (360) 681 3333
OWNER GEORGE L WOOD PHONE (360) 417 2244
PARCEL 06 30 15 3 4 0150 0000
APPL NUMBER 09 00001114 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01
12/01/09
MECHANICAL FINAL TIME 01 00
November 30 2009 10 13 46 AM 1pangrle
NANCY 461 0599 CELL 457 1915 HOME
MECHANICAL FINAL FURNACE
AFTERNOON
PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE TO MAKE
SURE SHE S THERE
COMMENTS AND NOTES
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
12 5 KW furnace
Owner
WOOD GEORGE L
4205 OLD MILL RD
PORT ANGELES
WA 983621907
Permit
Additional desc
Permit pin number 156190
Permit Fee 59 50
Issue Date 11/09/09
Expiration Date 5/08/10
1K Hhi
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
09 00001158
993056
4205 OLD MILL RD
06 30 15 3 4 0150 0000
ELECTRICAL ONLY
0
Contractor
OLYMPIC ELECTRIC
4230 TUMWATER
PORT ANGELES
(360) 457 5303
ELECTRICAL ALTER RESIDENTIAL
Plan Check Fee
Valuation
Qty Unit Charge Per Extension
1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 57 50
1 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT 2 00
Fee summary Charged Due
Permit Fee Total 59 50 00
Plan Check Total 00 00
Grand Total 59 50 00
Paid Credited
59 50 00
00 00
59 50 00
DATE
►�1�e /a9 Ac
Date 11/09/09
WA 98363
RESULTS
00
0
Signature of owner or Electrical Contractor X Date
INSPECTOR.
11/05/2009 09 48 FAX 360 452 3498 Oly
City of Pod Angeles Parrett Application
Betiding DIvIelatemobisat Inspections
321 East Fifth Shad-PA Box 1160
Port Angela Weehkrgh,rr, 00362
Ph: (9B0) 417 FIE 417 -4711
Oita: /.47h2
2 Single Family Dwelling
Muftl-Fam* or Commerdar
CommerdaI Addition Alteration Remodel Repair
Plan Review May Be Required, Please Complete Electrical Plan Review information Sheet
Job Address: H.r, S 0/0 M.D1 /Td
Building Square Footage:
Description of aims 12.5 /(G/ U� acs
Owner information
Name: 6 G 4/eMe
Mailm Addreae: �-f�c� City,. t State: Zip: 9,rJ6Z
Phone: 6' s ~Y !VC Fax:
License* Exp.
Signature of corer, elschioel t ontraamr or electrical atlminletrabor
EGE V ED
NOV 0 5 2009
ELECTRICAL
INSPECTIONS
PA CITY INSPECT aj001 /001
Contractor information
Name Olympic Electric
Meilitlg Address; 423 0 Tumrtwater
CKy:Port Arige1ea Wa Zip: 98363
Phone: 457 -53 03 Fax: 452 -3498
License Exp, OLYMPRC? 8 5D 1
Unit Char„gA at Total (QJ r Multiolled b I it Change]
93.75 Service/Feeds 200 Amp.
$113.75 Service/Feeder 201-400 Amp.
3160.00 Service/Feeder 401.600 Amp.
$205.00 Service/Feeder 601 -1000 Amp.
3291.25 Service/Feeder over 1000 Amp.
2.00 S Branch Circuit WI Service Feeder
57.50 L. 47" EA- Branch Circuit WI0 Service Feeder
2.00 2 Each Additional Branch Circuit
72.50 Temp. Service{ Feeder 200 Amp,
66.25 Temp. Service/Feeder 201-400 Amp.
311625 Temp. Service/Feeder 401.600 Amp.
$131.25 Temp. Service/Feeder 601 -1000 Amp.
75.00 3 Portal to Portal Hourly
69.00 Sign/Outline Lighting
75.00 Signal Circuit/ Limited Energy Commercial
3 50.00 3 Signal Circuit/ Limited Energy 18, 2 Family Duelling
50.00 Signal Circuit/ Limited Energy Multi- Family Dwelling
93.75 Manufactured Hume Connection
80.00 3 Renewable Doctrinal Energy 5KVA System or Less
3 86.25 First 1300 Square FL
27.50 Each Additional 500 Square FL or Portion of
57.50 Each Outbuilding or Detached Garage
86.25 Each Swimming Pad or Hot Tub
43,75 Thermostat
f 9, Total
Owner es defined t y ACW.18.21.261: (7) Owmr add occupy the structure h7 two pars alter Oh eArebta,permit is tirWi ed (2) Omer is requked lv hire en
cloaks! conesctarII abase said prgpegls soft nun artease.
Alter raiding the deeme dawned, l busby emery that I am the won of the above named property or Ileensed eleetrloM aeetraater. lam mining the electrical
Installation or atterablon in compliance airy the electrical Is N.E.C. RCW. Chapter 19.28. WAG_ Chapter 296.46B, Clty of Pod Angeles Municipal Code, end
Uglify Spsolfloefone.
Cash
Cheek
Ca Credit Card rr
0
Lft
Application Number 09 00001113
Application pin number 375943
Property Address 4205 OLD MILL RD
ASSESSOR PARCEL NUMBER 06 30 15 3 4 0150 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning
Application valuation 0
Application desc
12 5 KW furnace
Owner Contractor
WOOD GEORGE L PENINSULA HEAT INC
4205 OLD MILL RD 782 KITCHEN DICK RD
PORT ANGELES WA 983621907 SEQUIM WA 98382
(360) 681 3333
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 155697
Permit Fee 43 75 Plan Check Fee 00
Issue Date 10/28/09 Valuation 0
Expiration Date 4/26/10
Qty Unit Charge Per
1 00 43 7500 ECH EL LVT THERMOSTAT
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
Charged Paid Credited
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735 0
..J)
43 75 43 75 00
00 00 00
43 75 43 75 00
Date 10/28/09
Due
DATE RESULTS
1t)Z /o
11 11,b .69
Extension
43 75
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
e—
r
0
7
1
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 09 00001114
Application pin number 056504
Property Address 4205 OLD MILL RD
ASSESSOR PARCEL NUMBER 06 30 15 3 4 0150 0000
Tenant nbr name GEORGE L WOOD
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning
Application valuation 4340
Application desc
HP READY AIR HANDLER
Owner Contractor
GEORGE L WOOD
4205 OLD MILL RD
PORT ANGELES
(360) 417 2244
PENINSULA HEAT INC
782 KITCHEN DICK RD
WA 983621907 SEQUIM
(360) 681 3333
Permit MECHANICAL PERMIT
Additional desc HP READY AIR HANDLER
Permit pin number 155705
Permit Fee 64 80 Plan Check Fee 00
Issue Date 10/27/09 Valuation 0
Expiration Date 4/25/10
Qty Unit Charge Per
1 00 14 8000 EA
Fee summary Charged
T:FormsBuilding Division/Building Permit
BASE FEE
ME FURN /HP /FAU OR 5 TON
Paid Credited
Date 10/27/09
WA 98382
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 o truction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
Extension
50 00
14 80
Inspection Type
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
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 Fumace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
BUILDING PERMIT INSPECTION RECORD
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
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T.Forms /Building Division /Building Permit
Comments
FINAL Date Accepted by
!FINAL Date I Z o I Accepted by
Date Accepted By
10/26/09 14 07 FAX 3606812086
Pro eat Type Brief Des
Check all that apply
o New Construction
Addition
v Remodel
Repair
o Demolition
o Re -roof
ra-tieTat System
o Other
fgQprAr
Basement
1" Floor
2" Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417-4815 fax (360) 417 -4711
Applicant Pei/ n_51, z /C 'glee 9 c
Property Owner &r,
Property 0 er's Address
ft.
Parcel Number
Contractor •'s J /43, Phone
Contractor's ddress 7g,- ,er }z-{ r 4/z /2rJ 64
License //lit 7)c 731 Expires E -mai
PROJECT ADDRESS 4,2 1.5 d 1`',/ /1 flair.
criJptton. f identyal o Muhl temlly
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
have read and completed this application and know it to
that it is m responsibility to detemiinrpet permits are
Dater Pnnt Name ar /i
j_Forns/Buiidfy Division/Bldg Permit dOc
Peninsula Heat t102
House o garage o other o tear off re-roof o lay over one layer
'tjHeat pump o wood burning stove a gas fireplace o pellet stove der
ro r (v- N r�v,cilP'
Existing fsa. iti Proacsed s
CO
For City Use Only:
Date Received l G
1
Permit#
Date Approved
Phone
Phone 7 Y4.{
Lot
j
�teal--ewtyp- (gym:
ZonIn
o Commencla/ a Industrial
per sq. ft.
TOTAL VALUATION LA 3 TU
Total footprint of structures sq. ft. Lot size sq. It. Lot coverage
Site Coverage Y the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage
Occupancy group
Occupant load
Construction type
be tare end oared t am auThonz
uired and to obtain permits prior
de TS Signatu
of bedrooms
of full baths
of hall baths
1
10/26/09 14 07 FAX 3606812086 Peninsula Heat
City of Port Angeles Permit Application
Building DivislonlElectrical Impactions
321 East Fifth Street P,O. Box 1150
Port Angeles Washington, 98362
Ph; (360) 4174735 Fax: (380) 417.4711
Date: IZ /D 9
g 2 Single Family Dwelling
Multi- Family. or Commercial'
Commercial Addition 1 Alteration Remodel Repair
Owner Info
Name:
Mai
Phone:
License #1 Exp.
il lSA F
alt char
93.75
$11315
5160.00
5205.00
5291.25
2.00
57.50
2.00
72.50
86.25
5116.25
5131.25
5 75.00
5 69.00
75.00
50.00
5 50.00
93.75
80.00
5 86.25
5 27.50
57.50
5 6625
43.75
lion
r7 11
S^U�1 /`7. /f /?d
State: WA—Zip: 2--
Fax:
Total (Qty
5
Slgna f a III, electrical coptf4btor at electrical administrator
LL�
5
5
5
5
4 S 7 S Total
natah04/65
RECEIVED
OCT 2 7 2009
ELECTRICAL
INSPECTIONS
Plan Review May Be Required, Please Complete Elec6i Plan Review Information Sheet
Job Address: /`1
Building Square Footage:
Description of above Air
Contractor nmetion
Name: ii i M
Kong Address: 7 id? -141 Y.
City: State: 4—Zlp:
Phone' ax kJ-2 /JR
License #1 Exp.
Mulliotied by Un; Charnel
Service/Feeder 200 Amp.
Service/Feeder 201.400 Asap.
Service/Feeder 401-600 Amp.
Service/Feeder 601 -1000 Amp.
ServioaiFeeder aver 1000 Amp.
Branch Circuit W/ Service Feeder
Brandy Cited WA Service Feeder
Each Additional Branch Circuit
Temp, Service/ Feeder 200 Amp.
Temp. SeryicedFeeder 201.400 Amp.
Temp. Service/Feeder 401-600 Amp_
Temp. Sente/Feeder 601 -1000 Amp.
Portal to Portal Hourly
Sige/Oulline C9htlrg
Signal Cinxd& Limited Energy Conunerealal
SignalCIiCUitl Waited Energy 1 2 NIA' Dwelling
Signal GrtulU Limited Energy Multi- Family Dwelling
Manufactured Home ConnacNan
Renewable Elecbtai Energy -SKYA System or Less
First 1300 Square FL
Each Additional 500 Square FL or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pohl or Hot Tub
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two year: after Ids Wddarf psrm1t in finalized (2) Owrwr is required to hire an
electrical contrador if awn said propariy Is !corral', molar lass&
L103
Altar reading the above statement, I hereby certify that 1 am the owner of the shove named grope* or a Ocanaad aledrical Contrail= I'm making the tdactrleal
Installation or alteration in compliance with the electrical laws, NEC., RCW. Chapter 1928, WAC. Chapter 296468, The City of Port Angelo' Yrsdoipal Code. and
Utility Specifications.
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
s- {;; 2.-
PERMIT NUMBER
TOTAL FEE
/6, t!3-;
f"Lb~ S-:J:
3"'/013
CONT. L1C:NO.
"
.
"
r
't'.-
TIMETOCOMPLETE
. NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
"1l()5 -0 \d - r-\\I \ - Rd .- -
() , C:~RRECT ~DDRESS I:' RESPONSIBILITY O~APPLlCANT PERMITS WITH W~ONG A~R.ESSES AR~ C.~NCELLEl? , ' _. rr-.
Owne'_ l..j::e(\T~Q/ ~od _ '. Installation By I::=:-k,c.;tr'I,-, S::erv\c:e- ~~c...-,
Owner's Address ~'2fl olck 1'",,11 f~r Installers Address II \a <( M-r p\..,,\<;",,1 \\1
D,ay Phone Lf'51 - \ C1-l ') -Installers Phone '-I S 2-L: 4'24-
Applicatio,n is hereby made for Permit to install Electrical Equipment as follows:
," -~\;eJ bid'.\-, OQL'th. Qr! i,h~n
Site Address
Wiring Method
.:
NUMBER AMP -..120V 24QV NUMBER AMP 120V 24QV
USE OF CIRCUIT . PEA- 100R FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT SIGN
LIG-HT " . 1,C;- -X 50 VOLTS -
OR LESS
.. ., --
CONVENIENCE MOTOR
CONVENIENCE - . MOTOR -
APPlIAf>!CE .... - . . MOTOR -
,
DISHWASHER - - , FIAE ALAAMS .
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY ..
DRYER . -- ... REtNSTACLATION LIGHT FIXTURE #
FURNACE -- - SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECT~IC . ..
) I .y BASIC FEE
EL.ECTRlq HEAT ''}f) TOTAL FEE
ELECTRIC HEAT "- SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
--
A.C. Wi.IT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE . A.W.G.
.', - I SUS-TCJTA'L -
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
-. ~ .
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
By. (?ht-- 2:1- Ctlt~~ .
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
permission Ls hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining there~~, subject to comp~iance with the O:ylnances OflAthf) ~~~~~SrYS;'GHT~
Date Permit Issued - - UJ-~
. PLANS APPROj€D .
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current,turned on before inspection and O.K. for covering or service,has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158.
Date Application made
(\In\" 'lc"
"g gl1
.
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD -Inspector's Report
OL YM PIC PRI NTERS, INC.
DATE OF VISIT
4/(/^h
'( I
I
1-( (If\-
, I I
MADE BY
,
1/ /.-11--
IV(
J
M 'Z1-
. ,
REPORT OF INSPECTOR
rJ f: 1h
(l!<- 'i Gk
O.K. FOR COVERING
REMARKS
LYUC-L u./ltLLS-
r~"L /..;- f ft'i l-I;JHllb
.
z
c;
a:
<t
:::!!
~
:I:
I-
Z
W
l-
.
l-
e
z
e
Q
.,...{)':'K~NNteTstAIJ~__
FINAL O.K.
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
\ j
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& do electrical work as listed below.
" 'Address .uf2..t?..J-:"3A.u..~::''l-:.f!cJ:.:'{?u............ Occupancy../..d:,~:..uu....uu.u...u...u.u
Owner ''7,.5!.e..-1?:..'''1g...~'-l~......m....u...u....u..... Tej(Luumumuumu........................m.uu.uumu.......u
Wiring Contract61...m.,)Z..".<t~...kib.""'--.um"e"'... By...........uu..uu...u.m.mu...ifuu..........u....m.uu
Llgbt outlets..............................._.._..! Service, volts .../<?gL:.~!':.Q.... Type of Wiring: .
RecEptacle OuUets.n............................ No. wIres .....n..J.......__oo____.___..____... Armored Cable ..m.______............::.....
Dryer KW SIze wires...... !?d~..._.. Non-Metallic ................._..._..00......
','. .......................................... Main fuse .....?":.~.A......... Knob & Tub..................................
Rallg~, KW.....oo...h....h.....h~n--.n.nn--.. J .
Enclosure ......___..........______..________....
16575
~ ~
Port Angeles, washlngton..muu__6...=..../.....u...muu..uuuum, 19/.5
Watrr Heater:~J"
~. w,..........................:........
RIgid Conduit .........................._.
Metallic Tubing ...........................
Heat: KW......__n.......n.........................
Type of wIring:
Entrance Cable ___00........................
Motors: size, volts and phase:
Rigid Conduit .................
Metallic Tubing .___.______00
Current transformers:
Raceway ......................._......___._
Circuits, LlgbL.....................................
Utility ......................._....................
Ser. NO.nnn..._......__._........nn._...........
Heat ......................._..............__
Range .............................................
Water Heater ..00........______.............
Motor ..__........................................
No. & Size__.......___n......___..n...
Sec. No. ..__0000........__........................._.
Dryer ......___............_.......................__
Ser. NO.n.__..n...__nn..........n_.n.....__....
Furnace ............_.__.........'_......_...........
~:=:~~:~:..:::~:O~d:;;:~:~~:~~~~::::s:er~.~.?l.~:...~~:::::::~~t~l::~::~:::~:::.:::~.:~:.:~::~:::~:
...mu...m.u__..m..mm...mmu...uuumuuuuu...u................u.mm.u..............:;;mumum.m,mummmumuum__uummu
:'~.:~..~~~.....u......uu... ::~.~.~:u~.~.~.~~.~.~___.___. By ....~lt:~d~L~
t/f V (./ .'
NOTICE--Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
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
-...'
$'."
;/:!,'
J
ELECTRICAL PERMIT
N?
16575
Address.......__n.oonn.n............................................._.__.............................................__........n._.......Date.__......_n_..____.......__._._...._......_......._
.....
Owner..............................................._......_.........._...........................................................Tenant........................................................___......_..
Wiring Contractor ..................................._.(....................n............................................................. By..............................................................
NOTICE--Current must Dot be turned on until Certificate ot Inspection has been issued. If work Is to be COD-
cealed due notice must be ,given the Inspector so that work may be inspected before concealment.
~
,M
Olympic Printers. Inc.
"