HomeMy WebLinkAbout1712 Woodhaven Ln - Building c`.
ELECTRICAL PERMIT
CITY OF PORT ANGELES y.
360- 417 -4735
Application Number 11- 00001225 Date 11/02/11 l_
Application pin number 111175 REPORT SALES TAX
Property Address 1712 WOODHAVEN LN
ASSESSOR PARCEL NUMBER: 06- 30- 14 -1 -4- 9120 -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 RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Owner Contractor
DENNIS M &PRUDENCE A NATHAN JT OLYMPIC ELECTRIC CO INC
1712 E WOODHAVEN LN 4230 TUMWATER
PORT ANGELES WA 983629388 PORT ANGELES WA 98363
(360) 457 -7143 (360) 457 -5303
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc OLY EL./ FURN. HP
Permit Fee 81.30 Plan Check Fee .00
Issue Date 11/02/11 Valuation 0
Expiration Date 4/30/12,,
Qty Unit Charge Per Extension.
1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 CP
3.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 7.80 O
Special Notes and Comments
October 31, 2011 9:25:29 AM tamiot.
load reduction, looks fine
Fee summary Charged Paid Credited Due iNN
Permit Fee Total 81.30 81.30 .00 .00 Z
Plan Check Total .00 .00 .00 .00
Grand Total 81.30 81.30 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN 9 I l Z
FINAL 1 1
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
10/28/2011 09:13 FAX 360 452 3498 Olympic Electric Co. PA CITY INSPECT RI 001/0p1
RECENED
Patr
CITY OF PORTANGELPS PERMIT APPLICA770N OCT 2 €3 2091 f��.�
Building Division/Electrical Inspections ELECTRICAL 117 Wain 5
321 East Fifth Street P.O. Bo: 1150 Port Angeles Washington, 918362 INSPF N
Ph: (360) 4117 -4735 Fax: (360) 417 -471.1
Data 10/28/2011
x 1 8 2 Single Family Dwelling _Multi Family or Commercial' Commercial Addition Alteration Remodel Repair'
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address; 2 E w• ,ven Lon
Bulking Sgwere Footage:
Demaipionofabole Replace Foreace Neat Pump and Install GFI
2 0 ,4 12 -Skw Furnace
4 ton to 4 toe Beat Pump
Owner Infortrhetlon Contractor Information
Name; Nike Nathan New OLYmpic ELECTRIC
Mating Address: 1712 >Y woodhavean p n Melling Address: 4230 T[7NWATER
City Port Angeles Slate: NA 2't: 98362 Cal/ State: 7lp: 98363
Phone: 457 -7742 Fes: Rene 457 -s303. Fex; 4S2 -349e
License Exp. License Exp. 01,14PM:2 95A1
Item Unit Charge al Total (Qty Multiplied by Unit Charnel
SenrioelFeederwo Amp. 119.90
Service/Feeder 201-400 Amp. S 145.50
Swim/Feeder 401.600 Amp S 20480
ServbelFeeder 601 -1000 Amp. S 28220
Se:vice/Feeder over 1000 Amp. S 372.50
Branch Circuit W/ Swam Feeder S 260
Brandt Quit WAD Service Feeder 1 73.50 1 73.5 0
Each Addiliinrai Branch Orcult S 2.60 3 7. BO
Temp_ Sefviml Feeder 200 Amp_ 9270
Temp. Senioanmder 201 -400 Amp 5110.30
Temp. SenicelFFede1401-600 Amp. 148.70
Temp. Se114 -1000 Aar 167.90
Portal b Portal duly 1 95.90
Sign/Ouline Lighting 88.20
Signal Circuit/ Limited Energy First 1510) sf Commercial 95.90
Note $5.00 for each additional 1500 el
Signal Circuit/ Limited Energy -1 2 Far* Dwelling 1 ®.90
Signal Circuit/ Limited Eneref Muth- FFaeiiy Dwelling 63.90.
Manufactured Home Conneclim 11990
Renewable Qedrical Energy 5KVA Sjn alms $10230
Thermostat 56.00
First 1300 Square Ft $110.30
Each Additional 500 Squae FL or Portion of 3520
Each Outbuilding a Detached Garage S 73.50
Each Swimming Pool a Hot Tub 110.30
91.30 Total
Owner a8 defined by RCW.19.28.261: (1) Owner will occupy the structure for two years air this electrical permit is finalized. (2) Owner Is required
to him an electrical contractor if above said property is for sale, rent or lease. Pertniit espies after six months of last inspection.
After resting the the statement I hereby certify that 1 am the owner Otte above ruined property or a Wensed electrical contractor. I am melting
the electrical inemaeation or alts ration m cvmpiance with the electrical lama, N.E.C., R. chapter 19.28, WAC. Chapter 296.468, The City of Port
Angeles Municipal Code, and UhWy Specifications and PAMC 14.05.050 regarding Eledthsi Permit App ications.
Signature at ammo/, electrical contractor or eleehlal adrrrnletrator: 0 c=h 0 check
I Credit Cord.
X "Z n 10/28/2011 o+ro12010
ti, CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
m=1
321 EAST 5TH STREET, PORT ANGELES, WA 98362
�s
Application Number 11- 00001185 Date 10/19/11
Application pin number 544370
Property Address 1712 WOODHAVEN LN A
ASSESSOR PARCEL NUMBER: 06- 30- 14 -1 -4- 9120 -0000- REPORT SALES TAX
Tenant nbr, name DENNIS P NATHAN
Application type description MECHANICAL APPL. PERMIT On your state excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 10605
Application desc
REPLACING HEAT PUMP AIR HANDLER
Owner Contractor
DENNIS M &PRUDENCE A NATHAN JT PENINSULA HEAT INC
1712 E WOODHAVEN LN 782 KITCHEN -DICK RD
PORT ANGELES WA 983629388 SEQUIM WA 98382
(360) 457 -7143 (360) 681 -3333
Permit MECHANICAL PERMIT
Additional desc HEAT PUMP AIR HANDLER
Permit pin number 194993
Permit Fee 75.45 Plan Check Fee .00
.Issue Date 10/19/11 Valuation 0
Expiration Date 4/16/12
Qty Unit Charge Per. Extension
BASE FEE 50.00
1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80
1.00 10.6500 EA ME -AIR HAND <OR= 10,000 CFM 10.65
Fee summary Charged Paid Credited Due
Permit Fee Total 75.45 75.45 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.45 75.45 .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 sta ?cal law regulating construction or the performance of
construction.
/Oh h Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
oQ
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 JOE SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab 1
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 N'
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
Planning 417 -4750
Building 417 -4815 1' ij
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Oct 19 11 10:14a PENINSULA HEAT 3606812086. p.1
BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be use for projects that do not require plan review)
Date Received io 1 C 1-11
Permits it IIFS7
City of Port Angeles Please print in ink. Date Approved
Attn: Building Permit Technician Approved by
321 E. 5 St., Port Angeles, WA 98362
360 -417 -4815 fax: 360 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 prr (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
Contact person,/). Phone:
C.- co' g!— 3 3
Property owner:
/j. /J/
/1/ai-AGi'/'l Phone: -/57- -7 14'
Property owner's mailing addres
/7 Z e GG' c! li�y'1
Contractor's business name: kepi r }Lie, z t L -7" Phone/: JJ
(or property owner's tame if he /she is doing /overseeing the work) U S- _3:
Contractor's mailing adci,res
/2/c /n l 'mot'
Contractor's ber Expiration license num in,; �y n dat
r o j
Project Address:
7/ 2 R/:oaAa V6W
Project Type: residential Commercial Industrial Multi family
Project Business Name:
(for commercial, industrial, or mufti- 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: r❑ house garage o other
tear off re -roof lay over one layer
Licensed contractor: Submit a copy of your re -roof bid.
Project Valuation (labor materials, not including sales tax)
Re -side: co house o garage n other
Project Valuation (labor materials, not including sales tax)
Repair: (explain the project)
Project Valuation S
*Homeowner: If ycu.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 /Building Division/Buiiding /Plumbing /Mechanical Permit Application Short Form (Revised 2011)
Page 1 of 2 7 k41dx) irLl i s rPady zeis2
"14.
ank t 5 6,14._-
Cew /a/
Oct 19 11 10:14a PENINSULA HEAT 3606812086 p.2
Swimming Pool or Spa (e 24" deep): For prefabricated swimrnina pool or spa protects that
do not require plan review.
Obtain the City of PA handout entitled "Pools Spas" foliow the requirements.
Project Valuation
Demolition: A demolition permit is needed when an enure building ,gets demolished.
What will be demolished? o house garage o 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" overthe•structure(s) to
be demolished. Submit the map with this application.
Obtain (from the City of PA) a copy of the Olympic Region Clean Air 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 no Will the debris be going to the Regional Transfer Station in Port Angeles?
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, new
(or later f asbestos testing is needed).
Plumbing Permit: Jexplain the pro tect)
Project Valuation
Mechanical Permit: lexplain the project)
2 7G1 !l n ea,i n` M /I 1r- hGC �j /�i/� r /a I ri e%1
Project Valuation iO (p L
1 have read and completed this application and know it to be true and I at authorized to apply for this permit
and understand that it is my responsibilf o determine what •errnits are required, and to obtain permits prior to
working on projects.
Date /01/4///- Signature s -o,
Print Name CSI'! e 17 rs�'
Page 2 of 2
Clallam County Assessor Treasurer Property Details 66838 DENNIS M AND PRU... Page 1 of 1
Clallam County Assessor Treasurer
Property Search Results 66838 DENNIS M AND PRUDENCE A NATHAN JT for Year 2011 2012
Property
Account
Property ID: 66838 Legal Description: WOODHAVEN
SHORT PLAT V17
P78 LOT 4 1.28A
Geographic ID: 0630141491200000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi- Family Redevelopment: N
Township: Section:
Range: 8
Location
Address: 1712 E WOODHAVEN LN Mapsco:
1
PORT ANGELES, WA 98362
Neighborhood: PA South Res Map ID: 2
Neighborhood CD: 4151000
Owner
Name: DENNIS M AND PRUDENCE A NATHAN JT Owner ID: 42689
Mailing Address: 1712 E WOODHAVEN LN Ownership: 100.0000000000%
PORT ANGELES, WA 98362 -9388
Exemptions:
Taxes and Assessment Details
Property Tax Information as of 10/19/2011
Amount Due if Paid on: M. NOTE: If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due.
Click on "Statement Details" to expand or collapse a tax statement.
First Half Second Half
Year Statement ID Base Amt. I Base Amt. 1 Penalty Interest Base Paid Amount Due
k Statement Details
2011 160558 $2868.35 $2868.30 $0.00 $0.00 $2868.35 $2868.30
Statement Details
2010 48853 $2744.81 $2744.81 $0.00 $0.00 $5489.62 $0.00
Values
Taxing Jurisdiction
Improvement Building
Sketch
Property Image
Land
Roll Value History
Deed and Sales History
Payout Agreement
This year is not certified and ALL values will be represented with "N /A
Website version: 9.0.32.2200 Database last updated on: 10/19/2011 3:50 AM 2011 True Automation, Inc. All Rights
Reserved. Privacy Notice
http: /websrv8.clallam.net /propertyaccess /Property. aspx ?cid =0 &year =2011 &prop_id =66... 10/19/2011
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
08 00000465
249265
1712 WOODHAVEN LN
06 30 14 1 4 9120 0000
MIKE NATHAN
RE ROOF
RS9 RESDNTL SINGLE FAMILY
28000
Application desc
TEAR OFF AND RE ROOF WITH COMPOSITION SHINGLES
Owner Contractor
DENNIS M /PRUDENCE A NATHAN JT LARIAT CONSTRUCTION INC
1712 E WOODHAVEN LN P O BOX 280
PORT ANGELES WA 983629388 PORT ANGELES WA 98362
(360) 452 7143 (360) 457 0952
Structure Information 000 000 TEAR OFF RE ROOF COMP SHINGLES
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF AND RE ROOF
Permit pin number 124966
Permit Fee 448 05 Plan Check Fee 00
Issue Date 4/21/08 Valuation 28000
Expiration Date 10/18/08
Qty Unit Charge Per Extension
BASE FEE 417 75
3 00 10 1000 THOU BL -25 001 50K (10 10 PER K) 30 30
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Date 4/21/08
Permit Fee Total 448 05 448 05 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 452 55 452 55 00 00
h
T Forms /Building Division/Building Permit (10/01/07).wpd
0
oQ
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
Date Print ame� Si
c44/ 1 4 ature of C ractor or Authorized Agent Signature of Owner (if owner is builder)
0
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 I ACCEPTED COMMENTS
FOUNDATION•
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE I DOWN SPOUTS
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
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT Il's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
BUILDING PERMIT INSPECTION RECORD
YES I NO
FINAL DATE ACCEPTED BY.
a
3
FINAL DATE ACCEPTED BY. 1.
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I I I FIRE DEPT
PLANNING DEPT 417 -4750 I p I I I PLANNING DEPT
u
BUILDING 417 -4815 I -Z$'a I '3 I I BUILDING
T Forms /Building Division /Building Permit (10 /0l /07).wpd
PREPARED 4/28/08 13 48 22 INSPECTION TICKET PAGE 16
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/28/08
ADDRESS 1712 WOODHAVEN LN SUBDIV
TENANT NBR MIKE NATHAN
CONTRACTOR LARIAT CONSTRUCTION INC PHONE (360) 457 0952
OWNER DENNIS M /PRUDENCE A NATHAN JT PHONE (360) 452 7143
PARCEL 06 30 14 1 4 9120 0000
APPL NUMBER 08 00000465 RE ROOF
PERMIT
TYP /SQ
BL99 01
BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
COMPLETED RESULT RESULTS /COMMENTS
4/28/08
BLDG FINAL
April 28 2008 8 59 55 AM 1pangrle
JOE 460 2088
BLDG FINAL RE ROOF
COMMENTS AND NOTES
Applicant or Agent 1-- Cn IL, c
Property Owner Sit M,k, Ntile,
Property Owner's Address /7f G✓04.14„r,, t
Contractor /Engineer Lteya 71 Ii i i r s /h
Contractor /Engineer's Address rev Q z d-
License L,4 ,e C i 7 SR
PROJECT ADDRESS
Parcel Number
Project Type Brief Description. residential
Check all that apply
New Construction
Addition
Remodel
Repair
Re -roof
Demolition
Heat System
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures sq ft. Lot size
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
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
7/ 1061 6,✓P,_
ft.
N
N„
Date t f /2 Print Name Ztiti-. 14r- .r.,,�
T Forms /Building Division /Bldg Permit Appl. 2006 Code.doc
Commercial
'0/ w, 7
Occupancy group
Occupant load
Construction type
ti
Lot
Phone
Phone
Phone
Expires
Heat pump wood burning stove gas fireplace pellet stove other
Signature v44-
For City Us Only
Date Received LI 2-1 Qao
Permit 0 —469
Date Approved
i' 3 ,0) v‘o
Zoning
Multi family Industrial
per sq ft.
TOTAL VALUATION c 0 D
of bedrooms
of full baths
of half baths
sq ft. Lot coverage
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 is my responsibility to determine what permits are required, and to obtain permits prior to working on
projects.
Phone
We hereby submit specifications and estimates for
We propose hereby to furnish material and labor complete in accordance with the above specifications for the sum of
Dollars
with payments to be made as follows
Any alteration or deviation from above specifications involving extra costs will be
executed only upon written order and will become an extra charge over and
above the estimate All agreements contingent upon strikes. accidents, or delays
beyond our control.
Proposal Submitted To:
Address
Date of Acceptance
FORM 3850
ro c ti
7 2, Uo Ili a 64- 'r/
Fax
The above prices, specifications and conditions are satisfactory and are
hereby accepted. You are authorized to do the work as specified.
Payments will be made as outlined above
PROPOSAL
LARIAT CONSTRUCTION INC
PO BOX 280
PORT ANGELES WA 98362
(360) 457-0952
V
wA t 5,4", /ti -Oki( I J'
l4,.. 4 Coif r LYE° �,If
is /1,u >IA Z�2
Job Location
J e
Date ef
Respectfully
submitted
Note this proposal it/iay be withdrawn iy us if not accepted within
Acceptance of Proposal
Job Name Job
Signature
Signature
Architect
Page of pages
Date of Plans
days.
i
OI{T I
Si
~""';
I
ELECTRIC~L PERMIT
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Issued: 11/19/96
Permit No:
5729
I
OWNER/APrLICANT------------------------PROPERTY LOCATION------------------------
MIKE N~THAN 1712 WOODHAVEN
1712 W~ODHAVEN Lot:
Port A~geles, WA 98362 Block:
360/45V-7143 Sub:
T: I S: Parc No:
I
CONTRACT~R-----------------------------DESIGNER---------------------------------
EVERGREEN ELECTRIC
402 J~ESTOWN RD.
SEQUIMf WA 98382 ,
360/68f-4193 000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: RES.GARAGE prj Value: $0.00
Occ Type: Cnstr Type: FEEDER
Occ $rp: Occ Load: Land Use: RS9
Long Legal:
WOODHAVEN SP
06301414920
Electr.~cal Heat
Baq;eboard KW:
Fu:!:nace KW:
He41 t Pump KW:
Fa:l/Wall KW:
Service Type
o Riser
o Overhead Service
o Underground Service
o Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
o
-1 -3
o AMPS
100 AMPS
PROJECT QrOTES-------------------------------------------------------------------
100 AM~ FEEDER TO NEW GARAGE\SHOP
PROJECT tEES ASSESSMENT---------------------------------------------------------
Service: $65.00
Additional Feeders: $0.00
: Circuit Wiring: $0.00
I Temp Service: $0.00
~~:~l_______________________~~~~~
----,----------------------------
i TOTAL FEE: $65.00
TOTAL FEE:
Amount Paid:
$65.00
$65.00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CAlL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE 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 I NO
DITCH
1) l-iN I cuv.t.R
I SEll Vir]:;
FINAL I 11//9/9'1, I I
GENERAL COMMENTS:
PW:ll02.lS[4I96]