HomeMy WebLinkAbout1110 S Peabody St - Building RECEIVED
,�pF pc:Kr,�,v�,f .•�
CITY OF PORT ANGELES PERMIT APPLICATION �*--
Building Division/Electrical Inspections
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 FlCIIC��
Ph: (36x 0 0) 417-4735 Fax: (360) 417-4711 INSP C��O
Date: t? - 0-1 f -k &2 Single Family Dwelling
x Plan Review May Be Required, Please Cam I to Ele trical Plan Review Information Sheet
Job Address: f 10 5. SEA Wt?V
Building Square Footage:
Description of above
Owner Information Contractor Information
Name: (�AyLcL-D S C iE Name: Jac_
Mailing Address: Rto S•F'&1 6'eDLr Mailing Address:
City: Slate: Zip: City: State: Zip:
Phone: q5-7-5439 Fax: Phone: Fax:
License#/Exp. License#!Exa.
Item Unit Charge Qty Total{Qty Multiplied by Unit Change)
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 Wlo Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Csrcults 1-4 $ 75.00 $ '75'
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 addil€oval T-Scat
NEW CONSTRUCTION ONLY:
First 1300 Square Fl. $120.00 $
Each Additional 500 Square Ft.or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hol 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 alter 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 Municip 1, odes,Itrical nd Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
5ignatur o n r, re contractor or electrical administrator: ❑ cash ��Check
❑ Credit Card N
r
x O dated; ��r 0110V2012`(- V �6 �
ELECTRICAL PERMIT d
CITY OF PORT ANGELES
350-417-4735
Application Number , . , , , 14=00000394 Date 3/31/14
Application pin number . . . 816372
Property Address , , , , 1110 S PEABODY ST REPORT SALES TAX
PARCEL NUMBER: 06-30-00-0-3-4100-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name
Property Use to the City of Port Angeles
,
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
Application desc
Furnace / Heat pump
--------------------------------------------------------------------- ----- -- -
Owner Contractor
SEED DAROLD C BLACK DIAMOND ELECTRICAL CONTR
1110 S PEABODY ST 502 BLACK DIAMOND RD ..---
PORT ANGELES WA 983627912 PORT ANGELES WA 98363
(360) 565-1035
Permit , , , . I I ELECTRICAL ALTER RESIDENTIAL r-r
Additional desc 1-4 CIRCUITS
Permit Fee 75,00 Plan Check Fee
Issue Date 3/31/14 Valuation , . . , 0
Expiration Date 9/27/14
Qty Unit Charge Per Extension
BASE FEE 7500
--------------------------..__..___ ___-_- __-__-__----_--_- -- _ -
Fee summary----- Charged
^^^ '^`Paid ICxedited Due
- JJ-` _w "�V
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 Do 00 .00
Grand Total 75.00 75.00 .00 .0o
V
A\`
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN J
.FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAIEXCHANGEIBUILDING
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
DAROLD C SEED
1110 S PEABODY ST
PORT ANGELES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983627912
Signature of Contractor or Authorized Agent
T \Policies \1102_15 building permit inspection record05 wpd [114/2005)
07 00000875
496375
1110 S PEABODY ST
06 30 00 0 3 4100 0000
DAROLD SEED
RE ROOF
RS7 RESDNTL SINGLE FAMILY
3600
Owner Contractor
Date 7/26/07
DIAMOND ROOFING ENTERPRISES
P 0 BOX 2963
PORT ANGELES WA 98362
(360) 452 9518
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF AND RE ROOF
Permit pin number 107797
Permit Fee 123 75 Plan Check Fee 00
Issue Date 7/26/07 Valuation 3600
Expiration Date 1/22/08
Qty Unit Charge Per Extension
BASE FEE 95 75
2 00 14 0000 THOU BL -2001 25K (14 PER K) 28 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 123 75 123 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 128 25 128 25 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 7)
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not /o
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of col
construction.
Date Signature of Owner (if owner is builder) Date
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE k MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL 4N1 WORK BEFORE
INSPECTED AND ACCEPTED POST PERMIT IN 4 CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE/ DOWN SPOUTS
PIERS
POST BOLES (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
ROUGH -IN
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
BUILDING PERMIT INSPECTION RECORD
DATE ACCEPTED
YES NO
FINAL
FINAL
SEPA.
ESA.
SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W /PW/ CONSTRUCTION R.W
ENGINEERING 417-4807 PW /ENGINEERING
COMMENTS
DATE ACCEPTED BY.
DATE ACCEPTED BY.
DATE I ACCEPTED
I YES I NO
FIRE 417 -4653 1
1 I I FIRE DEPT. I I I I
I PLANNING DEPT 417 -4750 I fi,..� L, e, h I 1 PLANNING DEPT I I I I
1 BUILDING 417 -4815 t wl IO 1 BUILDING 1 1 I I
T \Policies\1102 15 building permit inspection record05.wpd [I/42005]
Owner
TYPE OF WO
Residential
Multi family
Commercial
Repair
BUILDING PERMIT 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, can
PERMITS (360) 417 -4815 FAX(360)417 -4711
Applicant or Agent. .l lOtNVR \A Fo' S
Ckrc\A S ��c
Address: 1 (0 S
Architect/Engineer
't"
Contractor Q v o rid s ikncgt r State License
Address: City
PROJECT ADDRESS Sa.e._
LEGAL DESCRIPTION Lot: Block:
CLALLAM COUNTY PARCEL NUMBER.
RK.
Sign
BRIEF DESCRIPTION OF THE PROJECT
New Constr
Addition
Remodel
Re roof Stove
Move Garage
Demolition Deck
Other
ke cur
COMMERCIAL/RESIDENTIAL. Occupancy Group
No of Stones: Lot Size: Existing Sq Ft.
Total lot coverage
PLANNING USE ONLY
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the apphcant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordmator at 417 4815 for assistance.
PLAN C1FCK 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 withm 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 applicant (see Section
RI 05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
I 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
T•1FORMS\BIdgPermitform.wpd Applicant Date:
Cit A
Phone: t AS S c y
Phone.
Subdivision.
Occupant Load.
Proposed Sq Ft.
Phone:
Exp
Zip
Zip
ZONING
STZF/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION 3 4 b(9
n 'CC �orc LqS�
v
Construction Type
TOTAL Sq Ft.
FOR OFFICIAL USE ONLY
Date Rec. 1-2_4)- 07
Permit 75
7 Date Approved: "Z C' '"Q 7
Date Issued:
Phone: Lt
APPROVALS
PLAN
BLDG
DPWU
FIRE.
OTHER
CUSTOMER'S ORDER NO.
NAME
ADDRESS
CITY STATE, ZIP
YCbrA
SOLD BY /y !y
(^11.7; .&c.
QUANTITY 1 v
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
RECEIVED BY
a adams
5805
Ars
I 1 1
CASH C.O.D.'' CHARGE ON
DESCRIPTION
I DEPARTMENT
VWC AO, wr■ rtr ■v 1A,‘CN
KEEP THIS SLIP FOR REFERENCE
11,28281
DATE t")
ACCT. MDSE RETD PAID OUT
PRICE 1 AMOUNT
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
/431
ELECTRICAL PERMIT
DATE
/2-2/-"'5"7
SitetAddress:
,
Inslialled By:
I 10
tit 'lc.-(lLi (
5 ' ?r4 'P b 'l> 'I
5<c!tv ICE.. CRvu.!.
o READY FOR WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Owrjer/Business:
Phone:
t
Owriler/Business Address:
Sq. Ft.
dJ Residential
, Heat KW
~ Baseboard 0 Furnace/Boiler
, Heatpump 0 Other
. Commercial/Industrial load
, Total Connected load
, (attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
01.0 030
Service size
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
Detai islDescription:
'J
-+ 1\ (fA1(1.
~IJi~')
M ti'VL- R I\...n:.
If., i,,+ktL
!\r-J b ST<LAp
f2-ir-r/7
.BI4 rT
If>
.
---d
W.St No. Service
Capf.lcity: 0 O.K. 0 Not O.K.
-~fl:.S:f)el::t.tQ1'.l.Q.JS..
~I'lkQJ,\Qr O<K.
~.IC tv lOvlllleCt-service
~JL~.R~ O.K.
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.
o Plan Review approved/pending
.
I ,,,,: ~"'".. 1/1 0 S . f'iA f, 0 '0 Y '.'''''''''/43 S
Ins~aller: l'. . . New Meters Date:
:; CcUl 'ft...1 L .J U tf I c[ ..t;;;- /2 -ZS - ~
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
mu#t not be covered or eiectrically energized before inspection and O.K. for covering or service has been given
by tl.h e InspectjJ in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
_;. JJ!1J- NO OCCUPANCY OR USE ESTABLISHED UNOER THIS PERMIT / b .e-
'Inspector Amount paid
WHPrE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMi'IC PRINTERS. INC.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 16108
Port Angeles, WaBhlngtonn___.___.___/n_in;?.___.n....nn.......___..___. 19Zr
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-
misslon is hereby granted to do electrical work as listed below.
Address ../.I.LQn...;~;;;~~~nnnn---nn.n. Occupancy.___../.>~______.nnnn__.n_n.nn
O',"ner n-.--ni2~~.-. ,:;;;l2(i.;,--'m;;!l Tenant.___nnn__n_____.._.n__.___________nn_______n..n_____.n__.___n
WlI'lpg Contractor n'7~--n--.--n.nn~:nnn---..---------. By.__________n__.___.n____n___nnnn.___n_n._____nnnn.___n__
LlgM Outlets.___.....___.............................. Service, volts ./t?:.C5../.r2...tt.:C;;.... Type of WIring:
Armored Cable ..............h.n._.........
Rece)tacle Outlets...._....h....................
No. wires ................................__.....
Dryer., KW _.n.n_.........__.......................
Size wires..................................._..
Non-Metallic .............._.........h.......
Knob & Tube___............................._
RIgid Conduit ...............................
Metallle Tubing ..........____________.....
Raceway .........._......................._.....
CIrcuits, Llght.......................................
Utlllty.............n..............................
Range. KWm.mmmmmn___..
Water Heater:
Main fuse .................__..........h.h.....
Enclosure ..............h.n....................
B;W---n..n.......m;~2ttm...nm
:::~r:~~;::~~;~r~~~.
Type of wIring:
Entrance Cable ........h..
.,......... ...h...__h.... .nn__n.hnn 00._00 00 ........
Rigid Conduit ........m.....
Metallic TUbing 00.___.00
Current transformers:
No. & Size..............................
Heat _......................................_......
Ser. NO.nnn.....h...............n................
Range h....h.n................._.......nn___..
Water Heater .........................__....
Motor _.._........................00.....0000.....
.,.......................................................-.
Ser. No. .............................................
Dryer ..............._.._.n....nn.........h......._
Furnace ............__...........,~.__..._n.__......
.;-.......................................................-
Ser. NO.n.__.h..h...........................n....
Total Load.nn....n..................
Ser. NO.nnn.................................h....
Total ....h.......nnn....................
Remarks: n______.__nn._______~-<",d.~nn---.nmn.--nnn---n.---m---n---n---nnnnn---n----------nn------______'______00___'
O__n__lnn.nnnnnn.nnnnuuunu...n_n.n_n_n___nnn.nnnnnn.unnn.n.nu.nnunn.n......._un.nn..nnnn....nnn_n_n.nnnnnnn.n
.;:.~~.~~n~::__:____.:.:n_:...:...nnn---::~_~_~:...:.~.~.~~~.~.....___..n.n----n.n---:~..1!..ZI:L7~
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 before concealment
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
16108
Addtess..................._............................................................................................_......................Date..._......_.._.._.._.........._.....__......_..._.....
Owtier .0000.............................._.........._......_00...._.._.....................n..h...n..............n........... Tenant...hn...nn...........................n.......hn.nn.........
WirIng Contractor ....nuh.n...__................._..._n.......h......................................n..n..hnnnn..........n.. By........hnn............................n....._..n_.......
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It' work Is to be COD-
ceabd due notice must be given the Inspector so that work may be inspected before concealment.
_ 1M 01vmpic Printers. Inc.