HomeMy WebLinkAbout3249 Regent St - BuildingREVIEWER: B
DATE: --7_ 7
DEPT REVIEW
DATE:
COMMENT DRAWING SHT
NO.
and/or
SPEC. PARA.
5 /4 1 7- 2
sst/T
sh'r
1571/7
5/T 3
..5//T
S/7T4/
5177
.51(7 6
1,11r7
I PROJECT
REVIEW COMMENTS
CONCEPT REVIEW 0
PREUM. REVIEW
FINAL REVIEW 0
REVISION 0
COMMENTS
32.9i Re je..vrt
SHEET OF
ACTION TAKEN ON COMMENT
COMMENT STATUS
A= Comment accepted
Correction made
List DWG or paragraph number
Where conect on made
1 le.)//47 ry,4'" /ee
1 /ocv /s '774/6 g r .¢,c'Z
1 v A.)1,0 DaGe-2S
,4
/s /3 /r9 1/4.1 775 ,•eeP42/t-7
7 'e• -72 e 725
C� ,tL� /S�•c/l>
S'lJ�f'02TG— /'AT s¢-T /D")
22c i/3CE LoO% 'Jo /:s7 fir /.s s //u y 9
/s7 ..2oo2
//LOCO A-/ 772 LF /CGDt?/ .76 /s 7'
5u4 /LT -7 At-7 C--dL/ /970 d/t/pvh'Ce✓,
F etc /ii P/24fio P,er/
PgourD 6- G?/s?G s /ff_te> co/u/)6rt,y 1_s
-�bL? i4LL_
x/2c V /L tcr
A,c 7 .4-, O ea _s
5/,ti) o r s u; z
4/got-As 5' u,0,002r
AUD A)//5/7 TV/2 O4 de t°7 /D /bS
Pie6/ //�E //LT /2_,17/G?,t) ltJ/fS/,l.S77�Tt�
CDDar
h .WI t 5/ Zc T4S ,9 Z)
�Lz 5,99GcJ /i1e /Gf /ZS -5//ocv
ze CST /D,us i-b
/f"vb /L
3,4 CV /4 C) SeeTif /5 OL9,1Z/Va
LOCATION: 32 �f Q 7(1
1 PERMIT 74 S
BACK
CHECK
BY/DATE_
o Electrical Contractor X Owner
o Annual Permit 0 Alarm 0 Carnival 0 Commercial
ELECTRICAL WORK PERMIT APPLlCATIO~
o Request Inspection
.,.
o Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom.
Job wired by
o Electrical Contractor ~ Owner
Installation description
Electrical contractor name
License number
City
State ZI P
1A/~
~
Purchaser's mailing address
FAX number
Premises o';l'~name \' .
ell , #'l-
Ad]) ; r'P'fr3neJ C VI "(-
City 11 t A /
Iv,,!, H t1 e IRJ
14 C r> P1 r7:
5J:
W,4,
.'
o Cash 0 Check #
I hereby certify that I am the owner of the above named property or a licensed
electrical contractor (or the finn's authorized agent) and am making the electrical
installation or alteration in compliance with the electrical law, Chapter 19.28 RCW.
o Credit Card
Card #
Visa
Mastercard
Discover
Signature of owner, electrical contractor or electrical administrator
x
.
Expiration Date
of card
Inspection fee
$ //6',/0
/' WALLS
Insulation Only
Date Approved By
Cover
Dale Approved By
"- ./
CEILING
Insulation Only
Dale Approved By
Cover
Dale Approved By
"-
THERMOSTAT
Dale Approved By
DITCH
Dale Approved By
/' SERVICE
"- Dale Approved By
/' FEEDER
"- Dale Approved By
Electrical Load Additions and or subtractions
D NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
D Fan-Wall KW
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage
PhaseD1D3
Service Size:
Feeder Size:
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
>-/d. ~ /VI t24 AI b 1.<:".< PA?o/i./ / -- ~/Mvu:J A~ ~
/
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT AN'OELF_,8, WA 98362
BUILDING PERMIT ISSUED: 7/17/2000 PERMIT NO: 12069
OWNER/APPLICANT PROPERTY LOCATION
CLIFF SMITH 3249 REGENT
P.O.BOX 4062 Lot: POR.OF swq/4,OF NEll4 OF
Pod Angeles, WA 98362 Block: [] Long Legal
360/457-6950 Subdivision: SEC.15,T30N,R6W,WM
T: S: Parcel No:
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 ' , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $3,500.00 SFD Units: 0 Commercial: 0
Project Type: DECK SFD SQ FT: 0 Industrial: 0
Occupancy Type: Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use: RS9
PROJECT NOTES
436 SQ/FT DECK
FEES ASSESSMENT
Building Permit: $97.25 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $101.75
Plumbing: $0.00 AMOUNT PAID: $101.75
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
RW SANITARY WATER DWY STORM DRA OTHER
Separate Permits are required for eleot~cal work, utilities, private and public improvements. This permit becomes null and void if work or
constmc-~don autho~zed is not commenced within 180 days, if construciion or work is suspended or abandoned for a period of 180 days after
Ihe wod( es commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have
read and e~(amined this ap~n and know the same to be tree and co~recL All provisions of Ipws 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 ts violate or cancel the
)rovisions of any state or local law regulating construction or the per[ormanc)s of construction.
· ' ' r
Signature of Contractor or Authorized A~ent Date Si~nature~wner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. /TIS UNLAWFUL TO COVER,.
INSUL,4TE OR CONCE.4L ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
ICEEP pERMIT CARD AND APPROVED PLANS AT JOB SITE
CONSTRUCTION R.W / PW/ CONSTRUCTION - R_W
ENGINEEKING 4[ 7~307 PW / ENGINEERING
FL°~E (MULTI-FAM ON~Y) 417~6~4 ..,,.~.~ ~ ~, FIR, E DEPT
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DWIS, ION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 7/1.9/'~96 " PERMIT NO: 8807
OWNER/APPLICANT PROPER([Y EocATION
CLIFF SMITH 3249 REGENT
P.O.BOX4062 Lot: PeR.OF SW1/4,OF NE1/4 OF
Port Angeles, WA 98362 Block: [] Long Legal
360/457-6950 Subdivision: SEC.15,T30N,R6W,WM
T: S: Parcel No: 063015130925000
CONTRACTOR ARCHITECT
CLIFF SMITH CONSTRUCTION N/A
P.O. BOX 4062
Port Angeles, WA 99362 , 98360-0000
360/457-6950 360/000-0000
PROJECT INFO
Project Value: $17,024.00 SFD Units: 0 Commercial: 0
Project Type: GARAGE/SHOP SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use: RS9
PROJECT NOTES
GARAGE/SHOP
RENEW PERMIT .-
RECEIPT#10004
FEES ASSESSMENT
Building Permit: $131.12 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $131.12
Plumbing: $0.00 AMOUNT PAID: $131.12
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
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
Paws 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 Sigr~ure of O~vner (if owner is builder) Date
T:\PLANN~-JG\FORMS\ I 102.15 [4/2002 ]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING 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
INSFECT, ON TVFE tDATE IYES ACCI~FTEB I NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS ~,
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FKAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB I
' WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES ! SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERfNG
FIRE 417-4653 FIRE DEPT.
BUILDING 417~4815 ~ ~ ~/.~' ~/ BUILDING
WOOD DECK
APPLICATION FORM
CITY OF PORT ANOELES
DEPARTMENT OF PUBLIC WORKS
BUILDING DIVISION
The Application Form must be filled out completel~ Please Ognr or print in mk. [f you hm,e any cptes#ons,
~lease call 417.4815 , ,
A. Applicant and/or Asent:
Phone: '7'£?' C
B. Owner:. t~/,~ f t~ --~t~-' 7'6 Phone:...t~'f.'~" ~'~"~
C. Architect/Engineer: Phone:
Address:
PROJECT/DEVELOPMENT ADDRESS: //~ 7 ~-" /O/.]., ~ ~/~,
ZONE:. ENVIRONMENTALLY SENSITIVE AREA? YES NO
LEGAL DESCRIPTION: (Lot - Block - Subdivision).
D~CZHE~Gm S~.TBAClCS: Front Rear~ Side /f~' Side ~ ~""
TYPE OF WORK: WOOD DECK SIZEfVALUATION: ??,(~ sf. ~ $
LOT COVERAGE: Any structure over 30" in height will be added to existing lot covert..
Does the project change lot coverage? Yes: No:
Current Lot Coverage sq.ff Lot Size:
Add deck sq.
Total Lot Coverage sq. ff %Lot Coverage:
1 hereby certif~ that I have read and examined this application and know the same to be tree and correct, and I am
authorized to apply for this permit. I understand it is not the City's legal responsibiliW to determine what permits
are required; it remains the applicant's responsibility to determine what permits are required and to obtain such.
Applicant:C~~~ Date~ ,~'/7-O°
Pw-wr~n~tl,~] PAGE 2
SITE PLAN
DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION
PRO3~CT~DEV~LOPMENT ADDRESS: . //* 7 f~" t~z~' r/~
of pORT ~
l~
r'Uiii
"--~
~
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000077 Date
.723177
3249 REGENT ST
06-30-15-1-3-0800-0000-
INSPECTION ONLY
2/01/05
RS9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
SMITH CLIFF
3249 REGENT ST
PORT ANGELES
OWNER
WA 983630997
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
RENEW PERMIT #8807
47.00 Plan Check Fee
2/01/05 Valuation
7/31/05
.00
o
Qty Unit Charge Per
BASE FEE
Extension
47.00
Other Fees
STATE SURCHARGE
4.50
W
\'J
~
-\j
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 47.00 47.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 51. 50 51. 50 .00 .00
~
C0
(t
.5
~
'J\.
-\
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.
o tv F I L 1:;-
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
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 DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. 1 PW 1 CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 n. -/ - t') <' .j. k. BUILDING
T:\Policies\1102_15 building permit inspecl10n record05.wpd [1/4/2005]
'(i
'\oi r..?
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
.l21 EAST 5TH STREET. PORT ANGELES. WA 98162
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000071 Date
.139297
3249 REGENT ST
06-30-15-1-3-0800-0000-
ELECTRICAL ONLY
1/31/05
RS9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
SMITH CLIFF
3249 REGENT ST
PORT ANGELES
OWNER
WA 983630997
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS FO\< GARAGE
Permit Fee 48.10 Plan Check Fee .00
Issue Date 1/31/05 Valuation 0
Expiration Date 7/30/05
Qty Unit Charge Per Extension
1. 00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS 48.10
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 48.10 48.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 48.10 48.10 .00 .00
~
'*
~
~
-
G
:'\
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPEgJON RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
DIT( 'H
lUll Inl-l_IN I COVER
~bKVICb
FTN A T I ;;./ I /~ 5" AcE)
,
GENERAL COMMENTS:
PW.\I02.1~ 14196)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date ~ I j I 0 -S-
Time_I '. :s D
Received by
JlL
(phone, person)
Location of Work to be inspected sM CJ
Name of person requesting inspection e-ll'l-{
Address of person requesting inspection <:"...'NYL~
Type of Inspection (circle appropriate one): /.~~ Permit No.
Sewer Foundation Framing Chimney Plumbin~ewer Excav. Other
[:2E{~e).. l. +-
;K [{CeO' {(9~
Phone No. Lfs; 'l ~ ~CJ")o
INSPECTION N~'~f:A/
Inspected: Date ~
Remarks:
Time ~ ..\:
~~)
~Q. ~ ~
~
By
) \.,G
RESTORATION REQUIRED. . . . .. YES NO
Sl-w P r;: "-i.&- (
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel DAsphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
.........
/
A
~"
.
Sit Address:
,_7,;2
Ins' lied By:
Ower/Business:
o~ er/Business Address:
EL ,CTRIC HEAT
D IjlASEBOARD KW _
D ~.URNACE KW _
D It1EAT PUMP KW_
DAN/WALL KW _
Det i1slDescription:
~
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
.-
PERMIT NO. ...s-C; I ~
7/J~/y-/
DATE
D READY FOR
INSPECTION
license Number:
'P<( RESIDENTIAL
ID COMMERCIAL
D NEW CONSTRUCTION
D REMODEL
D ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
D TEMPORARY SERVICE
/fJ-D
D WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq, Ft.
D RISER
D OVERHEAD SERVICE
~ UNDERGROUN~RVICE
VOLTAGE: /2-d? zr/D
. I
\01~ D3~
(SERVICE SIZE JZO AMPS
FEEDER SIZE /t9-V AMPS
'~
/
w. . No. SERVICE SIZE
CArACITY:
D O.K. D NOT O.K.
AC ION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
D OVERHEAD SERVICE APPROVED
D CHANGE SERVICE WIRE
D OTHER
A~ itch Inspection O.K.
Dough-in/cover O.K.
D .K. to connect service
~ I inal O.K.
Date:
. .31 q to
Not fy Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
be re inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or n the Building Permit. PHONE 457-0411, EXT. 224.
-----r;;-;
1(~/1
, .
Electrical Inspector
Sit Address:
.
WHl1 E - File by address
~l
OlYM!rc PRINTERS INC
New Meters
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
PINK - Top: Eng, Bottom, Customer
Permit/Receipt No. ___
~ .,(i
--
ff 10 ~
Permit Fee ~
,"~H",_~,. _.,0'. ~
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
..5-/00
~~ It '1/ czS-
. I
DATE
ELECTRICAL PERMIT
Site Address:
g tAt!
,'5 S~
c.j (- # Svv.. /+2.
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
In, alled By:
OY ner/Business:
Phone:
Oli ner/Business Address:
Sq. Ft.
EL CTRIC HEAT
o ASEBOARD KW _
~ URNACE KW -.OY:L
~ EAT PUMP KW ~
DAN/WALL KW _
~ RESIDENTIAL
o COMMERCIAL
~ NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
~ UNDERGROUND SERVICE
VOLTAGE: /.2..0 ;2'/'0
1)?qS D3~
SERVICE SIZE JO< 0 AMPS
FEEDER SIZE AMPS
De ils/Description:
;yL0
~U$€-
-,
.
-.1-
W. . No. SERVICE SIZE
C!,\ ACITY:
o O.K. 0 NOT O.K.
AC ION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
-,
o I )itch Inspection O.K.
;CJv1-B lough-in/cover O.K.
o . K. to connect service
o I inal O.K.
.
~~ e AddressJ.;2 i
In~ taller: ~
" ,-.$
No, ify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
be! lre inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or n the Building PeJJl'lit. PHONE 457-0411, EXT. 224. j{
---. ~ tJ1'I^, NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 'fP r; S
Electrical Inspector Permit Fee
Permit/Receipt No.
S/OO
'--
New Meters
WH~ E - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meier Dept., Bottom: City Hall
OLYt.\ Ie PRINTERS INC
~
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. 7I'~ 7 {,
DATE :t / /if /'1'1
.
Sit ~ Address:
i
Inst lied By:
I
Ower/Business:
II
Ow er/Business Address:
j
I
EL RIC HEAT
D BASEBOARD KW _
D iFURNACE KW _
D ~EAT PUMP KW_
DAN/WALL KW
D READY Fo.R
INSPECTlo.N
license Number;
D WILL CALL Fo.R
INSPECTIo.N
Phone:
Phone:
Sq. Ft.
D RESIDENTIAL
D COMMERCIAL
D NEW CONSTRUCTION
D REMODEL
D ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
r TEMPORARY SERVICE
D RISER
~ OVERHEAD SERVICE
/[j UNDERGROUND SERVICE
VOLTAGE:
D1l1\ D3~
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
DetailslDescription:
.
W. No. SERVICE SIZE
CAF?ACITY:
D O.K. D NOT O.K.
A ION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
D OVERHEAD SERVICE APPROVED
D CHANGE SERVICE WIRE
D OTHER
D [ itch Inspection O.K.
Dough-in/cover O.K.
.,.1rJ1't"\f. '.K. to connect service
D inaIO.K.
Sit. Address:
New Meters
(
Ins aller:
.
Nol fy Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
bel re inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or . n the BuildingBermit. PHONE 457-0411, EXT. 224. .,8"-
~ NO OCCUPANCY OR USE ESTABuSHED UNDER THIS PERMIT f(" ;:10
I. $
Electncallnspector Permit Fee
WHI E - File by addres$
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYM C PRINTERS INC
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; 11-43 -14
❑ 1 & 2 Single Family Dwelling
5
AUG i 3 2flik
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 3249 S, Regent St,
Building Square Footage:
Description of above fire damage, replace power panel and up to 5 circuits to panel
Owner Information
Name; Cliff Smith
Mailing Address: 3249 S. Regent St.
City: Port Angeles State: We Zip: 983662
Phone; Fax;
License # 1 Exp,
we Zip: 98363
Item
Unit Charge
ServicelFeeder 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
ServicelFeeder over 1000 Amp.
$ 373.00
Branch Circuit W/ Service Feeder
$ 5,00
Branch Circuit W!0 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, ServlcelFeeder 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 Conneclion
$120.00
Renewable Electrical Energy - 5KVA System or Less
$102.00
Thermostat
$ 56,00
Note; $5,00 for each additional T -Slat
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
C'MICA
lINSFECTION
Contractor Information
Name; Jodi Electricc
Malling Address: 331 Fors Rd,
City, Port Angeles State;
we Zip: 98363
Phone; 360460.0556 Fax;
License # 1 Exp.ledioe'957cz
QtV Total (Qty Multiplied by Unit Charge)
1
$ 120.00
$
5
$ 25.00
$
$
$
$
$
$1a5.ofl 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 compllance 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: ❑ cash II check
❑ Credit Card #
x - Dated: 8-13-14
0110112012
�.0
V
-ko � ELECTRICAL INSPECTION
ilif ot Emil
WIRING REPORT
417-4735
DATE: j
PrRMIT#
INSPECTOR
ll
C)VVNLH
CONTRACTOR
- rzv�1-61;
ADDRESS
3Z L19
NOT APPROVED
[J - � ................. DITCH ....................
e��-W- 0
TtL-- - - ROUGH IN/COVER ............... 0
D ...... .......... SERVICE ................... 13
0 ...... ....... ...... FINAL ..... - - I ...... 1.0
CORRECTIONS NEEDED:
ul R I r--7
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -9735
Application Number 14- 00000965 Date 8/14/1.4
Application pin number . , , 403835
Property Address . . , . 3249 REGENT ST
ASSESSOR PARCEL NUMBER: 06-30-15-1-3- 0800 -0000-
Application type description ELECTRICAL ONLY
Subdivision Dame , , . , , ,
Property Use
Property Zoning , , , RS9 RESDNTL SINGLE FAMILY
Application v)RIuation 0
Application desc
Panel and circuits fire damage
-----------------------------------------------------------------------------
Owner Contractor
SMITH CLIFF JEDI ELECTRIC
3249 REGENT ST 331 FORS RD.
PORT ANGELES WA 983630997 PORT ANGELES WA 99362
(360) 460 -0556
Permit . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc , ,
Permit Fee 145,00 Plan Check Fee .00
Issue Date 8/14/14 valuation 0
Expiratipn Date 2/10/15
Qty Unit Charge Per Extension
5.00 5.0000 ECH EL- BRANCH CIRCUIT W /FEEDER 25,00
1100 120.0000 ECH EL -0 -200 SRV FEEDER 120,00
Fee summary Charged Paid Credited Due
---- ---- -- - -- --- -- - - - -- ---- - - - - -- ---- - - -- -- ---- - - - - --
Permit Fee Total. 145 -T7r 145.00 OD .00
Plan Check Total ,00 .00 .00 .00
Grand Total 145,00 145.00 .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
f 3 y
FINAL
f
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION - "
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIB.CIILDING
I--
c
a
C�