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Home My WebLink About1006 S Cherry St - Building a� ,14 CITY OF PORT ANGELES i. DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION �MOW 321 EAST 5TH STREET, PORT ANGELES, WA 98362 w` Application Number 12- 00000308 Date 4/03/12 Application pin number 143956 Property Address 1006 S CHERRY ST REPORT SALES TAX o ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 2500 -0000- Application type description MECHANICAL APPL. PERMIT on your state excise tax form Subdivision Name 0 Property Use t the City of Port Angeles .r Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 12125 i Application desc St REMOVE OIL FURNACE /INSTALL HEAT PUMP M x a 4' Owner Contractor 41 r ,1, DELGADO MICHAEL PENINSULA HEAT INC 10600 PIONEER BLVD UNIT A 782 KITCHEN -DICK RD SANTA FE SPRINGS CA 90670 SEQUIM WA 98382 4 (360) 681 -3333 4 Permit MECHANICAL PERMIT 4 Additional desc HEAT PUMP /REMOVE OIL HEAT Permit Fee 64.80 Plan Check Fee .00 Issue Date 4/03/12 Valuation 0 Expiration Date 9/30/12 'deli x Qty Unit Charge Per Extension r BASE FEE 50.00 4 M 1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80 Fee summary Charged Paid Credited 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 fi Rat t f 1? 1? 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 k, of laws and ordinances governing this type of work will be complied with whet specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the p :''sions of any st- or !Ica law regulating construction or the performance of Construction. 43//-2___ Cicrladirdn. lorr 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 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 Comments 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 W /j Back Flow /ater FINAL Date Accepted by v U 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 FINAL Date I acce pted byU' 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 T•Pnrmc /Ri iilriinn flivicinn /Ri iilrlinn Parmit H N H H N 41 w w KC a a 0 m o r+ E m o a om o O N z N l0 H ro o RS w c C Hww o W v) PO 0 0 a s w x 41 a x x a u �d cn a s r- H o F z r H N 4 4 fn O c4 H O F N 4 N o CO F F H F ry ri t� u z z N W N GI W Ck W H H N a H 2 a s w X 4,00410 w n n a z N Cr x N Z H H a o O a F\ O H N a N U at CO Ln O H z a a r ,H u a x H 04 cncn u )4a41 s, o u E Q a Z 4 u X m O H H u PH z O k p Eh Lf) H O Q w ry a y a S C./ co H m w H o H cw m u 0 0 W V) la 4 z a o o w w N N w ■o H 0 Z F F H H 0 0Z cn z'7.. 04141,0N 0414 0 N H a g o 0 0 4 a£ H 41 0 a w a x a0 a 0 w W 8 Q F 41 4, V) C./ Z 0 Lc/ t z E 0 o KC r a F w u a Z m w F Q z z( a a m a u <000. a F MAR -16 -2012 03:42P FROM: PENINSULA HEAT COMPA 3606812086 TO: CITY PA PERMITS P.2'5 Ig BUILDING PLUMBING MECHANICAL, PERMIIT APPLICATION SHORT FORM (To be used for protects that do not requ/ro plan rov /ew.) Date Recelved I Permit I 1)(.375 City of Port Angeles Please print in Ink. Date Approved 6`11 I'7 Attn: Building Permit Technician Approved by N'Ke- 321 E. 51h St., Port Angeles, WA 98362 360-417-4815 fax: 380-417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (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: do 4zele 13 3 3 3 3 Property owner. H 4 t_1 �D f Q Phone: 462A.,/p1"7 4tJZ� P operty own, mailing addr, f 6 6 0 D f'/o77 p� n l L .4 U SP-in qs,C¢ '7,4Z 7LD Contractor's business name: en h s b` Ale (44 Phone: (or property owners name If he/she le doing /overseeing the work) -33 3 Contract r' mailing address: ye./ .yt 5�u. 14/4 Contractor's LAI kenos n_ ml 9 iogS t)i/i 7 7 QJ�/ Explrat Project Address: /0Q w S Cheer reef Project Type: arffesidential o Commercial o Industrial o Multi family Project Business Name: (for commercial, industrial, or multi family projects) The following permits are usually leafed over the counter Immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your protect. J e roots a house a 'garage in other tear off re -roof o lay over one layer Licensed contractor: Submit a copy of your re-roof bid. Project Valuation (labor materials, not Including sales tax) Re-elde; o house o garage o other Project Valuation (labor materials, not including sales tax) Repair: jexoletn the orolect) Project Valuation fiomeownen If you wIll be doing overseeing the work, then the protect valuation will be determined by doubling the cost of materials, to reflect the aka the repair adds to your property, Cost of materials x 2 Project Valuation T:Forme /Building Dlvfelon/Bunding /Plumbing/Mechanical Permit Application Short Form (Revised 2011) Page 1 of 2 RECEIVED MAR 1 9 2012• CITY OF PORT BUILDING DIVISION MAR -16 -2012 03:43P FROM:PENINSULA HEAT COMPA 36068120 TO: CITY PR PERMITS P.3 5 6 -1-1,11(_--) Swimming Pool or Spa it 24" deep); for ire brlcated Swlmminaiool or Soa project; that do not reaulre plan review: Obtain the City of PA handout entitled "Pools Spas" follow the requirements. Project Vatuation pemoiltlon; A demolition permlt Is needed when an entire building gets demolished. What wIll be demolished? house garage other E some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. (1) Agree to ensure that ail utilities are/will be properly turned off (and capped off If needed) prior to demolition. Obtain (from the CIty of PA) an aerie! view map of the parcel and put an "x" over the structure(s) to be demolished. Submit the map with this application. Obtain (from the City of PA) a copy of the Olympic Region Clean Alr Agency (ORCAA) Demolition Permit Application. Contact ORCAA at 380- 417 -1488 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? o yes a No If yes, will a licensed contractor be taking It there? If yea, 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, now (or later If asbestos testing Is needed). Plumbing Permit: 'explain the orojectl Project Valuation e in at .yv)thr Pa "7 0J 1 774''1RQCe y f $i 1/ h-eeci- f2 JW i f .rl 9 sJe Project VBiuetlon 2, x. 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 responalbill o determine what mite are rsqu /red, and to obtain permits prior to working on rolects. Date 3 /d 2— Signature re4 Print Name CAN 41 r' e 8 1-1k" Ider r Page 2 of 2 ELECTRICAL PERMIT CITY OF PORT ANGELES ti 360 417 -4735 Application Number 12- 00000378 Date 4/03/12 Application pin number 656558 Property Address 1006 S CHERRY ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3- 2500 -0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 2 circuits Heat pump Owner Contractor DELGADO MICHAEL APS ELECTRIC 10600 PIONEER BLVD UNIT A 546 BENSON RD. SANTA FE SPRINGS CA 90670 PORT ANGELES WA 98363 (360) 452 -6753 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 68.00 Plan Check Fee .00 Issue Date 4/03/12 Valuation 0 Expiration Date 9/30/12 Qty Unit Charge Per Extension 1.00 5.0000 ECH EL -ECH ADDNT BRANCH CIRCUIT 5.00 1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00 Fee summary Charged Paid Credited Due Permit Fee Total 68.00 68.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 68.00 68.00 .00 .00 LA P INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN bill tig '1455- FINAL COMMENTS: C PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING FROM A.P.S. ELECTRICAL CONTRACTOR FAX NO. 360 452 6753 Apr. 03 2012 08:35AM P1 \IL,,L. l r 0 .1; APR 3 r.,. ,x'u'I l !v CITY of PORT ANGELES PERMIT APPLICATION ELECTRICAL g 47 d Building Division /Electrical Inspections 1 NSPEGTIQIUS 321 East Fifth Street P.Q. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 141111=Pr Cr.) Date; 1 2 Single Family Dwelling Plan Review May Be Required, Please Complete Electric Plan Review Information Sheet O Job Address /O e,_h &I`s� X 11 Building Square Footage; J Description of above. Ylp. t 1 r _b 1 n n s-6. k 9 .P• W r ae-•� p?raur'ai n3o .2 t, F C hi,f s i Owner Inform tion Contractor Information Name: T' i GIl G, e. g Gt C1 0 Name 4 .1.)_5 6l e. cif'P` t�CQ( Mailing Address: 10f� o 0 p; op'e (3( od t f nit' A, Mailing Address: City; 5nrrt"eFt. 1 (ate: e. A, Zip: 4 +0(770 City: State: P, l Zip: Phone; Fax: Phone: Fax: 'e License Exp.. License 1 Exp. Item Unit Charge gty Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. 120.00 Service/Feeder 201 -000 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 Circuits 1-4 5 75.00 5 branch Clrcuil W/ Service Feeder 5,00 Branch Circuit W/O Service Feeder 63.00 b3. 0 0 Each Additional Branch Circuit 5,00 5 p Temp. Service/ Feeder 200 Amp, 93.00 Temp. Service /Feeder 201.400 Amp. 110.00 Temp. ServicelFeeder 401 -600 Amp, 149.00 Temp. Service /Feeder 601 -1000 Amp 5168.00 Portal to Portal Hourly 96,0D 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 New CONSTRUCTION ONLY; First 1300 Square Ft. 120.00 Each Additional 500 Square Ft. or Portion of 40.00 Each Oulbuilding or Detached Garage 74,00 Each Swimming Pool or Hot Tub $110.00 (ow: ICI 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 reeding 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 -468, 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: 0 Cash 0 Check r Credit Card# 4 x S�n� k- Dated: 4 2O( 0110112012 ELECTRICAL PERMIT 1 CITY OF PORT ANGELES 360 417 -4735 1 Application Number 12- 00000305 Date 3/19/12 �4 Application pin number 319575 0 Property Address 1006 S CHERRY ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3- 2500 -0000- on your excise tax form "1 Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc T -stat Heat pump furnace Owner Contractor DELGADO MICHAEL PENINSULA HEAT INC 10600 PIONEER BLVD UNIT A 782 KITCHEN -DICK RD SANTA FE SPRINGS CA 90670 SEQUIM WA 98382 O (360) 681 -3333 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 56.00 Plan Check Fee .00 Issue Date 3/19/12 Valuation 0 Expiration Date 9/15/12 1� Qty Unit Charge Per Extension 1.00 56.0000 ECH EL- LVT- THERMOSTAT 56.00 Fee summary Charged Paid Credited Due Permit Fee Total 56.00 56.00 .00 .00 rL Plan Check Total .00 .00 .00 .00 ,3( Grand Total 56.00 56.00 .00 .00 rq INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL 14.1P' 7 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING MAR -16 -2012 03:43P FROM: PENINSULA HEAT COMPA 3606812086 TO: CITY PA PERMITS P.4'5 CITY OF PORT ANGELES PERMIT APPLICATION :i;�, tiPI 0 Building Division/Electrical inspections [`'4:r 9 L,„ 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 t Ph: (360) 417-4735 Fax: (360) 417 -4711 SPEC ELECTRICO INNSPECTIONS v Date: 3//6 /y 1/( Single Family Dwelling Plan Review May Be Required, f l ass Complete E ectrical PI n Review Information Sheet Job Address: D U t0 5 r_ err f 5 Building Square Footage: U Description of above s nyleP /V /y r� Owner Infop atio i Contras pits H C Na Al .e i ail i i i. Name: P a nY Mailin. Addre rf 11/1'1_WW/1i�. +4' MaifingAddreL Z Kitcheq DiCk Rd. City: 4 iirq r. su ''.A .••-G d C ity: Sta Phone: Fax: T Phone t S( 3 License #I Exp. License #!Exp. AJ //l/H /fte6- Item Unit Clime gtt Total (Qtv Multiplied by Unit Charnel Servicelfeeder 200 Amp. 120.00 Service /Feeder 201.400 Amp. 148.00 Service/Feeder 401 -600 Amp 205.00 Service /Feeder 601.1000 Amp. 282.00 Service/Feeder over 1000 Amp. 373.00 Branch Circuit W/ Service Feeder 5.00 Branch Circuit W!0 Service Feeder 83.00 Each Additional Branch Circuit 5.00 Branch Circuits 14 75.00 Temp. Service/ Feeder 200 Amp. 93.00 Temp. Servioe/Feeder 201 -000 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 8 2 Family Dwelling 64.00 Manufactured Horne Connection 120.00 Renewable Electrical Energy 5KVA System or Less 102.00 Thermostat 56.00 _I__ 5A 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 T 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 296-468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Sign re of owner, elec al contractor or electrical administrator: 0 cso 0 Check rI L 0 Cn A t dlt Card 0 O A" AJ,, lti�l i Dated: C3 /6i Z- 01/0112012 ELECTRICAL PERMIT A.]r..T]) INSPECTION RECORD ~ CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use .Property Zoning. Application valuation Application desc 200 amp service change Owner DELGADO MICHAEL 10600 PIONEER BLVD UNIT A SANTA FE SPRINGS CA 90670 Permit Additional Permit pin Permit Fee Issue Date Expiration 08-00001506 Date 12/10/08 746674 1006 S CHERRY ST 06-30-00-0-3-2500-0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY o Contractor APS ELECTRIC 546 BENSON RD. PORT ANGELES PORT ANGELES (360) 452-6753 WA 98363 desc . number ELECTRICAL ALTER RESIDENTIAL Date 138735 64.00 12/10/08 6/08/09 Plan Check Fee Valuation .00 o Qty 1. 00 Unit Charge Per 64.0000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 64.00 Fee summary Charged Paid Credited Due -~-~------------ ---------- ---------- ---------- ---------- Permit Fee Total 64.00 64.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.00 64.00 .00 .00 ~\ " ~ g ~ \ \J'& ~ ~ ~ ~ -c:; h.... "" ,. SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH . SERVICE OUGH - IN FINAL OMMENTS: C E' V ED ELECTRICAL WORK PERMIT APPLICATTtl\f b~c&U~MQ.e/ b~ 'l;l .ll':-O?? ).J _ Inst,"l.lI;l\.ion description ~Iectrical Contractor 0 Ownel- IIW" CJ Commercial J'iQ1oesidentiaJ t\Qt\l DEplI . ~ A'" EI"AtriZ"l CQntractor n~Jlle d' \.... _ f License ~n~er -1.. Dale Expm.'S :'\ill H~6, ~/e r--,LftA. e()-~Q.qO\ 0 NeW" ~:.utered!Additiou r\lfcha~~'~ m"ilin'ljd~TCSS . a l\ SLfb ~116cY\ ~. CiIY~O~+ An .~~ State zl~ A, 'l2UJ T~hopeA.umbe!j . q ~ "AX number ~ '6 I!?U ~., 50t - b I U3 ~ t{' 'YY\ -...LL- P-t VB-l~ Jon wired by ~ J'remi~e~ o";,.nJr'~ nllme ~ ::LO 1'.. 1Vt..e,~ Address or inspecliou , 00 b .:5 0 ~ C....h-e f "14: eit) ~r-t 4 VlB-eJ e 5 U 'Phone nllmber to schedule lD~pcction: L-f 0-1Cfc3 Owner' as defined by RCWI.9.28.261:(l) Owner will occupy the srrl'd'/I'a/i)I' ""0 yet11'.r aft<31' this aleatric"l pcml;t is finalized. (~) Ownel' <, l"(u/14'I'"d to hire an electrical ,'OnlT,lct,),. if ahfJ"'.! said property is fo1' sale., ,.,mf or lc-.ase.. A1'r.c,' reading the "bove statcmcnt, r hereby eertify lhat 1 am thc own\~r of the above nltmed propcrty or a licensed cleL'tricaJ contractor. I am m,lking the electrical instal- lation or alteration in C()l11p1i3J,ce with Ihe electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, fhe Cill' of PorI Angeles MIJnicipaI Code, and Utility Specificati()ns. Signlltu:;'J f 0 cr, elcctri. 31 ~tracto ur electrical admillidntur . X K ate: r~ '5 -D'6 $~ .A.-1~ ~ kli>-, ~- ~h-r;;bj ~ -m ~k ~+.~~ <-- ~ {j CJ Cash o Check # 6Yl~. o Credit Card Card # Visa Mastercard Discover - -_._------------- .E.lectrical Load.Addi. - )( NO LOAD CHANGES a Elaseboard KW CJ Furnace _ KW ~ OVGmead Service CJ Heat Pump _ Ton _ LAR 0 Temp Service CJ Fan-Wall _ KW Cl Underground Service SaME DAY..INSPECTIO~, C.c\.I,L BEFO]U: 7:00 AM 36Qdl1~.13.S. (ROUGH-IN THERMOSTAT lc D,to Approvod ky D,t. Approved By Servi~e InfQfJllati.QO Voltage ~L/D Phase i& 1 0 3 Service Size: ;J.~tf Feeder Size: SERVICE Iz/JaVOB ~~Y .FEEDER ~ ^FFro~" By 6: ^J'proved Hy D~'~, ^I'J'lr(we:(l fly F.tNAL 1 2./, 2. {O<6, D.l DITCH Inspection Da.tc Arl:a. Building or equipment Inspected Action Taken Hlcetrical IJlspectoT 1;t 10r L- f> :rA Id WdvS:G0 800G S0 '8aQ [SL,9 GSV 09[ 'ON Xti..:l ~OlJti~lNOJ ltiJI~lJ3l3 'S'd'ti : WO~..:l h V. " 0'" ...' -..,.,~- 5'ft,.,,-,,;'<.l'/i.," (. .l::\.\,.r.....~"""';",.'.. !'''''.-' ';'.f.'f..;';:" .;,.,.......,1"' ."" . (' ..~.;',.... ..:;e:t"l;'I\>~ ,;...,.... ,0;." ...~.~,' 1':; , . (}I~w '\ Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division Official Use 04 Asscm.# 0;> Rcccived SERVICE ADDRESS: I(jO~ T (if lA/Ai;/( fi1 j:::' ., ,r;- j( 3/<r r, !-L/g,/t;9/7 ASSEMBLY: 5i' 1.-:: t/ Manufacturer Model Size Serial No. IS THIS AN APPROVED ASSEMBLY? YES D.-NO 0 IS ASSEMBL Y INSTALLED CORRECTLY) YES E1"l'J0 0 DATE OF INSTALLATION AI/i':.' ?1It.-7UNKNOWND REDUCED PRESSURE PRINCIPLE ASSEMBLY RP DC PVB SVB o @---- o o RPDA 0 DCD/\. 0 Air Gap 0 AVB 0 !"'DOlJ,BLE CHECK VALVE ASSEMBLY .,:;{"C'HECK VALVE #1 CHECK VALVE #2 RELIEF VALVE PVB/SVB Initial Leaked 0 Leaked 0 Closed Tight 0 Held at2, ~;>-psi Did Not Open 0 AIR INLET -- o 0' Q' /.' Test Held atJ .. J psi Did Not Open 0 Opened at _ pSI Opencd at _ psi Repairs Cleaned 0 Cleaned 0 Cleaned 0 CHECK VALVE o -S- J ~ Leaked 0 Held at _ pSI Replaced 0 Replaced 0 Replaced 0 REPAIRS Ckaned 0 Details Replaced 0 Test Held at Ot... !Si Closed Tight 0 Held at].. ,)..psi Opened at _ psi AIR INLET Opened at _ psi CHECK VALVE Held at_ pSI BACK PRESSURE NO 0 YES 0 r,,: '. .~, ~ ~ .\ 3 psi Buffer YES 0 NO 0 Final AIR GAP INSPECTION: REQUIRED MINIMUM SEPARATION: YES 0 NO 0 TYPE OF HAZARD /1(1</ COMMENTS /' r Line Pressurt0--.L psi ~,"J ""') ") -- I AI Y/? r(' T;:' ,// " T t-F T tE.. P Y. //~/ ),)"-f I;; . Held Backpressure YES ~NO 0 #2 Shutoff Held YES Q......NO'" 0 Relief Valve Exercised YES 0 NO 0 Date/Time Tester Signature Cert.# Test Kit Passed Faded Initial d Tcst ~~)}-r:7 ,{ :f?crKr,( .t"J /l / ';:\:,,:.. ,?:'P>!:1'" ~ .:};;''ftS>- EI_ lt1I A,. 7f 7/.." o Repairs o o Final Test '~'~).1-.C7 ,i? !Je- (kcf{ 1 h.h-. ~~ :/ )- Y II {I; /#,4,1)' 121""-- o WHITE - CUSTOMER COpy YELLOW ~ PURVEYOR COPY PINK - TESTER COpy ~ ,\>ORT A..+. .....4.0~1?o.<' u,...~ lL ~ ~ ",",,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNlTY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000951 Date 432850 1006 S CHERRY ST 06-30-00-0-3-2500-0000- MICHAEL DELGADO PLUMBING REPAIR 8/16/07 RS7 RESDNTL SINGLE FAMILY 500 Owner Contractor MICHAEL DELGADO 10600 PIONEER BLVD UNIT A SANTA FE SPRINGS CA 90670 (562) 944-3166 SANFORD IRRIGATION PO BOX 2246 SEQUIM WA 98382 (360) 683 - 9807 Permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT IRR. DBL-CHK BACKFLOW 109090 57.00 Plan Check Fee 8/16/07 Valuation 2/12/08 .00 o Qty Unit Charge Per Extension 50.00 7.00 BASE FEE 1.00 7.0000 ECH PL- EA LAWN BACKFLOW Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 57.00 57.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.00 57.00 .00 .00 N (~ OJ> q~q' ~2/ (0/ 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 1'80 days, if construction or work i.s suspended or abandoned for a period of 180 days after ttie work as commEmced, 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 andordioances governing this type oLwork,wilLbe complied with whether specified. herein or not. The granting,ofa peClIJit does n~t presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of '3;;:;' ~ '/~07 S'goatu", of Coo',acto' 0' Au,"o,;zed ,,",eo~ liete Signature of Owner (if owner is builder) Date T:\Policies\l102_15 building penni! inspection record05.wpd [1/4/2005] ~ CALL 4] 7-4807 FOR PUBLJC WORKS UTILJTIES 1 PLEASE PROVlDE A IvlINIMUM24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WOJU, BEFORE -D INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TJON. \S1 KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE. BUILDING PERMIT INSPECTION RECOJm CALL 417-48]5 FOR BUILDlNG INSPECTIONS CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDA TION: FOOTINGS SHEAR WALLS / WALLS FOUNDA TlON DRAII'iAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGJ-l-rN Vi A TER LINE (METER TO BLDG) GAS LTNE FlNAL DATE ACCEPTED BY BACK FLOW 1 WATER AIR SEAL WALLS CEILlNG FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF / CEILING DRYW ALL (INTERJOR BRACED PANEL ONLY) T-BAR , INSULA TION SLAB WALL 1 FLOOR / CEILING MECHANICAL ROUGH-IN ~ }ffiATPU~/FURNACE/DUCTS ~ GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE 1 PELLET 1 CHIMNEY MANUFACTURED HOMES FOOTING 1 SLAB BLOCYJNG & HOLD DOWNS SKJRTING PLANNING DErT. SEPARATE PERMIT #'s SEPA: P ARKIN GiLl GHTING ESA: H LANDSCAPING SHORELINE: ; FINAL INSPECTIONS REQUIRED PRlOR TO OCCUrANCYfUSE :' RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LlGHT DEPT. 417-4735 ELECTRJCAL .0::; LIGHT DEPT - CONSTRUCTION RW. / PW/ CONSTRUCTION - RW () ENGINEERING 4] 7-4807 PW / ENGINEERING .:I: FIRE 417-4653 FIRE DEPT. ~. PLANNING DEPT. 417-4750 PLANNING DEPT. (it) BUTLDING 417-4815 BUILDING ?X o <:> 6"" V) o y VI -t Cl T:\PoJicies\1102 15 bUlldJllg penmllllspectJOn record05.wpd [1/4/20051 g On ~e. c,!<ex- R no..le&. 03 - 22.--0, ~"lJ " BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application, prescriptive energy form, plans, specs, and a 8 11" x 11" site plan MUST BE COMPLETE to be accepted for review. (360) 417-4815 FAX (360) 417-4711 FOR OFFICIAL USE ONLY: DateRec.:~ Permit #: Of. - 'f 5 ( Date Approved: <6 - , fo - 07 Date Issued: \, Residential projects: submit two setS of plans Commercial projects: submit three sets of plans Contractor/Engineer , Contractor/Engineer's Address .---- PROJECT ADDRESS: {Oat Phone 3.(0- 66>.5 - 't 1'07 -- Phone S-K'~2 - 9'fer: - .J IIi- . + S a. fa r -e i rt~ -> CA f'Ot"?t r f"V- f~Y af;tI f". St~te :icense #~ II FtJ 1I 1r ILr~s~OJ1 . Phone' S f. C' h..~..Y r 'I , Block: ,.---....., ZONING: ~. LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: . Subdivision: . TYPE 'OF WORK o Residential 0 New Constr. 0 Re-roof 0 Stove o Multi-family 0 Addition 0 Move 0 Garage o Conunercial . 0 Remodel 0 Demolition 0 Deck o Repair 0 Sign ;( Other BRIEF DESCRIPTION OF THE PROJECT: SIZEN ALUATION SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ &iOO.OO o If j' r r r fl ~ (' (J 11 f e COMMERCIAL/RE ENTIAL: Occupancy Group: . Occupant Load: Construction Type: Existing Structure(s) basement Sq. Ft & Proposed Structure(s) basement Sq. Ft. }" floor Sq. Ft. & }"' floor Sq. Ft. 2nd floor Sq. Ft. & 2nd floor Sq. Ft. 3'd floor Sq. Ft. & 3,d floor. Sq. Ft. Accessory Structures Sq. Ft. & Accessory Structures Sq. Ft. Existing Structure(s) TOTAL Sq. Ft. & Proposed Structure(s) TOTAL Sq. Ft. TOTAL of existing & proposed structures Sq. Ft. Maximum Height of Proposed Structure(s) Ft I au-t k C{ -eel -J -e in t ~ Are you planning to install a lawn sprinkler system? . (Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.) 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 currentJee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are due at the time of permit issuance. EXPIRA nON OF PLAN REVIEW: An application for a permit for any proposed work shall be deemed to have been abandoned 180 . days after the date offiling unless such application has been pursued in good faith or a permit has been issued; except that the building official is authorized to grant one or more extensions oftime for additional periods not exceeding 180 days (90 days for conunercial projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC2006 105.3.2). 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, and that I must obtain such permits prior to work. . X-~ /1:'. . Date ~116,1 0' 7 Applicant .L/ / ~ . T:\FORMS\BUILDING DIVISION\BldgPermitAppl.-2006 CODE - backup.wpd ..;- rage 1 or 1 / David & Heather Cowan /mo '5<~6t-, "Delgado, Michael" <mdelgado@iinspect.com> <dhcowan@olypen.com> "McClure, Duncan" <dmcclure@iinspect.com>; "Sands, Bret" <bsands@iinspect.com>; "Trapp, Jeff" <jtrapp@iinspect.com> Wednesday, July 25,20075:03 PM Irrigation Request for Port Angeles Home From: To: Cc: Sent: Subject: Heather, Thank you for your return call it was a pleasure speaking to you. As explained, our home in Port Angeles is in need of an irrigation system for front and side yards and planters as well. If we can get a price by end of week that would be great. Currently four of our technicians are at the house but I will let them know that someone will be coming by to look at the home. The main contact at the property now is Bret Sands cell phone 206/618-2983. Property Address: 1006 S. Cherry Street, Port Angeles, WA 98362 The closest owner contact is: Duncan McClure Office 206/766-8180 Cell 206/890-4169 ~ All my info is below as well. Thanks again and we are anxious to get your proposal, please include approximate start date if we award your company this project. Michael Delgado . Vice President Operations - Los Angeles DiVisi\n International Inspection, Inc. i Specialists in Nondestructive Examination \ . Los Angeles - Portland - Seattle \ 10600 Pioneer Blvd., Unit A Santa Fe Springs, CA 90670 +1 (562) 944-3166 Fax: +1 (562) 944-3114 Cell (562) 755-7793 ~f! f\lf~W , mailto: mdelgado@iinsQect.com http://www.iinsQect.com No virus found in this incoming message. Checked by A VG Free Edition. -.a. Version: 7.5.476/ Virus Database: 269.10.19/918 - Release Dat~ xr25/2007 2:55 PM ~ ~\)v ~ \f\ ~6 o v \p. Q.,~ ~~ \L V 0 ~ (}j 'I'- ~ \ 7/25/2007 \ ...\ ~ • ��`e� ELECTRICAL PERMIT CTT'Y OF PORT ANGELES 360,417-4735 1N 'Application Number . . . . . 18-00000368 Date 3/20/18 Application pin number . . . 238256 Property Address . . . 1006 S CHERRY ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-3-2500-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . . . . . to the City Of Port Angeles Property Use . . . . . {Location Cade 0502) Property Zoning RS7 RESDNTL SINGES FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Home inspection report repairs ---------------------------------------------------------------------------- Owner Contractor STEPHEN J AND REBECCA WINTERS ANGELES ELECTRIC WINTERS ESTATES 524 E. 1ST ST. 2603 NW 13TH ST BOX 108 PORT ANGELES WA 98362 GAINSVILLE FL 32609 (360) 452-9264 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . 90.00 Plan Check Fee .00 Issue Date 3/20/18 Valuation . 0 Expiration Date 9/16/18 4ty Unit Charge Per Extension 1 BASE FEE 75.00 3.00 5.0000 BCH EL-ECH ADDNT BRANCH CIRCUIT: 15.00 - --------- ---- --- -=--- -- _ ._- ------------------ Fee summary - Charged --_Paid--- Credited -- _Due -- ----------- -- _ __ ---- ---- ----- Permit Fee- 90.00 90.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 90.00 90.00 .00 .00 i I INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN FINAL COMMENTS: PERWr WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: r --; s i I 03/19/2018 07:45 FAX 360 452 9265 Angeles Electric 100001/0001 { 2 SINGLE-FAMILY AIA ELECTRICAL PERMIT APPLICAT101"ECT RWAI Public Works and Utilities Department nNy" EC'TOAK, 321 E.5th Street, Port Angeles, WA 98362 I 360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us t Proje Address: 06 Q' ' P ' ct Description: r I Single-Family Residential 0 Duplex/ARU Building Square footage: ' ' MATION Name: /N 4- Email: Mailing Address: Phone: Jug" G(j Z ELECTRICAL CON •' INFORMATION 11 Name: Incense: r Mailing Address: Expiration Date: Email: Lt Phone: .`3�U 2 —1 PROJECTDETAILS 1>DiIIl Unit Chame C� TAW(Quantity x Unik Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $148.00 $ Service/Feeder 401-600 Amp. $206.00 $ SwvkatFeeder 601-1000 Amp. $26Z00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/Service Feeder $5.00 $ Branch Circuit WO Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 3 $ Branch Circuits 1-4 $75.00 $.� Temp.Service/Feeder 200 Amp. $93.00 $ Temp.Service/Feeder.201-400 Amp. $110.00 $ Temp.Service/Feeder401-6W Amp. $149.00 $ Temp.ServeWeader801-1000Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal Circulttt.inated Energy-1&2 DU. $64.00 $ Manufactured Nome Connection $120.00 $ Renewable Elec.Energy:5KVA System or We $102.00 $ Thennostat(Note:$5 for each additional) $58.00 $ r M 71 '";. ,y,. v J r"4- �; "` � 9 , , I�f,�o3 T�pb •. ,i1;t"t�p J '... _. . ��.,—E,,..�.....,rt,�.��': x z�x rci=at_ 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,t 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- 488,Thy City of Port Angeles unicipal Code,and Utility Specifications an, AMC 14.0 .050 regarding Electrical Permit Applications. D -Print Name Signature(❑ owner DF-fjectflcal Contractor/Administrator) [Electrical Permit Applications may be submitted to City Mall or eiectricalpermits@cityofpa.us or faxed to 360.417.47111 ELEC'TCAL PERMIT CITY OF POkT ANGELES 360-417-4735 �- 'Application Number . . . 18-00001407 Date 9/11/18 - Application pin number 724754 'IlkProperty Address . . . . . . 1006 S CHERRY ST REPORT STATE SALES TAX a` ASSESSOR PARCEL NUMBER: 06-30-00-0-3-2500-0000- On OW'excise tax fOn'I7 Application type description ELECTRICAL ONLY y v Subdivision Name . . . . . to the City of Port Angeles Property Use . . . (Location Code 0502) Property Zoning . RS7 RfiSDNTL SINGLE FAMILY Application valuation . . 0 ---------------------------------------------------------------------------- Application desc Security system ---------------------------------------------------------------------------- Owner Contractor STEPHEN J AND REBECCA WINTERS PROTECT YOUR HOME WINTERS ESTATES 3750 PRIORITY WAY SOUTH DRIVE 2603 NW 13TH ST .SOX 108 #200 GAINSVILLE FL 32609 INDINAPOLIS IN 46240 (317) 810-4720 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee 64.00 Plan Check Fee .00 Issue Date . . 9111118 Valuation 0 Expiration Date 3/10/19 Qty Unit Charge Per Extension 1.00 64.0000 ECH EL-SINGLE CIR LIMITED RES 64.06 Fee summary Charged Paid Credited Due Permit Fee Total 64.00 64.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.00 64.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL - COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPEMON Signature of owner or Electrical Contractor X Date: a CITY OF PORT ANGELES PERMIT APPLICATION L9A) Building Division/Electrical Inspections 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 ` k Ph:(360)417.4735 Fax:(360)417-4711 Dd, 09/07/18 X 1&2 Sirxje Family DA$fling Ran FL-view filFay Be Regired,Please CmpMe Electrical Plan Review Irialreltlan Sheet JcbAditm 1w6 S r:h=St E rg StjLm FbabW 4118 sit tt Oasm"mdetx7m insulWof&iDwyotmehw sem itmty sys*m Owner Infomtation Contractor Infomlalion Nwm Stephen Winters Nwm Protect Your Hom MitirgAdlem_1006 S Chem St Milrrg AftM 37W Priority way S Or W Port Angeles 921g WA ZqX 98362 city. k SUm rN Z;x 46240 Rota t3eLMmR_Fmc rda FtDV eeesg2asss Fac 3175e42547 Lkww#/E)p _Na PROTEYH934RS Rom it t �C Total tay M oil! led by UrAt Chem) Sw4tWFeeder2o0Arrp. $120.00 S SwvlcWFeed9r 201.40D Anp. $146.00 s Swk&Feed9r401-W)Aap $20sao $ Sw4wFeeder601.10o0Arrp. $21200 s Sw*wFeeder over 100DAap. $MOD $ Barth C7ruit yr Service Feeder $ 500 s E9th Addltla el Barth 0=9 $ 5aD s So�dT(Irons l-4 $ MOD $ Ta+p.Satioaf Feeda2DDArrp. $ MOD $ Tarp.SeMoefFeeda201400Amp. $1100 S Tarp.SeMmFeedw401-600ft. $149.00 $ Temp.Saw1 601-100DArrp. $161100 $ Pami to Pbrtai Homy $ 96,00 $ Sigel aroii/Diked Eeerglf-1&2 Fw*Dod irg $ 6400 + $ 364,00 lVhmd sued Harm Omra6on $120.00 $ Fbxmeble EkbicM EharW-5INA System a Lags $10200 $ Thmrest l $ 5600 $ NoW$500for each addtiorai T-SW IONCO 6TFY=1 10140: FrdlMDSwnFL $12000 m— $ Ech AdAwW 500 SgLwe R or Patim d $ 4000 $ Each OlhrikkV or Dabdied Cwaga $ XOD S E4ch SwimAng Pbd or Hot Trb $11000 m^ $ $ W4.00 Total Owner as d*isd by FKCh1.19ZZ1:(1)Owner vA a xLpy the struck a for two years after ills electrical pemit is final'raad.(2)Owner is re4ked to tire an electrical caltractor I above said property is for sale,yard or Mm.Rr"expires after six,,Km d s of last inspection. After reedrtg the above&Mrs I h reby cer*that I am the a'NRler of the above named property or a iitlertlsed de0ical oat radar.I am making the deWKW installation or alteration in oorrplerrce Wh the dec tdc:ai laws,NEC.,FICaW.Chapter 192%VPQ Chow 296468,The City of PW Ng6wWaic4ACo*anc[UWity8pedkehasaWPARC14.05.050iopckng Becht PaTM Applications. Signature of owner,electrical contractor or electrical adminf$trafor: 0 rash R Om* W Oedt Card 0 x �, , &M.W1 09/07/2018 ow10+2 ELEt% .AL PERMIT CTTX 'T'ANGEIES 37-4735 Application Number . . . . 20-00000158 Date 2/03/20 Application pin number 408864 REPORT STA 7t SALES TAX Property Address . . . . . . 1006 S CHERRY ST on your excise tax farm ASSESSOR PARCEL NUMBER: 06-30-00-0-3-2500-0000 Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name . . . . (Location G'Od@ 05lJ2) Property Use . . . . . . . . Property Zoning . . . . . . . . RS7 _RESDNTL SINGLE FAMILY Application valuation . . 0 - ------------------------------------ Application desc Security cameras ---------------------------------------------------------------------------- Owner ' Contractor - --------- STEPHEN J AND REBECCA WINTERS ADT LLC - WINTERS ESTATES 11824 N CREEK PARKWAY, N 2603 NW 13TH ST BOX 108 STE 105 GAINSVILLE FL 32609 BOTHELL WA 98011 (206) 719-0347 - ---------------------- Permit . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc , Permit Fee . . . . 64.00 Plan Check Fee .00 Issue Date . . . . 2/03/20 valuation . . 0 Expiration Date 8/01/20 Qty Unit Charge Per Extension 1.00 64.0000 ECH -EL-SINGLE CIR LIMITED RES 64.00 - ------ ----------- Fee summary Charged Paid Credited Due ----- ---------- ---------- Permit Fee Total 64.00 64.00 04. .00 Plan;Check Total .00 .00 .00 .00 Grand Total 64.00 .64.00 .00 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICES ROUGH-IN FINAL GENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST WPWTION Signature of owner c Electrical Contractor X Date: a .. � ,i�� w S _._ 'ti - � ,� � {.. - �� ;:, 't �' .T:+ - 'i 1 - 2 SINGLE-FAMILY CD ELECTRICAL PERMIT APPLICATION Project Address: 1006 S Cherry St Project Description: install outdoor rf wireless cameras to existing low voltage intrusion alarm, replace existing cell communicator. C�] Single-Family Residential ❑ Duplex/ARU Building Square footage: Name: Stephen Winters Email: Mailing Address: 1006 S Cherry St Phone: 360-460-7592 Name: ADT LLC License: ADTLLL"881 DO Mailing Address: 11824 N CREEK PKWY N,SUITE#105 Expiration Date: 3/2019 Email: JENNIFER@NWPERMIT.COM Phone: 206-371-2237 � I t s;, gtn Unit Charae Quantity Tetal(Quantity x Unit Charge) 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 DU. $64.00 1 $ 64 Manufactured Home Connection $120.00 $ Renewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat(Note: $5 for each additional) $56.00 $ First 1300 Square Feet $120,00 $ ° Each Additional 500 square feet" $40.00 $ Each Outbuilding/Detached Garage $74.00 $ :. Each Swimming Pool/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- 46B,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. 01/31/2020 JENNIFER COVELLO r' ll . Date Print Name Signature(❑ 46vvner Electrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]